| ID | Age | Sex | State | Date โผ | Onset Days | Vaccine | Manufacturer | Lot # | Symptoms | Narrative | ๐ | ๐ฅ | ๐ | โฟ | โ ๏ธ |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2854491 | 58 | F | IL | 08/18/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
5y49c |
Product preparation issue
Product preparation issue
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Only AS01B adjuvant administered; Inappropriate dose of vaccine administered; This non-serious case ...
Only AS01B adjuvant administered; Inappropriate dose of vaccine administered; This non-serious case was reported by a nurse via call center representative and described the occurrence of inappropriate preparation of medication in a 58-year-old female patient who received Herpes zoster (Shingrix) (batch number 5y49c, expiry date 04-APR-2027) for prophylaxis. On 11-AUG-2025, the patient received Shingrix. On 11-AUG-2025, an unknown time after receiving Shingrix, the patient experienced inappropriate preparation of medication (Verbatim: Only AS01B adjuvant administered) and inappropriate dose of vaccine administered (Verbatim: Inappropriate dose of vaccine administered). The outcome of the inappropriate preparation of medication and inappropriate dose of vaccine administered were not applicable. Additional Information: GSK Receipt Date: 11-AUG-2025 A nurse practitioner started a chat and informed that a patient was given a dose of AS01b sterile diluent without the antigen component, which led to an inappropriate preparation of medication and inappropriate dose of vaccine administered. The reporter wanted to know how should they proceed after this. Reporter informed that such was administered earlier that day. The vaccine administration facility was the same as primary reporter.
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| 2854492 | M | FL | 08/18/2025 |
COVID19 |
MODERNA |
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Near death experience
Near death experience
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almost killed him; This spontaneous case was reported by a physician and describes the occurrence of...
almost killed him; This spontaneous case was reported by a physician and describes the occurrence of NEAR DEATH EXPERIENCE (almost killed him) in a male patient of an unknown age who received SPIKEVAX NOS (SPIKEVAX NOS) for COVID-19 prophylaxis. No Medical History information was reported. On an unknown date, the patient received dose of SPIKEVAX NOS (SPIKEVAX NOS) (unknown route) 1 dosage form. On an unknown date, the patient experienced NEAR DEATH EXPERIENCE (almost killed him) (seriousness criterion medically significant). At the time of the report, NEAR DEATH EXPERIENCE (almost killed him) outcome was unknown. The action taken with SPIKEVAX NOS (SPIKEVAX NOS) (Unknown) was unknown. For SPIKEVAX NOS (SPIKEVAX NOS) (Unknown), the reporter did not provide any causality assessments. No concomitant medication was reported. It was stated reporter was trying to find someone that offered the Novavax Covid vaccine and he could not find anyone. In other places, he was unable to find it. He was worried about Covid because it was rising to epidemic levels again and it has a real bad impact on him. Patient might like to be vaccinated on this weekend. It was reported that there were 2 seasons for Covid; one was when it was too hot and everyone was inside under the air conditioning, and the other was when it was too cold and people were hiding, and during that time, it was summer season in the reporter's place. It was reported that he did not like the mRNA vaccines and it was reported that Moderna almost killed him, and several of his friends stroke out in different things as well as it seemed to be not very effective. Patient would prefer to be vaccinated with Novavax Covid vaccine or he might would have Pfizer vaccine. No treatment information was reported. This case was linked to US-MODERNATX, INC.-MOD-2025-788613 (E2B Linked Report).; Reporter's Comments: The benefit -risk relationship of product is not affected by this report.; Sender's Comments: US-MODERNATX, INC.-MOD-2025-788613:invalid case for multiple patients
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| 2854493 | M | WI | 08/18/2025 |
COVID19 |
MODERNA |
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COVID-19
COVID-19
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we both got Covid; This spontaneous case was reported by a nurse and describes the occurrence of COV...
we both got Covid; This spontaneous case was reported by a nurse and describes the occurrence of COVID-19 (we both got Covid) in a male patient of an unknown age who received SPIKEVAX NOS (SPIKEVAX NOS) for COVID-19 prophylaxis. No Medical History information was reported. On an unknown date, the patient received dose of SPIKEVAX NOS (SPIKEVAX NOS) (unknown route) 1 dosage form. On an unknown date, the patient experienced COVID-19 (we both got Covid). At the time of the report, COVID-19 (we both got Covid) outcome was unknown. The action taken with SPIKEVAX NOS (SPIKEVAX NOS) (Unknown) was unknown. For SPIKEVAX NOS (SPIKEVAX NOS) (Unknown), the reporter did not provide any causality assessments. No concomitant medications were reported. The patient and his wife were well vaccinated and so, they took a trip out of the country, and both got covid very mild and came back. Then nothing happened. They did not travel again for a while and then traveled again out of the country with friends. And again, they got covid again, very mild. They had kept up with their vaccines all the way along. No treatment information was provided. This case was linked to US-MODERNATX, INC.-MOD-2025-788543 (E2B Linked Report).; Sender's Comments: US-MODERNATX, INC.-MOD-2025-788543:wife case
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| 2854494 | 80 | F | 08/18/2025 |
COVID19 |
MODERNA |
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COVID-19
COVID-19
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got COVID, but the symptoms were very mild; This spontaneous case was reported by a nurse and descri...
got COVID, but the symptoms were very mild; This spontaneous case was reported by a nurse and describes the occurrence of COVID-19 (got COVID, but the symptoms were very mild) in an 80-year-old female patient who received SPIKEVAX NOS (SPIKEVAX NOS) for COVID-19 prophylaxis. Previously administered products included for Product used for unknown indication: tetanus. Past adverse reactions to the above products included No adverse effect with tetanus. On an unknown date, the patient received dose of SPIKEVAX NOS (SPIKEVAX NOS) (Intramuscular use) 1 dosage form. On an unknown date, the patient experienced COVID-19 (got COVID, but the symptoms were very mild). At the time of the report, COVID-19 (got COVID, but the symptoms were very mild) had resolved. For SPIKEVAX NOS (SPIKEVAX NOS) (Intramuscular use), the reporter did not provide any causality assessments. Concomitant medication was not reported. Patient had her pneumonia, shingles vaccine already, she was good for a while until any of those come up. It was reported that, patient saw in newspaper that unfortunately, the administration and government was going to withdraw funding for development of Covid and Covid like vaccines and MRNA vaccines in general and wanted to know the status of the current Moderna vaccine. It was reported that, patient received first Moderna dose on 22-Feb-2021, second dose on 22-Mar-2021, third dose on 29-Oct-2021, fourth 26-May-2022, Fifth dose on 04-Oct-2022 sixth dose on 21-Apr-2023, seventh dose on 13-Oct-2023, eight dose on 4-Sep-2024, 9th dose on 07-Apr- 2025 with Batch Number unknown. Her most recent booster Covid vaccine was from Moderna and all covid vaccines had been Moderna. Most recent one was in April, and the consensus patient heard from healthcare provider and others was that seniors like herself and her husband were generally recommended to get a kind of a spring shot to cover the summer surge and a fall shot to cover the winter surge. She had taken covid vaccine as regularly as it was recommended ever since they first came out in January of 2021. She did not travel outside of the country for a couple of years after covid developed, until finally thought it was a bit safer and were well vaccinated and so, they took a trip and they both got covid very mild and came back. Then nothing happened. They didn't travel again for a while and then traveled again with friends. And got covid again very mild. They had kept up with our vaccines all the way along. Patient was planning to get shot of the newest formulation and she likely to call as they get closer to October. It was unknown if the patient experienced any additional symptoms/events. Treatment medication was not reported. This case was linked to US-MODERNATX, INC.-MOD-2025-788682 (E2B Linked Report). Most recent FOLLOW-UP information incorporated above includes: On 06-Aug-2025: Follow-up received with non-significant: Historical vaccines were added.; Sender's Comments: US-MODERNATX, INC.-MOD-2025-788682:husband case
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| 2854495 | 08/18/2025 |
COVID19 |
PFIZER\BIONTECH |
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Gastrointestinal disorder, Muscular dystrophy, Weight gain poor
Gastrointestinal disorder, Muscular dystrophy, Weight gain poor
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problems especially with my muscles, in both arms seem to/ but it shrunk; stomach problem; I am not ...
problems especially with my muscles, in both arms seem to/ but it shrunk; stomach problem; I am not able to gain weight; This is a spontaneous report received from a Consumer or other non HCP. A patient (age and gender not provided) 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: MUSCULAR DYSTROPHY (non-serious), outcome "unknown", described as "problems especially with my muscles, in both arms seem to/ but it shrunk"; GASTROINTESTINAL DISORDER (non-serious), outcome "unknown", described as "stomach problem"; WEIGHT GAIN POOR (non-serious), outcome "unknown", described as "I am not able to gain weight". Additional information: Ever since the patient had the shot, the patient had problems especially with muscles, in both arms seem to, it has caused him/her nothing, but it shrunk and had stomach problem. No follow-up attempts are possible. Batch/lot number is not provided, and it cannot be obtained.
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| 2854496 | M | 08/18/2025 |
COVID19 |
PFIZER\BIONTECH |
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COVID-19, Drug ineffective, SARS-CoV-2 test
COVID-19, Drug ineffective, SARS-CoV-2 test
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tested positive with covid 19; tested positive with covid 19; This is a spontaneous report received ...
tested positive with covid 19; tested positive with covid 19; 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)), 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 with covid 19". 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.
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| 2854497 | 36 | M | MN | 08/18/2025 |
COVID19 |
PFIZER\BIONTECH |
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Laboratory test, Myocardial infarction
Laboratory test, Myocardial infarction
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2 heartattacks
2 heartattacks
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โ | โ | โ | |||
| 2854498 | M | NC | 08/18/2025 |
HEP |
GLAXOSMITHKLINE BIOLOGICALS |
9K34M |
Incorrect dose administered
Incorrect dose administered
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Adult dose of hep b Given to 4 week old-no noted reaction after 72 hours
Adult dose of hep b Given to 4 week old-no noted reaction after 72 hours
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| 2854499 | 74 | M | MN | 08/18/2025 |
COVID19 |
PFIZER\BIONTECH |
ME6072 |
Loss of consciousness
Loss of consciousness
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Patient received vaccine and waited 15 min before leaving facility. Approx 45 min later patient blac...
Patient received vaccine and waited 15 min before leaving facility. Approx 45 min later patient blacked out while driving and have car accident totaling his vehicle. Patient was assessed in the ED.
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| 2854500 | 5 | F | AR | 08/18/2025 |
DTAPIPV MMR |
SANOFI PASTEUR MERCK & CO. INC. |
U8198AA Y004114 |
No adverse event, Wrong product administered; No adverse event, Wrong product ad...
No adverse event, Wrong product administered; No adverse event, Wrong product administered
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Received Quadracel for second dose of DTaP and IPV. The combo vaccine was only for the 5th dose of D...
Received Quadracel for second dose of DTaP and IPV. The combo vaccine was only for the 5th dose of DTaP and the 4th/5th dose of Polio. No adverse reaction noted
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| 2854501 | 77 | M | IN | 08/18/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
PJ353 |
Injection site pain, Pain
Injection site pain, Pain
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PT had injection sight tenderness until yesterday when it vastly resolved. Pain would radiate down ...
PT had injection sight tenderness until yesterday when it vastly resolved. Pain would radiate down to fingers and sometimes could be felt in his lateral trunk.
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| 2854502 | 34 | F | DE | 08/18/2025 |
MMR |
MERCK & CO. INC. |
Y015022 |
Discomfort, Erythema, Headache, Skin warm, Swelling
Discomfort, Erythema, Headache, Skin warm, Swelling
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redness, warmth, some swelling like a bug bite to area, mild discomfort. Also had a headache a coupl...
redness, warmth, some swelling like a bug bite to area, mild discomfort. Also had a headache a couple days later. Took some ibuprofen.
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| 2854503 | 84 | F | ME | 08/18/2025 |
PNC21 |
MERCK & CO. INC. |
lx4482 |
Injection site reaction, Rash erythematous, Rash pruritic
Injection site reaction, Rash erythematous, Rash pruritic
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Itchy red rash near cite
Itchy red rash near cite
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| 2854504 | 17 | F | VA | 08/18/2025 |
YF YF |
SANOFI PASTEUR SANOFI PASTEUR |
UK136AB UK136AB |
Asthenia, Cyanosis, Dizziness, Loss of consciousness, Pallor; Somnolence
Asthenia, Cyanosis, Dizziness, Loss of consciousness, Pallor; Somnolence
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After administering the Yellow Fever vaccine, the pt stated "I feel like I'm going to pass...
After administering the Yellow Fever vaccine, the pt stated "I feel like I'm going to pass out." When the pt lost consciousness, the RN was able to lie the pt down on the exam table. The pt was unconscious for no longer than 5 seconds. When the pt fully regained consciousness she was noted to be drowsy, weak, pale, and her lips were cyanotic. The pt was A&O X4. The RN helped sit the pt up and asked if she would like saltine crackers. The pt accepted the crackers with some water. The pt admitted to the nurse that she did not eat breakfast that morning. Prior to administration of the vaccine, the RN and the pt had discussed the pt's fear of needles, but not if she had eaten. The RN was able to contact the pt's mother the following business day and the pt's mother was able to report that the pt had recovered well.
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| 2854505 | 12 | F | AZ | 08/18/2025 |
HPV9 HPV9 |
MERCK & CO. INC. MERCK & CO. INC. |
BHCQC BHCQC |
Face and mouth X-ray normal, Jaw clicking, Osteoarthritis, Pain in jaw, Trismus;...
Face and mouth X-ray normal, Jaw clicking, Osteoarthritis, Pain in jaw, Trismus; X-ray dental normal
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Patient started complaining about Jaw pain around November fallowing the shot, was dealing with clic...
Patient started complaining about Jaw pain around November fallowing the shot, was dealing with clicking, as the months went on it went from, jaw feeling weird to clicking to locking to January is when her jaw popped and then locked completely, we took her to dentist first because we thought it would be her wisdom teeth, after x rays there they stated her wisdom teeth were fine and nothing abnormal, then we went to ER later that day. They x-ray her there and they stated that they couldn't find anything wrong and that we would need to go to a TMJ specialist. We had to wait till JUNE for her fist visit. After several visits with the TMJ specialist said that my 13 yr old daughter has arthritis on her right side of her Jaw.
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| 2854506 | 58 | F | CA | 08/18/2025 |
FLU3 FLU3 |
SEQIRUS, INC. SEQIRUS, INC. |
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Dyspnoea, Erythema, Gastrointestinal pain, Lip erythema, Nausea; Oral mucosal er...
Dyspnoea, Erythema, Gastrointestinal pain, Lip erythema, Nausea; Oral mucosal erythema, Paraesthesia, Pharyngeal swelling, Rash, Vomiting
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I was fine, I got my vaccine around Noon, Around 6:30 i started getting gastro pain, I started vomit...
I was fine, I got my vaccine around Noon, Around 6:30 i started getting gastro pain, I started vomiting and my feet and hands began to tingle and then turned red. My lips turned red and around my mouth. My throat got swollen and it was had to breathe and broke out in a rash all over my body. I then i went to ER they took me right back and they gave me Benadryl something for nauseas, IV fluids and they kept me for observation. They did not keep my over night just until my throat opened up.
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| 2854507 | 1.33 | M | MI | 08/18/2025 |
DTPPVHBHPB HEP HEPA MMR PNC20 VARCEL |
MSP VACCINE COMPANY GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS MERCK & CO. INC. PFIZER\WYETH MERCK & CO. INC. |
U8265AA LG749 32559 Y018962 LN4931 Z005455 |
Extra dose administered, Injection site pain; Extra dose administered, Injection...
Extra dose administered, Injection site pain; Extra dose administered, Injection site pain; Extra dose administered, Injection site pain; Extra dose administered, Injection site pain; Extra dose administered, Injection site pain; Extra dose administered, Injection site pain
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Client received combo Vaxelis with an additional HepB single antigen dose. This was an oversight on ...
Client received combo Vaxelis with an additional HepB single antigen dose. This was an oversight on my part when checking vaccines required with vaccines pulled for administration. Spoke with the mother of the client, who informed me her son, "did not have any additional side effects or fever, only a sore leg."
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| 2854508 | 16 | F | AR | 08/18/2025 |
MMRV |
MERCK & CO. INC. |
Z2007869 |
Wrong product administered
Wrong product administered
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Patient was in clinic for scheduled visit and was due for vaccines. Patient had a shot record with p...
Patient was in clinic for scheduled visit and was due for vaccines. Patient had a shot record with previous MMR and Varicella vaccines given, but shown as invalid on shot record, so another MMR and varicella was due. LPN and CSM and 3rd nurse discussed and reviewed chart vs. Web shot record. Determined patient needed MMR and varicella. Patient received MMRV instead of MMR and varicella separately. On Thursday, 8/14, became apparent that a vaccine error was made. Spoke to the CS and VFC rep and discussed no adverse effects expected from error. On Friday, CS called vaccine manufacturer who confirmed the same. Parent contacted, incident reporting entered, re-education with staff addressed, label added to Proquad box for age alert.
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| 2854509 | 65 | F | DE | 08/18/2025 |
TDAP VARZOS |
GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS |
KR75K 7523K |
Injection site erythema, Injection site swelling; Injection site erythema, Injec...
Injection site erythema, Injection site swelling; Injection site erythema, Injection site swelling
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PATIENT REPORTS REDNESS AND SWELLING IN THE INJECTION SITE OF THE RIGHT ARM AND SURROUNDING AREA (LA...
PATIENT REPORTS REDNESS AND SWELLING IN THE INJECTION SITE OF THE RIGHT ARM AND SURROUNDING AREA (LARGE AREA)
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| 2854510 | 11 | M | IL | 08/18/2025 |
HPV9 HPV9 MNQ MNQ TDAP TDAP |
MERCK & CO. INC. MERCK & CO. INC. SANOFI PASTEUR SANOFI PASTEUR GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS |
Y015180 Y015180 U8599AA U8599AA 9JT4S 9JT4S |
Erythema, Induration, Injection site pruritus, Injection site reaction, Injectio...
Erythema, Induration, Injection site pruritus, Injection site reaction, Injection site swelling; Injection site warmth, Rash macular; Erythema, Induration, Injection site pruritus, Injection site reaction, Injection site swelling; Injection site warmth, Rash macular; Erythema, Induration, Injection site pruritus, Injection site reaction, Injection site swelling; Injection site warmth, Rash macular
More
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Mother called on 08/01/2025 to report patients left shoulder on the evening of immunization was hard...
Mother called on 08/01/2025 to report patients left shoulder on the evening of immunization was hard and red. On 07/31/2025, the same shoulder was also "itchy and blotchy from shoulder to elbow". Today, 08/01/2025, it is no longer itchy or blotchy but is swollen and hot to the touch. States he has used warm compresses on shoulder. 08/18/2025, called to check on patient to see if there were any ongoing problems, patients mother stated the redness and swelling dissipated and was gone within a couple of days from last contact (08/01/2025).
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| 2854511 | 4 | M | FL | 08/18/2025 |
MMR |
MERCK & CO. INC. |
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Product storage error
Product storage error
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Patient was given a vaccine that was non-viable due to it being out of temperature range for too lon...
Patient was given a vaccine that was non-viable due to it being out of temperature range for too long.
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| 2854512 | 19 | M | 08/18/2025 |
MNQ |
NOVARTIS VACCINES AND DIAGNOSTICS |
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Immune system disorder
Immune system disorder
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Patient reports that according to the doctor at the ER, the immunization "compromised my immune...
Patient reports that according to the doctor at the ER, the immunization "compromised my immune system" and the the Tylenol he had taken triggered a reaction. He was given steroids and other medication. Was released after 2 hours and is now feeling well.
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| 2854513 | 17 | F | IL | 08/18/2025 |
MNQ MNQ |
NOVARTIS VACCINES AND DIAGNOSTICS NOVARTIS VACCINES AND DIAGNOSTICS |
DL4YY DL4YY |
Injection site cellulitis, Injection site erythema, Injection site induration, I...
Injection site cellulitis, Injection site erythema, Injection site induration, Injection site pain, Injection site warmth; Peripheral swelling
More
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Patient reported that her arm started swelling and the swelling increased over the days from the tim...
Patient reported that her arm started swelling and the swelling increased over the days from the time that she received the vaccine to the time that she was seen in the clinic on 8/15/25. Also was experiencing pain, redness, warmth and hardness to vaccine site. MD diagnosis was cellulitis and patient was started on 7 day course of cephalexin 500 mg capsule q6 hours.
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| 2854514 | 29 | F | 08/18/2025 |
TDAP |
GLAXOSMITHKLINE BIOLOGICALS |
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Nausea, Vomiting
Nausea, Vomiting
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NAUSEA/VOMITTED
NAUSEA/VOMITTED
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| 2854515 | 5 | F | OK | 08/18/2025 |
DTAPIPV |
SANOFI PASTEUR |
U8383AB |
Injection site erythema, Injection site swelling
Injection site erythema, Injection site swelling
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Localized swelling and redness at injection site
Localized swelling and redness at injection site
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| 2854516 | 17 | F | IL | 08/18/2025 |
MNQ |
NOVARTIS VACCINES AND DIAGNOSTICS |
DL4YY |
Injection site cellulitis, Injection site induration, Injection site pain, Injec...
Injection site cellulitis, Injection site induration, Injection site pain, Injection site warmth, Peripheral swelling
More
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Patient was seen in our office on 8/11/25 and received the Menveo vaccine. Pt was then seen on 8/15...
Patient was seen in our office on 8/11/25 and received the Menveo vaccine. Pt was then seen on 8/15/25 in our office with swelling to right arm which she stated started the day she received the vaccine and which increased over time until she was seen in our office. Also reported that arm was painful, felt warm to touch and the site felt hard. MD diagnosed cellulitis and prescribed a 7 day course of cephalexin 500 mg capsules q 6 hours.
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| 2854517 | 4 | M | CO | 08/18/2025 |
DTAPIPV |
SANOFI PASTEUR |
U7838AA |
Extra dose administered, No adverse event
Extra dose administered, No adverse event
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No none adverse reaction
No none adverse reaction
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| 2854518 | 4 | M | CO | 08/18/2025 |
DTAPIPV |
SANOFI PASTEUR |
U7838AA |
Expired product administered, No adverse event
Expired product administered, No adverse event
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The Vaccine was expired. No adverse effects
The Vaccine was expired. No adverse effects
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| 2854519 | 18 | M | 08/18/2025 |
MENB |
NOVARTIS VACCINES AND DIAGNOSTICS |
CD44A |
Loss of consciousness, Pallor
Loss of consciousness, Pallor
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Patient here for a 2nd of 3 Series Meningitis B vaccine and a Lipid Panel. Per Dr.'s Notes, pat...
Patient here for a 2nd of 3 Series Meningitis B vaccine and a Lipid Panel. Per Dr.'s Notes, patient to present back for Nurse visit for 2nd Dose Mid August. Patient received dose around 1019 am in the left deltoid and tolerated well. Patient states his first dose he just had a sore arm muscle with no other issues. Patient was then walked over to the lab area for his blood draw. Patient was doing well and draw was completed when patient passed out and became pale. Patient was laid flat and cold pack placed behind his neck. Within about 15 seconds patient came too. Patient was diaphoretic. Answered questions appropriately and color returned to his face. Patient had some apple juice and graham crackers. After about 20 minutes he felt ready to return home. Patient was up and about with no concerns. Obtained verbal consent to call mother and update her. This was done right after patient departed. Patient should return around January 3rd for 3rd dose of Men. B vaccine.
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| 2854520 | 1.25 | M | NJ | 08/18/2025 |
PNC20 |
PFIZER\WYETH |
LN4929 |
Rash pruritic
Rash pruritic
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Patient's parents describe intermittent body rash that is itchy. It has been persistent for the...
Patient's parents describe intermittent body rash that is itchy. It has been persistent for the last 2 months and required both oral and topical steroids.
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| 2854521 | 84 | F | PA | 08/18/2025 |
PNC20 |
PFIZER\WYETH |
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Injected limb mobility decreased, Injection site bruising, Injection site pain, ...
Injected limb mobility decreased, Injection site bruising, Injection site pain, Muscular weakness, Pain in extremity
More
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pt says that the day after being vaccinated she had pain in the arm about 2 or 3 inches below the in...
pt says that the day after being vaccinated she had pain in the arm about 2 or 3 inches below the injection site. The following week after the vaccine she had a big black and blue mark that appeared. She called the doctors office about it and was told to apply heat. Now she is starting to loose mobility in the left arm and her right arm is becoming very weak. She has a lot of pain in in the left arm. She went to the doctor and was told to apply ice. This helped very little. She uses a heating pad to help with the pain so she can sleep, but the pain is still present when waking up. She continues to loose strength in both arms and continues to have pain in the left arm.
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| 2854522 | 56 | F | TX | 08/18/2025 |
PNC20 |
PFIZER\WYETH |
LJ5280 |
Erythema, Peripheral swelling
Erythema, Peripheral swelling
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Patient received Prevnar 20 vaccine on 8/12/25 on left deltoid. She came in today and showed us tha...
Patient received Prevnar 20 vaccine on 8/12/25 on left deltoid. She came in today and showed us that her arm was red and swollen. She stated that it occurred right away when she got home. She called health insurance and they advised her to take Tylenol for the reaction. Despite taking the Tylenol, the redness seems to be getting bigger and not better. She will go to her doctor today to be evaluated.
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| 2854523 | 13 | F | NC | 08/18/2025 |
HPV9 |
MERCK & CO. INC. |
2007667 |
Lymphadenitis, Oedema, Skin warm, Tenderness
Lymphadenitis, Oedema, Skin warm, Tenderness
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Axillary lymphadenitis on ipsilateral side, warmth, edema, tenderness. Treated successfully with Au...
Axillary lymphadenitis on ipsilateral side, warmth, edema, tenderness. Treated successfully with Augmentin with resolution of symptoms.
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| 2854524 | 18 | M | MI | 08/18/2025 |
MENB |
NOVARTIS VACCINES AND DIAGNOSTICS |
55N34 |
Pain
Pain
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The patient has pain 3/10 when he lifts his arm over his head. He has been using ice, moves it, use...
The patient has pain 3/10 when he lifts his arm over his head. He has been using ice, moves it, uses warm compress, is taking Motrin. It is getting a little better but improving slowly. I advised him to call his PCP today. I consulted with Dr., he agreed that the patient needs to call his PCP. The patient plays college basketball and it hurts when he raises his arm up over his head. The arm is not red and not swollen per the patient phone call. He will call his PCP. I called the patient to see if he called his PCP. It went to voicemail. I left a message.
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| 2854525 | 77 | F | IA | 08/18/2025 |
RSV |
PFIZER\WYETH |
md5462 |
Extra dose administered
Extra dose administered
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Patient given 2nd dose of RSV. First dose received in 9/2024, but was not documented. Found upon ent...
Patient given 2nd dose of RSV. First dose received in 9/2024, but was not documented. Found upon entering insurance.
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| 2854526 | 4 | F | CA | 08/18/2025 |
DTAP IPV |
SANOFI PASTEUR SANOFI PASTEUR |
3CA03C3 Y1A201M |
Irritability, Lethargy, Loss of personal independence in daily activities, Pruri...
Irritability, Lethargy, Loss of personal independence in daily activities, Pruritus, Urticaria; Irritability, Lethargy, Loss of personal independence in daily activities, Pruritus, Urticaria
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Child woke up on 3/29/25 with hives down her Left Arm. Child's parents contacted the provider....
Child woke up on 3/29/25 with hives down her Left Arm. Child's parents contacted the provider. Child continued to experience hives even seven days after the vaccinations. Child missed out on her recreational soccer game that week due to itching, her being lethargic, and extremely irritable. Child's preschool called the parents multiple times that month to come pick the child up from school due to extreme itching. Child's parents contacted the provider again seven days after vaccination because the hives continued to be present. Discoloration of the arm was notable up until one month following the vaccines.
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| 2854527 | 55 | F | NC | 08/18/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
55KB9 |
Nausea, Seizure
Nausea, Seizure
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Patient was given her second vaccine in our vaccination room. The patient complained of feeling nau...
Patient was given her second vaccine in our vaccination room. The patient complained of feeling nauseous, so the administrator left the room to achieve an emesis bag. Upon arrival back into the vaccination room with the bag, the husband of the patient informed the administrator the patient had just had a seizure. Patient and her husband were allowed to remain in the immunization room until the patient felt she could walk out safely.
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| 2854528 | 0.17 | F | NY | 08/18/2025 |
DTPPVHBHPB |
MSP VACCINE COMPANY |
U8313AA |
Injection site mass
Injection site mass
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Provider at today's well child check was told about a "pen-tip" sized lump/bump to th...
Provider at today's well child check was told about a "pen-tip" sized lump/bump to the left thigh that has been present since her 2 month vaccines. No other symptoms noted.
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| 2854529 | 81 | F | CO | 08/18/2025 |
UNK UNK |
UNKNOWN MANUFACTURER UNKNOWN MANUFACTURER |
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Cyanosis, Erythema, Immune thrombocytopenia, Pain, Pallor; Platelet count decrea...
Cyanosis, Erythema, Immune thrombocytopenia, Pain, Pallor; Platelet count decreased, Raynaud's phenomenon, Skin ulcer
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pt says a couple of days later she was in pain from head to toe. Then her toes became really red. He...
pt says a couple of days later she was in pain from head to toe. Then her toes became really red. Her toes would turn white, and then blue and then red. Then developed sores on them. She has raynaud's disease so had blood work and was sent to the ER. Her platelets were low and she has to have infusions. She is now on hepatitis meds that make her blood sugar go up. She has been diagnosed with ITP. She continues to have these infusions and believes the vaccine caused her symptoms .
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โ | โ | ||||
| 2854530 | 86 | F | IA | 08/18/2025 |
COVID19 |
MODERNA |
3046731 |
Death
Death
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Expired
Expired
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โ | |||||
| 2854531 | 50 | M | 08/18/2025 |
COVID19 COVID19 |
PFIZER\BIONTECH PFIZER\BIONTECH |
FG3184 FF8841 |
Heart rate irregular, Hypertensive heart disease, Sudden death; Heart rate irreg...
Heart rate irregular, Hypertensive heart disease, Sudden death; Heart rate irregular, Hypertensive heart disease, Sudden death
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My husband had no heart problem, but after getting the vaccine he had couple of irregular heartbeats...
My husband had no heart problem, but after getting the vaccine he had couple of irregular heartbeats. Other then that his heart seemed okay but after 13 month of 2nd Covid Vaccination, he died suddenly due to Hypertension Cardio Vascular Disease. Medical Examiner said it is not related to Covid Vaccine, but as a spouse, I believe this is Vaccine related.
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| 2854532 | 77 | M | IA | 08/18/2025 |
COVID19 |
MODERNA |
3046731 |
Death
Death
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resident expired
resident expired
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| 2854533 | 50 | F | SC | 08/18/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
7523j |
Product preparation issue
Product preparation issue
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patient was given just the diluent. It was not mixed. I reconstituted a full dose and gave the full ...
patient was given just the diluent. It was not mixed. I reconstituted a full dose and gave the full dose right after the diluent was given
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| 2854534 | 62 | M | CA | 08/18/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
F95YS |
Extra dose administered, No adverse event
Extra dose administered, No adverse event
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On 05/31/2025, customer was administered an extra dose of Shingrix by a floater pharmacist. This wa...
On 05/31/2025, customer was administered an extra dose of Shingrix by a floater pharmacist. This was discovered when customer came in to get his second dose on 08/15/2025. I checked records and found that he had already completed both doses in 2022. Customer reported not having any side effects after the administrating of the third doses of Shingrix.
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| 2854535 | 64 | M | VA | 08/18/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
35A77 |
Injection site erythema, Injection site pain, Injection site pruritus, Injection...
Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling
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LOCALIZED INJECTION SITE BAD PAIN, REDNESS, SWELLING, ITCHINESS
LOCALIZED INJECTION SITE BAD PAIN, REDNESS, SWELLING, ITCHINESS
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| 2854536 | 1 | F | MI | 08/18/2025 |
HEPA MMRV VARCEL |
GLAXOSMITHKLINE BIOLOGICALS MERCK & CO. INC. MERCK & CO. INC. |
GP759 Z009076 Z008083 |
Pyrexia; Pyrexia; Pyrexia
Pyrexia; Pyrexia; Pyrexia
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Fever 102.
Fever 102.
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| 2854538 | 85 | F | IA | 08/18/2025 |
PNC13 |
PFIZER\WYETH |
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Death
Death
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Expired
Expired
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| 2854539 | 16 | M | PA | 08/18/2025 |
MENB MNQ |
NOVARTIS VACCINES AND DIAGNOSTICS NOVARTIS VACCINES AND DIAGNOSTICS |
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Headache, Migraine; Headache, Migraine
Headache, Migraine; Headache, Migraine
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Patient has experienced more headache / migraine in the 7 weeks since receiving these 2 vaccines tha...
Patient has experienced more headache / migraine in the 7 weeks since receiving these 2 vaccines than he normally would in an entire year. The first headache began the day after receiving these vaccines.
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| 2854540 | 17 | F | HI | 08/18/2025 |
MNP |
PFIZER\WYETH |
LJ0075 |
Axillary pain, Erythema, Myalgia, Pain, Pyrexia
Axillary pain, Erythema, Myalgia, Pain, Pyrexia
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Moderate local pain, redness to deltoid area with mild pain into ipsilateral axilla and intermittent...
Moderate local pain, redness to deltoid area with mild pain into ipsilateral axilla and intermittent fevers
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| 2854541 | 73 | F | FL | 08/18/2025 |
FLU3 RSV |
SANOFI PASTEUR GLAXOSMITHKLINE BIOLOGICALS |
u876488 f4ac3 |
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 adverse events were reported by patient. This is to report a second dose of RSV given. Database d...
No adverse events were reported by patient. This is to report a second dose of RSV given. Database did not show a previous RSV vaccine given on 12/21/2023 therefore the patient was given what turned out to be a second dose.
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