| ID | Age | Sex | State | Date โผ | Onset Days | Vaccine | Manufacturer | Lot # | Symptoms | Narrative | ๐ | ๐ฅ | ๐ | โฟ | โ ๏ธ |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2853940 | 17 | M | OH | 08/13/2025 |
MNQ |
SANOFI PASTEUR |
U8599AA |
Extra dose administered, No adverse event
Extra dose administered, No adverse event
|
Patient was to recieve meningitis B vaccine (Bexsero), MA/administrator order and administered menin...
Patient was to recieve meningitis B vaccine (Bexsero), MA/administrator order and administered meningitis A vaccine (MenQuadfi). Patient had already recieved meningitis A (MenQuadfi) vaccine on 7/16/24. Patient, parent and PCP all notified. No adverse reaction noted
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| 2853941 | 76 | M | SC | 08/13/2025 |
RSV |
GLAXOSMITHKLINE BIOLOGICALS |
X773H |
Rash pruritic
Rash pruritic
|
Veteran reported a pruritic rash which started on 08/08/25 and progressively worsened. Veteran denie...
Veteran reported a pruritic rash which started on 08/08/25 and progressively worsened. Veteran denied shortness of breath/swelling to throat. On 08/11, veteran reported to ED after rash and itching worsened.
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| 2853942 | 2 | M | IN | 08/13/2025 |
DTAPHEPBIP HEP HEPA MMRV PNC20 |
GLAXOSMITHKLINE BIOLOGICALS MERCK & CO. INC. MERCK & CO. INC. MERCK & CO. INC. PFIZER\WYETH |
9359N Y014090 Y018512 Z006279 LJ5282 |
Extra dose administered; Extra dose administered; Extra dose administered; Extra...
Extra dose administered; Extra dose administered; Extra dose administered; Extra dose administered; Extra dose administered
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Vaccines ordered by Dr, who ordered a Pediarix (DTaP-Hep B-Polio) and Recombivax (Hep B), and each v...
Vaccines ordered by Dr, who ordered a Pediarix (DTaP-Hep B-Polio) and Recombivax (Hep B), and each vaccine was administered by an RN in office. Patient essentially received two doses of Hep B in one vaccine visit.
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| 2853943 | 82 | F | IA | 08/13/2025 |
VARZOS VARZOS VARZOS |
GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS |
58160-0823-11 58160-0823-11 58160-0823-11 |
Asthenia, C-reactive protein, Cellulitis, Chills, Condition aggravated; Fatigue,...
Asthenia, C-reactive protein, Cellulitis, Chills, Condition aggravated; Fatigue, Full blood count, Headache, Hypertension, Lymphoedema; Metabolic function test, Pain, Pyrexia, Supraventricular tachycardia, Vomiting
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Generalized immune response, including fever, chills, vomiting, headache, body aches, fatigue, and w...
Generalized immune response, including fever, chills, vomiting, headache, body aches, fatigue, and weakness. Complications of existing conditions include lymphedema with resulting cellulitis, SVT, and hypertension
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โ | |||||
| 2853944 | 76 | M | FL | 08/13/2025 |
COVID19 |
MODERNA |
|
Unevaluable event
Unevaluable event
|
None stated.
None stated.
|
โ | โ | โ | |||
| 2853945 | 25 | F | LA | 08/13/2025 |
RAB RAB |
NOVARTIS VACCINES AND DIAGNOSTICS NOVARTIS VACCINES AND DIAGNOSTICS |
fdp00683 fdp00683 |
Chills, Diarrhoea, Hyperhidrosis, Oropharyngeal pain, Pain in extremity; Rhinorr...
Chills, Diarrhoea, Hyperhidrosis, Oropharyngeal pain, Pain in extremity; Rhinorrhoea
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Student stated she developed chills/sweats, runny nose, sore throat, diarrhea and leg pain. Informed...
Student stated she developed chills/sweats, runny nose, sore throat, diarrhea and leg pain. Informed student she could be seen in our Urgent Care Clinic for a medical professional to be able to check on symptoms.
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| 2853946 | 41 | F | OH | 08/13/2025 |
TDAP |
GLAXOSMITHKLINE BIOLOGICALS |
37R35 |
Extra dose administered, No adverse event
Extra dose administered, No adverse event
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Patient given Tdap upon request. This nurse missed that this patient had a Tdap vaccine on 9/19/24. ...
Patient given Tdap upon request. This nurse missed that this patient had a Tdap vaccine on 9/19/24. Immediately notified patient, who was still in office. Notified provider. Pt monitored in office for 30 minutes. Patient is also healthcare professional. Patient denies any adverse effects of vaccination.
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| 2853947 | 11 | F | MI | 08/13/2025 |
MENB |
NOVARTIS VACCINES AND DIAGNOSTICS |
CD44A |
Product administered to patient of inappropriate age
Product administered to patient of inappropriate age
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Provider did not enter correct vaccine order for child. I caught the mishap and let my provider know...
Provider did not enter correct vaccine order for child. I caught the mishap and let my provider know, I then was instructed to find the correct order and okayed to sign. After receiving help searching for the correct imm, I found the opposing Meningococcal vaccine and got it ready and administered vaccine to child. Later to find out the vaccine was not correct (wrong imm, wrong age range).
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| 2853948 | 17 | F | TN | 08/13/2025 |
MNQ |
SANOFI PASTEUR |
U8508AA |
Extra dose administered, No adverse event
Extra dose administered, No adverse event
|
The patient was given a third dose of Menquadfi in error. Patient has displayed no adverse signs or...
The patient was given a third dose of Menquadfi in error. Patient has displayed no adverse signs or symptoms.
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| 2853949 | 57 | F | 08/13/2025 |
PPV |
MERCK & CO. INC. |
Y016291 |
Wrong product administered
Wrong product administered
|
Unfortunately due to miscommunication, patient received Pneumovax 23 rather than Prevnar 20.
Unfortunately due to miscommunication, patient received Pneumovax 23 rather than Prevnar 20.
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| 2853950 | 17 | F | TN | 08/13/2025 |
MNQ |
SANOFI PASTEUR |
U8508AA |
Extra dose administered, No adverse event
Extra dose administered, No adverse event
|
Patient was given a third dose of menquadfi vaccine in error. Patient experienced no adverse signs ...
Patient was given a third dose of menquadfi vaccine in error. Patient experienced no adverse signs or symptoms.
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| 2853951 | 17 | F | VA | 08/13/2025 |
MENB MNQ |
PFIZER\WYETH SANOFI PASTEUR |
LF5302 U8600AA |
Extra dose administered; Extra dose administered
Extra dose administered; Extra dose administered
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Patient was given a third dose of Meningitis ACWY vaccine one year after the second dose. Vaccine wa...
Patient was given a third dose of Meningitis ACWY vaccine one year after the second dose. Vaccine was not needed or required in series.
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| 2853952 | 13 | F | TX | 08/13/2025 |
HPV9 MNQ TDAP VARCEL |
MERCK & CO. INC. NOVARTIS VACCINES AND DIAGNOSTICS SANOFI PASTEUR MERCK & CO. INC. |
Y012921 GB73Y U8564AA Z002625 |
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
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Wrong vaccine given (varicella).Patient monitored for 30 minutes no symptoms presented .Provider spo...
Wrong vaccine given (varicella).Patient monitored for 30 minutes no symptoms presented .Provider spoke to patient.
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| 2853953 | 17 | F | MO | 08/13/2025 |
MENB MNQ |
PFIZER\WYETH SANOFI PASTEUR |
GH4067 U8494AA |
Crying, Injection site pain, Neck pain, Pain; Crying, Injection site pain, Neck ...
Crying, Injection site pain, Neck pain, Pain; Crying, Injection site pain, Neck pain, Pain
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GRANDMOTHER CALLED AND REPORTED PATIENT HAS HAD PAIN IN HER IN HER RIGHT ARM EVER SINCE SHE RECEIVED...
GRANDMOTHER CALLED AND REPORTED PATIENT HAS HAD PAIN IN HER IN HER RIGHT ARM EVER SINCE SHE RECEIVED THE VACCINE. SAID PAIN GOES FROM INJECTION SITE, DOWN TO ELBOW AND EVEN UP NECK ON AFFECTED SIDE. STATES PATIENT HAS A LOT OF EXCRUTIATING PAIN ON AFFECTED SIDE AND IS AGGREVATED MORE WITH USE. CRIES FREQUENTLY IN PAIN. HAS BEEN USING ALEVE WHICH TEMPORARILY HELPS DISCOMFORT BUT NOT FULLY AND THEN THE EXCRUTIATING PAIN RETURNS. REPORTS PAIN SINCE THE DAY OF INJECTION.
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| 2853954 | 13 | F | TX | 08/13/2025 |
MMRV |
MERCK & CO. INC. |
Z003311 |
Product administered to patient of inappropriate age, Wrong product administered
Product administered to patient of inappropriate age, Wrong product administered
|
Proquad was given after age 12 when MMR and Varicella should have been given seperately.
Proquad was given after age 12 when MMR and Varicella should have been given seperately.
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| 2853955 | 86 | M | PA | 08/13/2025 |
PNC20 |
PFIZER\WYETH |
LN4928 |
Cellulitis, Haemorrhage
Cellulitis, Haemorrhage
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Following the injection the patient developed an open bleeding area which needed wound care and a nu...
Following the injection the patient developed an open bleeding area which needed wound care and a nurse visit on 7/14/25 to redress as it was bleeding continually and the patient was unsure what to do, the patient ended up being hospitalized on 7/19-7/21 for left arm cellulitis and needed to complete antibiotics, the patient was also scheduled with the provider to address this issue post discharge
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โ | |||||
| 2853956 | 52 | F | NY | 08/13/2025 |
PNC21 |
MERCK & CO. INC. |
Z003579 |
Injection site erythema, Injection site nodule, Injection site warmth, Pain, Pru...
Injection site erythema, Injection site nodule, Injection site warmth, Pain, Pruritus
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Sudden onset same day as vaccine; 6-7cm localized red but flat area at site; warm to touch w/ 2x3cm ...
Sudden onset same day as vaccine; 6-7cm localized red but flat area at site; warm to touch w/ 2x3cm flat redness medial to this patch; Deeper/palpable 1.5cm nodule at 2nd site; localized pain/pruritus per pt
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| 2853957 | 12 | M | MI | 08/13/2025 |
DTAP HPV9 MNQ |
GLAXOSMITHKLINE BIOLOGICALS MERCK & CO. INC. NOVARTIS VACCINES AND DIAGNOSTICS |
5kr3r y015179 2js53 |
Wrong product administered; Wrong product administered; Wrong product administer...
Wrong product administered; Wrong product administered; Wrong product administered
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Pt was supposed to get Tdap, But was given Dtap instead.
Pt was supposed to get Tdap, But was given Dtap instead.
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| 2853958 | 60 | F | NC | 08/13/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
2HJ99 |
Chills, Erythema, Peripheral swelling, Pyrexia, Tenderness
Chills, Erythema, Peripheral swelling, Pyrexia, Tenderness
|
Later that evening, patient noted tenderness, swelling and erythema of upper arm. This progressed ov...
Later that evening, patient noted tenderness, swelling and erythema of upper arm. This progressed over the next few days and she started having fevers and chills (last temperature approximately 100 F on 8/12 PM)
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| 2853959 | 51 | F | MD | 08/13/2025 |
PNC20 PNC20 VARZOS VARZOS |
PFIZER\WYETH PFIZER\WYETH GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS |
LP4947 LP4947 5A4XG 5A4XG |
Chest pain, Discomfort, Headache, Sluggishness, Vaccination site erythema; Vacci...
Chest pain, Discomfort, Headache, Sluggishness, Vaccination site erythema; Vaccination site swelling; Chest pain, Discomfort, Headache, Sluggishness, Vaccination site erythema; Vaccination site swelling
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Patient described next day as feeling chest pain, sluggish, headache, vaccination site was red and s...
Patient described next day as feeling chest pain, sluggish, headache, vaccination site was red and swollen, discomfort
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| 2853960 | 22 | F | WI | 08/13/2025 |
HEP |
DYNAVAX TECHNOLOGIES CORPORATION |
|
No adverse event, Wrong product administered
No adverse event, Wrong product administered
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Patient was accidentally given Hepatitis B vaccine instead of Hepatitis A vaccine. No adverse reacti...
Patient was accidentally given Hepatitis B vaccine instead of Hepatitis A vaccine. No adverse reactions to either vaccine.
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| 2853961 | 76 | F | OH | 08/13/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
FT95N |
Pruritus, Swelling face
Pruritus, Swelling face
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Pt states she woke up the next morning with the left side of her face by her eye somewhat swollen an...
Pt states she woke up the next morning with the left side of her face by her eye somewhat swollen and itching on her face. She used otc pain medications (acetaminophen and ibuprofen) and aquaphor all day to help with symptoms. She let pharmacy know 8/13/2025 in the afternoon. She states the swelling has gone done since noticing it initially. She was advised to continue using otc treatments and to report to her PCP if symptoms do not resolve or get worse. She also was advised to let PCP know reaction for their records as well.
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| 2853962 | 28 | M | NV | 08/13/2025 |
COVID19 COVID19 |
PFIZER\BIONTECH PFIZER\BIONTECH |
EW0217 EW0196 |
Lymphadenopathy, Mass, Neoplasm malignant; Lymphadenopathy, Mass, Neoplasm malig...
Lymphadenopathy, Mass, Neoplasm malignant; Lymphadenopathy, Mass, Neoplasm malignant
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Enlarged lymph node on left side of the neck. Started 1 year after vaccination. Saw a physician rega...
Enlarged lymph node on left side of the neck. Started 1 year after vaccination. Saw a physician regarding lump 2 years after vaccination. Diagnosed with cancer 4 years after vaccination
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โ | โ | ||||
| 2853963 | 71 | F | FL | 08/13/2025 |
PNC21 |
MERCK & CO. INC. |
y013009 |
Injection site erythema, Injection site reaction, Injection site swelling, Injec...
Injection site erythema, Injection site reaction, Injection site swelling, Injection site warmth
More
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Patient came to consultation window at pharmacy on wednesday 7/2/25 to show me (pharmacist) their ar...
Patient came to consultation window at pharmacy on wednesday 7/2/25 to show me (pharmacist) their arm. Their arm was red (large area from upper arm to elbow (right arm)), slightly swollen, slightly warm to the touch. Upon evaluation seems to had been an injection site reaction. The evening of immunization patient stated they had fever & pain and took Tylenlol. Patient did not present with any other symptoms (no longer w/fever, no other signs of allergic reaction, no headaches, no trouble breathing). I (pharmacist) consulted patient to take 2 benadryl tablets right away then 1 tab every 4 to 6 hours & to consult PCP. Patient seemed hesitant and worried so I (pharmacist) called PCP office @ 11am on 7/2/25 to report incident. I spoke to a representative who was unable to connect me to the office directly and collected all information and details about the incident and stated they will have a med assist./nurse/or MD follow up with patient. I tried to reach patient after reporting incident they did not call pharmacy back. I saw patient at pharmacy in person a few weeks later and they reported she was fine that she saw PCP but didn't disclose details about their encounter.
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| 2853964 | 4 | M | FL | 08/13/2025 |
DTAP |
SANOFI PASTEUR |
3CA20C1 |
Injection site erythema, Injection site inflammation, Injection site pain, Injec...
Injection site erythema, Injection site inflammation, Injection site pain, Injection site rash, Injection site warmth
More
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On 08/07/2025 @ approximately 2pm, the patient was given the DTAP (Daptacel) vaccine in the right ar...
On 08/07/2025 @ approximately 2pm, the patient was given the DTAP (Daptacel) vaccine in the right arm. On 08/09/2025 the patient was seen with Chief Complaint of rash on the right arm. The injection site was red and inflamed, warm and painful to touch. ALSO ADVISED TO TAKE ORAL ANTIBIOTIC AS PRESCRIBED, AND TO NOTIFY IF NOT IMPROVING FOLLOWING 24 HRS OF ANTIBIOTICS, AND TO KEEP AFFECTED AREA OF SKIN DRY AND CLEAN Change cephALEXin 250 mg/5 mL oral suspension from TAKE 10 ML BY MOUTH THREE TIMES A DAY FOR 5 DAYS DISCARD REMAINDER to 10 mL 3 times a day for 5 days Provided cellulitis in children: care instructions. On 08/11/2025 Patient was seen in office accompanied by mother. Per mother pt arm looks better. Mother states its not inflamed but still red, no longer warm or painful to touch, no continued erythematous streaking (has not expanded past the original borders drawn on 8/9 and has shrunk), no fevers, and otherwise clinically improving.
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| 2853965 | 16 | F | MO | 08/13/2025 |
MENB |
NOVARTIS VACCINES AND DIAGNOSTICS |
99G34 |
Injection site erythema, Injection site mass, Injection site pain
Injection site erythema, Injection site mass, Injection site pain
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Patient came into my clinic 8/13/25 for MCV4 and stated she still had a knot on her L ARM from her M...
Patient came into my clinic 8/13/25 for MCV4 and stated she still had a knot on her L ARM from her Men B vaccination on 7/28. Very large knot noted at L Deltoid, Per , only vaccine given that date by above named clinic, lot number provided. Patient and father state lot was significantly larger and reddened and more painful day after vaccination and is improving but is still present on exam 2 weeks post vaccination. I did go ahead and give MCV4 vaccination to R Deltoid (opposite site) as it has been 2 weeks, and she has not had an adverse reaction to other vaccinations in past.
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| 2853966 | 62 | M | NC | 08/13/2025 |
COVID19 |
MODERNA |
3046979 |
No adverse event, Underdose
No adverse event, Underdose
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Patient was administered the pediatric dose of Covid Vaccine. There were no adverse reactions. Patie...
Patient was administered the pediatric dose of Covid Vaccine. There were no adverse reactions. Patient did not have any symptoms related to administered dose.
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| 2853967 | 22 | F | AL | 08/13/2025 |
RAB |
NOVARTIS VACCINES AND DIAGNOSTICS |
FDP00528 |
Loss of consciousness, Rash, Somnolence, Syncope, Vision blurred
Loss of consciousness, Rash, Somnolence, Syncope, Vision blurred
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Pt. describes diffuse rash on left arm on the evening of the vaccine approximately 3-4 hours later. ...
Pt. describes diffuse rash on left arm on the evening of the vaccine approximately 3-4 hours later. Pt. then experienced blurred vision and syncope while sitting at the dinner table. She states she was unconscious for approx. 2 minutes then went to bed and rash was cleared the next morning but she still felt "groggy."
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| 2853968 | 6 | M | AR | 08/13/2025 |
DTAP |
SANOFI PASTEUR |
3CA55C1 |
Erythema, Peripheral swelling, Pruritus, Skin warm
Erythema, Peripheral swelling, Pruritus, Skin warm
|
Got Tdap on 8/11/25 at the health dept. Having reaction. Mom noticed last night. Redness, warmth, sw...
Got Tdap on 8/11/25 at the health dept. Having reaction. Mom noticed last night. Redness, warmth, swelling from shoulder to elbow. Patient says it itches.
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| 2853969 | 69 | F | WI | 08/13/2025 |
COVID19 |
MODERNA |
B0020 |
Expired product administered
Expired product administered
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Patient was given Covid vaccine after the past use date.
Patient was given Covid vaccine after the past use date.
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| 2853970 | 19 | F | LA | 08/13/2025 |
MENB |
NOVARTIS VACCINES AND DIAGNOSTICS |
5XA2J |
Chills, Injection site swelling, Pyrexia
Chills, Injection site swelling, Pyrexia
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patient with chills, fever, localized swelling at injection site. This occurred after previous MenB ...
patient with chills, fever, localized swelling at injection site. This occurred after previous MenB vaccine as well.
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| 2853971 | 1 | F | WY | 08/13/2025 |
HEPA MMRV VARCEL |
GLAXOSMITHKLINE BIOLOGICALS MERCK & CO. INC. MERCK & CO. INC. |
J4K4X Y012594 Y013350 |
Extra dose administered, Wrong product administered; Extra dose administered, Wr...
Extra dose administered, Wrong product administered; Extra dose administered, Wrong product administered; Extra dose administered, Wrong product administered
More
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Accidentally pulled proquad instead of MMR. The child received proquad and varicella today, two d...
Accidentally pulled proquad instead of MMR. The child received proquad and varicella today, two doses of the chicken pox vaccine. Mother was notified while in the office the moment I realized the error. I explained the error to mother and mother voiced understanding. She is going to monitor the child today and call me if she has concerns. Mother also voiced she will administer Motrin and Tylenol as needed for her child. My manager was notified of the error at the time of the incident as well. I will call the mother later this afternoon, if she does not call me, to follow up and check in on the patient. I plan to do a follow up call tomorrow as well. I advised the mother that I will research the error and call her and notify her of the information that I find.
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| 2853972 | 62 | M | IL | 08/13/2025 |
COVID19 COVID19 COVID19 COVID19 |
JANSSEN JANSSEN MODERNA MODERNA |
1821281 1821281 068H21A 068H21A |
Laboratory test normal, Nail operation, Nail ridging, Onychoclasis, Onychomadesi...
Laboratory test normal, Nail operation, Nail ridging, Onychoclasis, Onychomadesis; Onychomycosis; Laboratory test normal, Nail operation, Nail ridging, Onychoclasis, Onychomadesis; Onychomycosis
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About one week after he notices ridges in his nails on the fingers of both hands. This progressivel...
About one week after he notices ridges in his nails on the fingers of both hands. This progressively became worse and his nails are "decaying" and flaking and falling off. They are splintering and chipping off his fingers.
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| 2853973 | 27 | F | WA | 08/13/2025 |
HEP |
GLAXOSMITHKLINE BIOLOGICALS |
47D35 |
Underdose
Underdose
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Pediatric vaccine given instead of adult vaccine requiring an additional visit and administration of...
Pediatric vaccine given instead of adult vaccine requiring an additional visit and administration of the adult vaccine.
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| 2853974 | 50 | F | 08/13/2025 |
PNC21 |
MERCK & CO. INC. |
Z006076 |
Injection site bruising, Injection site cellulitis, Injection site pain, Pain in...
Injection site bruising, Injection site cellulitis, Injection site pain, Pain in extremity, Skin warm
More
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Pt was in pain immediately upon injecting of vaccine. Pt jumped and pulled away stating " it fe...
Pt was in pain immediately upon injecting of vaccine. Pt jumped and pulled away stating " it feels like you got it right in my muscle" A few hours later pt states her arm was sore and warm to the touch. The next day she was seen in office with painful left arm with bruising pooled by elbow. Provider evaluated pt and states " Cellulitis of upper arm with pain and bruising. Cellulitis starting and bruising above left elbow.
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| 2853975 | 19 | F | TX | 08/13/2025 |
HPV9 |
MERCK & CO. INC. |
Z004534 |
Dizziness, Immediate post-injection reaction, Loss of consciousness
Dizziness, Immediate post-injection reaction, Loss of consciousness
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Immediately after the needle was removed, patient appear to pass out while sitting on the table for ...
Immediately after the needle was removed, patient appear to pass out while sitting on the table for about 5-10 seconds. she reported feeling lightheaded for about 1-2 minutes after above. patient HR at the time was 65-70, O2 sats on RA 97-98 % with BP 107/70. no evidence of rash, headache, abdominal pain or abnormal movement. patient was observe for 45-60 minutes in the office with full recovery to her baseline. patient reports that she feels great at the time of discharge.
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| 2853976 | 16 | M | PA | 08/13/2025 |
HEPA |
MERCK & CO. INC. |
Y017625 |
Incorrect dose administered
Incorrect dose administered
|
adult vaccine given to pediatric patient (16 years old)
adult vaccine given to pediatric patient (16 years old)
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| 2853977 | 17 | F | PA | 08/13/2025 |
MNQ |
NOVARTIS VACCINES AND DIAGNOSTICS |
4293k |
Expired product administered, No adverse event
Expired product administered, No adverse event
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Vaccine expired on 7/31/2025 and accidentally given 8/13/25. No reaction in patient noted. Situation...
Vaccine expired on 7/31/2025 and accidentally given 8/13/25. No reaction in patient noted. Situation explained to parent. Appointment given 30 days from now to repeat dose of MCV4
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| 2853978 | 6 | F | TN | 08/13/2025 |
DTAPIPV MMRV |
GLAXOSMITHKLINE BIOLOGICALS MERCK & CO. INC. |
7D2Y4 y018154 |
Erythema, Peripheral swelling; Erythema, Peripheral swelling
Erythema, Peripheral swelling; Erythema, Peripheral swelling
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Redness and swelling all over thigh. About 4.5in in diameter as of today. Patient treatment as of n...
Redness and swelling all over thigh. About 4.5in in diameter as of today. Patient treatment as of now is Zyrtec 10ml daily.
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| 2853979 | 12 | M | FL | 08/13/2025 |
HPV9 MNQ TDAP |
MERCK & CO. INC. NOVARTIS VACCINES AND DIAGNOSTICS GLAXOSMITHKLINE BIOLOGICALS |
Y015599 XL223 9YB4G |
Injection site erythema; Injection site erythema; Injection site erythema
Injection site erythema; Injection site erythema; Injection site erythema
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Erythema at site of vaccination patient received Tdap and Menveo together in left deltoid, erythema...
Erythema at site of vaccination patient received Tdap and Menveo together in left deltoid, erythema appeared in the site of injection, mother was explained that is a side effect and that is expected with some vaccines. Patient was indicated to use cold compresses and Ibuprofen, and follow up in case of not response in few days. Mother states to understand indications.
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| 2853980 | 33 | F | UT | 08/13/2025 |
HEP HEP |
DYNAVAX TECHNOLOGIES CORPORATION DYNAVAX TECHNOLOGIES CORPORATION |
946062 946062 |
Agitation, Allergy to vaccine, Anxiety, Dysphagia, Hypotension; Malaise, Pruritu...
Agitation, Allergy to vaccine, Anxiety, Dysphagia, Hypotension; Malaise, Pruritus, Swelling face
More
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1015 Heplisav B 4th dose given, 1045 pt complaint of itchiness denies SOB or Chest pain. Benadryl 50...
1015 Heplisav B 4th dose given, 1045 pt complaint of itchiness denies SOB or Chest pain. Benadryl 50mg IVP given per protocol. Notified MD cont. to monitor V/S closely. Pt started feeling not good, oxygen 4L NC given. Pt started complaining hard to swallow and stated her face feels swollen and looks agitated and anxious. RN open lines with saline drip giving extra saline. O2 sat 4L 96% BP 146/86 HR 120 , monitor V/S closely w/ hypotension noted. Another 150ml of NS given, pt denies dizziness. Solu Medrol 125mg IVP given over 5min per MD. Another RN initiated 911. Pt monitor by MD and 3 RN while waiting for 911. BP rechecked last reading @ 1117 105/45 pulse 113, 911 arrived and took over approx @ 1120 pt left via ambulance alert and oriented, and pt wanted to go to (withheld name) Hosp. Family informed afterward.
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| 2853981 | 34 | F | AR | 08/13/2025 |
MMR TDAP |
MERCK & CO. INC. SANOFI PASTEUR |
Y013132 3CA33C1 |
Injection site nodule, Injection site pain, Injection site pruritus, Injection s...
Injection site nodule, Injection site pain, Injection site pruritus, Injection site vesicles; Injection site nodule, Injection site pain, Injection site pruritus, Injection site vesicles
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Pt. received Tdap and MMR vaccine on 8/6/2025. Pt. states sometime 8/7/2025 she noticed that it was ...
Pt. received Tdap and MMR vaccine on 8/6/2025. Pt. states sometime 8/7/2025 she noticed that it was itchy and had a painful knot in the area where the Tdap was given. Pt. presents to medical facility today for a check up on the area. Area observed on upper right arm in deltoid region has an approx. 2 inch long red area with mulitple tiny bumps-pt. states she has been popping the bumps and a yellowish fluid comes out. A 1 inch knot is felt under the skin, pt. grimaces when area is touched and states it hurts under the skin but superficially it itches. Pt. advised symptoms can be normal to use warm compress for swelling and use a hydrocortizone cream on the skin for itching. If symptoms persist, see PCP.
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| 2853982 | 4 | F | TX | 08/13/2025 |
DTAPIPV HEPA MMRV |
GLAXOSMITHKLINE BIOLOGICALS MERCK & CO. INC. MERCK & CO. INC. |
4l454 y018582 y019173 |
Dizziness, Pallor; Dizziness, Pallor; Dizziness, Pallor
Dizziness, Pallor; Dizziness, Pallor; Dizziness, Pallor
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pale, wanted to pass out, laying on their back and elevating their legs, supine position with legs e...
pale, wanted to pass out, laying on their back and elevating their legs, supine position with legs elevated.
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| 2853983 | 7 | M | MI | 08/13/2025 |
DTAP HEPA |
GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS |
JF7DM MB599 |
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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DTaP was inadvertently ordered and given rather than Varicella which was actually what was due. Pati...
DTaP was inadvertently ordered and given rather than Varicella which was actually what was due. Patient has had no adverse effect of the vaccination.
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| 2853984 | 12 | M | TX | 08/13/2025 |
HPV9 HPV9 MNQ MNQ TDAP TDAP |
MERCK & CO. INC. MERCK & CO. INC. SANOFI PASTEUR SANOFI PASTEUR SANOFI PASTEUR SANOFI PASTEUR |
Y015599 Y015599 U8558BA U8558BA U8564AA U8564AA |
Injection site cellulitis, Injection site reaction, Injection site warmth, Pain ...
Injection site cellulitis, Injection site reaction, Injection site warmth, Pain in extremity, Peripheral swelling; Rash erythematous; Injection site cellulitis, Injection site reaction, Injection site warmth, Pain in extremity, Peripheral swelling; Rash erythematous; Injection site cellulitis, Injection site reaction, Injection site warmth, Pain in extremity, Peripheral swelling; Rash erythematous
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Just after administration pt. was stating right arm was hurting and was a little swollen. That eveni...
Just after administration pt. was stating right arm was hurting and was a little swollen. That evening, developed a slight rash with continued pain. There was increased swelling the next day. Friday PM arm was bright red along with tight skin from shoulder to elbow. Arm became rock hard and had heat that became worse by Saturday. Taken to ER on Saturady for an evaluation and told it was cellulitis.
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| 2853985 | 11 | M | IN | 08/13/2025 |
HPV9 MNQ TDAP |
MERCK & CO. INC. NOVARTIS VACCINES AND DIAGNOSTICS GLAXOSMITHKLINE BIOLOGICALS |
Y012508 343DD X449Y |
Injection site erythema; Injection site erythema; Injection site erythema
Injection site erythema; Injection site erythema; Injection site erythema
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Left upper arm (deltoid area) with approximate 1.5 inch diameter area of subtle, macular erythema; n...
Left upper arm (deltoid area) with approximate 1.5 inch diameter area of subtle, macular erythema; no induration, no warmth. No treatment.
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| 2853986 | 11 | F | IL | 08/13/2025 |
HPV9 MNQ TDAP |
MERCK & CO. INC. SANOFI PASTEUR SANOFI PASTEUR |
Y012921 8600AA 4CA04C1 |
No adverse event; No adverse event; No adverse event
No adverse event; No adverse event; No adverse event
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No adverse side effects noted.
No adverse side effects noted.
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| 2853987 | 77 | F | IN | 08/13/2025 |
PNC20 TDAP |
PFIZER\WYETH SANOFI PASTEUR |
LN4932 u8670BA |
Wrong patient; Wrong patient
Wrong patient; Wrong patient
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Patient was administered the vaccines intended for a different patient.
Patient was administered the vaccines intended for a different patient.
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| 2853989 | 41 | F | TX | 08/13/2025 |
HPV9 |
MERCK & CO. INC. |
Y020464 |
Injection site mass
Injection site mass
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Painful subcutaneous bump at the injection site still present as of 8/13/25
Painful subcutaneous bump at the injection site still present as of 8/13/25
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| 2853990 | 23 | F | 08/13/2025 |
HEP |
GLAXOSMITHKLINE BIOLOGICALS |
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Aphthous ulcer, Oral disorder, Oral mucosal blistering, Oral pain
Aphthous ulcer, Oral disorder, Oral mucosal blistering, Oral pain
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About 24 hours after the vaccine I developed a blister like sore in my mouth on the frenulum of my t...
About 24 hours after the vaccine I developed a blister like sore in my mouth on the frenulum of my top lip, this proceeded to turn into a canker sore looking thing. I got another canker sore on the bottom left. Then I got another small bump at the very top left gum of my mouth that turned into a canker sore. I also have a third bump on the bottom right down by where the lips and gums meet again now. The top middle bump is not a blister but looks like a small skin lesion now, the top left is still a canker sore, the bottom right is still a little bump or blister of sorts that appears under the skin. The outbreak of sores was very painful and disruptive to eating and drinking.
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