| ID | Age | Sex | State | Date โผ | Onset Days | Vaccine | Manufacturer | Lot # | Symptoms | Narrative | ๐ | ๐ฅ | ๐ | โฟ | โ ๏ธ |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2853991 | 16 | M | GA | 08/13/2025 |
HEP HEP HEPA HEPA IPV IPV MNQ MNQ VARCEL VARCEL |
GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS SANOFI PASTEUR SANOFI PASTEUR NOVARTIS VACCINES AND DIAGNOSTICS NOVARTIS VACCINES AND DIAGNOSTICS MERCK & CO. INC. MERCK & CO. INC. |
7NX57 7NX57 J4K4X J4K4X Y1A212M Y1A212M AH7Z3 AH7Z3 Z008196 Z008196 |
Blood glucose normal, Dizziness, Hyperhidrosis, Pallor, Unresponsive to stimuli;...
Blood glucose normal, Dizziness, Hyperhidrosis, Pallor, Unresponsive to stimuli; Vision blurred; Blood glucose normal, Dizziness, Hyperhidrosis, Pallor, Unresponsive to stimuli; Vision blurred; Blood glucose normal, Dizziness, Hyperhidrosis, Pallor, Unresponsive to stimuli; Vision blurred; Blood glucose normal, Dizziness, Hyperhidrosis, Pallor, Unresponsive to stimuli; Vision blurred; Blood glucose normal, Dizziness, Hyperhidrosis, Pallor, Unresponsive to stimuli; Vision blurred
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Patient was sitting down in chair and receiving vaccines at approximately 10:30. After 5th vaccine o...
Patient was sitting down in chair and receiving vaccines at approximately 10:30. After 5th vaccine out of 8 scheduled patient began feeling lightheaded, dizzy, and reported blurry vision. Patient became pale and sweaty and was conscious but not responding for several minutes. Vital signs were taking starting at 10:35 and were: B/P: 70/39, HR: 48, O2: 97%. Then at 10:40 B/P: 113/75, HR: 66, O2: 95%. At 10:45 B/P: 111/70, HR: 60, O2: 96%. And at 10:50 the final set of vitals were: B/P: 113/73, HR: 54, O2: 97%, Temp: 97.6 F, and Blood Glucose: 122 after giving patient orange juice. Patient was evaluated by EMS and deemed stable. Parent declined going to hospital. Patient was stable and able to walk out of clinic today.
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| 2853992 | 59 | F | PA | 08/13/2025 |
HEPAB |
GLAXOSMITHKLINE BIOLOGICALS |
p2443 |
Blood pressure increased, Dizziness, Feeling abnormal
Blood pressure increased, Dizziness, Feeling abnormal
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Patient received 2nd vaccine around 10am and returned to the pharmacy at 3pm noting lightheadedness/...
Patient received 2nd vaccine around 10am and returned to the pharmacy at 3pm noting lightheadedness/dizziness and feeling "off". Her blood pressure was elevated (135/82) from her reported baseline (108/76). We gave her cold water and she sat by the pharmacy for 20 minutes. A 2nd blood pressure was taken after 20 minutes and read 136/80. Per patient she was still feeling "off' but safe to drive home. If symptoms worsen or persist longer than 48 hours patient was advised to call MD.
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| 2853993 | 14 | M | CA | 08/13/2025 |
HPV9 |
MERCK & CO. INC. |
Z002580 |
Fall, Head injury, Loss of consciousness, Syncope
Fall, Head injury, Loss of consciousness, Syncope
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HPV vaccine was administered. Approximately three minutes post-administration, the 14-year-old patie...
HPV vaccine was administered. Approximately three minutes post-administration, the 14-year-old patient fainted, striking the back of his head on the counter during fall.
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| 2853994 | 12 | F | GA | 08/13/2025 |
MNQ MNQ TDAP TDAP |
SANOFI PASTEUR SANOFI PASTEUR SANOFI PASTEUR SANOFI PASTEUR |
U8508AA U8508AA U8353AA U8353AA |
Dizziness, Dyskinesia, Lethargy, Loss of consciousness, Pallor; Somnolence; Dizz...
Dizziness, Dyskinesia, Lethargy, Loss of consciousness, Pallor; Somnolence; Dizziness, Dyskinesia, Lethargy, Loss of consciousness, Pallor; Somnolence
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About 3 mins after last vaccine was given, while nurse was completing paper work for school patient ...
About 3 mins after last vaccine was given, while nurse was completing paper work for school patient became pale and stated she was feeling "dizzy". Propped feet up in chair and placed cool paper towel on patients face and neck area. Asked mom if child had anything to eat this morning and she said that child "only drank some Sprite". 09:08 am - BP 86/51 P-53 . 9:10am- BP- 85/40 P-61. Patient became lethargic and passed out while sitting on bench with feet propped up. Patient displayed some light jerking movements. Talked to patient and reassured her that she was okay. Patient came around and was able to talk to staff. Patient given a few sips of coke but she didn't want any crackers. 9:15am BP-69/33 P-53. Patient was able to stand and with the assistance of mom and RN we were able to lay patient down on mat on left side in recovery position. Patient complain of just "feeling sleepy". Mom stated that she has history of fainting as well as her other two children but this is the first time patient has had this occur. 9:25am BP check with manual cuff because we could not get a reading with electronic machine. BP - 98/48. Patient states that "she's feeling better." Color has returned to patient's face and she is no longer lethargic. Assisted patient to sit up. 9:35am BP-101/71 P-57 (electric cuff). Patient was able to stand and ambulate without any difficulty. Advised mom to wait an additional 15 mins in lobby for us to continue to monitor patient. Advised mom to get patient something to eat when she leaves. Mom voiced understanding. During today's visit a total of 45 minutes was spent face-to-face with parent and patient to include counseling for immunizations, possible side-effects and treatment in addition to emergency care rendered. This includes accessing and managing patient's healthcare needs as documented in the patient's record. Copy of 3231 form, immunization records and school excuse given to mom.
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| 2853995 | 0.33 | F | IN | 08/13/2025 |
DTPPVHBHPB PNC15 RV5 |
MSP VACCINE COMPANY MERCK & CO. INC. MERCK & CO. INC. |
U7829AA Z008265 2142142 |
Crying, Injection site erythema, Injection site reaction, Injection site swellin...
Crying, Injection site erythema, Injection site reaction, Injection site swelling, Skin tightness; Crying, Injection site erythema, Injection site reaction, Injection site swelling, Skin tightness; Crying, Injection site erythema, Injection site reaction, Injection site swelling, Skin tightness
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Shiny, tight, redness, swollen on right leg knee to foot, inconsolable crying, right leg kicking. Wa...
Shiny, tight, redness, swollen on right leg knee to foot, inconsolable crying, right leg kicking. Warm/cold/warm compress. 2.5 mL of Tylenol. Pt did spit up Tylenol after taking. Lasted 1 hour, 15 minutes. Pt then fell asleep.
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| 2853996 | 16 | M | GA | 08/13/2025 |
HPV9 IPV MENB TDAP |
MERCK & CO. INC. SANOFI PASTEUR NOVARTIS VACCINES AND DIAGNOSTICS GLAXOSMITHKLINE BIOLOGICALS |
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Dizziness, Hyperhidrosis, Vomiting; Dizziness, Hyperhidrosis, Vomiting; Dizzines...
Dizziness, Hyperhidrosis, Vomiting; Dizziness, Hyperhidrosis, Vomiting; Dizziness, Hyperhidrosis, Vomiting; Dizziness, Hyperhidrosis, Vomiting
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at 1439 after receiving Meningitis B, HPV, TDAP, IPV pt became visibly distressed. c/o sweating, vom...
at 1439 after receiving Meningitis B, HPV, TDAP, IPV pt became visibly distressed. c/o sweating, vomiting, light-headedness. Vital checks q 5 minutes( 1441 BP- 102/66 P- 60 02-98% 1445 BP 103/66 P-65 02- 90% 1450 BP- 100/67 P- 65 02-99%), ice pack, water, recline and rest. 1451 pt was amulatory and no longer c/o dizziness/light-headedness. pt states he is feeling better and is comfortable with leaving at this time. pt was ambulatory and left the facility with brother.
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| 2853997 | 62 | M | NY | 08/13/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
gj952 |
Facial paralysis, Paraesthesia
Facial paralysis, Paraesthesia
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patient received vaccine on 8/1/25, started to feel tingling in hand 8/1/25 evening, woke up in the ...
patient received vaccine on 8/1/25, started to feel tingling in hand 8/1/25 evening, woke up in the middle of the night with face paralysis
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| 2853998 | 5 | M | NC | 08/13/2025 |
MMRV |
MERCK & CO. INC. |
Z008499 |
Extra dose administered
Extra dose administered
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Pt was administered two MMRV (Proquad) vaccines on accident. Incident report has been completed. Pat...
Pt was administered two MMRV (Proquad) vaccines on accident. Incident report has been completed. Patients mother was educated on side effects of double vaccination of MMRV. MMRV vaccine sheet was discussed in detail. Informed mom that he will be more likely to have injection site reaction including redness, swelling and tenderness. Provider informed mom that he may get a fever. A dose of Tylenol was given here in office. Provider recommended another dose for later that night. Provider attempted to contact pt's mother today to follow up/check on patient following double MMRV vaccines on 8/12/25. No answer. Voicemail was left for mom call us back.
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| 2853999 | 14 | F | MA | 08/13/2025 |
MMRV MNQ TDAP VARCEL |
MERCK & CO. INC. SANOFI PASTEUR SANOFI PASTEUR MERCK & CO. INC. |
Y005808 U8369AA 3CA30C1 Y014511 |
Blindness, Hyperhidrosis, Pallor, Photophobia; Blindness, Hyperhidrosis, Pallor,...
Blindness, Hyperhidrosis, Pallor, Photophobia; Blindness, Hyperhidrosis, Pallor, Photophobia; Blindness, Hyperhidrosis, Pallor, Photophobia; Blindness, Hyperhidrosis, Pallor, Photophobia
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8/13/2025: Pt finished vaccines at 1:36pm. Pt was noted to be anxious prior to vaccines but tolerate...
8/13/2025: Pt finished vaccines at 1:36pm. Pt was noted to be anxious prior to vaccines but tolerated vaccination. Pt's mother was educated to wait 20 minutes in the waiting room to make sure pt is okay after vaccination. Pt's mother decline and stated "we are very busy today." Pt's mother was educated on signs and symptoms to monitor for and when to see a provider. Pt's mother stated that she understood the instructions. pt and pt's mother left and came back in less than 10 minutes around 1:45pm. Pt was noted to be cool, pale, diaphoretic. pt reporting that she was losing her vision. AOx4, no LOC. Pt's mother stated that they were walking out the building when she noticed that the pt was pale and sweaty, which they decided to bring her back to the clinic. This RN called 911. Pt's vitals were 148/82, RR 24, O2 sat 97% on RA, HR 88. Ambulance, fire, and police arrived and pt's condition improved. Pt was more alert, talking, vision improved but still having photophobia, and was still diaphoretic. Pt was taken to hospital by EMS.
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| 2854000 | 29 | M | WI | 08/13/2025 |
HEP |
GLAXOSMITHKLINE BIOLOGICALS |
CT3Z7 |
Dyskinesia, Loss of consciousness, Muscle rigidity, Mydriasis
Dyskinesia, Loss of consciousness, Muscle rigidity, Mydriasis
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Patient became uncouncious, rigid, jerking motions and pupils dialated
Patient became uncouncious, rigid, jerking motions and pupils dialated
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| 2854001 | 0.33 | M | WA | 08/13/2025 |
DTAPIPVHIB |
SANOFI PASTEUR |
UK109AA |
No adverse event, Product preparation issue
No adverse event, Product preparation issue
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This RN was doing reconciliation report and counting vaccines. Discovered the ActHib vial in box wit...
This RN was doing reconciliation report and counting vaccines. Discovered the ActHib vial in box without the partner Dtap/IPV vial. Ran a report to see if any Pentacel's had been given since last reconciliation and only 1 had on 7/10/25 to this pt. Assuming that the vaccinator did not mix the Dtap/IPV liquid with the ActHib and only gave the Dtap/IPV vial. This RN discussed with vaccinator that gave the vaccine. Teaching done. Child has had no adverse reactions or events from vaccine error. Notified parents. PCP aware
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| 2854002 | 18 | F | WA | 08/13/2025 |
MENB |
PFIZER\WYETH |
lx26362025 |
Heart rate decreased, Hypotension, Loss of consciousness, Syncope
Heart rate decreased, Hypotension, Loss of consciousness, Syncope
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syncope, patient passed out low BP and HR . Mom is a RN monitored and observed patient fully recove...
syncope, patient passed out low BP and HR . Mom is a RN monitored and observed patient fully recovered and left facility
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| 2854003 | 84 | F | CA | 08/13/2025 |
COVID19 |
PFIZER\BIONTECH |
LM2211 |
Vertigo
Vertigo
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Patient came to pharmacy today (8/13/25) to discuss vaccinations. While we were talking, she informe...
Patient came to pharmacy today (8/13/25) to discuss vaccinations. While we were talking, she informed me that she experienced severe vertigo for about 4 months that started 10 days after she was vaccinated with the covid vaccine. She also mentioned that she was hospitalized for the vertigo for a period of time (did not get dates for this). She said this reaction never happened with any of the other covid shots she got (all Pfizer)
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| 2854004 | 73 | F | SC | 08/13/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
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Chills, Hyperhidrosis, Pyrexia
Chills, Hyperhidrosis, Pyrexia
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Severe chills, fever, and perfuse sweating.
Severe chills, fever, and perfuse sweating.
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| 2854005 | 3 | M | MO | 08/13/2025 |
MMRV VARCEL |
MERCK & CO. INC. MERCK & CO. INC. |
Y019171 Y007637 |
Wrong patient, Wrong product administered; Wrong patient, Wrong product administ...
Wrong patient, Wrong product administered; Wrong patient, Wrong product administered
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Child was accidentally given the MMRV that was meant for his sibling instead of MMR.
Child was accidentally given the MMRV that was meant for his sibling instead of MMR.
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| 2854006 | 0.83 | M | ND | 08/13/2025 |
DTAPHEPBIP PNC13 |
GLAXOSMITHKLINE BIOLOGICALS PFIZER\WYETH |
ZK4XF GH6086 |
Bronchial hyperreactivity, Chest X-ray abnormal, Eczema, Screaming, Wheezing; Br...
Bronchial hyperreactivity, Chest X-ray abnormal, Eczema, Screaming, Wheezing; Bronchial hyperreactivity, Chest X-ray abnormal, Eczema, Screaming, Wheezing
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Screaming for 3 days. Developed eczema - face, trunk, extremities. Upper airway - wheezing. ENT chec...
Screaming for 3 days. Developed eczema - face, trunk, extremities. Upper airway - wheezing. ENT checked - no findings, related to lungs, did get tubes (unrelated). Aquaphor / OTC treatment. Tried steroid cream at one point - not helpful.
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| 2854007 | 5 | F | OH | 08/13/2025 |
DTAPIPV MMR VARCEL |
GLAXOSMITHKLINE BIOLOGICALS MERCK & CO. INC. MERCK & CO. INC. |
5G23D Y018703 Y011018 |
Circumstance or information capable of leading to medication error, No adverse e...
Circumstance or information capable of leading to medication error, No adverse event; Circumstance or information capable of leading to medication error, No adverse event; Circumstance or information capable of leading to medication error, No adverse event
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Patient moved knee and kicked while actively injecting MMR vaccine causing unknown amount of vaccine...
Patient moved knee and kicked while actively injecting MMR vaccine causing unknown amount of vaccine to be administered outside of skin and not given to patient; unknown amount of vaccine was given to patient. Patient parent agreeable to returning for MMR vaccine 1 month after incident. No adverse reaction reported or observed.
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| 2854008 | 64 | F | FL | 08/13/2025 |
FLU3 PNC20 |
SANOFI PASTEUR PFIZER\WYETH |
tfaa2502 lx4482 |
Injection site erythema, Injection site pain, Injection site swelling, Injection...
Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth; Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
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redness, swelling, soreness, and heat around the injection site which is currently ongoing at time o...
redness, swelling, soreness, and heat around the injection site which is currently ongoing at time of reporting. patient states that after the initial pain from the shot, the other symptoms followed a day or two later.
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| 2854009 | F | OH | 08/13/2025 |
COVID19 |
PFIZER\BIONTECH |
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COVID-19, Drug ineffective, Hypoacusis, SARS-CoV-2 test
COVID-19, Drug ineffective, Hypoacusis, SARS-CoV-2 test
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Taking the vaccines (Pfizer Covid-19 Vaccine) in the past; Took rapid test, antigen test yesterday a...
Taking the vaccines (Pfizer Covid-19 Vaccine) in the past; Took rapid test, antigen test yesterday and it tested positive; Tested positive; speak louder cause I can't really hear; This is a spontaneous report received from a Consumer or other non HCP. A 71-year-old 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. The following information was reported: HYPOACUSIS (non-serious) with onset 2025, outcome "unknown", described as "speak louder cause I can't really hear"; DRUG INEFFECTIVE (medically significant) with onset 05Aug2025, outcome "unknown", described as "Taking the vaccines (Pfizer Covid-19 Vaccine) in the past; Took rapid test, antigen test yesterday and it tested positive"; COVID-19 (medically significant) with onset 05Aug2025, outcome "unknown", described as "Tested positive". The patient underwent the following laboratory tests and procedures: SARS-CoV-2 test: (05Aug2025) positive; (05Aug2025) positive. Clinical course: The patient mentioned taking the vaccines (clarified as Pfizer Covid-19 Vaccine) in the past. Took antigen test yesterday and it tested positive and just was prescribed the medication (Clarified as Paxlovid) today and some cough syrup. Patient have covid and head feels like it's underwater and can't hear really well. Patient have not taken Paxlovid yet and have to go pick it up. Patient was not feeling well. The information on the batch/lot number for BNT162b2 omicron (kp.2) will be requested and submitted if and when received.
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| 2854012 | M | NC | 08/13/2025 |
COVID19 |
PFIZER\BIONTECH |
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Asthma, COVID-19, Chronic obstructive pulmonary disease, Drug ineffective
Asthma, COVID-19, Chronic obstructive pulmonary disease, Drug ineffective
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COVID after Pfizer COVID shots; COVID after Pfizer COVID shots; Asthma; COPD; This is a spontaneous ...
COVID after Pfizer COVID shots; COVID after Pfizer COVID shots; Asthma; COPD; This is a spontaneous report received from a Consumer or other non HCP. A 70-year-old 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. Vaccination history included: Bnt162b2 (Primary immunization series completed), for Covid-19 Immunization. The following information was reported: DRUG INEFFECTIVE (medically significant), COVID-19 (medically significant), outcome "unknown" and all described as "COVID after Pfizer COVID shots"; ASTHMA (non-serious), outcome "unknown"; CHRONIC OBSTRUCTIVE PULMONARY DISEASE (non-serious), outcome "unknown", described as "COPD". The events "covid after pfizer covid shots", "asthma" and "copd" required physician office visit. Additional information: patient went to the pharmacy, diagnosed with COVID, for Paxlovid. The doctors prescribed this medication from Urgent Care. Patient had asthma with COPD. All his shots were with Pfizer and added he "got all of them except the last one" and his primary doctor told him to wait a while to get it cause he had done all the rest of them. Patient added "the last one got bout the same thing that the one before that had in it". Primary doctor will let him know when to come get it (COVID shot). The information on the batch/lot number for BNT162b2 omicron (kp.2) will be requested and submitted if and when received.
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| 2854013 | M | 08/13/2025 |
COVID19 |
PFIZER\BIONTECH |
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COVID-19, Diabetes mellitus, Drug ineffective, Lung neoplasm malignant, Pulmonar...
COVID-19, Diabetes mellitus, Drug ineffective, Lung neoplasm malignant, Pulmonary sarcoidosis
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diabetes; lung cancer; sarcoid of the lung; COVID; COVID; This is a spontaneous report received from...
diabetes; lung cancer; sarcoid of the lung; COVID; COVID; This is a spontaneous report received from a Consumer or other non HCP. A male patient received BNT162b2 omicron (kp.2) (COMIRNATY (2024-2025 FORMULA)), in 2025 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 2025, outcome "unknown" and all described as "COVID"; LUNG NEOPLASM MALIGNANT (medically significant) with onset 2025, outcome "unknown", described as "lung cancer"; PULMONARY SARCOIDOSIS (medically significant) with onset 2025, outcome "unknown", described as "sarcoid of the lung"; DIABETES MELLITUS (medically significant), outcome "unknown", described as "diabetes". Clinical course: Patient recently fell Ill to COVID, and was informed he was able to get Paxlovid. Much to his surprise of the cost of this medicine (stated as ridiculous). Patient and his wife did get the Pfizer shot at the start of year (2025). Patient is also dealing with diabetes, sarcoid of the lung (an autoimmune disease) and recently found out to have lung cancer. The information on the batch/lot number for BNT162b2 omicron (kp.2) will be requested and submitted if and when received.
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| 2854014 | 08/13/2025 |
COVID19 |
PFIZER\BIONTECH |
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COVID-19, Drug ineffective
COVID-19, Drug ineffective
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did not work; did not work; This is a spontaneous report received from a Consumer or other non HCP. ...
did not work; did not work; 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: DRUG INEFFECTIVE (medically significant), COVID-19 (medically significant), outcome "unknown" and all described as "did not work". No follow-up attempts are possible. Batch/lot number is not provided, and it cannot be obtained.
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| 2854015 | 8 | M | 08/13/2025 |
DTAP |
SANOFI PASTEUR |
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No adverse event, Wrong product administered
No adverse event, Wrong product administered
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provider ordered wrong vaccine MA did not catch prior to administration with no reported adverse eve...
provider ordered wrong vaccine MA did not catch prior to administration with no reported adverse event; Initial information received on 04-Aug-2025 regarding an unsolicited valid non-serious case received from a nurse. This case involves a 8 years old male patient and it was reported that the provider ordered wrong diphtheria-15/tetanus/5 AC pertussis vaccine [Daptacel] and medical assistant did not catch prior to administration 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 0.5 ml of wrong diphtheria-15/tetanus/5 AC pertussis vaccine Suspension for injection (strength, expiry date and lot number not reported) via unknown route in unknown administration site for prophylactic vaccination and medical assistant did not catch prior to administration with no reported adverse event (wrong product administered) (same day latency). Information on the batch number was requested corresponding to the one at time of event occurrence. Action taken was not applicable. This suspected adverse reaction report is submitted and classified as a medication error solely and exclusively to ensure the marketing authorization holder's compliance with the requirements set out in the Directive 2001/83/EC and Module VI of the Good Pharmacovigilance Practices. The classification as a medical error is in no way intended, nor should it be interpreted or construed as an allegation or claim made by the marketing authorization holder that any third party has contributed to or is to be held liable for the occurrence of this medication error.
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| 2854016 | 21 | F | 08/13/2025 |
TDAP |
SANOFI PASTEUR |
48563AA |
No adverse event, Product storage error
No adverse event, Product storage error
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vaccine fridge temperature out of range , vaccine administered with no reported adverse event; Initi...
vaccine fridge temperature out of range , vaccine administered 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 21 years old female patient (170 cm and 95 kg) as Diphtheria-2/Tetanus/5 Ac Pertussis Vaccine [Adacel] fridge temperature out of range , vaccine administered 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 lot 48563AA expiry date-30-Apr-2027 (strength unknown) via unknown route in unknown administration site for prophylactic vaccination (Immunisation) fridge temperature out of range , vaccine administered 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.
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| 2854017 | 9 | M | UT | 08/13/2025 |
HPV9 |
MERCK & CO. INC. |
Z009260 |
Anxiety, Gaze palsy, Hypotonia, Pallor, Seizure
Anxiety, Gaze palsy, Hypotonia, Pallor, Seizure
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Patient was in for a 9 year well child check. At the end of the visit he was going to be getting his...
Patient was in for a 9 year well child check. At the end of the visit he was going to be getting his 1st dose of HPV, I gave him the vaccine he was very anxious and worked up. He also was also going to be getting a finger prick to do his lipid POC and that's when he started to slouch a little and mom asked if he was okay and i said yes, that sometimes happens when they're over anxious with this vaccines but then his eyes rolled to the back of his head and he went pale and was on his side and the seizure started, no longer than 10 secs, I ran out and grabbed ARPN who instructed I grab the oxygen tank (that wasn't used) as patient was coming back to. Dr. kept patient an extra 30 minutes for monitoring before going home, and apple juice was given. After some time patient felt better, and stat's were in normal range.
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| 2854018 | 69 | M | TX | 08/13/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
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Fluid retention, Thrombosis
Fluid retention, Thrombosis
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PATIENT REPRESENATATIVE STATED THAT PATIENT HAS FLUID BUILD UP AND BLOOD CLOTS. THE REP DID NOT ELAB...
PATIENT REPRESENATATIVE STATED THAT PATIENT HAS FLUID BUILD UP AND BLOOD CLOTS. THE REP DID NOT ELABORATE, AND WE HAVE NOT BEEN ABLE TO GET IN CONTACT WITH PATIENT
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| 2854019 | 69 | F | ID | 08/13/2025 |
TDAP |
GLAXOSMITHKLINE BIOLOGICALS |
H4279 |
Extra dose administered, No adverse event
Extra dose administered, No adverse event
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Patient received 10 year booster on 07/16/2025. Then on 07/28/25 they received a duplicate dose. Pat...
Patient received 10 year booster on 07/16/2025. Then on 07/28/25 they received a duplicate dose. Patient is okay and they were contacted about the situation. No side effects were reported.
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| 2854040 | 4 | M | FL | 08/13/2025 |
DTAPIPV DTAPIPV MMRV MMRV |
SANOFI PASTEUR SANOFI PASTEUR MERCK & CO. INC. MERCK & CO. INC. |
U8209cb U8209cb Y016874 Y016874 |
Blister, Erythema, Fatigue, Pyrexia, Skin irritation; Wound secretion; Blister, ...
Blister, Erythema, Fatigue, Pyrexia, Skin irritation; Wound secretion; Blister, Erythema, Fatigue, Pyrexia, Skin irritation; Wound secretion
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Severe dermal reaction including weeping wound, blistering, redness, irritation for 7 days. Fever an...
Severe dermal reaction including weeping wound, blistering, redness, irritation for 7 days. Fever and fatigue from afternoon of injection for 5 days. Required 5 telehealth visits from day 2 - day 3 with doctors office. Required treatment with benedryl, oral/topical antibiotics, and fever reducers.
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| 2854041 | 2 | M | NM | 08/13/2025 |
DTAPHEPBIP |
GLAXOSMITHKLINE BIOLOGICALS |
A32BB |
Expired product administered
Expired product administered
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Vaccine was given, with an expiration date passed 3 days.
Vaccine was given, with an expiration date passed 3 days.
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| 2854042 | 18 | M | IL | 08/13/2025 |
MNQ |
NOVARTIS VACCINES AND DIAGNOSTICS |
AMVBO43A |
Dizziness, Extra dose administered, Panic attack
Dizziness, Extra dose administered, Panic attack
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Patient made an online appointment to get meningitis vaccine. Upon arrival, technician performed all...
Patient made an online appointment to get meningitis vaccine. Upon arrival, technician performed all checked-in questions and completed VAR(vaccine administration report). Patient did not clarify which kind he wanted and confirmed that he needs it for school requirement, so we processed meningitis ACWY and administered it to the patient. Patient was actually looking to get meningitis B vaccine. Patient then clarified that he already received meningitis ACWY from the doctor office last month. Patient started having panic attacks, almost got little dizzy but did not faint. Patient was feeling okay, pharmacist called EMS,paramedics arrived and checked his vitals. Patient walked out perfectly okay from the pharmacy.
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| 2854043 | 48 | M | CA | 08/13/2025 |
FLU3 FLU3 FLU3 |
GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS |
2XTD9 2XTD9 2XTD9 |
Asthenia, Blood pressure decreased, Electrocardiogram abnormal, Electromyogram a...
Asthenia, Blood pressure decreased, Electrocardiogram abnormal, Electromyogram abnormal, Fatigue; Hyperhidrosis, Hypertensive crisis, Injection site pain, Injection site reaction, Injection site swelling; Lower limb fracture, Mobility decreased, Muscle atrophy, Syncope
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PAIN SWELLING SWEATING AT THE INJECTION SITE. FAILED EMG PROGRESSIVE WEAKNESS TO WHOLE BODY HYPERTEN...
PAIN SWELLING SWEATING AT THE INJECTION SITE. FAILED EMG PROGRESSIVE WEAKNESS TO WHOLE BODY HYPERTENSIVE CRISIS BP IN 2 WEEK AFTER SHOT AND FOR ABOUT 12 MONTH AFTER BP HAS STABALIZED ALL OVER WEAKNESS SYNSCOPE FROM BP THAT CAUSED BLOOD PRESSURE DROP RESULT BROKEN LEG UNSABLE TO CLIMB STAIRS UNABLE TO SIT UP FOR LONGER THAN 10 MINS UNABLE TO WALK LONG DISTANCE CONSTANT FATIGUE ATROPHY MUSCLE WAISTING
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| 2854044 | 52 | F | CO | 08/13/2025 |
TDAP VARZOS |
GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS |
3RE73 GK2AZ |
Asthenia, Pain in extremity; Asthenia, Pain in extremity
Asthenia, Pain in extremity; Asthenia, Pain in extremity
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Severe pain in right arms and weakness
Severe pain in right arms and weakness
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| 2854045 | 74 | F | MN | 08/13/2025 |
HEPAB |
GLAXOSMITHKLINE BIOLOGICALS |
p2443 |
Trigger finger
Trigger finger
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She stated that she developed trigger finger in one of her finger the following day. She is unsure ...
She stated that she developed trigger finger in one of her finger the following day. She is unsure if it's related or not but she does not remember starting any new medications aside from a blood draw earlier the day prior to the vaccine administration.
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| 2854046 | 61 | M | NC | 08/13/2025 |
PNC20 |
PFIZER\WYETH |
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Electric shock sensation, Injection site pain, Injection site pruritus, Swelling
Electric shock sensation, Injection site pain, Injection site pruritus, Swelling
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Experienced more swelling than typical with other vaccines. Starting 3 days after vaccine injection ...
Experienced more swelling than typical with other vaccines. Starting 3 days after vaccine injection area became itchy. Now, 9 days later, I?m experiencing electrical/nerve-like pain at injection site when lifting my arm overhead /above shoulder.
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| 2854047 | 42 | F | UT | 08/13/2025 |
TDAP |
GLAXOSMITHKLINE BIOLOGICALS |
NDC 58160-842-4 |
Arthralgia, Loss of personal independence in daily activities, Muscular weakness...
Arthralgia, Loss of personal independence in daily activities, Muscular weakness, Pain in extremity
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Patient's own words "I have been having complications after the T dap vaccination. By the ...
Patient's own words "I have been having complications after the T dap vaccination. By the end of the first day, I had intense pain in my shoulder down into my hand. It got worse over the next day to the point where it is the worst pain that I've ever had. I started a steroid burst dose pack which has brought the pain down to where it is bearable as long as I don't use my right arm. I have weakness in my hand and have had difficulty typing and have been dropping things."
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| 2854048 | 23 | F | AZ | 08/13/2025 |
VARCEL |
MERCK & CO. INC. |
Z003883 |
Asthenia, Dizziness, Feeling abnormal, Loss of consciousness
Asthenia, Dizziness, Feeling abnormal, Loss of consciousness
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Patient received a flu shot and was fine, then patient received a Varivax 5 minutes later. 30 secon...
Patient received a flu shot and was fine, then patient received a Varivax 5 minutes later. 30 seconds after administration patient started to feel dizzy but was still talking, then she reported that she is stating to feel worse and we asked if she wanted to lay down, then she started to pass out. We called 911, she regained consciousness in about 30 seconds and was responsive. We waited for the paramedics to come and she was sitting in the chair while they arrived. The paramedics checked here vitals, they reported she had low blood pressure, they gave her an IV in the store and they then moved her to the gurney to take her the the hospital. She left the store still weak but was responsive.
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| 2854049 | 74 | F | FL | 08/13/2025 |
PNC20 |
PFIZER\WYETH |
LP4948 |
Burning sensation, Pain, Rash erythematous
Burning sensation, Pain, Rash erythematous
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Large red rash, very sore, burning sensation,
Large red rash, very sore, burning sensation,
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| 2854050 | 19 | F | WA | 08/13/2025 |
HEPAB TYP |
GLAXOSMITHKLINE BIOLOGICALS SANOFI PASTEUR |
P2443 Y2A031M |
Pallor, Unresponsive to stimuli; Pallor, Unresponsive to stimuli
Pallor, Unresponsive to stimuli; Pallor, Unresponsive to stimuli
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Client attest to feeling well today, ate lunch about 12:30 PM today. Client traveling from 8/30/25 -...
Client attest to feeling well today, ate lunch about 12:30 PM today. Client traveling from 8/30/25 - 9/13/25 for mission. Client declined recommended vaccines due to perceived as low risk. Client educated concerning the risk for rabies, and pre/post -exposure prophylaxis. Teaching given on food and water safety, TD prevention and treatment, mosquito prevention. VIS, SE, risk / benefits reviewed. Health Alerts reviewed. Client declined Azithromycin for TD and declined malarone for malaria prevention. Client received full dose Typhoid Vi on the left deltoid and full dose Hep A/B (Twinrix) on the right deltoid at about 14:56. About 1 minute after vaccine administration, nurse noticed client became pale whole body including face, unresponsive less than 30 seconds, stiff whole body as if having a seizure, and gasping for breath. Client already siting in the recliner in the treatment room both legs were elevated, and cold compress applied to chest area. Clients husband was present and assisted nurse by bringing water for client to drink. Client regained full consciousness in less than 2 minutes. Client declined paramedics / 911 called at this time. Vital sigs taken were B/P 117/66 P70, Temp 98, R18, O2sat 99%. Client alert and oriented, talking to staff and spouse, with skin color returned to normal. Client reported feeling dizzy, nauseous, hot and cold flushes, slightly diaphoretic during episode. Client states never had any issues with receiving vaccination in the past. Clients medical history includes no allergies and no medication. Phone call to nurse Supervisor at about 1512 to report the incidence. Client remained in the clinic for about 30 minutes post episode and left home with husband as the driver. Client educated to call 911 if symptoms continues as well as follow up the primary care provider for further evaluation. Client had no further questions. Nurse placed a phone call to client later in the day to check to see if arrived home safely went to voice mail.
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| 2854066 | 18 | M | SC | 08/13/2025 |
UNK |
UNKNOWN MANUFACTURER |
amvb072a |
Asthenia, Dizziness, Hypoaesthesia, Nausea, Vomiting
Asthenia, Dizziness, Hypoaesthesia, Nausea, Vomiting
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Reaction after menveo numbness in hands, dizziness, weakness, nausea/vomiting. EMS called Was given ...
Reaction after menveo numbness in hands, dizziness, weakness, nausea/vomiting. EMS called Was given soda and crackers and felt better; left on own with mother
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| 2854067 | 1 | F | WV | 08/13/2025 |
HEPA HEPA MMRV MMRV |
GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS MERCK & CO. INC. MERCK & CO. INC. |
DN273 DN273 Y0175T2 Y0175T2 |
Decreased appetite, Lacrimation increased, Rash, Rash erythematous, Rhinorrhoea;...
Decreased appetite, Lacrimation increased, Rash, Rash erythematous, Rhinorrhoea; Sensitive skin; Decreased appetite, Lacrimation increased, Rash, Rash erythematous, Rhinorrhoea; Sensitive skin
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Evening of 8/10 patient developed a red dot like rash starting on posterior scalp and progressed dow...
Evening of 8/10 patient developed a red dot like rash starting on posterior scalp and progressed downward to feet. No mouth involvement. Skin seemed sensitive to wearing clothing but ok with touch. Fever tmax 100 but did have tylenol/motrin. Decreased appetite but ok with liquid intake. (+) nasal d/c and watery eyes. No cough/diarrhea No emesis
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| 2853673 | F | NY | 08/12/2025 |
PNC21 |
MERCK & CO. INC. |
Z004302 |
Erythema, Inflammation, Injection site vesicles, Pain, Skin warm
Erythema, Inflammation, Injection site vesicles, Pain, Skin warm
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she now has blistering at the site covering an area about 2-3 inches wide by 3-4 inches long.; Patie...
she now has blistering at the site covering an area about 2-3 inches wide by 3-4 inches long.; Patient received CAPVAXIVE on 7/17/2025 and same day reported redness, inflammation and became painful and hot to touch.; Patient received CAPVAXIVE on 7/17/2025 and same day reported redness, inflammation and became painful and hot to touch.; Patient received CAPVAXIVE on 7/17/2025 and same day reported redness, inflammation and became painful and hot to touch.; Patient received CAPVAXIVE on 7/17/2025 and same day reported redness, inflammation and became painful and hot to touch.; This spontaneous report was received from a Medical Assistant and refers to a 57-year-old female patient. The patient's medical history included pneumonia. The patient's concurrent conditions and concomitant therapies were not reported. On 17-Jun-2025, the patient was vaccinated with Pneumococcal 21-valent Conjugate Vaccine (CAPVAXIVE) 0.5 mL administered intramuscularly; lot # Z004302 has been verified to be valid, expiration date: 04-Sep-2026; given as vaccination. On the same day, the patient experienced redness (Vaccination site erythema), inflammation (Vaccination site inflammation) and became painful (Vaccination site pain) and hot to touch (Vaccination site warmth). On 21-Jul-2025 (Also reported as this morning), patient called HCP and stated reaction had gotten progressively worse over the past few days and she now had blistering at the site (Vaccination site vesicles) covering an area with about 2-3 inches wide by 3-4 inches long. The patient sent pictures, and prednisone was given as treatment. It was also reported that she sought medial attention. At the reporting time, the outcome of all the events was unknown. The causal relationship between all the events with Pneumococcal 21-valent Conjugate Vaccine (CAPVAXIVE) was not reported.
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| 2853674 | IL | 08/12/2025 |
VARCEL |
MERCK & CO. INC. |
Z004454 |
No adverse event, Product storage error
No adverse event, Product storage error
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No adverse event; a patient who was administered improperly stored VARIVAX; This spontaneous report ...
No adverse event; a patient who was administered improperly stored VARIVAX; This spontaneous report was received from Other Health Professional and refers to a patient of unknown age and gender. The patient's medical history, concurrent condition, concomitant therapies were not reported. On an unknown date, the vaccine Varicella Virus Vaccine Live (Oka-Merck) (VARIVAX), 0.5 mL/dose, #Z004454, expiration date: 13-Feb-2027 was temperature excursion (TE) from -12.6C / -14๏ฟฝC up to -10๏ฟฝC (worst-case scenario, no TE assessment) for 0 Hours 45 Minutes 0 Seconds (worst-case scenario, no TE assessment). The previous temperature excursion was unknown. Varicella Virus Vaccine Live (Oka-Merck) (VARIVAX) was unable to be assessed using in-house stability data due to data logger discrepancies. On 28-Jul-2025, this vaccine was vaccinated to the patient for prophylaxis (strength, and route of administration were not provided) (Product storage error). No symptoms reported. No additional AE details reported.
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| 2853675 | 27 | M | NC | 08/12/2025 |
HEP |
GLAXOSMITHKLINE BIOLOGICALS |
lg749 |
Underdose
Underdose
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adult given pediatric dose; adult given pediatric dose; This non-serious case was reported by a othe...
adult given pediatric dose; adult given pediatric dose; This non-serious case was reported by a other health professional via call center representative and described the occurrence of adult use of a child product in a 27-year-old male patient who received HBV (Engerix B pediatric) (batch number lg749, expiry date 13-SEP-2026) for prophylaxis. On 29-JUL-2025, the patient received Engerix B pediatric. On 29-JUL-2025, an unknown time after receiving Engerix B pediatric, the patient experienced adult use of a child product (Verbatim: adult given pediatric dose) and accidental underdose (Verbatim: adult given pediatric dose). The outcome of the adult use of a child product and accidental underdose were not applicable. Additional Information: GSK Receipt Date:29-JUL-2025 The reporter an adult need hepatitis b vaccine but they gave Engerix-B pediatric dose instead of adult dose, which led to accidental underdose and adult use of child product. Reached to quality and safety and to immuration org and someone asked the same question and recommendation was to go ahead and give the other half of the pediatric if patient was inside the clinic but if the mistake was found later then you would just count it as void and Start the series over, so quality and safety got to touch with manufacturing and see what the guidance would be if patient had already left the office but checking to see if he/she could call back the patient and saw if they get the 2nd half at the time of reporting, it was administered. The reporter consented to follow up.
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| 2853676 | 6 | M | NY | 08/12/2025 |
HEP |
GLAXOSMITHKLINE BIOLOGICALS |
3T5L9 |
Expired product administered
Expired product administered
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Expire dose; This non-serious case was reported by a other health professional via call center repre...
Expire dose; 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 6-year-old male patient who received HBV (Engerix B) (batch number 3T5L9, expiry date 09-MAR-2025) for prophylaxis. On 01-AUG-2025, the patient received the 1st dose of Engerix B. On 01-AUG-2025, an unknown time after receiving Engerix B, the patient experienced expired vaccine used (Verbatim: Expire dose). 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 The reporter stated that they had a patient, who got a vaccine, it was the Hep B vaccine (Engerix-B), and it was expired by a couple of months, which led to expired vaccine used.
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| 2853677 | 7 | F | OH | 08/12/2025 |
IPV |
SANOFI PASTEUR |
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Extra dose administered, No adverse event
Extra dose administered, No adverse event
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getting an extra dose of IPOL with no reported adverse event; Initial information received on 04-Aug...
getting an extra dose of IPOL with no reported adverse event; Initial information received on 04-Aug-2025 regarding an unsolicited valid non-serious case received from a physician. This case involves a 7 years old female patient who experienced getting an extra dose of IPV (Vero) [IPOL] with no reported adverse event. The patient's past medical history, medical treatment(s), vaccination(s) and family history were not provided. On 20-Jan-2021 she also received a unknown (dose 4 ) dose of suspect IPV (VERO) Suspension for injection via unknown route in unknown administration site. On 06-May-2024, the patient received a 0.5 ml (dose 5) dose of suspect IPV (VERO) Suspension for injection (strength, expiry date and lot number not reported) via unknown route in unknown administration site as immunization with no reported adverse event (extra dose administered) (latency: same day). Information regarding batch number and expiration date corresponding to the one at time of event occurrence was requested. 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.
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| 2853678 | 1 | M | OR | 08/12/2025 |
HIBV |
SANOFI PASTEUR |
UK208AA |
Product preparation error
Product preparation error
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they might have reconstituted ACTHIB with sterile water and it was administered to a patient, with n...
they might have reconstituted ACTHIB with sterile water and it was administered to a patient, with no reported adverse event; Initial information received on 06-Aug-2025 regarding an unsolicited valid non-serious case received from a pharmacist. This case involves a 1 years old male patient to whom they might have reconstituted HIB (PRP/T) Vaccine [ACT-HIB] with sterile water and it was administered to a patient, 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 Hepatitis a vaccine (Hepatitis A) for Immunisation. On 17-Jun-2025, the patient received 0.5mL of suspect HIB (PRP/T) Vaccine, Powder and solvent for solution for injection (lot UK208AA, expiry date 28-Feb-2026, strength standard and frequency once) via intramuscular route in Right central lateral for Immunisation and it was reconstituted with sterile water and was administered to a patient, with no reported adverse event (product preparation error). Action taken was not applicable. This suspected adverse reaction report is submitted and classified as a medication error solely and exclusively to ensure the marketing authorization holder's compliance with the requirements set out in the Directive 2001/83/EC and Module VI of the Good Pharmacovigilance Practices. The classification as a medical error is in no way intended, nor should it be interpreted or construed as an allegation or claim made by the marketing authorization holder that any third party has contributed to or is to be held liable for the occurrence of this medication error.
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| 2853679 | 1 | F | DE | 08/12/2025 |
HIBV |
SANOFI PASTEUR |
UK210AA |
No adverse event, Product preparation error
No adverse event, Product preparation error
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ACT-HIB was reconstituted with sterile water and administered to a patient with no reported adverse ...
ACT-HIB was reconstituted with sterile water and administered to a patient with no reported adverse event; Initial information received on 06-Aug-2025 regarding an unsolicited valid non-serious case received from a nurse. This case involves a 1 years old female patient received HIB (PRP/T) vaccine [ACT-HIB] was reconstituted with sterile water and administered to a patient with no reported adverse event. The patient's past medical history, medical treatment(s), concomitant medications, vaccination(s) and family history were not provided. On an unknown date in Jul-2025, the patient received dose 4 of 0.5 ml of suspect HIB (PRP/T) vaccine Powder and solvent for solution for injection of standard strength, frequency once with lot UK210AA and expiry date 28-Feb-2026 via intramuscular route in unknown administration site that was reconstituted with sterile water and administered to a patient with no reported adverse event (product preparation error) (latency same day) Reportedly, Nurse stated that they found a vial of saline diluent they believe goes with the HIB part of the vaccine, meaning they believe that part may have been reconstituted with sterile water, not the provided diluent. Action taken was not applicable. This suspected adverse reaction report is submitted and classified as a medication error solely and exclusively to ensure the marketing authorization holder's compliance with the requirements set out in the Directive 2001/83/EC and Module VI of the Good Pharmacovigilance Practices. The classification as a medical error is in no way intended, nor should it be interpreted or construed as an allegation or claim made by the marketing authorization holder that any third party has contributed to or is to be held liable for the occurrence of this medication error.
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| 2853680 | 48 | M | UT | 08/12/2025 |
HIBV |
SANOFI PASTEUR |
UK201AC |
No adverse event, Product preparation error
No adverse event, Product preparation error
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ACTHIB reconstituted with incorrect diluent, nurse used 0.9% Normal Saline with ACTHIB instead of th...
ACTHIB reconstituted with incorrect diluent, nurse used 0.9% Normal Saline with ACTHIB instead of the provided Diluent with no reported AE; Initial information received on 06-Aug-2025 regarding an unsolicited valid non-serious case received from a pharmacist. This case involves a 48 years old male patient who received HIB (PRP/T) Vaccine [Act-Hib] which was reconstituted with incorrect diluent, nurse used 0.9% normal saline instead of the provided diluent with no reported adverse event. The patient's past medical history included Splenectomy in 2025. The patient's past medical treatment(s), vaccination(s) and family history were not provided. Concomitant medications included Meningococcal vaccine polysacch (Meningococcal polysaccharide) for Immunisation. On 05-Aug-2025, the patient received 0.5ml dose of suspect Hib (Prp/T) Vaccine, Powder and solvent for solution for injection, (frequency once) Strength Standard, lot UK201AC and expiry date Apr-2026 via intramuscular route in the deltoid NOS (not otherwise specified) for immunization, which was reconstituted with incorrect diluent, nurse used 0.9% normal saline instead of the provided diluent with no reported ae (product preparation error) (Latency same day). Action taken was not applicable. This suspected adverse reaction report is submitted and classified as a medication error solely and exclusively to ensure the marketing authorization holder's compliance with the requirements set out in the Directive 2001/83/EC and Module VI of the Good Pharmacovigilance Practices. The classification as a medical error is in no way intended, nor should it be interpreted or construed as an allegation or claim made by the marketing authorization holder that any third party has contributed to or is to be held liable for the occurrence of this medication error.
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| 2853681 | 1 | M | DE | 08/12/2025 |
HIBV |
SANOFI PASTEUR |
UK175AA |
No adverse event, Product preparation error
No adverse event, Product preparation error
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medication error/an inappropriate use due to ACT-HIB was reconstituted with sterile water with no re...
medication error/an inappropriate use due to ACT-HIB was reconstituted with sterile water with no reported adverse event; medication error/an inappropriate use due to ACT-HIB was reconstituted with sterile water and then administered to a patient with no reported adverse event; Initial information received on 07-Aug-2025 regarding an unsolicited valid non-serious case received from a nurse. This case involves a 1 years old male patient who had medication error/an inappropriate use due to HIB (PRP/T) Vaccine [ACT-HIB] was reconstituted with sterile water and then administered to a patient 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, Pertussis vaccine acellular, Tetanus vaccine toxoid (Dtap) for Immunisation. On 31-Jul-2025, the patient received a dose 4 with dosage 0.5 ml of suspect HIB (PRP/T) Vaccine Powder and solvent for solution for injection (lot UK175AA, Expiry: 31-Oct-2025, Strength: Standard, Frequency: once) via intramuscular route in the Left Vastus Lateralis as Immunization which was reconstituted with sterile water instead of the diluent it came with no reported adverse event (product preparation error) (poor quality product administered) (Latency: same day). 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.
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| 2853682 | 11 | F | NJ | 08/12/2025 |
TDAP |
SANOFI PASTEUR |
2CA56C1 |
Expired product administered
Expired product administered
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medication error/an inappropriate use due to administering an expired adacel with no reported advers...
medication error/an inappropriate use due to administering an expired adacel with no reported adverse event; Initial information received on 07-Aug-2025 regarding an unsolicited valid non-serious case received from a other health professional. This case involves a 11 years old female patient who received an expired dose of Diphtheria-2/Tetanus/5 Ac Pertussis Vaccine [Adacel] 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 (CRM197) (Menveo) for Immunisation. On 07-Aug-2025, the patient received an expired 0.5ml dose of suspect Diphtheria-2/Tetanus/5 Ac Pertussis Vaccine, Suspension for injection, Strength Standard, lot 2CA56C1 and expiry date 12-May-2025 via intramuscular route in right deltoid for immunization, with no reported adverse event (expired product administered) (Latency Same day). Action taken was not applicable. This suspected adverse reaction report is submitted and classified as a medication error solely and exclusively to ensure the marketing authorization holder's compliance with the requirements set out in the Directive 2001/83/EC and Module VI of the Good Pharmacovigilance Practices. The classification as a medical error is in no way intended, nor should it be interpreted or construed as an allegation or claim made by the marketing authorization holder that any third party has contributed to or is to be held liable for the occurrence of this medication error.
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