| ID | Age | Sex | State | Date โผ | Onset Days | Vaccine | Manufacturer | Lot # | Symptoms | Narrative | ๐ | ๐ฅ | ๐ | โฟ | โ ๏ธ |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2853781 | 94 | M | IA | 08/12/2025 |
COVID19 |
MODERNA |
3046731 |
Death
Death
|
resident passed away
resident passed away
|
โ | |||||
| 2853782 | 19 | M | TN | 08/12/2025 |
MNQ |
NOVARTIS VACCINES AND DIAGNOSTICS |
KX3LM |
Expired product administered, No adverse event
Expired product administered, No adverse event
|
There were not any adverse effects of the vaccine. The vaccine was administered with an expiration d...
There were not any adverse effects of the vaccine. The vaccine was administered with an expiration date of 07/31/2025 by LPN.
More
|
||||||
| 2853783 | 4 | M | TX | 08/12/2025 |
COVID19 DTAPIPV MMRV |
MODERNA GLAXOSMITHKLINE BIOLOGICALS MERCK & CO. INC. |
3046979 5C79N Z007852 |
Extra dose administered, No adverse event; Extra dose administered, No adverse e...
Extra dose administered, No adverse event; Extra dose administered, No adverse event; Extra dose administered, No adverse event
More
|
No adverse symptoms documented. Patient received 3rd dose MMR on 7/30/2025. Previous doses were give...
No adverse symptoms documented. Patient received 3rd dose MMR on 7/30/2025. Previous doses were given 9/27/22, 4/9/2025. A follow call was made by an RN, and patient reported to be well. Parent denied any symptoms.
More
|
||||||
| 2853784 | 66 | F | NC | 08/12/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
23AH3 |
Malaise, Oral herpes
Malaise, Oral herpes
|
Pt came in 8/12/2025 to pick up an antiviral for a cold sore she claims is from the Shingrix vaccine...
Pt came in 8/12/2025 to pick up an antiviral for a cold sore she claims is from the Shingrix vaccine, as well as general feelings of unwell.
More
|
||||||
| 2853785 | 1 | M | 08/12/2025 |
MMRV |
MERCK & CO. INC. |
|
Pyrexia, Rash
Pyrexia, Rash
|
3 days of fever. Rash developed on head and neck and then spread to the trunk and extremities. Rash ...
3 days of fever. Rash developed on head and neck and then spread to the trunk and extremities. Rash persisted for 30 days.
More
|
|||||||
| 2853786 | 12 | F | MN | 08/12/2025 |
HPV9 MNQ TDAP |
MERCK & CO. INC. SANOFI PASTEUR SANOFI PASTEUR |
Y010466 U8438AA U8670BA |
Asthenia, Dizziness, Hypoaesthesia, Hypotonia, Visual impairment; Asthenia, Dizz...
Asthenia, Dizziness, Hypoaesthesia, Hypotonia, Visual impairment; Asthenia, Dizziness, Hypoaesthesia, Hypotonia, Visual impairment; Asthenia, Dizziness, Hypoaesthesia, Hypotonia, Visual impairment
More
|
At approximately 09:50am the patient received Tdap vaccine and then HPV vaccine. Immediately after H...
At approximately 09:50am the patient received Tdap vaccine and then HPV vaccine. Immediately after HPV vaccine administration the patient called out for her parent, and began to fall to the side. She was supported by staff and her parent to prevent falling. Patient c/o weakness, lightheadedness, loss of feelings in her limbs, and visual changes (blackness/spots/purple lines). Patient became diaphoretic. Ammonia inhalant salts were deployed briefly, and patient pulled away immediately. Patient remained responsive throughout episode. She denied eating/drinking anything before her appointment today, and denies nausea during episode, so she was provided crackers and sips of water. She declined to move, but did allow for her feet to be elevated on a chair as she recovered. Patient symptoms resolved completely within 10 minutes. After recovering fully, the patient and her parent elected to proceed with final vaccination required for school and patient then received her Menquadfi vaccine without further incident.
More
|
||||||
| 2853787 | 13 | F | TX | 08/12/2025 |
MNQ |
NOVARTIS VACCINES AND DIAGNOSTICS |
AMVB056A |
Extra dose administered, No adverse event, Product preparation issue
Extra dose administered, No adverse event, Product preparation issue
|
Patient unintentionally received 2 doses of Menveo in the right deltoid at the same time. Doses were...
Patient unintentionally received 2 doses of Menveo in the right deltoid at the same time. Doses were of different lot numbers. One dose's lot number was AMVB056A, the other lot number is unknown. The pre-mixed single dose of Menveo was unintentionally used to reconstitute the powder of another Menveo lot. Patient has no adverse reactions.
More
|
||||||
| 2853788 | 12 | F | TX | 08/12/2025 |
HPV9 MNQ TDAP |
MERCK & CO. INC. NOVARTIS VACCINES AND DIAGNOSTICS GLAXOSMITHKLINE BIOLOGICALS |
Y013407 DL4YY KR75K |
Urticaria; Urticaria; Urticaria
Urticaria; Urticaria; Urticaria
|
Patient received vaccines Tdap, MCV4, and HPV on 8/11/25. She returned to clinic on 8/12/25 with hiv...
Patient received vaccines Tdap, MCV4, and HPV on 8/11/25. She returned to clinic on 8/12/25 with hives on both arms. No anaphylaxis.
More
|
||||||
| 2853789 | 5 | F | TN | 08/12/2025 |
DTAPIPV MMRV VARCEL |
SANOFI PASTEUR MERCK & CO. INC. MERCK & CO. INC. |
U8009AB Y017514 Z005455 |
Extra dose administered, No adverse event; Extra dose administered, No adverse e...
Extra dose administered, No adverse event; Extra dose administered, No adverse event; Extra dose administered, No adverse event
More
|
Patient never had an adverse effect and/or reaction. Patient was given double of the Varicella on th...
Patient never had an adverse effect and/or reaction. Patient was given double of the Varicella on that day. Called mother to see staus on patient. Mom denied any s/sx of adverse effect at this time.
More
|
||||||
| 2853790 | 49 | M | 08/12/2025 |
HEP |
MERCK & CO. INC. |
Y004552 |
Underdose
Underdose
|
Patient was given incorrect dose for 19yrs only instead of 20yrs over. Patient was given correct dos...
Patient was given incorrect dose for 19yrs only instead of 20yrs over. Patient was given correct dose at clinic same day
More
|
|||||||
| 2853791 | 61 | F | NC | 08/12/2025 |
UNK |
UNKNOWN MANUFACTURER |
|
Dry skin, Pruritus, Urticaria
Dry skin, Pruritus, Urticaria
|
Hives and dry splotchy areas all over my body. They itch and nothing helps.
Hives and dry splotchy areas all over my body. They itch and nothing helps.
|
||||||
| 2853792 | 2 | M | TX | 08/12/2025 |
DTAP HEPA |
GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS |
9R2D7 Y3ME2 |
No adverse event; No adverse event
No adverse event; No adverse event
|
None at the time
None at the time
|
||||||
| 2853793 | 10 | F | CO | 08/12/2025 |
HEPA |
MERCK & CO. INC. |
Y017625 |
Product administered to patient of inappropriate age
Product administered to patient of inappropriate age
|
Administered adult dose of Hep A by accident to her she is 10 years old.
Administered adult dose of Hep A by accident to her she is 10 years old.
|
||||||
| 2853794 | 82 | F | WV | 08/12/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
4H79Y |
Extra dose administered, No adverse event
Extra dose administered, No adverse event
|
Patient did not have any adverse events or reactions to the vaccine. The patient received an additio...
Patient did not have any adverse events or reactions to the vaccine. The patient received an additional dose of the series.
More
|
||||||
| 2853795 | 34 | F | CO | 08/12/2025 |
PNC21 |
MERCK & CO. INC. |
|
Myalgia
Myalgia
|
Patient describes painless and event free vaccination for rabies in early May with a 2 vaccine serie...
Patient describes painless and event free vaccination for rabies in early May with a 2 vaccine series. Patient describes ongoing arthralgia 1 week following vaccination, exacerbated by strenuous physical exercise. Patient was not experiencing the left deltoid pain until 1 week following vaccination, to be clear. The pain was brought on initially when driving, exacerbated while rowing a raft. She was encouraged to follow up with a physical therapist and primary care, as I believe the cause is most likely not associated with vaccination, though could have been exacerbated by introduction of IM injection. Patient is very clear that vaccination itself was painless, uneventful, and without symptoms for days following.
More
|
||||||
| 2853796 | 53 | M | OR | 08/12/2025 |
VARZOS VARZOS |
GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS |
58160-0823-11 58160-0823-11 |
Blindness unilateral, Diplopia, Eye pain, Giant cell arteritis, Neck pain; Pain ...
Blindness unilateral, Diplopia, Eye pain, Giant cell arteritis, Neck pain; Pain in jaw, Pain of skin
More
|
Neck pain, double vision, left eye pain, scalp pain, left side jaw pain, loss of vision in right eye...
Neck pain, double vision, left eye pain, scalp pain, left side jaw pain, loss of vision in right eye. Treatment for Giant Cell Arteritis. Currently being treated no further outcome yet.
More
|
โ | |||||
| 2853797 | 18 | M | AL | 08/12/2025 |
MNQ |
NOVARTIS VACCINES AND DIAGNOSTICS |
jt347 |
Dyskinesia, Eye movement disorder, Seizure, Syncope
Dyskinesia, Eye movement disorder, Seizure, Syncope
|
After a few minutes of administering the vaccine, patient had a syncope reaction. He let me know ahe...
After a few minutes of administering the vaccine, patient had a syncope reaction. He let me know ahead of time that he frequently "passes out" while getting vaccinations. He stated he passed out and had a similar event when he completed a TB Skin Test a recently. His dad was also with him, so we were prepared for him about to pass out. He stated when it was about to happen, so we supported him and a few seconds later he came to. He did convulse some with extremity jerks, his eyes rolled up, and his body temperature increased. He and his dad said that the convulsing is something new, so I advised them to follow up with his primary doctor to get blood work to determine what the ongoing cause is. I placed a wet paper towel on his neck beforehand in hopes to prevent the event. He also stated he hadn't eaten today. After about 15 minutes, he stated he was fine and was able to stand and walk out with his dad.
More
|
||||||
| 2853798 | 13 | F | IA | 08/12/2025 |
HEPA |
GLAXOSMITHKLINE BIOLOGICALS |
3S54K |
Product administered to patient of inappropriate age
Product administered to patient of inappropriate age
|
An adult dose of Hepatitis A was given as the second dose in the series of two. Patient is a 13 year...
An adult dose of Hepatitis A was given as the second dose in the series of two. Patient is a 13 year old patient.
More
|
||||||
| 2853799 | 14 | M | GA | 08/12/2025 |
HEPA MNQ |
GLAXOSMITHKLINE BIOLOGICALS SANOFI PASTEUR |
H3N97 U8361AA |
Papule, Pyrexia, Rash pruritic, Skin oedema, Skin plaque; Papule, Pyrexia, Rash ...
Papule, Pyrexia, Rash pruritic, Skin oedema, Skin plaque; Papule, Pyrexia, Rash pruritic, Skin oedema, Skin plaque
More
|
Guardian states began with itchy rash Wednesday afternoon (7/30/25) and she gave him 2 Benadryl and ...
Guardian states began with itchy rash Wednesday afternoon (7/30/25) and she gave him 2 Benadryl and applied Hydrocrotisone cream. Rash resolved. Guardian brought child by clinic on Thursday (7-31-25) afternoon to tell staff about the rash and no rash was noted on child. Per Guardian after leaving clinic on Thursday, child began with rash and had fever of 101. Child was given Zyrtec and Tylenol. On Friday (8-1-25), guardian presented with child after school and child had erythematous, edematous papules and plaques in various locations on body. Child stated he began itching and noticed the spots right before school was ending on Friday.
More
|
||||||
| 2853800 | 4 | F | TX | 08/12/2025 |
MMRV MMRV MMRV |
MERCK & CO. INC. MERCK & CO. INC. MERCK & CO. INC. |
Z008221 Z008221 Z008221 |
Body temperature increased, C-reactive protein, Differential white blood cell co...
Body temperature increased, C-reactive protein, Differential white blood cell count, Dysstasia, Full blood count; Gait inability, Metabolic function test, Pain in extremity, Rash, Streptococcus test negative; Urine analysis, Urticaria, Viral rash
More
|
The child received her 4-year-old vaccinations 7 days ago and developed a rash 5 days later. The ras...
The child received her 4-year-old vaccinations 7 days ago and developed a rash 5 days later. The rash initially appeared as raised hives on her arms and abdomen. The mother administered Zyrtec, but by the next morning, the rash had spread across her body. The rash has been itchy and has moved around, with more appearing on her face today compared to yesterday. Her arms appear slightly improved. The mother is concerned about the child's inability to walk due to leg pain. The mother suspects this may be a reaction to the vaccines given in both thighs. No one else in the household has been ill or had fevers. The child has not been sick since earlier this year. The mother started giving her Zyrtec daily at 1:30 AM from 3 days ago. The child woke up complaining of arm pain 4 days ago, which is when the hives were first noticed. She has been drinking water and had a smoothie this morning. She also experienced high temperatures of 102 to 103 degrees Fahrenheit, which was a new symptom for her, starting 2 days ago on Saturday. The mother has been alternating between Motrin and Tylenol since then. They visited urgent care 3 days ago and was diagnosed with a viral exanthem and tested negative for strep. Since leaving the office, the child has been experiencing leg pain and is unable to stand. This morning, even holding her with her legs dangling caused significant pain. The last dose of Motrin was given this morning at 9:20 AM.
More
|
||||||
| 2853801 | 1.58 | M | NV | 08/12/2025 |
DTAP HEPA HIBV MMR PNC20 VARCEL |
GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS MERCK & CO. INC. MERCK & CO. INC. PFIZER\WYETH MERCK & CO. INC. |
jf7dm 42dm9 ka532 h2s33 lp4948 z003883 |
Injection site mass, Injection site swelling, Lymphadenopathy; Injection site ma...
Injection site mass, Injection site swelling, Lymphadenopathy; Injection site mass, Injection site swelling, Lymphadenopathy; Injection site mass, Injection site swelling, Lymphadenopathy; Injection site mass, Injection site swelling, Lymphadenopathy; Injection site mass, Injection site swelling, Lymphadenopathy; Injection site mass, Injection site swelling, Lymphadenopathy
More
|
Swelling of lymph nodes. Swelling/knot at injection site.
Swelling of lymph nodes. Swelling/knot at injection site.
|
||||||
| 2853802 | 74 | M | OH | 08/12/2025 |
TDAP |
SANOFI PASTEUR |
U8252AA |
Mobility decreased, Tremor
Mobility decreased, Tremor
|
Patient presented to the clinic on 8/7/2025, stating he wanted to let us know that ever since he rec...
Patient presented to the clinic on 8/7/2025, stating he wanted to let us know that ever since he received Td vaccination in May, his left arm has had a tremor and he has difficulty lifting it past his shoulders. Denies pain or other s/s. He said she saw his PCP first, who "brushed him off." Then, he saw Dr (orthopedic surgeon), who had him complete 2 weeks of PT w/o any improvement. He saw his PCP again who "looked something up and found that this may have been a rare side effect of this immunization."
More
|
||||||
| 2853804 | 22 | F | TN | 08/12/2025 |
HEP |
GLAXOSMITHKLINE BIOLOGICALS |
3N2ND |
No adverse event, Underdose
No adverse event, Underdose
|
Was given the Pediatric dose instead of adult dose, no adverse reactions reported from the Patient.
Was given the Pediatric dose instead of adult dose, no adverse reactions reported from the Patient.
|
||||||
| 2853805 | 1 | M | MA | 08/12/2025 |
DTAPIPV HIBV PNC20 |
GLAXOSMITHKLINE BIOLOGICALS SANOFI PASTEUR PFIZER\WYETH |
4L454 aK227AC LK6653 |
No adverse event, Product administered to patient of inappropriate age; No adver...
No adverse event, Product administered to patient of inappropriate age; No adverse event, Product administered to patient of inappropriate age; No adverse event, Product administered to patient of inappropriate age
More
|
Pt received Kinrix which is Dtap and IPOL , pt ordered for Infanrix which is just DTAP, Patient is o...
Pt received Kinrix which is Dtap and IPOL , pt ordered for Infanrix which is just DTAP, Patient is okay, no issues, Parents are aware.
More
|
||||||
| 2853806 | 8 | M | OH | 08/12/2025 |
DTAP MNQ PNC20 |
SANOFI PASTEUR SANOFI PASTEUR PFIZER\WYETH |
4CA03C2 U8599AA LN4928 |
No adverse event, Product administered to patient of inappropriate age; No adver...
No adverse event, Product administered to patient of inappropriate age; No adverse event, Product administered to patient of inappropriate age; No adverse event, Product administered to patient of inappropriate age
More
|
Given in error
Given in error
|
||||||
| 2853807 | 58 | F | UT | 08/12/2025 |
PNC21 PNC21 TDAP TDAP |
MERCK & CO. INC. MERCK & CO. INC. GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS |
Z004301 Z004301 EB499 EB499 |
Aphasia, Arthralgia, Confusional state, Headache, Hypersomnia; Malaise, Pain; Ap...
Aphasia, Arthralgia, Confusional state, Headache, Hypersomnia; Malaise, Pain; Aphasia, Arthralgia, Confusional state, Headache, Hypersomnia; Malaise, Pain
More
|
SEVERE BODY ACHES AND PAINS, CONFUSION, MALAISE, JOINT PAIN (WHOLE BODY), UNABLE TO SPEAK, SLEPT FOR...
SEVERE BODY ACHES AND PAINS, CONFUSION, MALAISE, JOINT PAIN (WHOLE BODY), UNABLE TO SPEAK, SLEPT FOR ABOUT 36 HOURS, HEADACHE
More
|
||||||
| 2853808 | 28 | F | TX | 08/12/2025 |
MMR |
MERCK & CO. INC. |
x018904 |
Expired product administered, No adverse event
Expired product administered, No adverse event
|
Patient was given a vaccine with expiration date on July 12, 2025, which was a month ago. This vacci...
Patient was given a vaccine with expiration date on July 12, 2025, which was a month ago. This vaccine was given today. The vaccine was kept in the fridge during the duration of the month. Patient had no adverse events to it while present in clinic. The manufacturer was contacted at an earlier event about this same vaccine, and it was clarified that the vaccine should have the same efficacy and that no adverse reactions should come from its being expired. The patient was contacted at 13:30 and informed of the event, as well as the information provided by the manufacturer about the event. Patient described no concerns.
More
|
||||||
| 2853809 | 34 | F | 08/12/2025 |
RAB |
NOVARTIS VACCINES AND DIAGNOSTICS |
FDP00552 |
Headache, Injection site pain, Pain
Headache, Injection site pain, Pain
|
5/12/25: pt vaccinated for rabies pep (dose #2) asymptomatic and well tolerated. RN provided care. ...
5/12/25: pt vaccinated for rabies pep (dose #2) asymptomatic and well tolerated. RN provided care. 5/27/27: pt followed up for physical assessment with provider, FNP patient reports more Left Deltoid discomfort and decreased ROM d/t pain than previously experienced. She reports that at the time of vaccination, she experienced no uncommon discomfort and had full ROM and no tenderness. Over the weekend (5/24 and on) she started to feel more left deltoid pain. It decreased with rest and daily ibuprofen. During time of sx onset she was rafting and while the physical motion of rafting was not particularly painful, the following days left her with intense left arm pain and decreased ROM due to pain. She reported occipital HA, worse on left side that radiates up to scalp. Improved with ibuprofen, rest, hydration. She does have history of headache, but none as intense as the HA described recently. No central NS sx reported. While driving she experienced intense left arm sharp pain with radiation to head. This was brief, lasting seconds, and entirely resolved. On exam: there was no redness, swelling, or heat at injection site. Bandaid marking was in correct anatomical location for vaccination.Abd/Adduction exacerbates pain, but is possible. No apprehension against light force. Full ROM Of shoulder girdle, but with pain. No overt AC separation. Some muscular tension in left traps. Assessment: I suspected causes could be multifactorial and vaccination could contribute. Recommend rest, ice, ibuprofen 800 mg q8h x 1 week. Recommended f/u exam in 1 week if sx persist. I doubt AC separation or other ortho injury. In any case, rest and anti-inflammatories could benefit. One contributing factor to HA could be related to muscle tension in neck/shoulder in response to initial discomfort from vaccination. Could consider SSRI associated "brain zap" this was discussed with patient but not likely as pt has been on SSRI for 5 years with no recent dose change. Plan: hold off on vaccination in Left deltoid until sx subside. Recommend rest, ice and use body as guide; ie OK to run if sx not exacerbated by this; would not recommend heavy weight lifting, push ups,etc Follow up in 1 week if sx ongoing. Imaging or referral not recommended at this time.. The patient did not opt to follow up in person. I called her on 6/12/25 and she reported sx were ongoing but improved with ibuprofen 600-800 mg daily. She reported her headache had completely resolved. I recommended if sx ongoing to follow up with PT, PCP for arthopathy of left shoulder. Given timeline of sx onset and relatively benign exam, I discussed with the patient possible non-vaccine etiologies and encouraged PT/ PCP follow up. She has not requested follow up since a phone call I had with her on 6/16.
More
|
|||||||
| 2853810 | 58 | F | VA | 08/12/2025 |
COVID19 COVID19 |
JANSSEN JANSSEN |
|
Acoustic stimulation tests, Aphasia, Brain fog, Cognitive disorder, Computerised...
Acoustic stimulation tests, Aphasia, Brain fog, Cognitive disorder, Computerised tomogram ear; Deafness, Memory impairment, Palpitations, Sensory disturbance, Tinnitus
More
|
After taking the vaccine, I noticed changes going on in my body. I felt like my body was vibration ...
After taking the vaccine, I noticed changes going on in my body. I felt like my body was vibration internally. Another time I ended up in the hospital with bad chest palpitations. A month or so after the vaccine, I started to notice a hissing or buzzing sound in my ears, that wasn?t bothersome at first. Fast forward to 2024, I started having hearing loss and extreme hissing or buzzing sound in my ears that has gotten progressively worst. It has affected my cognitive function, memory or brain fog. I am having trouble remembering words, names or even spelling some of them. I lived a relative healthy life before I took this Johnson and Johnson vaccine. The most I complained out up until then was some back pain.
More
|
โ | |||||
| 2853811 | 12 | F | CA | 08/12/2025 |
TDAP |
GLAXOSMITHKLINE BIOLOGICALS |
h4279 |
Extra dose administered, No adverse event
Extra dose administered, No adverse event
|
No adverse side effects experienced on site. Patient was brought by Father to receive back to school...
No adverse side effects experienced on site. Patient was brought by Father to receive back to school vaccine on Tdap on 08/11/2025 3:44pm. As a safety practice, I verified with website before proceeded. During the process, I noticed that website experienced lagging issues-need to log in a couple of times and enter patient's info a few times as well. When the page finally loaded, I reviewed patient's record and only saw DTap for the record (last one was 03/29/2017). As a result, I proceeded to the vaccination room. While meeting up with patient and her dad, I verified patient's date of birth and what shot was given--Tdap. After vaccination, I educated what side effects to expect and how to cope with them. At this time, the dad brought out patient's yellow vaccination card and requested to update the vaccine record. When I was about to fill the vaccine record, I saw that the patient already had Tdap Vaccine at her primary dr. office on 08/13/2024. I immediately let her Father know and explained that this record wasn't listed otherwise I would not give another one to her. While I was filling in the card, I asked if patient has a different name or profile. Dad denied it. Then I told the dad that there might be a glitch that this one wasn't logged. I told the patient and her dad that for sure that she is protected now. The father replied, "this is what we want." As I came back to check the website again, the website was lagging still. On 08/12/2025, I logged in to website without any issues and now I saw two Tdap vaccines history dated on 08/13/2024 and 08/11/2025. I then contacted patient's doctor to inform them this incidence @ 12:01pm.
More
|
||||||
| 2853812 | 4 | M | KS | 08/12/2025 |
DTAPIPV DTAPIPV MMR MMR VARCEL VARCEL |
GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS MERCK & CO. INC. MERCK & CO. INC. |
5C79N 5C79N 2GL3C 2GL3C Z005455 Z005455 |
Injection site pruritus, Injection site reaction, Nausea, Oropharyngeal pain, Pr...
Injection site pruritus, Injection site reaction, Nausea, Oropharyngeal pain, Pruritus; Rash, Rash erythematous, Tenderness, Urticaria; Injection site pruritus, Injection site reaction, Nausea, Oropharyngeal pain, Pruritus; Rash, Rash erythematous, Tenderness, Urticaria; Injection site pruritus, Injection site reaction, Nausea, Oropharyngeal pain, Pruritus; Rash, Rash erythematous, Tenderness, Urticaria
More
|
Pt recieved 4yr vaccine series (Kinrix, Varivax, and MMR) on 8/11/2025 at 3:03PM. MMR was given in L...
Pt recieved 4yr vaccine series (Kinrix, Varivax, and MMR) on 8/11/2025 at 3:03PM. MMR was given in LVL and KInrix was given in RVL (lower injection site on leg) and Varivax was given on RVL (Upper injection on leg). At approx. 3:05PM, mom noticed that pt was itching injection site area where Varivax was given and noticed a bright red rash developing. Provider was notified immediately and within 3 min, patient was given 7.5ml of oral Benadryl. Provider assessed the patient and there were no concerns regarding throat or breathing. No concerns at the time of anaphylatic reaction. Pictures were taken of Right thigh where vaccine was given. Pt left clinic in stable condition. Mom brought pt in today , as he developed a rash on Collarbone, upper torso, bilateral axillas, behind both knees, left groin and whole back. Mom reports rashes were itchy and tender to touch and noticed rash at 7:30AM on 8/12/25. Mom gave about 5ml of Benadrl at 8AM. Mom also reported a possible low grade feve as pt was warm, but did not take temperature.Pictures of new rash were sent to proivder and appt was made for pt to be seen by APRN. Pt came back into to clinic today 8/12/25 at 1:00PM. Proivider saw patient and advised mom to start giving patient Xyzal to help with hives. Provider came and got the Vaccine coordinator for the clinic and had me sit and talk with mom. During discussing with mom, she stated that patient has been saying his throat has been hurting, but denies trouble swallowing. Mom also reported that he was nauseous this am, but was able to eat crackers. During my conversation with mom, she reports, pt received Varivax at age 12mo w/o any type of reaction. Patient still has rash on body, but has slightly improved due to benadryl. However, now patient has hives forming around mouth, ears, face, and scalp. They appear to be very itchy. After discussing with mom, pt and mom left clinic in stable condidtion to go to story and get the Xyzal instructed them to get.
More
|
||||||
| 2853813 | 74 | M | FL | 08/12/2025 |
FLU3 |
SANOFI PASTEUR |
|
Extra dose administered, No adverse event
Extra dose administered, No adverse event
|
Patient received vaccine on 8/1/25 and again on 8/7/25 - no side effects reported
Patient received vaccine on 8/1/25 and again on 8/7/25 - no side effects reported
|
||||||
| 2853814 | 17 | M | ME | 08/12/2025 |
HEP |
DYNAVAX TECHNOLOGIES CORPORATION |
945658 |
No adverse event, Product administered to patient of inappropriate age
No adverse event, Product administered to patient of inappropriate age
|
No adverse event. Product Administered to Pt of inappropriate age. Pt given adult immunization. ins...
No adverse event. Product Administered to Pt of inappropriate age. Pt given adult immunization. instead of Ped dose. Error reported to State who recognizes adverse events to to report.
More
|
||||||
| 2853815 | 74 | F | AL | 08/12/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
55KB9 |
Extra dose administered, No adverse event
Extra dose administered, No adverse event
|
On 8/12/25, patient received an extra dose of Shingrix. She received dose on 5/10/21 and 2nd dose 7/...
On 8/12/25, patient received an extra dose of Shingrix. She received dose on 5/10/21 and 2nd dose 7/8/21. She did not have any adverse reactions at time of vaccine.
More
|
||||||
| 2853816 | 65 | F | FL | 08/12/2025 |
RSV |
GLAXOSMITHKLINE BIOLOGICALS |
F4AC3 |
Extra dose administered, No adverse event
Extra dose administered, No adverse event
|
PATIENT RECEIVED AREXVY VACCINATION 08/07/2025 AND IT WAS LATER DISCOVERED THE PATIENT HAD PREVIOUSL...
PATIENT RECEIVED AREXVY VACCINATION 08/07/2025 AND IT WAS LATER DISCOVERED THE PATIENT HAD PREVIOUSLY RECEIVED THE SAME VACCINE 10/27/2023. SO THE 2ND SHOT WAS GIVEN OUTSIDE OF CDC GUIDELINES THOUGH NO ACTUAL ADVERSE REACTION HAS BEEN REPORTED BY THE PATIENT WHO IS AWARE OF THE OVERSIGHT.
More
|
||||||
| 2853817 | 64 | F | NC | 08/12/2025 |
COVID19 COVID19 |
MODERNA MODERNA |
003J21-2A 003J21-2A |
Asthenia, Dry eye, Dyspnoea, Erythema, Eye irritation; Headache, Impaired work a...
Asthenia, Dry eye, Dyspnoea, Erythema, Eye irritation; Headache, Impaired work ability, Peripheral swelling, Sinusitis
More
|
I went back to work and my arm was swelling up and it turned red and i got really weak. The lady i w...
I went back to work and my arm was swelling up and it turned red and i got really weak. The lady i was taking care of at the time thought i had COVID so she sent me home. And i went to the hospital and they gave me a shot for the swelling of my arm and they took pictures. And i have been messed up ever since with sinus infections, eyes burning, dry eyes, and headaches, I'm also always out of breath.
More
|
||||||
| 2853818 | 18 | M | TN | 08/12/2025 |
DTAP |
SANOFI PASTEUR |
3CA33C1 |
No adverse event, Wrong product administered
No adverse event, Wrong product administered
|
DTaP (Adacel) was administered in error instead of Meningitis vaccine. DTaP was ordered in error and...
DTaP (Adacel) was administered in error instead of Meningitis vaccine. DTaP was ordered in error and as a result wrong medication was ordered, issued, and administered. Patient had no adverse reactions.
More
|
||||||
| 2853819 | 80 | M | CO | 08/12/2025 |
RSV |
PFIZER\WYETH |
LN5490 |
Erythema, Peripheral swelling, Pruritus, Skin warm, Sleep disorder
Erythema, Peripheral swelling, Pruritus, Skin warm, Sleep disorder
|
Present at pharmacy with left arm that patient was itchy and bothersome that affected his sleep the ...
Present at pharmacy with left arm that patient was itchy and bothersome that affected his sleep the night of 8/11/25. Arm appeared slightly red, warm, but not significantly swollen. Patient did not report pain, breathing issues, or fever since receiving Abrysvo. States mild symptoms started the evening of 8/8/25
More
|
||||||
| 2853820 | 12 | M | CA | 08/12/2025 |
TDAP TDAP |
GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS |
PD324 PD324 |
Dizziness, Fatigue, Head injury, Hyperhidrosis, Pulse abnormal; Syncope
Dizziness, Fatigue, Head injury, Hyperhidrosis, Pulse abnormal; Syncope
|
A 12yo boy experienced a fainting episode approximately 5 minutes after receiving the Boostrix vacci...
A 12yo boy experienced a fainting episode approximately 5 minutes after receiving the Boostrix vaccine. While standing next to his grandmother in the vaccination room, waiting for completion of the school-required vaccine paperwork, he suddenly collapsed , landing on the carpet and lightly striking his head against a chair. The patient reported feeling tired, dizzy and sweaty but remained conscious throughout his time in the clinic. He denied head pain or injury. Blood pressure could not be obtained during initial assessment. His pulse was initially weak but improved with rest. Emergency services were offered twice, however, his grandmother declined, stating she believed he would be fine. The patient lay down for approximately 25 minutes, during which he was provided water, Gatorade, a lollipop and chocolate. He was then able to sit in a chair and rest for and additional 20 minutes. Before discharge, his grandmother stated that he was feeling better and that she would take him to a doctor if his symptoms worsened. He was able to go to school the next day with no problem per his grandma.
More
|
||||||
| 2853821 | 4 | M | NC | 08/12/2025 |
COVID19 DTAPIPV MMRV |
PFIZER\BIONTECH GLAXOSMITHKLINE BIOLOGICALS MERCK & CO. INC. |
LN8272 4l454 z006282 |
Product preparation issue; Product preparation issue; Product preparation issue
Product preparation issue; Product preparation issue; Product preparation issue
|
Patient was given all 3 doses in the Pfizer Covid yellow cap vial for 6month to 4 year olds without ...
Patient was given all 3 doses in the Pfizer Covid yellow cap vial for 6month to 4 year olds without the dilution added to the vial.
More
|
||||||
| 2853822 | 22 | M | NH | 08/12/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
7523J |
Wrong product administered
Wrong product administered
|
Patient given Shingrix in error instead of adult Varicella.
Patient given Shingrix in error instead of adult Varicella.
|
||||||
| 2853824 | 17 | F | IA | 08/12/2025 |
MENB |
NOVARTIS VACCINES AND DIAGNOSTICS |
Z39XM |
Pain, Pain in extremity
Pain, Pain in extremity
|
She left here fine and it was sore like a normal vaccine. She went to the ER 11:14 that night, left ...
She left here fine and it was sore like a normal vaccine. She went to the ER 11:14 that night, left arm was in pain, some soreness in the arm that worsen. She went to work and was unable to more her left arm due to pain. There was no redness at the site. The pain went into her neck.
More
|
||||||
| 2853825 | 16 | F | GA | 08/12/2025 |
MNQ |
NOVARTIS VACCINES AND DIAGNOSTICS |
skbdl4yy |
Fall, Head injury, Seizure like phenomena, Syncope
Fall, Head injury, Seizure like phenomena, Syncope
|
Syncope. As she fell, she hit the upper left side of her forehead on the floor. Seizure-like activit...
Syncope. As she fell, she hit the upper left side of her forehead on the floor. Seizure-like activity twice.
More
|
||||||
| 2853826 | 12 | F | AL | 08/12/2025 |
HEP IPV MMR TDAP VARCEL |
GLAXOSMITHKLINE BIOLOGICALS SANOFI PASTEUR MERCK & CO. INC. GLAXOSMITHKLINE BIOLOGICALS MERCK & CO. INC. |
7NX57 y1a201m y008290 9JT45 z004455 |
Extra dose administered, No adverse event; Extra dose administered, No adverse e...
Extra dose administered, No adverse event; Extra dose administered, No adverse event; Extra dose administered, No adverse event; Extra dose administered, No adverse event; Extra dose administered, No adverse event
More
|
Patient was seen in clinic and administered vaccines(IPV, Hep b, MMR, varicella and Tdap) per vaccin...
Patient was seen in clinic and administered vaccines(IPV, Hep b, MMR, varicella and Tdap) per vaccine forecaster. After vaccines had been administered and return appointment scheduled for future vaccines, father of patient presented vaccine record to nurse and stated that the child had received previous vaccines in another county and that he had presented the vaccine record to front desk clerk at beginning of appointment. Nurse had clinic clerk to update the vaccine record in system which verified that HepB and MMR were extra doses, IPV was valid due to a previous invalid dose and Tdap and Varicella were valid doses. Father of patient was notified of vaccine error and was understanding. Appointment for second dose of Varicella was scheduled. MD, district supervisor, clinic supervisor, and clerical supervisor were notified. Patient displayed no reactions to vaccinations and ambulated out of clinic without assistance.
More
|
||||||
| 2853827 | 67 | M | TX | 08/12/2025 |
COVID19 COVID19 MMR MMR |
MODERNA MODERNA MERCK & CO. INC. MERCK & CO. INC. |
3046714 3046714 2053173 2053173 |
Anxiety, Condition aggravated, Dizziness, Dyspnoea, Hypertension; Nausea; Anxiet...
Anxiety, Condition aggravated, Dizziness, Dyspnoea, Hypertension; Nausea; Anxiety, Condition aggravated, Dizziness, Dyspnoea, Hypertension; Nausea
More
|
The day after receiving both the COVID-19 ( Moderna ) and the MMR II vaccines patient started feelin...
The day after receiving both the COVID-19 ( Moderna ) and the MMR II vaccines patient started feeling very anxious, nausea, dizziness and shortness of breath. Patient called his primary care doctor but because it was Saturday he was directed to the Emergency Room. They did a full workup, EKG and blood work. His blood pressure was high. He was told by the doctor it wasn't necessary for him to receive the MMR II since he got this as an child.
More
|
||||||
| 2853828 | 59 | F | FL | 08/12/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
35A77 |
Halo vision, Headache
Halo vision, Headache
|
Patient started with a headache, followed by a halo in her peripheral vision about 3 pm in the after...
Patient started with a headache, followed by a halo in her peripheral vision about 3 pm in the afternoon. At the time she reported it to the pharmacy she had been experiencing it for about 20 minutes
More
|
||||||
| 2853829 | 16 | M | MO | 08/12/2025 |
PNC15 |
MERCK & CO. INC. |
Y019380 |
Inappropriate schedule of product administration
Inappropriate schedule of product administration
|
Gave vaccine by accident when he was not due for a pneumonia vaccine
Gave vaccine by accident when he was not due for a pneumonia vaccine
|
||||||
| 2853830 | 11 | F | MD | 08/12/2025 |
HPV9 |
MERCK & CO. INC. |
Y013407 |
Dizziness, Hyperhidrosis, Pallor
Dizziness, Hyperhidrosis, Pallor
|
Pt was instructed to wait after receiving vaccines. Approximately 5- 7 minutes after vaccines she st...
Pt was instructed to wait after receiving vaccines. Approximately 5- 7 minutes after vaccines she stated she felt lightheaded and appeared to be having a potential syncopal episode. She did not fall . She was escorted to a cot by the nurse and was place in a supine position with legs elevated. She was pale and diaphoretic. She had urinary incontinence. She was responding to verbal stimuli and did not lose consciousness, but appeared weak. A cold compress was placed on her forehead . vital signs were BP 120/74 resp 16-20 pulse 96 regular and temp 97.4. after approximately 5 minutes she was more alert and responsive and smiling and her coloring improved . Her skin was warm, dry and pink . She was instructed to turn on her side before attempting to sit up. She turned on her side for a few minutes and then progressively sat up in a sitting position with fee over side of cot. She was offered water and gatorade which she accepted > she said she felt much better. Her mother was present the entire time along with an interpreter. After sitting up for approximately 5 -7 minutes she asked to use the bathroom. She was able to walk unassisted to bathroom and urinate while her mother accompanied her.. She was kept for observation another 5 minutes and her mother said she felt fine and they wanted to leave. Mother and patient walked to parking lot and patient was steady on her feet. she had no complaints of dizziness or discomfort upon discharge.
More
|
||||||
| 2853838 | 08/12/2025 |
VARZOS |
UNKNOWN MANUFACTURER |
UNK |
Malaise
Malaise
|
was very sick; This non-serious case was reported by a consumer via interactive digital media and de...
was very sick; This non-serious case was reported by a consumer via interactive digital media and described the occurrence of sickness in a patient who received Herpes zoster (Shingles vaccine) for prophylaxis. The patient's past medical history included shingles. On an unknown date, the patient received the 1st dose of Shingles vaccine. On an unknown date, an unknown time after receiving Shingles vaccine, the patient experienced sickness (Verbatim: was very sick). The outcome of the sickness was not reported. It was unknown if the reporter considered the sickness to be related to Shingles vaccine. It was unknown if the company considered the sickness to be related to Shingles vaccine. Linked case(s) involving the same patient: US2025AMR098757 Additional Information: GSK Receipt Date: 26-JUL-2025 Patient was very sick after the shot but also stated that it prevents him/her from having shingles again, so it was worth it. This case was reported by a patient via interactive digital media.; Sender's Comments: US-GSK-US2025AMR098757:second dose
More
|
|||||||||
| 2853839 | 08/12/2025 |
VARZOS |
UNKNOWN MANUFACTURER |
UNK |
Malaise
Malaise
|
was very sick; This non-serious case was reported by a consumer via interactive digital media and de...
was very sick; This non-serious case was reported by a consumer via interactive digital media and described the occurrence of sickness in a patient who received Herpes zoster (Shingles vaccine) for prophylaxis. On an unknown date, the patient received the 2nd dose of Shingles vaccine. On an unknown date, an unknown time after receiving Shingles vaccine, the patient experienced sickness (Verbatim: was very sick). Rechallenge with Shingles vaccine was positive. The outcome of the sickness was not applicable. It was unknown if the reporter considered the sickness to be related to Shingles vaccine. It was unknown if the company considered the sickness to be related to Shingles vaccine. Linked case(s) involving the same patient: US2025AMR098484 Additional Information: GSK Receipt Date: 26-JUL-2025 Patient was very sick after the shot but also stated that it prevents him/her from having shingles again, so it was worth it. For tolerance of first dose refer case US2025AMR098484.; Sender's Comments: US-GSK-US2025AMR098484:first dose
More
|