| ID | Age | Sex | State | Date โผ | Onset Days | Vaccine | Manufacturer | Lot # | Symptoms | Narrative | ๐ | ๐ฅ | ๐ | โฟ | โ ๏ธ |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2853662 | 74 | F | CA | 08/11/2025 |
FLU3 |
SANOFI PASTEUR |
U8764BB |
Contusion, Muscle swelling, Pain in extremity, Paraesthesia, Tenderness
Contusion, Muscle swelling, Pain in extremity, Paraesthesia, Tenderness
|
Arm pain, swollen deltoid, bruising and tenderness, tingling down the arm
Arm pain, swollen deltoid, bruising and tenderness, tingling down the arm
|
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| 2853663 | 59 | F | GA | 08/11/2025 |
TDAP |
GLAXOSMITHKLINE BIOLOGICALS |
793pt |
Angioedema
Angioedema
|
angioedema, symptoms of anaphylaxis. Patient went to ER for treatment and received steroid therapy.
angioedema, symptoms of anaphylaxis. Patient went to ER for treatment and received steroid therapy.
|
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| 2853664 | 4 | M | MI | 08/11/2025 |
HEP |
GLAXOSMITHKLINE BIOLOGICALS |
9k34m |
No adverse event, Product administered to patient of inappropriate age
No adverse event, Product administered to patient of inappropriate age
|
To this providers knowledge there has been no adverse effect to the patient. This provider spoke wit...
To this providers knowledge there has been no adverse effect to the patient. This provider spoke with patient's father who reported no ill effects. Patient was incorrectly administered a full dose of the adult engerix-B (20mcg/1ml) instead of the pediatric dose of 10mcg/0.5ml
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| 2853685 | 33 | F | MT | 08/11/2025 |
MMRV |
MERCK & CO. INC. |
Y019530 |
No adverse event, Wrong product administered
No adverse event, Wrong product administered
|
Client received an MMRV vaccine, rather than an MMR vaccine. There were NO side effects or untoward ...
Client received an MMRV vaccine, rather than an MMR vaccine. There were NO side effects or untoward symptoms noted.
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|
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| 2853686 | 88 | M | FL | 08/11/2025 |
FLU3 |
SANOFI PASTEUR |
U8764CB |
Rash, Rash papular
Rash, Rash papular
|
SMALL RED RAISED DOTS APPEARED ON THE TOP OF BOTH THIGHS THE NEXT DAY - NO ITCHING
SMALL RED RAISED DOTS APPEARED ON THE TOP OF BOTH THIGHS THE NEXT DAY - NO ITCHING
|
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| 2853687 | 56 | F | SC | 08/11/2025 |
HEPAB PNC20 |
GLAXOSMITHKLINE BIOLOGICALS PFIZER\WYETH |
az2a3 lk6651 |
Rash, Rash erythematous, Rash pruritic; Rash, Rash erythematous, Rash pruritic
Rash, Rash erythematous, Rash pruritic; Rash, Rash erythematous, Rash pruritic
|
Itchy red bumps on the forearm went away when the patient took Claritin
Itchy red bumps on the forearm went away when the patient took Claritin
|
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| 2853688 | 21 | F | IN | 08/11/2025 |
TDAP TDAP |
SANOFI PASTEUR SANOFI PASTEUR |
U8503AA U8503AA |
Anxiety, Blindness, Confusional state, Dizziness, Hyperhidrosis; Loss of conscio...
Anxiety, Blindness, Confusional state, Dizziness, Hyperhidrosis; Loss of consciousness, Nausea, Pallor, Urinary incontinence
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DONOR LOST VISION, INCONINENT OF BLADDER, PALLOR, LOC <30 SECONDS, ANXIETY, CONFUSION, SWEATY, DI...
DONOR LOST VISION, INCONINENT OF BLADDER, PALLOR, LOC <30 SECONDS, ANXIETY, CONFUSION, SWEATY, DIZZINESS. DONOR SISTER ALERTED STAFF THAT THE DONOR PASSED OUT AND HAD INCONTENENCE OF BLADDER. DONOR WAS CONFUSED AS TO WHERE SHE WAS. DONOR HAD NAUSEA THAT SUBSIDED. DONOR HAD REACTION THAT OCCURED APPROXIMATELY 8 MINUTES AFTER INJECTION WAS ADMINISTERED. DONOR FULLY RECOVERED WITHIN 20 MINUTES. DONOR WAS GIVEN CRACKERS AND A GATORADE. DONOR HAD LOW BP INITIALLY DURING THE REACTION, THEN CAME UP TO WLN AFTER DRINKING GATORADE.
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| 2853689 | 40 | M | FL | 08/11/2025 |
FLU3 TDAP |
SANOFI PASTEUR GLAXOSMITHKLINE BIOLOGICALS |
TFAA2502 KR75K |
Extra dose administered; Extra dose administered
Extra dose administered; Extra dose administered
|
Patient received a double dose of Boostrix. First dose on 2/21/2025 and second dose on 8/5/2025.
Patient received a double dose of Boostrix. First dose on 2/21/2025 and second dose on 8/5/2025.
|
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| 2853690 | 29 | F | AK | 08/11/2025 |
TDAP |
GLAXOSMITHKLINE BIOLOGICALS |
|
Injection site mass, Perioral dermatitis, Rash, Rash macular
Injection site mass, Perioral dermatitis, Rash, Rash macular
|
Hard knot under the skin directly under the injection site, and macular rash on face, spreading to p...
Hard knot under the skin directly under the injection site, and macular rash on face, spreading to perioral area.
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|
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| 2853691 | 16 | F | IN | 08/11/2025 |
FLU3 MMR MNQ |
SEQIRUS, INC. MERCK & CO. INC. NOVARTIS VACCINES AND DIAGNOSTICS |
406986 Y015022 9549B |
Syncope; Syncope; Syncope
Syncope; Syncope; Syncope
|
Patient syncope
Patient syncope
|
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| 2853692 | 50 | F | OR | 08/11/2025 |
TDAP VARZOS |
GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS |
9JT4S PJ353 |
Rash; Rash
Rash; Rash
|
Patient came back after a few days to let us know that she developed a rash on her leg the day after...
Patient came back after a few days to let us know that she developed a rash on her leg the day after getting vaccinated.
More
|
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| 2853693 | 63 | F | TX | 08/11/2025 |
PNC13 PNC13 PNC13 |
PFIZER\WYETH PFIZER\WYETH PFIZER\WYETH |
|
Abscess, Arthralgia, Blood test, Burning sensation, Chills; Hyperhidrosis, Mobil...
Abscess, Arthralgia, Blood test, Burning sensation, Chills; Hyperhidrosis, Mobility decreased, Pain, Pain in extremity, Ultrasound scan abnormal; White blood cell count increased
More
|
Initial soreness for 2 or 3 days , then severe pain, burning, aching of upper arm/shoulder, unable ...
Initial soreness for 2 or 3 days , then severe pain, burning, aching of upper arm/shoulder, unable to move arm , shaking chills , sweating , teeth chattering. Tylenol gave no relief , tried ibuprofen , helped some initially then that did not offer any relief from the pain. Went back to Dr office, prescribed prednisone pak and keflex antibiotics.
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โ | |||||
| 2853694 | 0.33 | M | NC | 08/11/2025 |
DTAPHEPBIP HIBV PNC20 RV5 |
GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS PFIZER\WYETH MERCK & CO. INC. |
|
Culture stool positive, Haematochezia, Mucous stools, Ultrasound scan normal; Cu...
Culture stool positive, Haematochezia, Mucous stools, Ultrasound scan normal; Culture stool positive, Haematochezia, Mucous stools, Ultrasound scan normal; Culture stool positive, Haematochezia, Mucous stools, Ultrasound scan normal; Culture stool positive, Haematochezia, Mucous stools, Ultrasound scan normal
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Vaccines administered wed. Baby slept a lot day 2. Acted normal. Large amount of bloody mucous stool...
Vaccines administered wed. Baby slept a lot day 2. Acted normal. Large amount of bloody mucous stool in diaper Sunday at 6 pm. Called on call peds at 615. Sent doc pic and they elected to send us to the ER. Arrived at ER around 715 pm. Took vitals and took us back to a room. Baby appeared fine. Notified he had just received vaccines Wednesday several times. Tested stool. Confirmed blood in stool. Ordered ultrasound. Waited almost 2 hours for ultrasound. Doc received normal note from radiology. Given discharge notes and sent home by 11:30 pm
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| 2853702 | 2.17 | F | RI | 08/11/2025 |
MMRV VARCEL |
MERCK & CO. INC. MERCK & CO. INC. |
Y014437 Y011018 |
Extra dose administered; Extra dose administered
Extra dose administered; Extra dose administered
|
N/A
N/A
|
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| 2853453 | 20 | F | TX | 08/10/2025 |
COVID19 COVID19 |
PFIZER\BIONTECH PFIZER\BIONTECH |
|
Continuous glucose monitoring, Diarrhoea, Eczema, Feeding disorder, Insomnia; Lo...
Continuous glucose monitoring, Diarrhoea, Eczema, Feeding disorder, Insomnia; Loss of consciousness, Pancreatic disorder, Type 1 diabetes mellitus, Vomiting
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in September 2022, i ate a bag of M&Ms and started violently puking, diarrheaing, and passing ou...
in September 2022, i ate a bag of M&Ms and started violently puking, diarrheaing, and passing out. because i had not received a diagnosis yet, i thought it was normal. in February 2024, i was diagnosed with type one diabetes. my pancreas is now dead and i have to take insulin shots and constantly monitor my sugar (i cant eat, i cant sleep, years are taken off my life). in addition to this, i have also developed eczema.
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โ | โ | ||||
| 2853454 | 9 | F | TX | 08/10/2025 |
HEP HEPA HPV9 IPV MMRV TDAP |
GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS MERCK & CO. INC. SANOFI PASTEUR MERCK & CO. INC. SANOFI PASTEUR |
3N2ND DN273 Y010656 Y1A212M Z003308 U8274AA |
Dizziness, Pallor, Vision blurred; Dizziness, Pallor, Vision blurred; Dizziness,...
Dizziness, Pallor, Vision blurred; Dizziness, Pallor, Vision blurred; Dizziness, Pallor, Vision blurred; Dizziness, Pallor, Vision blurred; Dizziness, Pallor, Vision blurred; Dizziness, Pallor, Vision blurred
More
|
Patient Presentation & Pre-Vaccination Assessment: Patient presented accompanied by mother and s...
Patient Presentation & Pre-Vaccination Assessment: Patient presented accompanied by mother and sister for immunizations. Full name and date of birth were verified. Screening for allergies to medications, vaccines, or foods, as well as any underlying medical conditions or contraindications, was negative per the mother. Last food intake was breakfast. After reviewing the patient?s vaccination record, it was determined that 7 vaccines were due: Hepatitis A, Hepatitis B, HPV, Polio, MMRV, and Tdap (6 injections total). The mother was informed of the vaccines, potential adverse reactions, and provided with Vaccine Information Statements. She verbalized understanding and signed informed consent. Vaccination Administration: Vaccines were administered as indicated. The patient appeared anxious prior to vaccination. Adverse Event: Approximately 3 minutes post-vaccination, the patient reported dizziness. Legs were elevated, and an alcohol pad was provided for inhalation. Symptoms improved, and the patient reported feeling better. At 14:41, the patient again reported dizziness and was observed to be pale. Legs were elevated. Vital signs: BP 78/66 mmHg, HR 50 bpm, SpO2 100%, RR 20/min, Temp 97.6๏ฟฝF. The patient stated, ?I no longer see blurry; I feel better.? Repeat vitals at 14:50: BP 78/62 mmHg, HR 73 bpm, SpO2 98%, RR 20/min, Temp 97.6๏ฟฝF. Monitoring & Outcome: Patient was monitored for 22 minutes. At 15:02, vitals were: BP 92/62 mmHg, HR 75 bpm, SpO2 100%, RR 19/min, Temp 98.6๏ฟฝF. She was alert, conscious, oriented, with normal skin color restored. She was instructed to lower her legs slowly and remain seated under observation. Monitored for an additional 15 minutes, during which she was given food and drink. The patient ambulated from the area without complications, accompanied by her parents and sister.
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| 2853455 | 61 | M | 08/10/2025 |
COVID19 |
PFIZER\BIONTECH |
|
Cardiac disorder, Carotid endarterectomy, Cerebrovascular accident, Inflammation
Cardiac disorder, Carotid endarterectomy, Cerebrovascular accident, Inflammation
|
Heart disease, stroke, carotid surgery, flammatory complications.
Heart disease, stroke, carotid surgery, flammatory complications.
|
โ | โ | |||||
| 2853456 | 70 | F | FL | 08/10/2025 |
FLU3 FLU3 |
SANOFI PASTEUR SANOFI PASTEUR |
|
Blood glucose increased, Chills, Condition aggravated, Continuous glucose monito...
Blood glucose increased, Chills, Condition aggravated, Continuous glucose monitoring, Headache; Myalgia, Type 2 diabetes mellitus
More
|
With the headache, muscle aches, and chills my blood sugar has been consistently higher than usual w...
With the headache, muscle aches, and chills my blood sugar has been consistently higher than usual with extreme highs with food
More
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| 2853457 | 35 | F | NY | 08/10/2025 |
RSV RSV RSV RSV |
GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS |
5H777 5H777 |
Exposure during pregnancy, Fatigue, Malaise, Pain in extremity, Product use issu...
Exposure during pregnancy, Fatigue, Malaise, Pain in extremity, Product use issue; Exposure during pregnancy, Product use issue, Wrong product administered; Exposure during pregnancy, Fatigue, Malaise, Pain in extremity, Product use issue; Exposure during pregnancy, Product use issue, Wrong product administered
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|
I received the RSV vaccine while 32 weeks and 5 Days pregnant. My due date is 9/27/2025. I had my fi...
I received the RSV vaccine while 32 weeks and 5 Days pregnant. My due date is 9/27/2025. I had my first baby on 11/13/2023 (due date 11/10/2023) at 7 pounds and 13 ounces. On 8/82025 I started to feel unwell with body aches and general exhaustion. I am feeling fine now on 8/10/2025 with just minor soreness on my arm. My understanding is that this vaccine is not approved for pregnant women.
More
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| 2853458 | 84 | M | MO | 08/10/2025 |
FLU3 |
SANOFI PASTEUR |
|
Chills, Headache, Malaise, Myalgia, Pyrexia
Chills, Headache, Malaise, Myalgia, Pyrexia
|
Chills, low headache, minor muscle ache, low temperature, general malaise
Chills, low headache, minor muscle ache, low temperature, general malaise
|
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| 2853459 | 69 | M | WI | 08/10/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
|
Chills, Hyperhidrosis, Pyrexia
Chills, Hyperhidrosis, Pyrexia
|
Sweating chills slight fever
Sweating chills slight fever
|
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| 2853460 | 6 | F | TX | 08/10/2025 |
DTAPIPV HEPA MMRV |
GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS MERCK & CO. INC. |
52D72 DN273 Z008501 |
Dizziness; Dizziness; Dizziness
Dizziness; Dizziness; Dizziness
|
Patient Presentation & Pre-Vaccination Assessment: Patient presented accompanied by her parents ...
Patient Presentation & Pre-Vaccination Assessment: Patient presented accompanied by her parents and sister for immunizations. Full name and date of birth were verified. Screening for allergies to medications, vaccines, or foods, as well as any underlying medical conditions or contraindications, was negative per the mother. Last food intake was breakfast. The patient appeared slightly anxious after observing her sister experience dizziness earlier during vaccination. She was reassured and encouraged to remain calm. After reviewing the patient?s vaccination record, it was determined that 5 vaccines were due: Hepatitis A, DTaP?Polio, and MMRV (3 injections total). The mother was informed of the vaccines and potential adverse reactions, and was provided with Vaccine Information Statements in (withheld). She verbalized understanding and signed informed consent. Vaccination Administration: Vaccines were administered as indicated. Adverse Event: At 15:30, immediately after vaccine administration, the patient reported feeling dizzy. She was placed in a supine position with legs elevated, and an alcohol pad was provided for inhalation. The patient was not pale and did not lose consciousness. Initial vital signs: BP 90/72 mmHg, HR 105 bpm, SpO2 99%, RR 31/min, Temp 97.1๏ฟฝF. She was monitored for 15 minutes, during which she reported feeling better, though she appeared apprehensive. Monitoring & Outcome: At 15:40, vital signs were: BP 98/76 mmHg, HR 100 bpm, SpO2 99%, RR 20/min, Temp 97.7๏ฟฝF. The patient was alert, conscious, oriented, and conversing with her parents. She was instructed to remain seated under observation. After an additional 5 minutes of monitoring, the patient ambulated from the area without complications, accompanied by her parents and sister.
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| 2853461 | 55 | F | GA | 08/10/2025 |
FLU3 |
GLAXOSMITHKLINE BIOLOGICALS |
2NG23 |
Condition aggravated, Seizure
Condition aggravated, Seizure
|
The immunizer stated that the patient started to have a seizure about 7-110 minutes after the flu sh...
The immunizer stated that the patient started to have a seizure about 7-110 minutes after the flu shot was given. It last less than 1 minute. She stayed in the immunization room for about 20 minutes with the store manager. PT stated that she has a history of seizures and wasn't sure it was related to vaccine.
More
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| 2853462 | 80 | F | FL | 08/10/2025 |
PNC20 |
PFIZER\WYETH |
LP4947 |
Extra dose administered, No adverse event
Extra dose administered, No adverse event
|
Patient received Prevnar 20 on 8/9/25. We didn't catch that she has already received Prevnar 20...
Patient received Prevnar 20 on 8/9/25. We didn't catch that she has already received Prevnar 20 on 7/26/24. Spoke with patient and she said that she hasn't had any side effects except for soreness in the arm.
More
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| 2853463 | 80 | F | MA | 08/10/2025 |
COVID19 |
MODERNA |
|
Fatigue
Fatigue
|
my husband and I have received all Moderna Covid Shots - we never got covid - the problem is we are ...
my husband and I have received all Moderna Covid Shots - we never got covid - the problem is we are both physically exhausted all the time started about a year ago and we wanted to know if this could be a long term side effect of all the shots
More
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| 2853464 | 23 | F | KY | 08/10/2025 |
FLU3 |
SANOFI PASTEUR |
|
Guillain-Barre syndrome, Lumbar puncture
Guillain-Barre syndrome, Lumbar puncture
|
Guillaine Barre Syndrome
Guillaine Barre Syndrome
|
โ | โ | ||||
| 2853465 | 89 | F | FL | 08/10/2025 |
FLU3 RSV |
SANOFI PASTEUR GLAXOSMITHKLINE BIOLOGICALS |
u8764bb bg5j4 |
Extra dose administered, No adverse event; Extra dose administered, No adverse e...
Extra dose administered, No adverse event; Extra dose administered, No adverse event
More
|
Patient had previously received RSV (Arexvy) on 9/28/23. Per patient, she did not experience any a...
Patient had previously received RSV (Arexvy) on 9/28/23. Per patient, she did not experience any adverse effects.
More
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| 2853466 | 93 | M | FL | 08/10/2025 |
FLU3 RSV |
SANOFI PASTEUR GLAXOSMITHKLINE BIOLOGICALS |
u8764bb bg5j4 |
Extra dose administered, No adverse event; Extra dose administered, No adverse e...
Extra dose administered, No adverse event; Extra dose administered, No adverse event
More
|
Patient had previously received RSV (Arexvy) on 9/28/23. Per patient, he did not experience any ad...
Patient had previously received RSV (Arexvy) on 9/28/23. Per patient, he did not experience any adverse effects.
More
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| 2853467 | 66 | M | PR | 08/10/2025 |
FLU3 TDAP VARZOS |
SEQIRUS, INC. GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS |
|
Erythema, Inflammation; Erythema, Inflammation; Erythema, Inflammation
Erythema, Inflammation; Erythema, Inflammation; Erythema, Inflammation
|
THIS WAS THE VACCINE THAT CAUSED AN ADVERSE REACTION. WITH RED AND INFLAMED AREA.
THIS WAS THE VACCINE THAT CAUSED AN ADVERSE REACTION. WITH RED AND INFLAMED AREA.
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| 2853468 | 71 | M | FL | 08/10/2025 |
RSV |
GLAXOSMITHKLINE BIOLOGICALS |
bg5j4 |
Extra dose administered
Extra dose administered
|
pt had apparently already received 2 doses several years ago. got yet a 3rd dose when only 1 dose is...
pt had apparently already received 2 doses several years ago. got yet a 3rd dose when only 1 dose is required
More
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| 2853469 | 70 | F | FL | 08/10/2025 |
PNC21 |
MERCK & CO. INC. |
Z004302 |
Fatigue, Injection site erythema, Injection site rash, Injection site warmth, Ma...
Fatigue, Injection site erythema, Injection site rash, Injection site warmth, Malaise
More
|
THE PATIENT EXPERIENCED SEVERE FATIGUE AND MALAISE. SHE HAD A RASH THAT EXTENDED FROM THE INJECTIION...
THE PATIENT EXPERIENCED SEVERE FATIGUE AND MALAISE. SHE HAD A RASH THAT EXTENDED FROM THE INJECTIION SITE TO HER ELBOW. IT WAS RED AND WARM TO THE TOUCH.
More
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| 2853470 | 12 | F | OH | 08/10/2025 |
MNQ TDAP |
SANOFI PASTEUR SANOFI PASTEUR |
U8438AA U8620AA |
Dizziness, Mydriasis, Vision blurred; Dizziness, Mydriasis, Vision blurred
Dizziness, Mydriasis, Vision blurred; Dizziness, Mydriasis, Vision blurred
|
Dizziness, blurred vision, dilated pupils
Dizziness, blurred vision, dilated pupils
|
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| 2853471 | 60 | F | FL | 08/10/2025 |
FLU3 PNC21 |
SANOFI PASTEUR MERCK & CO. INC. |
U8823CA Z004302 |
Fatigue, Injection site rash, Injection site warmth, Malaise, Mobility decreased...
Fatigue, Injection site rash, Injection site warmth, Malaise, Mobility decreased; Fatigue, Injection site rash, Injection site warmth, Malaise, Mobility decreased
More
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THE PATIENT EXPERIENCED SEVERE MALAISE AND FATIGE. SHE COULD NOT GET OUT OF THE BED FOR 2 DAYS. SHE ...
THE PATIENT EXPERIENCED SEVERE MALAISE AND FATIGE. SHE COULD NOT GET OUT OF THE BED FOR 2 DAYS. SHE SLSO HAD A HUGE RASH ON HER LET ARM AT THE INJECTION SITE AND SURROUNDING AREA. IT WAS HOT TO THE TOUCH
More
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| 2853472 | 46 | F | ID | 08/10/2025 |
HEP |
MERCK & CO. INC. |
P-Y004552 |
Underdose
Underdose
|
patient was given Hep B 19 yrs only (0.5ml). The appropriate dosage for patients 20 years and older ...
patient was given Hep B 19 yrs only (0.5ml). The appropriate dosage for patients 20 years and older is 1 mL. The 0.5mL dose is considered invalid
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| 2853473 | 76 | F | FL | 08/10/2025 |
UNK UNK |
UNKNOWN MANUFACTURER UNKNOWN MANUFACTURER |
|
Facial pain, Fatigue, Malaise, Mobility decreased, Pyrexia; Rash, Skin discolour...
Facial pain, Fatigue, Malaise, Mobility decreased, Pyrexia; Rash, Skin discolouration, Tenderness, Tremor
More
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THE PATIENT EXPERIENCED SEVERE MALAISE AND FATIGUE FOR 2 DAYS. SHE COULD NOT LIFT EITHER ARM. SHE HA...
THE PATIENT EXPERIENCED SEVERE MALAISE AND FATIGUE FOR 2 DAYS. SHE COULD NOT LIFT EITHER ARM. SHE HAD FEVER, THE SHAKES, AND RIGHT SIDE FACE PAIN THAT WAS PAINFUL TO TOUCH. SHE ALSO HAD A PURPLISH RASH ON HER FACE AS WELL.
More
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| 2853474 | 74 | F | FL | 08/10/2025 |
RSV |
PFIZER\WYETH |
HY1813 |
Extra dose administered
Extra dose administered
|
PATIENT ALREADY RECEIVED THIS VACCINE BACK IN 2023
PATIENT ALREADY RECEIVED THIS VACCINE BACK IN 2023
|
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| 2853475 | 12 | M | TX | 08/10/2025 |
FLU3 MNQ |
SANOFI PASTEUR NOVARTIS VACCINES AND DIAGNOSTICS |
U8823CA AMVB072A |
Anaphylactic reaction, Hypopnoea, Loss of consciousness, Urticaria; Anaphylactic...
Anaphylactic reaction, Hypopnoea, Loss of consciousness, Urticaria; Anaphylactic reaction, Hypopnoea, Loss of consciousness, Urticaria
More
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Patient was administered the above vaccinations and within a few minutes, patient developed anaphyla...
Patient was administered the above vaccinations and within a few minutes, patient developed anaphylactic reaction which includes shallow breathing, hives and unconscious. I administered Epipen to the right thigh and within a few seconds, patient breathing was better and consciousness returned.
More
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| 2853498 | 17 | F | VA | 08/10/2025 |
FLU3 HPV9 MNQ TDAP |
GLAXOSMITHKLINE BIOLOGICALS MERCK & CO. INC. SANOFI PASTEUR GLAXOSMITHKLINE BIOLOGICALS |
39R9B Y012921 U8361AA 9JT4S |
Dizziness, Feeling hot; Dizziness, Feeling hot; Dizziness, Feeling hot; Dizzines...
Dizziness, Feeling hot; Dizziness, Feeling hot; Dizziness, Feeling hot; Dizziness, Feeling hot
More
|
PATIENT SCHEDULED 4 VACCINATIONS. THE PATIENT WAS IMMUNIZED FIRST WITH FLUARIX AND THEN GARDASIL. AF...
PATIENT SCHEDULED 4 VACCINATIONS. THE PATIENT WAS IMMUNIZED FIRST WITH FLUARIX AND THEN GARDASIL. AFTER GARDASIL SHE FELT LIGHTHEADED AND OVERHEATED. THE IMMUNIZING INTER CALLED ME (RPH) INTO THE ROOM AND THE PATIENT APPEARED TO BE ON THE VERGE OF SYNCOPE BUT STATED SHE WAS JUST VERY AFRAID OF NEEDLES. SHE WAS GIVEN WATER AND PAPER TOWELS TO WIPE HER FACE. PATIENT AND HER PARENTS DECLINED OFFER TO CALL EMS. RECOMMENDED THE PATIENT NOT GET THE OTHER 2 VACCINATIONS (MENINGITIS AND TDAP) AT THIS TIME, BUT THE PATIENT STATED SHE FELT BETTER AFTER DRINKING WATER AND RESTING FOR 15 MINUTES AND PATIENT/PARENTS DECIDED TO CONTINUE WITH THE IMMUNIZATIONS. PATIENT REMAINED SEATED FOR 30 MINTUES WITH NO FURTHER ADVERSE EFFECTS.
More
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| 2853499 | 68 | M | TX | 08/10/2025 |
COVID19 COVID19 |
PFIZER\BIONTECH PFIZER\BIONTECH |
FK9896 FK9896 |
Abdominal distension, Biopsy colon abnormal, Blood test abnormal, Colitis micros...
Abdominal distension, Biopsy colon abnormal, Blood test abnormal, Colitis microscopic, Colonoscopy abnormal; Diarrhoea, Flatulence, Immunodeficiency common variable
More
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1. Severe recurring diarrhea, gas, bloating - diagnosed by Dr. 06/28/2022 via colonoscopy and biopsy...
1. Severe recurring diarrhea, gas, bloating - diagnosed by Dr. 06/28/2022 via colonoscopy and biopsy; no previous history prior to COVID-19 vaccines; treated with budesonide, temporary relief only; condition worsened - treated with prednisone 10mg starting 12/2022 with some relief; recurring episodes of severe diarrhea treated with prednisione to current date. 2. Immune system no longer protective - CVID diagnosed 1/12/2024 by Dr.; no previous history prior to COVID-19 vaccines; currently treated with subcutaneous infusion of HyQvia.
More
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| 2853500 | 51 | F | 08/10/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
NR4T5 |
Rash
Rash
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Largest rash on opposite shoulder, elbow-to-wrist
Largest rash on opposite shoulder, elbow-to-wrist
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| 2853409 | VA | 08/09/2025 |
MMRV |
MERCK & CO. INC. |
Z003309 |
No adverse event, Product storage error
No adverse event, Product storage error
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No symptoms or side effects were reported by HCP; HCP reporting that a patient received a dose of im...
No symptoms or side effects were reported by HCP; HCP reporting that a patient received a dose of improperly stored PROQUAD. Reference TE case #02843001. HCP reported that she did not know the date the excursion occurred, but knows the PROQUAD was administered following the excursion. HCP reported; This spontaneous report was received from a nurse and refers to a patient of unknown age and gender. The patient's medical history was not reported. The patient's concurrent conditions were not reported. Concomitant therapies were not reported. On 14-Jul-2025, the patient was vaccinated with an improperly storage dose of Measles, Mumps, Rubella and Varicella (Oka-Merck) Virus Vaccine Live (PROQUAD), (lot #Z003309, expiration date: 21-Jul-2026) 0.5 mL, for prophylaxis, diluted with sterile diluent (MERCK STERILE DILUENT), 0.5 mL (indication, expiration date, and lot # were not reported). Temperature excursion occurred at 52.2 F; timeframe was unknown (Product storage error). No symptoms or side effects were reported.
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| 2853410 | M | NJ | 08/09/2025 |
PNC21 PNC21 |
MERCK & CO. INC. MERCK & CO. INC. |
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Chills, Fatigue, Headache, Injection site pruritus, Injection site rash; Injecti...
Chills, Fatigue, Headache, Injection site pruritus, Injection site rash; Injection site swelling, Pain in extremity
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On 7/29/25 he did not have a rash any longer, and today 7/30, it is back and stronger than it was an...
On 7/29/25 he did not have a rash any longer, and today 7/30, it is back and stronger than it was and it is itching, at the same spot, around the inject site. Right arm.; On 7/29/25 he did not have a rash any longer, and today 7/30, it is back and stronger than it was and it is itching, at the same spot, around the inject site. Right arm.; Initially his arm was sore for a couple days; Headache; Fatigue; chills; slight rash around the injection site; a little swollen around injection site; This spontaneous report was received from a Consumer or other non health professional and refers to a 69-year-old male patient. The patient's medical history was not reported. The patient's concurrent conditions were not reported. Concomitant medications included Rosuvastatin calcium (CRESTOR). On 25-Jul-2025, the patient was vaccinated with a dose of Pneumococcal 21-valent Conjugate Vaccine Injection (CAPVAXIVE) in Right Arm (strength, dose, dose number, route, lot # and expiration date were not reported) as vaccination. On 25-Jul-2025, the patient had initially his arm sore for a couple days (vaccination site pain) with chills, fatigue, headache, a little swollen (Vaccination site swelling) and a slight rash around the injection site ( Vaccination site rash). On 29-JUL-2025, the patient recovered from the vaccination site rash, however on 30-Jul-2025, the rash back and stronger (Vaccination site rash) than it was and it is itching at the same spot, around the inject site (Right arm) (Vaccination site pruritus). It was mentione that the patient did not Sought Medical Attention and not received treatment. At the reporting time, the patient had not recovered from Headache, vaccination site pain, Fatigue, chills, Vaccination site swelling, Vaccination site pruritus and Vaccination site rash (onset date: 30-Jul-2025). The causal relationship between all adverse events and Pneumococcal 21-valent Conjugate Vaccine Injection (CAPVAXIVE) was not provided.
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| 2853412 | 0.67 | F | VA | 08/09/2025 |
DTAPIPV |
GLAXOSMITHKLINE BIOLOGICALS |
yN2X2 |
Product administered to patient of inappropriate age
Product administered to patient of inappropriate age
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8-month-old patient accidentally received a dose of Kinrix; 8-month-old patient accidentally receive...
8-month-old patient accidentally received a dose of Kinrix; 8-month-old patient accidentally received a dose of Kinrix as their third IPV and DTaP series; This non-serious case was reported by a nurse via call center representative and described the occurrence of inappropriate age at vaccine administration in a 8-month-old female patient who received DTPa-IPV (Kinrix) (batch number yN2X2, expiry date 01-OCT-2026) for prophylaxis. On 14-JUL-2025, the patient received Kinrix. On 14-JUL-2025, an unknown time after receiving Kinrix, the patient experienced inappropriate age at vaccine administration (Verbatim: 8-month-old patient accidentally received a dose of Kinrix) and inappropriate schedule of vaccine administered (Verbatim: 8-month-old patient accidentally received a dose of Kinrix as their third IPV and DTaP series). The outcome of the inappropriate age at vaccine administration and inappropriate schedule of vaccine administered were 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: 17-JUL-2025 A nurse called in to report that an 8-month-old patient accidentally received a dose of Kinrix as their third IPV and DTaP series, which led to an inappropriate age at vaccine administration and inappropriate schedule of vaccine administered. They stated the first two doses were with Pediarix. The vaccine administration facility was the same as primary reporter.
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| 2853413 | 08/09/2025 |
COVID19 |
PFIZER\BIONTECH |
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COVID-19, Drug ineffective
COVID-19, Drug ineffective
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the following year, patient did get COVID and got pretty sick with it even though they did get vacci...
the following year, patient did get COVID and got pretty sick with it even though they did get vaccinated; the following year, patient did get COVID and got pretty sick with it even though they did get vaccinated; This is a spontaneous report received from a Consumer or other non HCP from medical information team. A 69-year-old patient received BNT162b2 (COMIRNATY NOS), as dose number unknown, 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 2024, outcome "unknown" and all described as "the following year, patient did get COVID and got pretty sick with it even though they did get vaccinated". The clinical course was reported as follows: Patient was a teacher working in a fitness facility and they felt vulnerable. The patient didn't know if they should get another dose before school started or wait until the new version was available, but that might be after school started. The patient asked if they could get another dose every 6 months. Two years ago, the patient's superintendent urged them to get vaccinated before they came to school because of the likelihood of a surge with kids coming back into the classroom. The following year, patient did get COVID and got pretty sick with it even though they did get vaccinated. No follow-up attempts are possible. Batch/lot number is not provided, and it cannot be obtained.
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| 2853426 | 11 | F | IL | 08/09/2025 |
UNK UNK |
UNKNOWN MANUFACTURER UNKNOWN MANUFACTURER |
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Bell's palsy, Hypoaesthesia; Bell's palsy, Hypoaesthesia
Bell's palsy, Hypoaesthesia; Bell's palsy, Hypoaesthesia
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Diagnosed with Bell's Pasly. Numbness on right side of face
Diagnosed with Bell's Pasly. Numbness on right side of face
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| 2853427 | 0.33 | M | OK | 08/09/2025 |
DTAP |
GLAXOSMITHKLINE BIOLOGICALS |
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Death, Pyrexia
Death, Pyrexia
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Fever, 2 days later death occurred
Fever, 2 days later death occurred
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| 2853428 | 42 | F | WA | 08/09/2025 |
COVID19 COVID19 |
PFIZER\BIONTECH PFIZER\BIONTECH |
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Brain fog, COVID-19, Dizziness, Fatigue, Heart rate decreased; Malaise, Nausea, ...
Brain fog, COVID-19, Dizziness, Fatigue, Heart rate decreased; Malaise, Nausea, Oxygen saturation decreased, Pain, Pyrexia
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Fell ill - high fever. Extremely body aches, dizziness, extremely fatigue, nausea, brain fog and ext...
Fell ill - high fever. Extremely body aches, dizziness, extremely fatigue, nausea, brain fog and extreme pain, ended up in the ER after a week from getting the vaccine. They claimed it was because I caught covid. O2 levels dropped to 86. Heart rate dropped to 38. Fever 104.
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โ | โ | โ | |||
| 2853429 | 0.33 | M | TX | 08/09/2025 |
DTAPHEPBIP DTAPHEPBIP HIBV HIBV PNC20 PNC20 |
GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS PFIZER\WYETH PFIZER\WYETH |
TE499 TE499 35FA4 35FA4 LP4948 LP4948 |
C-reactive protein, Computerised tomogram head, Cyanosis, Electrocardiogram, Ful...
C-reactive protein, Computerised tomogram head, Cyanosis, Electrocardiogram, Full blood count; Hypotonic-hyporesponsive episode, Metabolic function test, Pallor, Procalcitonin; C-reactive protein, Computerised tomogram head, Cyanosis, Electrocardiogram, Full blood count; Hypotonic-hyporesponsive episode, Metabolic function test, Pallor, Procalcitonin; C-reactive protein, Computerised tomogram head, Cyanosis, Electrocardiogram, Full blood count; Hypotonic-hyporesponsive episode, Metabolic function test, Pallor, Procalcitonin
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Hypotonic-Hyporesponsive episode - patient went limp, pale and blue color of the face lasting about ...
Hypotonic-Hyporesponsive episode - patient went limp, pale and blue color of the face lasting about 4 minutes
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| 2853430 | 61 | F | GA | 08/09/2025 |
COVID19 FLU3 |
PFIZER\BIONTECH SANOFI PASTEUR |
LM2211 TFAA2434 |
Pain in extremity; Pain in extremity
Pain in extremity; Pain in extremity
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THe patient reported that she has been having pain in her arms since last October. She states she is...
THe patient reported that she has been having pain in her arms since last October. She states she is unable to lift more than 15 pounds and that her arms fall asleep often.
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| 2853431 | 31 | F | WA | 08/09/2025 |
COVID19 COVID19 COVID19 COVID19 MMR MMR |
PFIZER\BIONTECH PFIZER\BIONTECH PFIZER\BIONTECH PFIZER\BIONTECH UNKNOWN MANUFACTURER UNKNOWN MANUFACTURER |
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Menstruation delayed; Menstruation delayed; Menstruation delayed; Menstruation d...
Menstruation delayed; Menstruation delayed; Menstruation delayed; Menstruation delayed; Menstruation delayed; Menstruation delayed
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Missed period 10+ days, no pregnancy. Unusual as it is always on time.
Missed period 10+ days, no pregnancy. Unusual as it is always on time.
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