| ID | Age | Sex | State | Date โผ | Onset Days | Vaccine | Manufacturer | Lot # | Symptoms | Narrative | ๐ | ๐ฅ | ๐ | โฟ | โ ๏ธ |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2853051 | 83 | F | NV | 08/06/2025 |
COVID19 |
PFIZER\BIONTECH |
LN0589 |
Blood test, COVID-19, Investigation, SARS-CoV-2 test, Vaccination failure
Blood test, COVID-19, Investigation, SARS-CoV-2 test, Vaccination failure
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she finally caught COVID; she finally caught COVID; This is a spontaneous report received from a Con...
she finally caught COVID; she finally caught COVID; This is a spontaneous report received from a Consumer or other non HCP from medical information team. An 84-year-old female patient received BNT162b2 omicron (kp.2) (COMIRNATY (2024-2025 FORMULA)), on 01Nov2024 as dose 1, single (Lot number: LN0589) at the age of 83 years intramuscular, in right arm for covid-19 immunisation. The patient's relevant medical history included: "Acid reflux" (ongoing); "next-door neighbor had covid" (unspecified if ongoing). Concomitant medication(s) included: FLU [INFLUENZA VACCINE] intramuscular taken for immunisation, on 01Nov2024 as dose number unknown, single; RSV VACCINE intramuscular taken for immunisation, in Nov2024 as dose number unknown, single; OMEPRAZOLE taken for gastrooesophageal reflux disease; VITAMINS NOS. Vaccination history included: Covid-19 vaccine (took all of her shots and everything was fine), for covid-19 immunisation.The following information was reported: VACCINATION FAILURE (medically significant), COVID-19 (medically significant) all with onset 16Jul2025, outcome "unknown" and all described as "she finally caught COVID". The patient underwent the following laboratory tests and procedures: Blood test: (unspecified date) Unknown Results, notes: The lab work for COVID, I had a blood test done; (unspecified date) Unknown Results, notes: The lab work for COVID, I had a blood test done; SARS-CoV-2 test: (16Jul2025) Positive, notes: It was about 16Jul, 17Jul and the results were that I had COVID, SARS COVID-19, it was positive; (17Jul2025) Positive, notes: It was about 16Jul, 17Jul and the results were that I had COVID, SARS COVID-19, it was positive. Therapeutic measures were taken as a result of vaccination failure, covid-19. Clinical course: The patient took all of her shots and everything was fine. Her last shot was in Nov of last year (2024). It slipped her mind to take another one in the next 4, 5, or 6 months, so she was almost 7 or 8 months without having a shot, forgot the latest shot. After 3 years of being successful, the caller's incredible next-door neighbor asked her for a ride, so she gave him a ride, and he was sick. It turned out he had COVID, so for the first time in three or four years, she finally caught COVID.Her doctor gave her Tamiflu, and COVID really knocked her down hard. After the last 30 days of having it, she now needs to know because her flu shot is set for the end of Aug, and she had already planned to get a COVID shot. However, her doctor advised her not to get it because she now has antibodies, but she told them that she's going to get the shot anyway. People who just relied on their antibodies have had COVID two or three times. She took her Pfizer shots and never got it.
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| 2853052 | 08/06/2025 |
PNC20 |
PFIZER\WYETH |
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Erythema, Feeling hot, Mobility decreased, Pain in extremity, Peripheral swellin...
Erythema, Feeling hot, Mobility decreased, Pain in extremity, Peripheral swelling
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I am worried about cellulites in the arm; this arm, I could barely lift up; The whole thing hurts ve...
I am worried about cellulites in the arm; this arm, I could barely lift up; The whole thing hurts very bad.; It is so red and it feels like there is bubble under the skin and it is very hot.; It is so red and it feels like there is bubble under the skin and it is very hot.; some kind of allergy; my arm is completely swollen and red; my arm is completely swollen and red; This is a spontaneous report received from a Nurse. A patient (age and gender not provided) received pneumococcal 20-val conj vac (dipht CRM197 protein) (PREVNAR 20), as dose number unknown, single (Batch/Lot number: unknown) for immunisation. The patient's relevant medical history and concomitant medications were not reported. Vaccination history included: Comirnaty (DOSE 1, SINGLE), administration date: Oct2024, for COVID-19 Immunization, reaction(s): "Drug allergy", "Erythema of extremities", "Extremities hot feeling of", "Swollen arm". The following information was reported: CELLULITIS (non-serious), outcome "unknown", described as "I am worried about cellulites in the arm"; INJECTED LIMB MOBILITY DECREASED (non-serious), outcome "unknown", described as "this arm, I could barely lift up"; PAIN (non-serious), outcome "unknown", described as "The whole thing hurts very bad."; FEELING HOT (non-serious), SKIN DISORDER (non-serious), outcome "unknown" and all described as "It is so red and it feels like there is bubble under the skin and it is very hot."; DRUG HYPERSENSITIVITY (non-serious), outcome "unknown", described as "some kind of allergy"; ERYTHEMA (non-serious), PERIPHERAL SWELLING (non-serious), outcome "unknown" and all described as "my arm is completely swollen and red". Additional Information: Reporter received Prevnar 20 and now reporter arm was completely swollen and red. Reporter received last fall, the Pfizer COVID vaccine Comirnaty, that one and reporter had a reaction in the other arm. Reporter arm was completely swollen, red and very hot. Reporter need to know what if, ingredients are the same in those vaccines, anything was there Because reporter definitely had some kind of allergy. When paraphrased the concern, consumer stated, Anything that was similar. Reporter looked it up on AI and it does not says if there anything similar between these two. Consumer stated, Okay, yes, well, in the meantime, reporter was going to go to the clinic to get checked about this because this was now two vaccines. The COVID reporter got last fall, October and now, this arm, reporter could barely lift. The whole thing hurts very bad. Reporter was worried about cellulites in the arm. It was so red and it felt like there was bubble under the skin and it was very hot. No follow-up attempts are possible. Batch/lot number is not provided, and it cannot be obtained.
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| 2853053 | TX | 08/06/2025 |
PNC20 |
PFIZER\WYETH |
LP4948 |
Product container issue
Product container issue
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one of the vial was broke; This is a spontaneous report received from an Other HCP from product qual...
one of the vial was broke; This is a spontaneous report received from an Other HCP from product quality group. This report involves pneumococcal 20-val conj vac (dipht CRM197 protein) (PREVNAR 20), as dose number unknown, single (Lot number: LP4948, Expiration Date: 31Aug2026) for immunisation, Device Lot Number: LP4948, Device Expiration Date: 31Aug2026. The following information was reported: DEVICE BREAKAGE (non-serious), outcome "unknown", described as "one of the vial was broke". Additional information: A nurse practitioneris calling in regards to Prevnar 20 stated that they open a box of 10 yesterday(on 29Jul2025) and one of the vial is broke. When probed if there was any patient involvement, reporter stated, no, that was not administer. She had actually got the vial here in her office, in her possession. Prevnar 20 in tin, one of the vials arrived broken. Reporter was informed not to discard the product as the report will be forwarded for review by our Quality department.? Reporter stated okay. Reporter stated, a sample of the product available to be returned, she had got it right in front of her and she would not discard it. She will keep it. Reporter stated, packaging sealed and intact. When they opened the box, then they discovered that one because it was brand new tin vial box and so that was the only one that was broken. Reporter stated, no additional lot numbers, this is the only one. Sample not requested due to sharps risk. Product strength and count size dispensed: Reporter stated, "It is the Prevnar 20. It says 1 dose 0.5 ML.". Product NDC# 0005-2000-01. Causality for "one of the vial was broke" was determined associated to device constituent of pneumococcal 20-val conj vac (dipht CRM197 protein) (malfunction).
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| 2853054 | 82 | F | CA | 08/06/2025 |
PNC20 |
PFIZER\WYETH |
LN4930 |
Erythema, Inflammation, Pain in extremity, Pruritus, Skin warm
Erythema, Inflammation, Pain in extremity, Pruritus, Skin warm
|
arm pain; redness to upper arm spreading to lower arm; itchy; Inflammation to the upper arm spreadin...
arm pain; redness to upper arm spreading to lower arm; itchy; Inflammation to the upper arm spreading through the lower arm; Hot to touch; Swelling; This is a spontaneous report received from a Nurse. An 82-year-old female patient (not pregnant) received pneumococcal 20-val conj vac (dipht CRM197 protein) (PREVNAR 20), on 28Jul2025 as dose 1, single (Lot number: LN4930, Expiration Date: 31Jul2026) at the age of 82 years, in left arm for immunisation. The patient's relevant medical history included: "Sulfa Antibiotics: Allergy" (unspecified if ongoing). The patient's concomitant medications were not reported. The following information was reported: FEELING HOT (non-serious) with onset 2025, outcome "unknown", described as "Hot to touch"; INFLAMMATION (non-serious) with onset 2025, outcome "unknown", described as "Inflammation to the upper arm spreading through the lower arm"; SWELLING (non-serious) with onset 2025, outcome "unknown"; PAIN IN EXTREMITY (non-serious) with onset 2025, outcome "recovering", described as "arm pain"; PRURITUS (non-serious) with onset 2025, outcome "recovering", described as "itchy"; ERYTHEMA (non-serious) with onset 2025, outcome "recovering", described as "redness to upper arm spreading to lower arm". Therapeutic measures were taken as a result of pain in extremity, erythema, pruritus, inflammation, feeling hot, swelling. Additional information: The vaccine was administered at a doctor's office or urgent care facility. The patient did not receive any other vaccines on the same date as the Prevnar 20 vaccine. The patient did not receive any other vaccines within four weeks prior to receiving the Prevnar 20 vaccine. The patient experienced arm pain and redness in the upper arm, which spread to the lower arm and was occasionally itchy. Treatment orders was placed to shut down inflammation process - Doxycycline, Prednisone, Triamcinolone, Zyrtec. Inflammation to the upper arm spreading through the lower arm, redness, hot to touch, itchiness and swelling. The primary care is already treating the patient.
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| 2853055 | 08/06/2025 |
RSV |
PFIZER\WYETH |
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Injection site rash
Injection site rash
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rash in injection site area; This is a spontaneous report received from a Physician from medical inf...
rash in injection site area; This is a spontaneous report received from a Physician from medical information team. A patient (age and gender not provided) received rsv vaccine prot.subunit pref 2v (ABRYSVO), as dose 1, single (Batch/Lot number: unknown) for immunisation. The patient's relevant medical history and concomitant medications were not reported. The following information was reported: VACCINATION SITE RASH (non-serious), outcome "unknown", described as "rash in injection site area". Additional information: The reporter questioned if Abrysvo had shown to cause a rash in injection site area during studies. The information on the batch/lot number for rsv vaccine prot.subunit pref 2v will be requested and submitted if and when received.
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| 2853056 | F | 08/06/2025 |
COVID19 |
PFIZER\BIONTECH |
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COVID-19, Drug ineffective
COVID-19, Drug ineffective
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got Covid; got Covid; This is a spontaneous report and received from Consumer or other non HCPs. A ...
got Covid; got Covid; This is a spontaneous report and received from Consumer or other non HCPs. A 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: DRUG INEFFECTIVE (medically significant), COVID-19 (medically significant), outcome "unknown" and all described as "got Covid". The event "got covid" required physician office visit. Clinical course: reporter was calling on behalf of wife (patient) and stated that patient got COVID. There was no medicine at the pharmacy that the patient was prescribed (still has not arrived). Reporter wanted to know how much it costs. The patient was sick and laying down. No follow-up attempts are possible. Batch/lot number is not provided, and it cannot be obtained.
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| 2853057 | 08/06/2025 |
RSV |
PFIZER\WYETH |
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Neurological symptom
Neurological symptom
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Neurological reaction to the RSV vaccine (Abrysvo Vaccine); This is a spontaneous report received fr...
Neurological reaction to the RSV vaccine (Abrysvo Vaccine); This is a spontaneous report received from a Consumer or other non HCP. A patient (age and gender not provided) received rsv vaccine prot.subunit pref 2v (ABRYSVO), as dose 1, single (Batch/Lot number: unknown) for immunisation. The patient's relevant medical history and concomitant medications were not reported. The following information was reported: NEUROLOGICAL SYMPTOM (hospitalization), outcome "unknown", described as "Neurological reaction to the RSV vaccine (Abrysvo Vaccine)". No follow-up attempts are possible. Batch/lot number is not provided, and it cannot be obtained.
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| 2853058 | M | MI | 08/06/2025 |
COVID19 |
PFIZER\BIONTECH |
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Psoriasis
Psoriasis
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Psoriasis after vaccine and has not resolved; This is a spontaneous report received from a Nurse fro...
Psoriasis after vaccine and has not resolved; This is a spontaneous report received from a Nurse from a sales representative. An adult male patient received BNT162b2 omicron (kp.2) (COMIRNATY (2024-2025 FORMULA)), as dose 1, single (Batch/Lot number: unknown) for covid-19 immunisation. The patient's relevant medical history and concomitant medications were not reported. The following information was reported: PSORIASIS (non-serious), outcome "not recovered", described as "Psoriasis after vaccine and has not resolved". It was unknown if therapeutic measures were taken as a result of psoriasis. No follow-up attempts are possible. Batch/lot number is not provided, and it cannot be obtained.
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| 2853059 | F | 08/06/2025 |
COVID19 |
PFIZER\BIONTECH |
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Immune system disorder
Immune system disorder
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immune system gotten worse; This is a spontaneous report received from a Consumer or other non HCP f...
immune system gotten worse; This is a spontaneous report received from a Consumer or other non HCP from medical information team. A 69-year-old female patient received BNT162b2 (BNT162B2), in Apr2021 as dose 2, single (Batch/Lot number: unknown) for covid-19 immunisation. The patient's relevant medical history included: "reaction to steroid" (unspecified if ongoing); "allergic to latex" (unspecified if ongoing). The patient's concomitant medications were not reported. Vaccination history included: Bnt162b2 (dose 1), for COVID-19 immunization. The following information was reported: IMMUNE SYSTEM DISORDER (non-serious) with onset 2021, outcome "unknown", described as "immune system gotten worse". Additional information: The reporter informed that she has been receiving from Pfizer and the last email she received was from 29July2025. The email said Pfizer wanted to know more about her situation. She informed that she didn't want any more shots because she's done with it and it could've been fatal for her. She informed that she already reported it through (redacted) back in 2021. She was just letting them know she has already recorded this to the (redacted). So she's not sending additional information. No follow-up attempts are possible. Batch/lot number is not provided, and it cannot be obtained.
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| 2853060 | F | 08/06/2025 |
TDAP |
SANOFI PASTEUR |
|
Pain, Pyrexia
Pain, Pyrexia
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reported that patient experienced: body ache; reported that patient experienced: fever; Initial info...
reported that patient experienced: body ache; reported that patient experienced: fever; Initial information received on 01-Aug-2025 regarding an unsolicited valid non-serious case received from a other health professional. This case involves Adult female patient who had body ache and fever after receiving Diphtheria-2/Tetanus/5 Ac Pertussis Vaccine [Adacel]. The patient's past medical history included Insomnia, Kidney stone and Bladder disorder. The patient's past medical treatment(s), vaccination(s) and family history were not provided. At the time of the event, the patient had ongoing Intervertebral disc disorder, Multiple sclerosis and Nephrolithiasis. On an unknown date, the patient received an unknown dose of suspect Diphtheria-2/Tetanus/5 Ac Pertussis Vaccine, Suspension for injection (lot number, expiry date and strength not reported) via unknown route in unknown administration site for Prophylactic vaccination (Immunisation). On an unknown date, the patient developed body ache (pain) and fever (pyrexia) (latency unknown) following the administration of Diphtheria-2/Tetanus/5 Ac Pertussis Vaccine. Action taken was not applicable. It was not reported if the patient received a corrective treatment for both the events. At time of reporting, the outcome was Unknown for both the events.
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| 2853061 | 0.75 | F | DE | 08/06/2025 |
DTAPIPVHIB |
SANOFI PASTEUR |
UK040AA |
Expired product administered, No adverse event
Expired product administered, No adverse event
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inappropriate use due to administration of an expired vaccine with no reported adverse event; Initia...
inappropriate use due to administration of an expired vaccine with no reported adverse event; Initial information received on 01-Aug-2025 regarding an unsolicited valid non-serious case received from an other health professional. This case involves a 9 months old female patient who received an expired dose of Diphtheria/Tetanus/5 Hybrid Ac Pertussis/Ipv(Vero)/Hib(Prp/T) Vaccine [Pentacel (Vero)] 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 Pneumococcal Vaccine Conj 20v (Crm197) (Pneumococcal Vaccine Conj 20v (Crm197)) for Immunisation. On 01-Aug-2025, the patient received an expired 0.5ml, dose 3 of suspect Diphtheria/Tetanus/5 Hybrid Ac Pertussis/Ipv(Vero)/Hib(Prp/T) Vaccine (once), Suspension for injection, Strength standard, lot UK040AA and expiry date 31-Jul-2025 via intramuscular route in the right thigh for immunization, with no reported adverse event (expired product administered) (Latency Same day). Reportedly, Medical Assistant (MA) had administered a dose of Pentacel vaccine to a patient on 01-Aug-2025, but the vaccine expired on 31-Jul-2025. 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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| 2853062 | M | VA | 08/06/2025 |
RAB |
SANOFI PASTEUR |
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No adverse event, Product prescribing error, Wrong technique in product usage pr...
No adverse event, Product prescribing error, Wrong technique in product usage process
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this situation is pre-assessed as an off-label use as per local labelling due to product not adminis...
this situation is pre-assessed as an off-label use as per local labelling due to product not administered immediately after reconstitution with no adverse event; the vaccine should be administered on day 0, 3, 7, 14 and 28 but their prescription was only for day 0,3 ,7 and 14; Initial information received on 04-Aug-2025 regarding an unsolicited valid non-serious case received from a consumer/non-hcp. This case involves an unknown age male patient who was prescribed with Rabies (HDC) vaccine [Imovax Rabies] that should be administered on day 0, 3, 7, 14 and 28 but their prescription was only for day 0,3 ,7 and 14 and the product was not administered immediately after reconstitution with no 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 an unknown dose of suspect Rabies (HDC) vaccine Powder and solvent for suspension for injection (expiry date, lot number and strength-unknown) via unknown route in unknown administration site for Immunization was not administered immediately after reconstitution (wrong technique in product usage process) and the vaccine should be administered on day 0, 3, 7, 14 and 28 but their prescription was only for day 0,3 ,7 and 14 with no adverse event (product prescribing error). Reportedly- The vaccine must be administered immediately after reconstitution but on their day 7, their vaccine was already reconstituted on the desk. 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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| 2853063 | 11 | M | CA | 08/06/2025 |
MEN |
UNKNOWN MANUFACTURER |
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Inappropriate schedule of product administration, No adverse event
Inappropriate schedule of product administration, No adverse event
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MENQUADFI was given at an earlier than recommended interval to a patient with no reported adverse ev...
MENQUADFI was given at an earlier than recommended interval to a patient with no reported adverse events; Initial information received on 04-Aug-2025 regarding an unsolicited valid non-serious case received from a nurse. This case was linked to US-SA-2025SA229437 (cluster case) This case involves a 11 years old male patient who received Meningococcal A-C-Y-W135 (T Conj) Vaccine [Menquadfi] earlier than recommended interval with no reported adverse events. 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 5-component, Tetanus vaccine toxoid (AdaCel) for Immunisation. On 19-Feb-2025, the patient received an unknown dose of suspect Meningococcal A-C-Y-W135 (T Conj) Vaccine (once), Solution for injection, (unknown strength and expiry date) lot number not reported via unknown route in unknown administration site for immunisation. On 23-Jul-2025, the patient received an extra, unknown dose of suspect Meningococcal A-C-Y-W135 (T Conj) Vaccine, (once), Solution for injection, (unknown strength and expiry date) lot number not reported via unknown route in unknown administration site for immunization, earlier than recommended interval with no reported adverse events (extra dose administered) (Latency Same day). Information regarding batch number corresponding to the one at time of event occurrence will not be available. Reportedly, The patient was already up to date with the ADACEL while the MENQUADFI was given at an earlier than recommended interval. She explained that the patient has already received both vaccines last 19-Feb-2025 and was given again last 23-Jul-2025. 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.; Sender's Comments: US-SA-2025SA229437:
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| 2853064 | 11 | M | CA | 08/06/2025 |
TDAP |
SANOFI PASTEUR |
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Extra dose administered, No adverse event
Extra dose administered, No adverse event
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extra doses of ADACEL was administered with no reported adverse event; Initial information received ...
extra doses of ADACEL was administered 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 was linked with US-SA-2025SA229198 (cluster case). This case involves a 11 years old male patient who received extra doses 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 (tet tox) (Menquadfi) for Immunisation. On 19-Feb-2025, the patient received an unknown dose of diphtheria-2/tetanus/5 AC pertussis vaccine Suspension for injection (strength, expiry date and lot number not reported) via unknown route in unknown administration site for Immunization. On 23-Jul-2025 the patient also received an extra dose of the same vaccine (with an unknown batch number and expiry date) via unknown route in unknown administration site for Immunization with no reported adverse event (extra dose administered) (latency- same day). Information on the batch number could not be requested corresponding to the one at time of event occurrence. Reportedly, the patient was already up to date with the ADACEL. Caller refused to provide other information stating the she didn't have it and was not permitted to. She also advised not to be contacted because she didn't have the information regarding the vaccination. 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.; Sender's Comments: US-SA-2025SA229198:MENQUADFI
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| 2853065 | 19 | ID | 08/06/2025 |
MEN |
UNKNOWN MANUFACTURER |
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Inappropriate schedule of product administration, No adverse event
Inappropriate schedule of product administration, No adverse event
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was prescribed to get 3-doses of MENQUADFI starting back in 2020; that they were to receive one dose...
was prescribed to get 3-doses of MENQUADFI starting back in 2020; that they were to receive one dose and then 6- months later the second dose; that the consumer never got the second dose until now in 2025 with no adverse event; Initial information received on 05-Aug-2025 regarding an unsolicited valid non-serious case received from a pharmacist. This case involves a 19 years old and unknown gender patient who was prescribed to get 3-doses of Meningococcal A-C-Y-W135 (T Conj) Vaccine [Menquadfi] starting back in 2020; that they were to receive one dose and then 6- months later the second dose; that the consumer never got the second dose until now in 2025 with no adverse event. The patient's past medical history, medical treatment(s), vaccination(s) and family history were not provided. On an unknown date in 2020, the patient received a dose 1 (at 14 years old) of suspect Meningococcal A-C-Y-W135 (T Conj) Vaccine Solution for injection (strength, dose, batch and expiry date unknown) via unknown route in unknown administration site for Immunization. On an unknown date in 2025 patient received a dose 2 of same vaccine with an unknown batch number via unknown route in unknown administration site. Information on batch number and expiry date corresponding to the one at time of event occurrence was requested. The patient was prescribed to get 3-doses of menquadfi starting back in 2020; that they were to receive one dose and then 6- months later the second dose; that the consumer never got the second dose until now in 2025 with no adverse event (Routine immunization schedule incomplete) (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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| 2853066 | 65 | M | CA | 08/06/2025 |
MEN MMR |
UNKNOWN MANUFACTURER UNKNOWN MANUFACTURER |
U8493AA |
No adverse event, Product preparation error; No adverse event, Product preparati...
No adverse event, Product preparation error; No adverse event, Product preparation error
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A patient was supposed to receive an MMR vaccine. Instead of using the correct diluent for the MMR ...
A patient was supposed to receive an MMR vaccine. Instead of using the correct diluent for the MMR vaccine, a medical assistant reconstituted the MMR dose with MenQuadfi with no reported adverse event; Initial information received on 05-Aug-2025 regarding an unsolicited valid non-serious case received from a other health professional. This case involves a 65 years old male patient who was supposed to receive measles vaccine, mumps vaccine, rubella vaccine [MMR], instead of using the correct diluent for the MMR vaccine, a medical assistant reconstituted the MMR dose with meningococcal A-C-Y-W135 (T CONJ) vaccine [Menquadfi] with no reported adverse event. The patient's past medical history, medical treatment(s), vaccination(s) and family history were not provided. On 05-Aug-2025, the patient was supposed to receive an unknown dose of MMR not produced by Sanofi Pasteur (formulation, strength, expiry date and lot number not reported instead of using the correct diluent for the MMR vaccine, a medical assistant reconstituted the MMR dose with an unknown dose of meningococcal A-C-Y-W135 (T CONJ) vaccine Solution for injection (strength- unknown, expiry date- 31-MAY-2028 and lot U8493AA) via intramuscular route in unknown administration site for prophylactic vaccination (Immunization) with no reported adverse event (wrong product administered) (latency- same day). Reportedly, the patient was not supposed to get MenQuadfi at all. No other immunizations were there. 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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| 2853067 | 2 | TX | 08/06/2025 |
DTAPIPVHIB |
SANOFI PASTEUR |
UK330AA |
No adverse event, Product preparation error
No adverse event, Product preparation error
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inadvertently administered pentacel powder reconstituted with sterile water only with no reported ad...
inadvertently administered pentacel powder reconstituted with sterile water only with no reported adverse event; Initial information received on 05-Aug-2025 regarding an unsolicited valid non-serious case received from a pharmacist. This case involves a 2 years old and unknown gender patient who was inadvertently administered Diphtheria/Tetanus/5 Hybrid Ac Pertussis/Ipv(Vero)/Hib(Prp/T) Vaccine [Pentacel (Vero)] powder reconstituted with sterile water only 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 dose 4 of suspect Diphtheria/Tetanus/5 Hybrid Ac Pertussis/Ipv(Vero)/Hib(Prp/T) Vaccine(strength, dose unknown) Powder and suspension for suspension for injection lot UK330AA expiry date-31-Jul-2026 via unknown route in unknown administration site for Immunization, inadvertently administered pentacel powder reconstituted with sterile water only with no reported adverse event (product preparation error) (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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| 2853072 | 52 | M | FL | 08/06/2025 |
MEN |
UNKNOWN MANUFACTURER |
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No adverse event, Off label use
No adverse event, Off label use
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MENQUADFI prescribed with off label diagnosis,Acquired absence of spleen with no reported adverse e...
MENQUADFI prescribed with off label diagnosis,Acquired absence of spleen with no reported adverse event; Initial information received on 01-Aug-2025 regarding an unsolicited valid non-serious case received from a physician. This case involves a 52 years old male patient to whom Meningococcal A-C-Y-W135 (T Conj) Vaccine [Menquadfi] was prescribed with off label diagnosis,Acquired absence of spleen 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 was prescribed with an unknown dose of suspect Meningococcal A-C-Y-W135 (T Conj) Vaccine, Solution for injection (lot number, expiry date and strength not reported) via intramuscular route in unknown administration site for Acquired absence of spleen (Acquired asplenia) and prescribed with off label diagnosis with no reported adverse event (off label use). Action taken was not applicable. No follow up possible since reporter denied to respond to Sanofi PV Follow up.
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| 2853073 | CA | 08/06/2025 |
DTAP |
SANOFI PASTEUR |
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Incomplete course of vaccination, No adverse event
Incomplete course of vaccination, No adverse event
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patient only had 3 Daptacel when they were months- old to 6 years old with no reported adverse event...
patient only had 3 Daptacel when they were months- old to 6 years old with no reported adverse event; Initial information received on 04-Aug-2025 regarding an unsolicited valid non-serious case received from a other health professional. This case involves Child and unknown gender patient who only had 3 diphtheria-15/tetanus/5 AC pertussis vaccine [Daptacel] when they were months- old to 6 years old 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 only 3 dose of suspect diphtheria-15/tetanus/5 AC pertussis vaccine Suspension for injection (unknown strength, lot and expiry date) via unknown route in unknown administration site for prophylactic vaccination (Immunisation) when they were months- old to 6 years old with no reported adverse event (routine immunisation schedule incomplete) Information on the batch number was requested corresponding to the one at time of event occurrence Reportedly, reporter had questioned about the DTAP and TDAP vaccines. They want to know what to give for a 7 year-old to 10 year-old patient when they are not up do date with vaccine. The patient only had 3 Daptacel when they were months- old to 6 years old. She inquired whether they should give Adacel. 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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| 2853074 | 12 | F | WA | 08/06/2025 |
MNQ |
SANOFI PASTEUR |
U8438AA |
Inappropriate schedule of product administration
Inappropriate schedule of product administration
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I and MA-C checked database for vaccine records, there was no vaccine record found on database, we c...
I and MA-C checked database for vaccine records, there was no vaccine record found on database, we checked our records and determine the child was due for her second dose of Meningococcal and HPV, few days after giving the shots, our Supervisor discovered that the child was not due for the second dose of Meningococcal at this time. MA-C called and inform CDC about this, and CDC states this will not cause any harm or adverse reaction to the child, since it almost a year from when she got her first dose, but Patient will still need to get her second dose as at when due . Called Parent several times to inform them about this, no response, left message on voice mail, will continue trying to reach Parent and will send a letter by 8/8/2025, if unable to contact parent on phone.
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| 2853075 | 7 | M | 08/06/2025 |
DTAP |
SANOFI PASTEUR |
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No adverse event, Product administered to patient of inappropriate age
No adverse event, Product administered to patient of inappropriate age
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No symptoms were reported or adverse reaction
No symptoms were reported or adverse reaction
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| 2853076 | 51 | F | CA | 08/06/2025 |
RSV |
PFIZER\WYETH |
MD5465 |
No adverse event, Wrong product administered
No adverse event, Wrong product administered
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No adverse event was reported. Patient was given the wrong vaccine. Instead of getting the second ...
No adverse event was reported. Patient was given the wrong vaccine. Instead of getting the second and final dose of the shingrix, patient got the abrysvo RSV vaccine instead
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| 2853089 | 54 | F | MA | 08/06/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
93N4j |
Injection site erythema, Pain in extremity, Peripheral swelling
Injection site erythema, Pain in extremity, Peripheral swelling
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Patient received first dose on July 21, 2025, she called the pharmacy on august 6, 2025 to report he...
Patient received first dose on July 21, 2025, she called the pharmacy on august 6, 2025 to report her arm still had pink spot where vaccine was given. The spot is described as half dollar size. She also stated her arm was in pain for 3 days and swelled . Patient went to doctor yesterday for other condition and forgot to mention to doctor. I told her to follow up with physician before receiving the second dose.
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| 2853090 | 53 | F | AZ | 08/06/2025 |
COVID19 COVID19 |
MODERNA MODERNA |
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Autonomic nervous system imbalance, Dizziness, Exercise tolerance decreased, Fat...
Autonomic nervous system imbalance, Dizziness, Exercise tolerance decreased, Fatigue, Gait disturbance; Heart rate increased
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After several weeks, extreme fatigue, spikes in heart rate, dizziness, difficulty walking, exercise ...
After several weeks, extreme fatigue, spikes in heart rate, dizziness, difficulty walking, exercise intolerance. These symptoms have worsened over time. Heat exposure, stress, and overdoing are major triggers.
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| 2853091 | 79 | M | CA | 08/06/2025 |
HEP |
GLAXOSMITHKLINE BIOLOGICALS |
95BJ9 |
Underdose
Underdose
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none reported. patient was given the wrong vaccine. Was given the pediatric dose instead of the adu...
none reported. patient was given the wrong vaccine. Was given the pediatric dose instead of the adult dose
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| 2853092 | 0.33 | M | ME | 08/06/2025 |
DTPPVHBHPB DTPPVHBHPB DTPPVHBHPB DTPPVHBHPB PNC20 PNC20 PNC20 PNC20 RV1 RV1 RV1 RV1 |
MSP VACCINE COMPANY MSP VACCINE COMPANY MSP VACCINE COMPANY MSP VACCINE COMPANY PFIZER\WYETH PFIZER\WYETH PFIZER\WYETH PFIZER\WYETH GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS |
U8265AA U8265AA U8265AA U8265AA LN4932 LN4932 LN4932 LN4932 3Z34X 3Z34X 3Z34X 3Z34X |
Ascites, Blood albumin decreased, Blood immunoglobulin G decreased, Blood sodium...
Ascites, Blood albumin decreased, Blood immunoglobulin G decreased, Blood sodium decreased, Dehydration; Enterocolitis, Gastrointestinal wall thickening, Hypoalbuminaemia, Hypogammaglobulinaemia, Hyponatraemia; Intensive care, Intussusception, Laboratory test normal, Magnetic resonance imaging abdominal abnormal, Magnetic resonance imaging pelvic; Magnetic resonance imaging thoracic abnormal, Pleural effusion, Rotavirus test negative, Ultrasound abdomen normal; Ascites, Blood albumin decreased, Blood immunoglobulin G decreased, Blood sodium decreased, Dehydration; Enterocolitis, Gastrointestinal wall thickening, Hypoalbuminaemia, Hypogammaglobulinaemia, Hyponatraemia; Intensive care, Intussusception, Laboratory test normal, Magnetic resonance imaging abdominal abnormal, Magnetic resonance imaging pelvic; Magnetic resonance imaging thoracic abnormal, Pleural effusion, Rotavirus test negative, Ultrasound abdomen normal; Ascites, Blood albumin decreased, Blood immunoglobulin G decreased, Blood sodium decreased, Dehydration; Enterocolitis, Gastrointestinal wall thickening, Hypoalbuminaemia, Hypogammaglobulinaemia, Hyponatraemia; Intensive care, Intussusception, Laboratory test normal, Magnetic resonance imaging abdominal abnormal, Magnetic resonance imaging pelvic; Magnetic resonance imaging thoracic abnormal, Pleural effusion, Rotavirus test negative, Ultrasound abdomen normal
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Admitted to pediatric ICU early August 2025 with hyponatremic dehydration. MRI with concern for mult...
Admitted to pediatric ICU early August 2025 with hyponatremic dehydration. MRI with concern for multiple associated short segment enteroenteric intussusceptions. Subsequent US without intussusception. Also severe hypoalbuminemia, hypogammaglobulinemia. Change in stool started prior to rotavirus vaccine.
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| 2853093 | 75 | F | CA | 08/06/2025 |
HEP |
GLAXOSMITHKLINE BIOLOGICALS |
95BJ9 |
Underdose
Underdose
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None reported. Patient was given the pediatric Engerix B and not the adult Engerix B vaccine.
None reported. Patient was given the pediatric Engerix B and not the adult Engerix B vaccine.
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| 2853094 | 1 | F | CA | 08/06/2025 |
VARCEL |
MERCK & CO. INC. |
Z004245 |
Circumstance or information capable of leading to medication error, Underdose
Circumstance or information capable of leading to medication error, Underdose
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Dose 2 of Varicella SQ was ordered by Physician. Administered to right thigh SQ. Dose was 0.5 mg, wh...
Dose 2 of Varicella SQ was ordered by Physician. Administered to right thigh SQ. Dose was 0.5 mg, while injecting patient moved which caused some of the vaccine to not be administered. Patient's mother was on the left side and father was standing on the right side of patient during administration. Patient was not harmed though patient did not receive the entire dose of Varicella.
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| 2853095 | 4 | M | NV | 08/06/2025 |
DTAPIPV MMRV |
GLAXOSMITHKLINE BIOLOGICALS MERCK & CO. INC. |
4l454 z008222 |
Perioral dermatitis; Perioral dermatitis
Perioral dermatitis; Perioral dermatitis
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after client left t left the clinic i saw in the registry comments rash after vaccines on MMRV, F...
after client left t left the clinic i saw in the registry comments rash after vaccines on MMRV, Father answered no to all screening questions . stated no allergy and no reaction to prior vaccination. Called the father and after seeing registry, He stated patient is playing but notice rash around the mouth. Advise father to bring child to ER
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| 2853096 | 17 | F | TX | 08/06/2025 |
MNQ |
NOVARTIS VACCINES AND DIAGNOSTICS |
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Injection site erythema, Injection site pruritus, Injection site swelling, Injec...
Injection site erythema, Injection site pruritus, Injection site swelling, Injection site urticaria, Vaccination site reaction
More
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Delayed onset injection site reaction. Raised hive around injection site. Swollen, red and itchy. ...
Delayed onset injection site reaction. Raised hive around injection site. Swollen, red and itchy. Increasing in size
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| 2853097 | 19 | F | 08/06/2025 |
PNC20 |
PFIZER\WYETH |
HN2630 |
Nausea, Weight decreased
Nausea, Weight decreased
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Pt started with nausea and weight loss that lasted for 6 months after. T
Pt started with nausea and weight loss that lasted for 6 months after. T
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| 2852702 | GA | 08/05/2025 |
VARCEL VARCEL |
MERCK & CO. INC. MERCK & CO. INC. |
Z003883 |
No adverse event, Product storage error; No adverse event, Product storage error
No adverse event, Product storage error; No adverse event, Product storage error
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HBP confirmed the patient involved did not experience any medical concerns or symptoms after the adm...
HBP confirmed the patient involved did not experience any medical concerns or symptoms after the administration of the improperly stored VARIVAX.No additional AE; VARIVAX was exposed to multiple temperature excursions beginning in May 2025 and stated that a dose of the VARIVAX was administered to the patient involved on 6/6/2025; This spontaneous report was received from a consumer or other non-health professional and refers to a patient of unknown age and gender. The patient's medical history, concurrent conditions, concomitant therapies, previous drugs reactions and allergies were not reported. On 06-Jun-2025, the patient was vaccinated with an improperly storage dose of varicella virus vaccine live (oka-merck) (VARIVAX) 0.5 mL (dose frequency reported as two dose series) administered as prophylaxis (Lot No. Z003883 has been verified to be a valid lot number for [varicella virus vaccine live (oka-merck], expiration date reported and upon internal validation established as 03-Feb-2027) (strength, dose number, route and anatomical location of administration and vaccination scheme frequency were not provided); that was reconstituted with sterile diluent (Lot No., expiration date and indication were not provided) (Product storage error). Additionally, it was stated that the previous mention vaccine was exposed to multiple temperature excursions beginning in (May 2025). The patient involved did not experience any medical concerns or symptoms after the administration of the improperly stored varicella virus vaccine live (oka-merck) (VARIVAX). No additional adverse event (No adverse event).
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| 2852716 | 08/05/2025 |
VARZOS |
UNKNOWN MANUFACTURER |
UNK |
Herpes zoster, Vaccination failure
Herpes zoster, Vaccination failure
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Suspected vaccination failure; Still got it; This serious case was reported by a consumer via intera...
Suspected vaccination failure; Still got it; This serious case was reported by a consumer via interactive digital media and described the occurrence of vaccination failure in a patient who received Herpes zoster (Shingles vaccine) for prophylaxis. On an unknown date, the patient received Shingles vaccine. On an unknown date, an unknown time after receiving Shingles vaccine, the patient experienced vaccination failure (Verbatim: Suspected vaccination failure) (serious criteria GSK medically significant) and shingles (Verbatim: Still got it). The outcome of the vaccination failure and shingles were not reported. It was unknown if the reporter considered the vaccination failure and shingles to be related to Shingles vaccine. The company considered the vaccination failure to be unrelated to Shingles vaccine. It was unknown if the company considered the shingles to be related to Shingles vaccine. Additional Information: GSK receipt date: 22-JUL-2025 This case was reported by a patient via interactive digital media. Patient stated that they had the vaccine and still got it so why get the shots reporter indicated that they were furious besides had to pay for them. This case was considered as suspected vaccination failure as details regarding completion of primary vaccination schedule, time to onset for shingles and laboratory confirmation regarding shingles were unknown at the time of reporting.; Sender's Comments: Vaccination failure is a listed event which, due to the following criteria (insufficient information provided about the clinical description, details regarding completion of primary vaccination schedule, time to onset and laboratory confirmation of disease) is considered unrelated to GSK Shingles vaccine.
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| 2852717 | OR | 08/05/2025 |
HIBV |
SANOFI PASTEUR |
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No adverse event, Product preparation error
No adverse event, Product preparation error
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pt received wrong diluent (sterile water) rather than intended diluent (sodium chloride 0.4%) with n...
pt received wrong diluent (sterile water) rather than intended diluent (sodium chloride 0.4%) with no reported adverse event; Initial information received on 01-Aug-2025 regarding an unsolicited valid non-serious case received from a other health professional. This case involves an unknown age and unknown gender patient who was administered HIB (PRP/T) vaccine [ACT-HIB] with wrong diluent (sterile water) rather than intended diluent (sodium chloride 0.4%) with no reported adverse event. The patient's past medical history, medical treatment(s), vaccination(s) and family history were not provided. On 01-Aug-2025, the patient received an unknown dose of suspect HIB (PRP/T) vaccine with wrong diluent (sterile water) rather than intended diluent (sodium chloride 0.4%),Powder and solvent for solution for injection (lot number, strength and expiry date not reported) via intramuscular route in unknown administration site for routine vaccination (Immunisation) with no reported adverse event (product preparation error) (Latency: same day). 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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| 2852718 | 57 | M | AZ | 08/05/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
NJ374 |
Pruritus, Rash, Rash erythematous, Rash pruritic, Urticaria
Pruritus, Rash, Rash erythematous, Rash pruritic, Urticaria
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Reported Symptoms: 10037087:PRURITUS; 10037844:RASH; Narrative: A 58yo male reported red itchy rash ...
Reported Symptoms: 10037087:PRURITUS; 10037844:RASH; Narrative: A 58yo male reported red itchy rash on the chest, stomach, arms and legs two days after received first shot of Shingles vaccine. Other Relevant HX: Two days after vaccine, broke out in rash/hives on trunk and legs. Presented to urgent care. Reports given steroid injection and 5 days of prednisone. Also was using topical triamcinolone cream. Referred to dermatology per ID e-consult recommendations. Meanwhile, ID prescribed another steroid taper via pharmacy. Per telederm assessment, not consistent with a fixed drug eruption or diffused fixed drug eruption and morphologically is more consistent with an eczematous/psoriasiform dermatoses. According to the secure messaging, the patient was using diclofenac gel for this rash it is possible this is causing or contributing to contact dermatitis (irritant versus allergic), unclear what else patient is applying to skin, so instructed patient to stop all current topical products other than what was described in derm consult: 0.1% triamcinolone cream; 12% ammonium lactate lotion; 0.5% CAMPHOR AND MENTHOL LOTION; 10 mg cetirizine.
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| 2852719 | 57 | M | WI | 08/05/2025 |
COVID19 |
MODERNA |
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Swelling, Swollen tongue, Tongue oedema
Swelling, Swollen tongue, Tongue oedema
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Reported Symptoms: 10014257:EDEMA TONGUE; 10042674:SWELLING; Narrative: Other Relevant HX: Other: SW...
Reported Symptoms: 10014257:EDEMA TONGUE; 10042674:SWELLING; Narrative: Other Relevant HX: Other: SWELLING; SWELLING OF TONGUE
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| 2852720 | 42 | M | MI | 08/05/2025 |
PNC20 PNC20 |
PFIZER\WYETH PFIZER\WYETH |
LG5579 LG5579 |
Animal scratch, Injection site rash, Pruritus, Rash, Rash erythematous; Rash pru...
Animal scratch, Injection site rash, Pruritus, Rash, Rash erythematous; Rash pruritic, Urticaria
More
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Reported Symptoms: 10037087:PRURITUS; 10037844:RASH; 10046735:URTICARIA; Narrative: Patient was give...
Reported Symptoms: 10037087:PRURITUS; 10037844:RASH; 10046735:URTICARIA; Narrative: Patient was given the Prevnar 20 vaccine in the right deltoid on 2/10/25. He presented to urgent care on 2/14/25 for a rash that began at the injection site on 2/11/25. As of 2/14/25 the rash has progressed to pruritic red bumps on his forearms and lower legs. Per the provider's note in urgent care it appears that the patient was receiving a different type of pneumococcal vaccine every few months. The patient was asked if he had an immunocompromising conditions or knew why he was receiving the vaccine and he was not aware. Patient was also found to have cat scratches on his right forearm, this is reported to not be abnormal for him. Patient was prescribed cetirizine and diphenhydramine. Patient was instructed to talk to his PCP about the indication for receiving the pneumococcal vaccines every few months. Upon further investigation the patient was being offered the vaccine every few months due to a clinical reminder firing from the patient's former alcohol dependence diagnosis (he is currently in remission). The patient refused the previous vaccine inquiries until 2/10/25. Database shows pneumococcal vaccines given on 4/2/18 x3 facilities (PPSV23) and 2/10/25 x1 facility (PCV20). Last year in pneumococcal vaccine history: -2/10/24: received PCV20 -12/10/24: refused all pneumococcal vaccines -10/9/24: refused all pneumococcal vaccines -7/11/24: refused all pneumococcal vaccines -5/1/24: no clinical reminders were firing for vaccines At his 2/19/25 follow-up
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| 2852721 | 65 | M | DC | 08/05/2025 |
RSV |
PFIZER\WYETH |
LG9829 |
Angioedema, Swollen tongue
Angioedema, Swollen tongue
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Reported Symptoms: 10002424:ANGIOEDEMA; Narrative: a 65yo male with PMH of Cervical Spondylosis w/ra...
Reported Symptoms: 10002424:ANGIOEDEMA; Narrative: a 65yo male with PMH of Cervical Spondylosis w/radiculopathy, Pain in R. Knee, Angioedema (2021), Lumbar Spondylosis, DM, Depressive disorder, Sleep Apnea, CKD, Gout and Exposure to Potentially Hazardous Substance. Per the administering RN's note; on February 11, 2025, the patient received RSV vaccine Pfizer RSV Bivalent, Protein subunit RSVPREF diluent reconstituted 0.5ML, PF, Lot#LG9829, Exp. 10/31/25, NDC#000069034405. Patient was observed by the administering nurse for 15 minutes at which time the nurse reported the patient felt slight swelling of side of the tongue. No rash and no shortness of breath was present. The patient self administered Epi pen in the clinic, PCP assessed the patient and patient remained in the clinic for observation. The patient also took his own prednisone, which he usually does whenever he gets medication reaction, together with epipen. The nurse's note included that the patient has two more epi pen at home. The nurse made follow up phone call and the patient confirmed the symptom has gone down, will take Tylenol for a headache and stating as the RN documented it " I know by the end of the day it will be gone". The ordering physician reported the observed vaccination induced Tongue swelling and updated patient's allergy profile. Other Relevant HX: Other: ANGIOEDEMA OF TONGUE
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| 2852722 | M | WI | 08/05/2025 |
FLU3 |
GLAXOSMITHKLINE BIOLOGICALS |
7554T |
Rash
Rash
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Reported Symptoms: 10037844:RASH; Narrative: Other Relevant HX: Other: RASH
Reported Symptoms: 10037844:RASH; Narrative: Other Relevant HX: Other: RASH
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| 2852723 | 76 | M | KY | 08/05/2025 |
PPV |
UNKNOWN MANUFACTURER |
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Rash
Rash
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Reported Symptoms: 10037844:RASH; Narrative: Other Relevant HX: Other:
Reported Symptoms: 10037844:RASH; Narrative: Other Relevant HX: Other:
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| 2852724 | 64 | M | TN | 08/05/2025 |
RSV |
PFIZER\WYETH |
LH4511 |
Device connection issue
Device connection issue
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Reported Symptoms: 10065066:DEVICE CONNECTION ISSUE; 10069868:DEVICE ISSUE; Narrative: LPN attempted...
Reported Symptoms: 10065066:DEVICE CONNECTION ISSUE; 10069868:DEVICE ISSUE; Narrative: LPN attempted to administer an RSV vaccine to a patient and in the reconstitution process of the vaccine kit, the luer locking section of the syringe fell off. LPN tried it a second time with another kit from the same box and lot number and it was defective as well. A third kit was obtained from a different box that had the same lot number and there was no issue with reconstituting the vial with that kit's syringe. The LPN had previous experience in reconstituting the kits. Other Relevant HX: Other: Equipment malfunction - leur lock broke
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| 2852725 | 73 | M | OK | 08/05/2025 |
RSV |
PFIZER\WYETH |
LF9828 |
Angioedema, Face oedema, Orbital oedema, Pruritus
Angioedema, Face oedema, Orbital oedema, Pruritus
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Reported Symptoms: 10002424:ANGIOEDEMA; 10037987:PRURITUS; 10054521:ORBITAL EDEMA; Narrative: Patien...
Reported Symptoms: 10002424:ANGIOEDEMA; 10037987:PRURITUS; 10054521:ORBITAL EDEMA; Narrative: Patient was contacted by primary care provider 6 days after immunization and he states reaction is fully resolved Other Relevant HX: orbital and facial edema following RSV vaccine Other: orbital edema
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| 2852726 | 67 | M | AZ | 08/05/2025 |
FLUX |
UNKNOWN MANUFACTURER |
|
Influenza like illness, Viral infection
Influenza like illness, Viral infection
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Reported Symptoms: 10016797:FLU-LIKE SYMPTOMS; Narrative: a 67yo male reported he can't get inf...
Reported Symptoms: 10016797:FLU-LIKE SYMPTOMS; Narrative: a 67yo male reported he can't get influenza vaccine due to experiencing severe flu-like symptoms previously. Other Relevant HX: Patient reported had a severe viral illness after flu vaccines. Other: severe flu-like symptom
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| 2852727 | 39 | F | AZ | 08/05/2025 |
FLUX |
UNKNOWN MANUFACTURER |
|
Dyspnoea, Guillain-Barre syndrome
Dyspnoea, Guillain-Barre syndrome
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Reported Symptoms: 10018767:GUILLAIN-BARRE SYNDROME; Narrative: A 39yo female reported to physician ...
Reported Symptoms: 10018767:GUILLAIN-BARRE SYNDROME; Narrative: A 39yo female reported to physician unable to get flu vaccines due to Guillain-Barre syndrome with prior vaccines. Patient reported had allergies to influenza vaccine back in March, 2017 with no sx listed, then August 22,2022 reported sx of dyspnea when received influenza vaccine. Other Relevant HX: 39yo female reported a severe sx of Guillain-Barre when received influenza vaccine. Looking back to patient history, had also reported allergies to flue vaccine with no specific symptom listed back in March 16, 2017, Then later reported with sx of dyspnea when received influenza vaccine back in August 22, 2022. Other: Guillain-Barre syndrome
More
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| 2852728 | 69 | M | GA | 08/05/2025 |
FLUX |
UNKNOWN MANUFACTURER |
|
Pyrexia
Pyrexia
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Reported Symptoms: 10016558:FEVER; Narrative: Other Relevant HX: Other: FEVER
Reported Symptoms: 10016558:FEVER; Narrative: Other Relevant HX: Other: FEVER
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| 2852729 | 45 | M | TX | 08/05/2025 |
COVID19 |
MODERNA |
3044202 |
Angina pectoris, Chest pain, Dizziness, Nausea, Vomiting
Angina pectoris, Chest pain, Dizziness, Nausea, Vomiting
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Reported Symptoms: 10002391:ANGINAL PAIN; 10008479:CHEST PAIN; 10013573:DIZZINESS; 10028813:NAUSEA; ...
Reported Symptoms: 10002391:ANGINAL PAIN; 10008479:CHEST PAIN; 10013573:DIZZINESS; 10028813:NAUSEA; 10047700:VOMITING; Narrative: Other Relevant HX: Other: NAUSEA AND VOMITING; CHEST PAIN; DIZZINESS
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| 2852730 | 85 | M | MN | 08/05/2025 |
COVID19 |
MODERNA |
unknown |
Headache, Malaise, Myalgia
Headache, Malaise, Myalgia
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Reported Symptoms: 10019211:HEADACHE; 10025482:MALAISE; 10028322:MUSCLE PAIN; 10028411:MYALGIA; Narr...
Reported Symptoms: 10019211:HEADACHE; 10025482:MALAISE; 10028322:MUSCLE PAIN; 10028411:MYALGIA; Narrative: Other Relevant HX: Other: MUSCLE PAIN; HEADACHE; MALAISE
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| 2852731 | 58 | M | MS | 08/05/2025 |
RSV |
PFIZER\WYETH |
lg9827 |
Injection site reaction, Peripheral swelling, Rash
Injection site reaction, Peripheral swelling, Rash
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Reported Symptoms: 10037844:RASH; Narrative: Patient seen by tele urgent care provider. Patient with...
Reported Symptoms: 10037844:RASH; Narrative: Patient seen by tele urgent care provider. Patient with swollen arm and sunburn type reaction from shoulder to right elbow. Diagnosed with RSV reaction and received prednisone and loratadine. Other Relevant HX: Other: RASH
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| 2852732 | M | DC | 08/05/2025 |
FLUX |
UNKNOWN MANUFACTURER |
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Cough, Malaise
Cough, Malaise
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Reported Symptoms: 10011232:COUGHING; Narrative: a 52yr male with PMH of Allergic Rhinitis, GERD, As...
Reported Symptoms: 10011232:COUGHING; Narrative: a 52yr male with PMH of Allergic Rhinitis, GERD, Asthma, Migraine, Plantar Fascial Fibromatosis, Knee Pain, Shoulder Pain, low Back pain, ED and Exposure to potentially hazardous substance. On February 20, 2025, staff RN @ 17:43 reported the patient had a history of influenza vaccine induced ADR of sever cough. The report included, "he became very sick after taking the Flu vaccine and had not taken the vaccine since 2009." No other information was provided regarding the vaccine and where, when and by who it was administered. Other Relevant HX: Other: COUGH
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