| ID | Age | Sex | State | Date โผ | Onset Days | Vaccine | Manufacturer | Lot # | Symptoms | Narrative | ๐ | ๐ฅ | ๐ | โฟ | โ ๏ธ |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2851839 | 78 | M | IA | 07/30/2025 |
COVID19 |
MODERNA |
3044202 |
Death
Death
|
Resident expired
Resident expired
|
โ | |||||
| 2851840 | 57 | M | GA | 07/30/2025 |
COVID19 |
MODERNA |
|
Magnetic resonance imaging, Tendon rupture, X-ray
Magnetic resonance imaging, Tendon rupture, X-ray
|
Quad rupture
Quad rupture
|
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| 2851841 | 1 | M | TX | 07/30/2025 |
HEPA MMR VARCEL |
GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS MERCK & CO. INC. |
22gp3 427554 y013349 |
Rash vesicular; Rash vesicular; Rash vesicular
Rash vesicular; Rash vesicular; Rash vesicular
|
chickenpox like rash which developed 5-6 days post vaccine
chickenpox like rash which developed 5-6 days post vaccine
|
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| 2851842 | 40 | F | VT | 07/30/2025 |
TDAP |
GLAXOSMITHKLINE BIOLOGICALS |
X4494 |
Injection site erythema, Injection site pain, Injection site swelling, Urticaria
Injection site erythema, Injection site pain, Injection site swelling, Urticaria
|
Swelling, redness, pain at vaccine site, the following day she developed hives at vaccine site which...
Swelling, redness, pain at vaccine site, the following day she developed hives at vaccine site which progressed to total body hives.
More
|
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| 2851843 | 11 | M | KS | 07/30/2025 |
MNQ |
NOVARTIS VACCINES AND DIAGNOSTICS |
AMAB064A |
No adverse event, Product preparation issue
No adverse event, Product preparation issue
|
Patient was given only the diluent liquid. Patient was not given the powder that was to be reconstit...
Patient was given only the diluent liquid. Patient was not given the powder that was to be reconstituted with it. Patient has had no reaction to just the diluent. Patient is fully vaccinated according to the CDC with just the diluent in the U.S. Patient will need to be revaccinated if he plans to leave the country, specifically Africa.
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| 2851844 | 1 | F | PA | 07/30/2025 |
HEPA MMR VARCEL |
GLAXOSMITHKLINE BIOLOGICALS MERCK & CO. INC. MERCK & CO. INC. |
H3N97 Y015551 Z005233 |
Febrile convulsion, Pyrexia, Rash; Febrile convulsion, Pyrexia, Rash; Febrile co...
Febrile convulsion, Pyrexia, Rash; Febrile convulsion, Pyrexia, Rash; Febrile convulsion, Pyrexia, Rash
More
|
fever, rash, complex febrile seizure
fever, rash, complex febrile seizure
|
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| 2851845 | 30 | F | MD | 07/30/2025 |
HPV9 |
MERCK & CO. INC. |
Y013565 |
Exposure during pregnancy, No adverse event, Pregnancy test positive, Product us...
Exposure during pregnancy, No adverse event, Pregnancy test positive, Product use issue
More
|
On 7-28-25 Patient was scheduled at clinic for pap and HPV # 3 vaccine. The patient was interviewed ...
On 7-28-25 Patient was scheduled at clinic for pap and HPV # 3 vaccine. The patient was interviewed by nurse, pregnancy test result was negative, vaccine administered (in right deltoid area with no reactions noted). Next, pt was sent to clinician where exam/pap was completed, that was when pt disclosed to the doctor that she did a home pregnancy test and and result was positive. Clinician immediately ordered a repeat pregnancy test, result positive. This is patient's first pregnancy, EDD is March 13, 2026 based on LMP 6-9-2025.
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| 2851846 | 26 | F | FL | 07/30/2025 |
FLU3 |
SANOFI PASTEUR |
TFAA2501 |
Chest discomfort, Electrocardiogram, Pain in jaw
Chest discomfort, Electrocardiogram, Pain in jaw
|
pt contacted pharmacy to let them know she went to the ER because she had pressure on her chest. She...
pt contacted pharmacy to let them know she went to the ER because she had pressure on her chest. She had jaw pain and could not her jaw. She was given EKG. BP 102/69, heart rate and temp was in normal range. She was discharged to home to follow up PCP.
More
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| 2851847 | 16 | F | IA | 07/30/2025 |
MNQ |
NOVARTIS VACCINES AND DIAGNOSTICS |
AMVB064A |
Product preparation issue
Product preparation issue
|
received the liquid conjugate component only; received the liquid conjugate component only; This non...
received the liquid conjugate component only; received the liquid conjugate component only; This non-serious case was reported by a nurse via call center representative and described the occurrence of inappropriate preparation of medication in a 16-year-old female patient who received Men ACWY-CRM NVS (Menveo) (batch number AMVB064A, expiry date 31-DEC-2025) for prophylaxis. On 08-JUL-2025, the patient received Menveo (intramuscular, left deltoid). On 08-JUL-2025, an unknown time after receiving Menveo, the patient experienced inappropriate preparation of medication (Verbatim: received the liquid conjugate component only) and inappropriate dose of vaccine administered (Verbatim: received the liquid conjugate component only). On 08-JUL-2025, the outcome of the inappropriate preparation of medication was not applicable. The outcome of the inappropriate dose of vaccine administered was not applicable. Additional Information: GSK Receipt Date: 17-JUL-2025 The reporter was a nurse who called to report that a female patient had received only the liquid conjugate component of Menveo in her left deltoid on 8-JUL-2025, which led to Inappropriate preparation of medication and Inappropriate dose of vaccine administered. All the information that was provided about this adverse event was reported.; Sender's Comments: US-GSK-US2025091770:same reporter, Different patient, 1 of 3 report US-GSK-US2025091796:same reporter, Different patient, 3 of 3 report
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| 2851848 | 0.33 | M | VA | 07/30/2025 |
DTAPIPV |
SANOFI PASTEUR |
NA |
No adverse event, Wrong product administered
No adverse event, Wrong product administered
|
Patient was given Quadracel instead of Vaxelis at well child visit. Quadracel details were not docum...
Patient was given Quadracel instead of Vaxelis at well child visit. Quadracel details were not documented. Patient returned 7/18/25 to receive Vaxelis. No noted side effects from either vaccine.
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|
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| 2851849 | 1.17 | M | PA | 07/30/2025 |
UNK |
UNKNOWN MANUFACTURER |
|
Pyrexia
Pyrexia
|
fevers, parents admin tylenol and motrin.
fevers, parents admin tylenol and motrin.
|
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| 2851850 | 16 | F | GA | 07/30/2025 |
MENB MNQ |
NOVARTIS VACCINES AND DIAGNOSTICS SANOFI PASTEUR |
GSKPX7E2 PMCU8351BA |
Loss of consciousness; Loss of consciousness
Loss of consciousness; Loss of consciousness
|
Pt passed out while walking toward the exit from the exam room hallway into the lobby. Her mother wa...
Pt passed out while walking toward the exit from the exam room hallway into the lobby. Her mother was walking behind her and caught the patient and lowered her to the floor. Pt remained seated on the floor for 5-10 minutes while being given water and having a damp towel placed on her head. Pt was talking and smiling during this time. Pt denied dizziness and was moved to a chair where she sat for about 5 minutes before getting up and walking to the car with her mother.
More
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| 2851851 | 12 | F | AZ | 07/30/2025 |
HPV9 MNQ TDAP |
MERCK & CO. INC. SANOFI PASTEUR SANOFI PASTEUR |
1965079 U7986AA TD2FD |
Syncope; Syncope; Syncope
Syncope; Syncope; Syncope
|
Patient was given 3 vaccines during a routine exam and shortly after vaccines given, patient fainted...
Patient was given 3 vaccines during a routine exam and shortly after vaccines given, patient fainted, vasovagal syncope
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| 2851852 | 22 | F | OH | 07/30/2025 |
TDAP VARCEL |
GLAXOSMITHKLINE BIOLOGICALS MERCK & CO. INC. |
PG3RP YO17063 |
Injection site erythema, Injection site oedema, Injection site pain; Injection s...
Injection site erythema, Injection site oedema, Injection site pain; Injection site erythema, Injection site oedema, Injection site pain
More
|
Of note, the patient was here on 06/11/2025 (see note) and received a Tdap vaccine to the left delto...
Of note, the patient was here on 06/11/2025 (see note) and received a Tdap vaccine to the left deltoid and a varicella vaccine to the posterior aspect of the left arm. Since then, the patient has noticed erythema, edema, and tenderness to the area
More
|
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| 2851854 | 89 | F | NC | 07/30/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
2HJ99 |
Pruritus, Rash
Pruritus, Rash
|
Received vaccine at 10am 7/29, started itching at 7pm 7/29 on legs, back and arms. Developed rashes ...
Received vaccine at 10am 7/29, started itching at 7pm 7/29 on legs, back and arms. Developed rashes legs below the knees. Was seen at urgent care 7/30. Advised to use benadryl and oatmeal bath soak.
More
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| 2851855 | 30 | M | ID | 07/30/2025 |
ANTH ANTH ANTH TYP TYP TYP |
EMERGENT BIOSOLUTIONS EMERGENT BIOSOLUTIONS EMERGENT BIOSOLUTIONS SANOFI PASTEUR SANOFI PASTEUR SANOFI PASTEUR |
300216A 300216A 300216A X2A411 X2A411 X2A411 |
Back pain, Chills, Constipation, Dizziness, Dyspnoea; Dysuria, Feeling abnormal,...
Back pain, Chills, Constipation, Dizziness, Dyspnoea; Dysuria, Feeling abnormal, Full blood count normal, Headache, Metabolic function test normal; Renal pain, Urine analysis normal, Vomiting; Back pain, Chills, Constipation, Dizziness, Dyspnoea; Dysuria, Feeling abnormal, Full blood count normal, Headache, Metabolic function test normal; Renal pain, Urine analysis normal, Vomiting
More
|
Patient presents for adverse reaction to vaccine. Reports receiving both the Anthrax and Typhoid vac...
Patient presents for adverse reaction to vaccine. Reports receiving both the Anthrax and Typhoid vaccine on 03 Jul 2025. He started feeling bad right away and reports low back pain since 04 Jul. Started having migraines since 06 Jul and had 2 episodes of emesis- bile and chills on 08 Jul. He states he doesn't get migraines but he assumed it was a migraine. Headache is currently 3/10. Reports consistent kidney pain and difficulty with urination and bowel movements. Also reports dizziness and mild difficulty breathing at times.
More
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| 2851856 | 1 | F | PA | 07/30/2025 |
HEPA MMR VARCEL |
GLAXOSMITHKLINE BIOLOGICALS MERCK & CO. INC. MERCK & CO. INC. |
H3N97 Y015551 Z005233 |
Pyrexia, Rash; Pyrexia, Rash; Pyrexia, Rash
Pyrexia, Rash; Pyrexia, Rash; Pyrexia, Rash
|
fever and rash. parent admin tylenol and motrin
fever and rash. parent admin tylenol and motrin
|
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| 2851857 | 19 | F | OH | 07/30/2025 |
TDAP |
GLAXOSMITHKLINE BIOLOGICALS |
H4279 |
Loss of consciousness, Presyncope
Loss of consciousness, Presyncope
|
vasovagal response, loss of consciousness, laid patient flat on floor, patient returned to conscious...
vasovagal response, loss of consciousness, laid patient flat on floor, patient returned to consciousness after laying flat, patient evaluated, slowly raised to sitting position, waited an additional 10 minutes prior to standing position, patient left accompanied by mother
More
|
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| 2851858 | 36 | F | CA | 07/30/2025 |
COVID19 COVID19 COVID19 COVID19 COVID19 COVID19 |
PFIZER\BIONTECH PFIZER\BIONTECH PFIZER\BIONTECH PFIZER\BIONTECH PFIZER\BIONTECH PFIZER\BIONTECH |
FF2593 FF2593 FF2593 3203083 3203083 3203083 |
Arrhythmia, Atrial flutter, Endotracheal intubation, Laboratory test, Laryngeal ...
Arrhythmia, Atrial flutter, Endotracheal intubation, Laboratory test, Laryngeal dyskinesia; Laryngomalacia, Loss of consciousness, Raynaud's phenomenon, Seizure, Tracheal dilation procedure; Tracheostomy; Arrhythmia, Atrial flutter, Endotracheal intubation, Laboratory test, Laryngeal dyskinesia; Laryngomalacia, Loss of consciousness, Raynaud's phenomenon, Seizure, Tracheal dilation procedure; Tracheostomy
More
|
After the first vaccine in 10/2021 within weeks I started to have aflutter in my heart and passing o...
After the first vaccine in 10/2021 within weeks I started to have aflutter in my heart and passing out at work. I had to be admitted to the hospital. I filled a workmans comp claim and was denied. I was forced to get the second vaccine as well and within a month I started to have raynauds syndrome in my hands and feet, heart arrythmias , seizures, adult onset laryngomalacia and paradoxical vocal fold motion disorder. I was hospitalized several times, told I was lying and drug seeking. I was intubated over 6 times and had to have multiple surgeries to open my airway. Due to the delayed care and medical malpractice I ended up with a tracheostomy for 9 months. I have had a couple surgeries since I got the trach out in 2023. The last surgery I had to dilate my airway was may 16th 2025. I still use oxygen at night and am fighting for social security.
More
|
โ | โ | ||||
| 2851859 | 52 | F | MO | 07/30/2025 |
UNK VARZOS |
UNKNOWN MANUFACTURER GLAXOSMITHKLINE BIOLOGICALS |
t5d73 3273h |
Neck pain, Pain in extremity, Pain in jaw, Tenderness; Neck pain, Pain in extrem...
Neck pain, Pain in extremity, Pain in jaw, Tenderness; Neck pain, Pain in extremity, Pain in jaw, Tenderness
More
|
Patient states was having pain in the left arm (even to the touch) a couple of days after shingrix a...
Patient states was having pain in the left arm (even to the touch) a couple of days after shingrix and engerix were administered. Stated it started in the area of the vaccines but now has travelled up to her neck/jaw. No redness or rash indicated . patient states going to contact primary physician to be seen.
More
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| 2851860 | 34 | F | VA | 07/30/2025 |
TDAP |
SANOFI PASTEUR |
U8564AA |
No adverse event, Wrong product administered
No adverse event, Wrong product administered
|
Patient received TDAP vaccine instead of intended HPV vaccine 2nd dose. Patient returned next day to...
Patient received TDAP vaccine instead of intended HPV vaccine 2nd dose. Patient returned next day to receive correct vaccine. No adverse effects noted from either vaccine, unknown how long it has been since pt last had TDAP since pt was from out of state.
More
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| 2851861 | 07/30/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
UNK |
Inappropriate schedule of product administration
Inappropriate schedule of product administration
|
Second dose was administered 46 days after the first Shingrix vaccine; This non-serious case was rep...
Second dose was administered 46 days after the first Shingrix vaccine; This non-serious case was reported by a pharmacist via sales rep and described the occurrence of drug dose administration interval too short in a patient who received Herpes zoster (Shingrix) for prophylaxis. Concomitant products included Varicella zoster vaccine rgE (CHO) (Shingrix). On 16-JUL-2025, the patient received the 2nd dose of Shingrix (unknown deltoid). On 16-JUL-2025, an unknown time after receiving Shingrix, the patient experienced drug dose administration interval too short (Verbatim: Second dose was administered 46 days after the first Shingrix vaccine). The outcome of the drug dose administration interval too short was not applicable. Additional Information: GSK Receipt Date: 21-JUL-2025 The pharmacist reported that a patient was administered second dose of vaccine 46 days after the first dose of Shingrix vaccine which led to shortening of vaccination schedule.
More
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| 2851862 | 1 | F | OK | 07/30/2025 |
HEPA MMRV VARCEL |
GLAXOSMITHKLINE BIOLOGICALS MERCK & CO. INC. MERCK & CO. INC. |
L9R92 Y008885 Z003766 |
Extra dose administered, Pyrexia, Rash; Extra dose administered, Pyrexia, Rash; ...
Extra dose administered, Pyrexia, Rash; Extra dose administered, Pyrexia, Rash; Extra dose administered, Pyrexia, Rash
More
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Patient began running fever on 7/26/2025 one day after receiving vaccinations (including 2 doses of...
Patient began running fever on 7/26/2025 one day after receiving vaccinations (including 2 doses of Varicella given in error). Patient broke out in rash the morning of 7/28/2025, 3 days after receiving vaccinations, Patient was prescribed Prednisolone 10mg/5mL give 2.5 mL in AM with food, continue cetirizine.
More
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| 2851863 | 13 | F | VA | 07/30/2025 |
HPV9 MNQ TDAP |
MERCK & CO. INC. SANOFI PASTEUR GLAXOSMITHKLINE BIOLOGICALS |
X026668 U8493AA CX4HL |
Clonus, Crying, Eye movement disorder, Feeling hot, Nausea; Clonus, Crying, Eye ...
Clonus, Crying, Eye movement disorder, Feeling hot, Nausea; Clonus, Crying, Eye movement disorder, Feeling hot, Nausea; Clonus, Crying, Eye movement disorder, Feeling hot, Nausea
More
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Patient into Health Department for required 7th grade vaccinations. TDAP administered first in LA, M...
Patient into Health Department for required 7th grade vaccinations. TDAP administered first in LA, MCV-4 Quad administered next in LA, & HPV 9 administered last in RA. A few seconds after removal of needle from RA, patient complained of being hot, color turned ashen, then patient started heavy breathing, eyes rolled back and mild clonic response of upper and lower extremities was noted without loss of any bladder control. Clonic response lasted only several seconds then patient took very long deep breath and asked "what happened". Client was advised to put head between legs and take slow deep breaths. Ice pack was obtained and place on nape of neck. BP attempted immediately with electronic cuff, unable to initially read BP due to patient being upset, crying, and moving around. Patient calmed and and BP attempted again around 11:17 with a reading of 58/32, HR 71. Patient with c/o nausea but never did vomit. Client given apple juice to sip and fan obtained to provide cool air to patient. Patient's BP repeated at approximately 11:28 after patient had taken several sips of the juice, BP - 74/46, HR - 66. Patient continued to sit in chair with mother at her side. Patient began talking about her interest with color slowly returning to her skin and continuing to sip juice. At approximately 11:38, patient's color to skin had returned to close of that prior to vaccination. Patient stated feeling better with no c/o dizziness. Advised patient to slowly stand. BP 89/60, HR - 68. Patient denied any complaints at this time, other than "being tired". Color pink, vitals WNL. Patient ambulated out into lobby with mother and undersigned in attendance. Patient tol well. Client exited building with her mother & siblings at approximately 11:50 am. Mother was present during whole incident.
More
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| 2851864 | 12 | M | TX | 07/30/2025 |
DTAP MNQ |
GLAXOSMITHKLINE BIOLOGICALS NOVARTIS VACCINES AND DIAGNOSTICS |
5KR3R DL4YY |
Wrong product administered; Wrong product administered
Wrong product administered; Wrong product administered
|
Nurse was to administer Tdap vaccine, per provider order. Pulled and administered DTap vaccine, and ...
Nurse was to administer Tdap vaccine, per provider order. Pulled and administered DTap vaccine, and then realized she had given the incorrect vaccine upon documenting vaccine. Provider and parent was made aware. Call made to GSK to notify and request recommendation for further administration of tetanus vaccine.
More
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| 2851865 | 1 | M | 07/30/2025 |
MMR |
MERCK & CO. INC. |
Y013131 |
Papule, Rash vesicular
Papule, Rash vesicular
|
Measles like rash across body, pink papules
Measles like rash across body, pink papules
|
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| 2851866 | 5 | F | MI | 07/30/2025 |
DTPPVHBHPB |
MSP VACCINE COMPANY |
U7446AA |
Product administered to patient of inappropriate age
Product administered to patient of inappropriate age
|
Vaccine error - Vaxelis given outside of recommended guideline.
Vaccine error - Vaxelis given outside of recommended guideline.
|
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| 2851867 | 1.25 | F | MI | 07/30/2025 |
DTPPVHBHPB |
MSP VACCINE COMPANY |
U7788AA |
Extra dose administered
Extra dose administered
|
Vaccine error - gave Vaxelis as 4th dose.
Vaccine error - gave Vaxelis as 4th dose.
|
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| 2851868 | 2.83 | M | LA | 07/30/2025 |
UNK |
UNKNOWN MANUFACTURER |
|
Pyrexia
Pyrexia
|
patient had low grade fevers starting that night that continued around 101-102 for 3 days then spike...
patient had low grade fevers starting that night that continued around 101-102 for 3 days then spiked to 104.5 on day 3 after vaccine. This had happened after first dose as well, but was not reported to the office
More
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| 2851869 | 3 | M | MI | 07/30/2025 |
DTPPVHBHPB |
MSP VACCINE COMPANY |
U7788AA |
Extra dose administered
Extra dose administered
|
Vaccine Error - Vaxelis given as dose 4
Vaccine Error - Vaxelis given as dose 4
|
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| 2851870 | 12 | F | FL | 07/30/2025 |
HPV9 MNQ |
MERCK & CO. INC. SANOFI PASTEUR |
Y014510 U8494AA |
Gait disturbance, Hemiparesis; Gait disturbance, Hemiparesis
Gait disturbance, Hemiparesis; Gait disturbance, Hemiparesis
|
Dad reports the day after immunizations to administration to the left arm, had left sided weakness a...
Dad reports the day after immunizations to administration to the left arm, had left sided weakness along with difficulties walking on the left leg. States lasted about a couple of days. Has no issues walking today in clinic. No numbness, tingling or pain. Unsure if administration played a role. No other symptoms or concerns.
More
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| 2851871 | 16 | M | FL | 07/30/2025 |
MENB MENB |
NOVARTIS VACCINES AND DIAGNOSTICS PFIZER\WYETH |
DD72H LF5302 |
Extra dose administered; Extra dose administered
Extra dose administered; Extra dose administered
|
Patient was accidently given Bexsero and Trumenba. Provider was made aware and contacted the family....
Patient was accidently given Bexsero and Trumenba. Provider was made aware and contacted the family. Provider also follow up with the family today.
More
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| 2851872 | 35 | M | MI | 07/30/2025 |
HPV9 |
MERCK & CO. INC. |
Z007667 |
Face injury, Fall, Loss of consciousness
Face injury, Fall, Loss of consciousness
|
Patient presented to office for nurse visit for Tdap, MMR, Hep A and HPV. Received Tdap and Hep A i...
Patient presented to office for nurse visit for Tdap, MMR, Hep A and HPV. Received Tdap and Hep A in right deltoid and MMR and Hep A in left deltoid without difficulty. VIS was given, and patient was informed to call with any questions or concerns. See imms/injections for more details. At 9:45 am pt passed out post HPV vaccine (last one given in left deltoid). Was sitting on the bed, as I was lying pt down, passed out and fell to his right side, landing face down first and hitting face down on the floor. Pt hit his nose and right side of cheek. Noticeable red marks seen on his nose and right cheek. Dr. and other MA's and staff were called in the room for help. BP was checked and it was high at first, pt laid on the flood for good 10-15 minutes, crackers and juice were given to help him recuperate. BP were checked a few times and were normal before patient left (see vitals for review). Per pt he felt good, just sore from fall, but was good to leave.
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| 2851873 | 12 | F | TX | 07/30/2025 |
HPV9 MNQ |
MERCK & CO. INC. NOVARTIS VACCINES AND DIAGNOSTICS |
Y015599 X7R4Z |
Nervousness; Nervousness
Nervousness; Nervousness
|
Pt was nervous for vaccines after giving vaccines patient lend back of the chair that's when we...
Pt was nervous for vaccines after giving vaccines patient lend back of the chair that's when we gave the patients water took vitals, the vitals was stable patient stayed for 15 minutes for evaluation and was fine and left. The following vital sign readings: at 12:20 pm BP: 96/75 - HR: 69 ' SAT: 94%. At 12:35 pm : BP: 100/79 - HR: 82' - SAT: 99% Also notice the provider about above information.
More
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| 2851875 | 1.33 | F | MI | 07/30/2025 |
DTAPIPVHIB |
SANOFI PASTEUR |
UK234AB |
No adverse event, Wrong product administered
No adverse event, Wrong product administered
|
Patient got pentacel vaccine instead of a daptacel vaccine on the left thigh and got a hib on the ...
Patient got pentacel vaccine instead of a daptacel vaccine on the left thigh and got a hib on the right thigh. As soon as the error was noticed the manager was alerted. health department was called and notified of the situation, and they said no adverse reaction would occur. Patients' mom was notified, and she said the patient was normal but in case of any reaction, she would contact the clinic.
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| 2851876 | 18 | F | 07/30/2025 |
DTAP |
GLAXOSMITHKLINE BIOLOGICALS |
JF7DM |
Wrong product administered
Wrong product administered
|
patient was given a a dose of Dtap Infanrix insead of Tdap Boostrix
patient was given a a dose of Dtap Infanrix insead of Tdap Boostrix
|
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| 2851877 | 18 | F | NJ | 07/30/2025 |
MNQ |
SANOFI PASTEUR |
U8369BA |
Fall, Loss of consciousness
Fall, Loss of consciousness
|
Within 10 minutes of receiving the vaccine, patient lost her consciousness and fell to the ground. P...
Within 10 minutes of receiving the vaccine, patient lost her consciousness and fell to the ground. Patient regained consciousness in a few seconds but refused EMS. After drinking some water and sat around for about 10 minutes, patient left on her own.
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| 2851878 | 75 | F | SD | 07/30/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
2hj99 |
Rash
Rash
|
patient reported that the first vaccine did not cause any issues, but the second dose caused a rash ...
patient reported that the first vaccine did not cause any issues, but the second dose caused a rash to her face
More
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| 2851879 | 58 | F | AK | 07/30/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
3J2S2 |
Arthralgia, Feeling hot
Arthralgia, Feeling hot
|
Right shoulder pain onset the afternoon on day of injection and persisting to present. Pain in ante...
Right shoulder pain onset the afternoon on day of injection and persisting to present. Pain in anterolateral shoulder/detoid with overhead movements. No prior history of shoulder pain or injury. Treating with NSAIDs, avoid aggravating activities, PT.
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| 2851880 | 32 | F | KY | 07/30/2025 |
COVID19 COVID19 COVID19 COVID19 COVID19 COVID19 COVID19 COVID19 COVID19 COVID19 COVID19 COVID19 |
JANSSEN JANSSEN JANSSEN JANSSEN PFIZER\BIONTECH PFIZER\BIONTECH PFIZER\BIONTECH PFIZER\BIONTECH PFIZER\BIONTECH PFIZER\BIONTECH PFIZER\BIONTECH PFIZER\BIONTECH |
204A21A 204A21A 204A21A 204A21A 8000010 8000010 8000010 8000010 GJ5083 GJ5083 GJ5083 GJ5083 |
Acoustic stimulation tests, Balance disorder, Deafness unilateral, Dizziness, Dy...
Acoustic stimulation tests, Balance disorder, Deafness unilateral, Dizziness, Dysstasia; Exposure during pregnancy, Glycosylated haemoglobin, Hypotension, Influenza, Magnetic resonance imaging; Photophobia, Respiratory tract infection viral, Sinusitis, Sudden hearing loss, Tinnitus; Vomiting; Acoustic stimulation tests, Balance disorder, Deafness unilateral, Dizziness, Dysstasia; Exposure during pregnancy, Glycosylated haemoglobin, Hypotension, Influenza, Magnetic resonance imaging; Photophobia, Respiratory tract infection viral, Sinusitis, Sudden hearing loss, Tinnitus; Vomiting; Acoustic stimulation tests, Balance disorder, Deafness unilateral, Dizziness, Dysstasia; Exposure during pregnancy, Glycosylated haemoglobin, Hypotension, Influenza, Magnetic resonance imaging; Photophobia, Respiratory tract infection viral, Sinusitis, Sudden hearing loss, Tinnitus; Vomiting
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By November 2022, I was in my 5th month of pregnancy and suddenly began experiencing severe vomiting...
By November 2022, I was in my 5th month of pregnancy and suddenly began experiencing severe vomiting and debilitating dizziness that made it difficult to stand. They always associated it with my pregnancy and low blood pressure during this time. By April 2023, I realized I could not hear from my right ear. An auditory test showed a sudden hearing loss and as a result, tinnitus. Throughout 2024 and 2025, I experienced multiple flu episodes along with dizziness, vomiting, loss of balance, and light sensitivity. The diagnosis was sinusitis. In less than 6 months, I have undergone 3 treatments with antibiotics, and I continue to have relapses from viruses in the respiratory tract.
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| 2851881 | 80 | M | FL | 07/30/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
75323J |
Injection site bruising, Injection site erythema, Injection site pruritus
Injection site bruising, Injection site erythema, Injection site pruritus
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Bruising, redness, itching at injection site
Bruising, redness, itching at injection site
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| 2851882 | 3 | M | NM | 07/30/2025 |
DTAPIPV |
GLAXOSMITHKLINE BIOLOGICALS |
34MF9 |
Extra dose administered
Extra dose administered
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Pt is three and received vaccine rated for 4-6 years
Pt is three and received vaccine rated for 4-6 years
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| 2851883 | 17 | F | OR | 07/30/2025 |
VARCEL |
MERCK & CO. INC. |
X024540 |
Rash, Rash papular
Rash, Rash papular
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Developed rash on hands about 10 days after receiving Varicella & MMR vaccines together, the ras...
Developed rash on hands about 10 days after receiving Varicella & MMR vaccines together, the rash swells and hurts but doesn't itch much and by the time the family reported it to our clinic it was mostly resolving - the only reason they called to report it was because she's due for the second dose soon and they weren't sure if she should have it yet.
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| 2851884 | 18 | F | TN | 07/30/2025 |
MNQ |
SANOFI PASTEUR |
U8558AA |
Extra dose administered
Extra dose administered
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EXTRA MENINGOCOCCAL VACCINE GIVEN
EXTRA MENINGOCOCCAL VACCINE GIVEN
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| 2851885 | 82 | M | NY | 07/30/2025 |
COVID19 COVID19 |
MODERNA MODERNA |
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Colonoscopy normal, Dyspnoea, Endoscopy normal, Fatigue, Haemoglobin decreased; ...
Colonoscopy normal, Dyspnoea, Endoscopy normal, Fatigue, Haemoglobin decreased; Somnolence
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Excessive tiredness, could not walk more than 50 ft without having to stop and catch my breath. Slee...
Excessive tiredness, could not walk more than 50 ft without having to stop and catch my breath. Sleepiness all the time.
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| 2851886 | 58 | F | IN | 07/30/2025 |
PNC20 VARZOS |
PFIZER\WYETH GLAXOSMITHKLINE BIOLOGICALS |
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Erythema, Pruritus; Erythema, Pruritus
Erythema, Pruritus; Erythema, Pruritus
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red circle from top of arm to arm pit, outline of circle. itchiness. 1 week later and is still red, ...
red circle from top of arm to arm pit, outline of circle. itchiness. 1 week later and is still red, circle and itchy
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| 2851887 | 40 | M | 07/30/2025 |
TDAP |
UNKNOWN MANUFACTURER |
C3SB5 |
Herpes zoster, Rash, Rash vesicular
Herpes zoster, Rash, Rash vesicular
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Today (Monday) he has clusters of vesicles in the axilla, over his left biceps, and on his left post...
Today (Monday) he has clusters of vesicles in the axilla, over his left biceps, and on his left posterior shoulder; Herpes zoster-diagnosed with shingles/ it's not really painful enough to be shingles; It could be folliculitis; began to develop a slightly painful, not itchy vesicular rash in his left axilla; slightly painful, not itchy vesicular rash in his left axilla; This non-serious case was reported by a physician via other manufacturer and described the occurrence of shingles in a 40-year-old male patient who received DTPa (Reduced antigen) (Tdap Vaccine) (batch number C3SB5) for prophylaxis. Co-suspect products included tuberculin ppd (Tubersol) solution for injection (batch number 83821) for tuberculin test. The patient's past medical history included exposure to communicable disease. On 06-MAY-2025, the patient received Tdap Vaccine (left deltoid) and Tubersol .1 ml. On 08-MAY-2025, 2 days after receiving Tdap Vaccine and Tubersol, the patient experienced shingles (Verbatim: Herpes zoster-diagnosed with shingles/ it's not really painful enough to be shingles), folliculitis (Verbatim: It could be folliculitis), vesicular rash (Verbatim: began to develop a slightly painful, not itchy vesicular rash in his left axilla) and axillary pain (Verbatim: slightly painful, not itchy vesicular rash in his left axilla). On 09-MAY-2025, the patient experienced blister (Verbatim: Today (Monday) he has clusters of vesicles in the axilla, over his left biceps, and on his left posterior shoulder). The outcome of the shingles, folliculitis, vesicular rash, axillary pain and blister were resolving. It was unknown if the reporter considered the shingles, folliculitis, vesicular rash, axillary pain and blister to be related to Tdap Vaccine and Tubersol. It was unknown if the company considered the shingles, folliculitis, vesicular rash, axillary pain and blister to be related to Tdap Vaccine and Tubersol. Additional Information: GSK Receipt Date: 01-JUL-2025 The physician reported that the patient started taking (Tubersol) tuberculin test, (once) via left forearm for Tuberculin test and received an unknown dose of suspect diphtheria vaccine toxoid, pertussis vaccine acellular, tetanus vaccine toxoid (TD AP), via unknown route in the left deltoid for prophylactic vaccination (Immunization) and both with unknown strength and expiry date. The patient experienced slightly painful, not itchy vesicular rash in his left axilla. Today (Monday) on 09-MAY-2025, 3 days after, he had clusters of vesicles in the axilla, over his left biceps, and on his left posterior shoulder and diagnosed with shingles after treated with tuberculin test (Tubersol) and diphtheria vaccine toxoid, pertussis vaccine acellular, tetanus vaccine toxoid (TDAP). On 13-MA Y-2025 at 12:00 hours, 7 days 12 hours after, the patient developed diagnosed with shingles (herpes zoster). Reportedly, it could be folliculitis although he had no unusual exposure, it was not really painful enough to be shingles. It was not reported if the patient received a corrective treatment for both the events. At time of initial reporting, the outcome was not recovered or not resolved for the event rash vesicular and recovering for the events herpes zoster and rash. Additional information was received on 04-Jun-2025 from physician and update the outcome from ongoing to recovering for the event rash.
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| 2851888 | 0.33 | M | KS | 07/30/2025 |
DTAPIPV DTPPVHBHPB HIBV RV1 |
GLAXOSMITHKLINE BIOLOGICALS MSP VACCINE COMPANY MERCK & CO. INC. GLAXOSMITHKLINE BIOLOGICALS |
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Product administered to patient of inappropriate age; Product administered to pa...
Product administered to patient of inappropriate age; Product administered to patient of inappropriate age; Product administered to patient of inappropriate age; Product administered to patient of inappropriate age
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On 2/7/25, My 4 month old infant was administered the Kinrix Vaccine at (withheld) Health Center in ...
On 2/7/25, My 4 month old infant was administered the Kinrix Vaccine at (withheld) Health Center in (withheld state), despite it being approved for only chikdren ages 4-6 years. This is a serious vaccine administration error and not in accordance with CDC immunization guidelines for infants. The correct vaccines for a 4 month old were due , DTap , ipv, ETC. but instead Kinrix, a vaccine formulated for older children was given. The clinic has confirmed the error and I am monitoring my child closely for any side effects. I am submitting this report to ensure the event is documented as part of national vaccine safety efforts.
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| 2851889 | 11 | F | WA | 07/30/2025 |
HPV9 |
MERCK & CO. INC. |
Z002903 |
No adverse event, Scratch
No adverse event, Scratch
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Tip of needle grazed patients arm resulting in a small dot of blood. Patient stayed seated for 10 mi...
Tip of needle grazed patients arm resulting in a small dot of blood. Patient stayed seated for 10 minutes and when I checked on her, she expressed feeling well with no symptoms of illness or other reaction. A band-aide was placed on arm, covering both vaccine site and small needle scratch. Event was reported to covering provider and clinic supervisor. Patient left with mother with no further issues.
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| 2851890 | 07/30/2025 |
VARZOS |
UNKNOWN MANUFACTURER |
UNK |
Herpes zoster, Vaccination failure
Herpes zoster, Vaccination failure
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Suspected vaccination failure; shingles on scalp; This serious case was reported by a consumer via i...
Suspected vaccination failure; shingles on scalp; 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: shingles on scalp). 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. The patient got the vaccine and knew that he/she got shingles on his/her scalp. 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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