| ID | Age | Sex | State | Date โผ | Onset Days | Vaccine | Manufacturer | Lot # | Symptoms | Narrative | ๐ | ๐ฅ | ๐ | โฟ | โ ๏ธ |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2850012 | 14 | F | MT | 07/17/2025 |
DTPPVHBHPB TDAP |
MSP VACCINE COMPANY GLAXOSMITHKLINE BIOLOGICALS |
U8313AA 3RE73 |
No adverse event, Wrong product administered; No adverse event, Wrong product ad...
No adverse event, Wrong product administered; No adverse event, Wrong product administered
More
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Pt was given a Vaxilis and a Tdap. The person that gave the immunizations meant to grab a Hep B but ...
Pt was given a Vaxilis and a Tdap. The person that gave the immunizations meant to grab a Hep B but grabbed a Vaxilis instead. No side effects or reactions reported as as of today.
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| 2850091 | 64 | F | NY | 07/17/2025 |
PPV PPV |
MERCK & CO. INC. MERCK & CO. INC. |
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Arthralgia, Back pain, Chills, Headache, Myalgia; Pain in extremity, Pyrexia, Vo...
Arthralgia, Back pain, Chills, Headache, Myalgia; Pain in extremity, Pyrexia, Vomiting
More
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I went to the doctor , on 7/15/2025, I got a Pneumonia shot on the right arm, later that evening I...
I went to the doctor , on 7/15/2025, I got a Pneumonia shot on the right arm, later that evening I was trying to eat something when it came up. Later that evening I started feeling some muscle pain, whenever I sat down or getting up i felt pain. Later in the night i started having headaches, fever, pain in the lower back, lega and joints,chills and headaches,. I then went to the emergency room They gave me an IV Injection and motrin 500mg
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| 2850092 | 3 | M | GA | 07/17/2025 |
HEPA |
GLAXOSMITHKLINE BIOLOGICALS |
5JA57 |
Extra dose administered
Extra dose administered
|
July 2024 through October 2024 implemented a new statewide vaccine registry. This child received imm...
July 2024 through October 2024 implemented a new statewide vaccine registry. This child received immunizations during this time. However, October of 2024 vaccine registry was abandoned, and the state went back to the previous version and vendor for vaccine registry. The vaccines given to patients during and entered into vaccine registry, do not transfer to the current vaccine registry. There is NO access to view the vaccine registry version. This patient had told the nurse they receive care at facility or at the Health Department. The nurse on 7/15/2025 reviewed vaccine registry for verification of immunizations needed and gave the immunizations that were indicated on vaccine registry as due. Later during nursing note entry, it was found that the patient had received the vaccines 9/17/2024.
More
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| 2850093 | 5 | M | GA | 07/17/2025 |
DTAPIPV UNK |
GLAXOSMITHKLINE BIOLOGICALS UNKNOWN MANUFACTURER |
39T93 Y017516 |
Extra dose administered; Extra dose administered
Extra dose administered; Extra dose administered
|
July 2024 through October 2024 the state implemented a new statewide vaccine registry. This child re...
July 2024 through October 2024 the state implemented a new statewide vaccine registry. This child received immunizations during this time. However, October of 2024 vaccine registry was abandoned, and the state went back to the previous version and vendor for vaccine registry. The vaccines given to patients during and entered into vaccine registry, do not transfer to the current vaccine registry. There is NO access to view the vaccine registry version. This patient had told the nurse they receive care at facility or at the Health Department. The nurse on 7/15/2025 reviewed vaccine registry for verification of immunizations needed and gave the immunizations that were indicated on vaccine registry as due. Later during nursing note entry, it was found that the patient had received the vaccines 9/17/2024.
More
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| 2850094 | 5 | F | NC | 07/17/2025 |
DTAPIPV MMRV |
SANOFI PASTEUR MERCK & CO. INC. |
U8383AB Z007868 |
Decreased appetite, Fatigue, Irritability, Pyrexia, Sluggishness; Decreased appe...
Decreased appetite, Fatigue, Irritability, Pyrexia, Sluggishness; Decreased appetite, Fatigue, Irritability, Pyrexia, Sluggishness
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Day after vaccination, mom called the office to report child was feeling sluggish. Afebrile, just mo...
Day after vaccination, mom called the office to report child was feeling sluggish. Afebrile, just more tired than usual. Triage nurse said that this can happen after vaccines, but to watch for worsening or continued symptoms, fever etc. Called back on 7/15/2025 and reported that child was whiny, had a low grade fever and decreased appetite. Came to office for sick visit with Dr. on 7/15/2025 at 1610 and presented with temp of 102.5 ax, tired and decreased appetite. Performed CBC in office and MD determined sympmtoms could be related to vaccines given on 7/8/25.
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| 2850095 | 16 | F | CO | 07/17/2025 |
COVID19 |
MODERNA |
b0021 |
Injection site erythema, Injection site pruritus, Injection site swelling
Injection site erythema, Injection site pruritus, Injection site swelling
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Redness, swelling and itching at injection site; treated with hydrocortisone cr 1%
Redness, swelling and itching at injection site; treated with hydrocortisone cr 1%
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| 2850096 | 1.33 | F | MD | 07/17/2025 |
DTAP PNC20 |
GLAXOSMITHKLINE BIOLOGICALS PFIZER\WYETH |
YC239 MF0415 |
Expired product administered; Expired product administered
Expired product administered; Expired product administered
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Pt was here yesterday afternoon 7/16/25 for a late 15 month WCC with Dr. I administered the patient&...
Pt was here yesterday afternoon 7/16/25 for a late 15 month WCC with Dr. I administered the patient's scheduled vaccines, her pneumococcal 20 (prevnar 20) and dtap (infanrix) immunizations. However, while preparing the vaccines to be ready for administration, the expiration date on the dtap (infanrix) vaccine was misread and documented as 7-13-2026 and therefore administered. However, after further investigation while gathering other vaccines in the fridge where they were stored, re-evaluation of the date revealed that the expiration of the vaccine was actually 7-13-2025. Therefore the vaccine was 3 days expired. The remaining 1 vaccine dose left in the package was then removed from the vaccine refrigerator and both office manager and Dr. was notified. Attempted to reach parents to inform them of mistake, but no answer. Left a voicemail to call us back to discuss the issue. Further called VFC vaccine management and spoke with someone who reports no further side effects to look for except for the potentially less effective dose due to the expiration date. VFC reports the patient should have another dose of the same vaccine but that is not expired and complete a Vaers form. Spoke with the mother of the patient this morning around 9:50am and explained the situation and offered my sincerest apologies and explained that there is no additional side effects to be watching for and that recommended next steps would be to re-administer a second dose of the same vaccine to ensure effectiveness. Mom was very understanding and appreciative of the notification and that I called and checked to ensure there are no additional side effects or harm conducted to patient. Mom reports she is going to talk to her fiance, the patients father, when he arrives home from work to determine when she can come in for the vaccine as he has the vehicle. vaers form will be completed. Dr. and others are aware of the situation. As of now, there are no known side effects to the patient.
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| 2850097 | 4 | F | TN | 07/17/2025 |
IPV |
SANOFI PASTEUR |
Y1A201M |
Wrong product administered
Wrong product administered
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Polio was given prior to the 6th month mark from previous dose. Discussed with parent when pt could ...
Polio was given prior to the 6th month mark from previous dose. Discussed with parent when pt could receive 3rd dose (which would be in September based on dose 2). Knowing the intervals, Polio was given on accident instead of final HEPB vaccine.
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| 2850098 | 0.67 | M | 07/17/2025 |
DTAPIPV |
GLAXOSMITHKLINE BIOLOGICALS |
90696 |
Product administered to patient of inappropriate age
Product administered to patient of inappropriate age
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NONE
NONE
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| 2850099 | 5 | M | DE | 07/17/2025 |
DTAPIPV MMRV |
SANOFI PASTEUR MERCK & CO. INC. |
U8383AB Y018156 |
Dyskinesia, Injection site swelling, Lethargy, Pyrexia, Tremor; Dyskinesia, Inje...
Dyskinesia, Injection site swelling, Lethargy, Pyrexia, Tremor; Dyskinesia, Injection site swelling, Lethargy, Pyrexia, Tremor
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Fever 103+ with jerking/ shaking. Left arm with minor injection site swelling at this time. Child is...
Fever 103+ with jerking/ shaking. Left arm with minor injection site swelling at this time. Child is lethargic. Pt with reaction to previous vaccines similar per mom.
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| 2850101 | 68 | M | CO | 07/17/2025 |
TDAP TDAP |
GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS |
|
Asthenia, Dysstasia, Gait inability, Guillain-Barre syndrome, Hypoaesthesia; Lum...
Asthenia, Dysstasia, Gait inability, Guillain-Barre syndrome, Hypoaesthesia; Lumbar puncture, Mobility decreased, Muscular weakness
More
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Patient started experiencing weakness in arms, legs, as well as numbness in fingertips and toes the ...
Patient started experiencing weakness in arms, legs, as well as numbness in fingertips and toes the day after vaccine was administered. The second day after vaccine, he was unable to stand due to not having any strength in his lower body. Went to the emergency room and was admitted and Diagnosed with Guillain-Barre Syndrome. He is now in the hospital, unable to walk and with very minimum strength and mobility to his upper body.
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โ | โ | โ | |||
| 2850102 | 0.33 | M | DE | 07/17/2025 |
DTAPIPVHIB PNC20 RV1 |
SANOFI PASTEUR PFIZER\WYETH GLAXOSMITHKLINE BIOLOGICALS |
UK015AA LX4484 7E9Y2 |
Expired product administered; Expired product administered; Expired product admi...
Expired product administered; Expired product administered; Expired product administered
More
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An expired vaccine accidentally was given to a 4-month-old baby. Mother was notified and was asked t...
An expired vaccine accidentally was given to a 4-month-old baby. Mother was notified and was asked to come for a follow up appointment and for the patient to receive a new valid vaccine.
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| 2850103 | 56 | F | MA | 07/17/2025 |
HEP PNC20 VARZOS |
DYNAVAX TECHNOLOGIES CORPORATION PFIZER\WYETH GLAXOSMITHKLINE BIOLOGICALS |
946064 MF0425 2HJ99 |
Injection site pain, Injection site rash, Injection site warmth, Rash erythemato...
Injection site pain, Injection site rash, Injection site warmth, Rash erythematous; Injection site pain, Injection site rash, Injection site warmth, Rash erythematous; Injection site pain, Injection site rash, Injection site warmth, Rash erythematous
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erythematous rash on left shoulder near the injection site, 10x10 cm ~ well demarcated with raised b...
erythematous rash on left shoulder near the injection site, 10x10 cm ~ well demarcated with raised boarders, tender and warm. Treatment: Local reactions can be treated with tylenol or nonsteroidal antiinflammatory drugs (NSAIDs) such as naproxen as needed if pain or swelling is troublesome. -Cetirizine 10 mg nightly x7, can stop earlier if symptoms resolve -Due to complains of a reactive cough and worsening local erythema, prednisone 20 mg for 5 days was also sent.
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| 2850104 | 15 | M | IA | 07/17/2025 |
HPV9 HPV9 |
MERCK & CO. INC. MERCK & CO. INC. |
Z007847 Z007847 |
Dizziness, Fatigue, Headache, Heart rate increased, Lymphadenopathy; Nasal conge...
Dizziness, Fatigue, Headache, Heart rate increased, Lymphadenopathy; Nasal congestion, Nausea, Pharyngeal enanthema, Pyrexia
More
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Per 2 phone calls to/from parent: Patient experienced swollen lymph node on neck on the side he got ...
Per 2 phone calls to/from parent: Patient experienced swollen lymph node on neck on the side he got his shot, throat was bumpy on the inside (strep throat like), light headedness, high fever, nauseous after eating, high heart rate after eating, extreme headaches, and fatigue since 07/09, today is first day he's feeling better. She states patient developed a fever and took Tylenol. At 1800-1900, temp was 101 (with Tylenol on board). Throat was the back of the throat with white bumps. He also had nasal congestion during the time and took Claritin to help with that. Swollen lymph node was on the left side of the neck. Injection was also given in the LD.
More
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| 2850105 | 9 | M | CA | 07/17/2025 |
HPV9 |
MERCK & CO. INC. |
Y015180 |
Eye movement disorder, Loss of consciousness, Musculoskeletal stiffness
Eye movement disorder, Loss of consciousness, Musculoskeletal stiffness
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pt recevied the vaccine went to hall way ,pt passed out .and landed on the floor.loss of conciousnes...
pt recevied the vaccine went to hall way ,pt passed out .and landed on the floor.loss of conciousness couple of seconds.alos eye rolled back,and arms and legs stiffen few seconds.according to father.pt was brought in to the room.lied down couple of minutes.and rechecked blood pressure vitals after 10 minutes.pt has no more dizziness.pt head was checked for head injury.no hematoma palpated.pt discharged with er precautions.
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| 2850106 | 52 | M | 07/17/2025 |
UNK UNK |
UNKNOWN MANUFACTURER UNKNOWN MANUFACTURER |
Y019158 Y019158 |
Chills, Headache, Hyperhidrosis, Injection site erythema, Injection site pain; I...
Chills, Headache, Hyperhidrosis, Injection site erythema, Injection site pain; Injection site warmth, Pyrexia
More
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Received Prevnar 21 pneumonia vaccine two days ago (7/15), followed by redness, tenderness, and warm...
Received Prevnar 21 pneumonia vaccine two days ago (7/15), followed by redness, tenderness, and warmth at the left arm injection site along with symptoms of headache, chills, sweats, and fever peaking at 102๏ฟฝF, beginning a few hours post-vaccination. Redness has expanded some since the initial reaction. Differential diagnosis includes local injection site reaction versus cellulitis.
More
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| 2850107 | 21 | F | 07/17/2025 |
HEP |
DYNAVAX TECHNOLOGIES CORPORATION |
946888 |
Asthenia, Cold sweat, Dizziness, Pallor
Asthenia, Cold sweat, Dizziness, Pallor
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after injection became dizzy, weak, pale and clammy. Had lay down and elevated feet above head. Mo...
after injection became dizzy, weak, pale and clammy. Had lay down and elevated feet above head. Monitored for 30 minutes, bp 110/70 hr 70. Slowly recovered to a sitting position able to drink sips of water then to a standing position. Color returned to pink, no longer felt dizzy, weak or clammy
More
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| 2850108 | 1.08 | F | OH | 07/17/2025 |
HIBV IPV MMR PNC20 VARCEL |
SANOFI PASTEUR SANOFI PASTEUR MERCK & CO. INC. PFIZER\WYETH MERCK & CO. INC. |
UK227AC Y1A201M Y011484 LN4932 Y019319 |
No adverse event, Wrong product administered; No adverse event, Wrong product ad...
No adverse event, Wrong product administered; No adverse event, Wrong product administered; No adverse event, Wrong product administered; No adverse event, Wrong product administered; No adverse event, Wrong product administered
More
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Patient given Polio #4 when should have received another vaccine. Pt tolerated vaccine administratio...
Patient given Polio #4 when should have received another vaccine. Pt tolerated vaccine administration well, no symptoms of adverse reaction noted after administration. Parents waited with child in lobby for 15 minutes before departing and were informed of the error.
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| 2850109 | 4 | F | ID | 07/17/2025 |
DTAPIPV MMRV |
SANOFI PASTEUR MERCK & CO. INC. |
U7908AB Y013583 |
Injection site discolouration; Injection site discolouration
Injection site discolouration; Injection site discolouration
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With mom that it is uncertain which component of the vaccine she could be having a reaction to, but ...
With mom that it is uncertain which component of the vaccine she could be having a reaction to, but it does appear she is having a immune mediated side effect from the vaccine localized to the dermis of the left arm. Not appear to be in erythema multiforme and there is no evidence of Stevens-Johnson or other reaction there is no evidence of hives any respiratory complaints. Parents was given to the mother and that now that it is hyperpigmented and more vascular appearing it may take a while for it to go away.
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| 2850110 | 44 | F | OR | 07/17/2025 |
HPV9 |
MERCK & CO. INC. |
Z002580 |
Injection site swelling
Injection site swelling
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Patient reports a bump remaining on her arm where she received the vaccine.
Patient reports a bump remaining on her arm where she received the vaccine.
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| 2850111 | 14 | F | CA | 07/17/2025 |
HEP HEPA IPV TDAP |
GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS SANOFI PASTEUR GLAXOSMITHKLINE BIOLOGICALS |
3N2ND 42DM9 Y1A212M PG3RP |
Excessive eye blinking, Hypertonia, Loss of consciousness, Syncope, Vomiting; Ex...
Excessive eye blinking, Hypertonia, Loss of consciousness, Syncope, Vomiting; Excessive eye blinking, Hypertonia, Loss of consciousness, Syncope, Vomiting; Excessive eye blinking, Hypertonia, Loss of consciousness, Syncope, Vomiting; Excessive eye blinking, Hypertonia, Loss of consciousness, Syncope, Vomiting
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Patient arrived at clinic with her mother and 3 younger brothers for vaccines required for school. P...
Patient arrived at clinic with her mother and 3 younger brothers for vaccines required for school. Patient was sleepy on arrival, lying back on procedure bed with her eyes closed while waiting. Sat up and was alert during administration of vaccines. After the 4th vaccine was given (Hep B), band aids were being applied and pt slumped into nurse's arms from a sitting position; no fall or head trauma. Patient lost consciousness for approximately 10-15 seconds and then blinked awake. Patient stated, "I didn't realize I had fallen asleep", pt continued to blink rapidly and appeared to be dizzy but was able to answer questions and speak coherently. Instructed patient to remain seated and to lie back on the bed. Nurse asked patient if she had eaten anything that morning to which patient responded she did not. Nurse provided apple juice and goldfish crackers to patient and encouraged the patient to remain seated/lying down. Patient did not initially drink the juice or eat the crackers. 2-3 minutes after syncope patient then vomited a small amount x1. Patient remained lying back on the bed for approximately 15 minutes, in and out of sleep. Nurse was able to schedule a same day appointment with a doctor in the clinic. Prior to standing, Nurse had the patient drink a few sips of the apple juice, then sit up slowly and take some deep breaths before standing. Patient was evaluated by MD and suspected to have had a vasovagal syncope episode. Per Mother of child, patient had a similar episode approximately 1 year ago during hot weather. MD provided Pedialyte and patient stated she was feeling better. Return to clinic instructions provided to patient and mother. Mother verbalized understanding.
More
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| 2850112 | 67 | F | CA | 07/17/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
2HJ99 |
Dizziness, Haematemesis, Nausea
Dizziness, Haematemesis, Nausea
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Patient reported dizziness, nausea, and vomiting happened at home few hours after vaccination.
Patient reported dizziness, nausea, and vomiting happened at home few hours after vaccination.
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| 2850113 | 3 | M | TX | 07/17/2025 |
DTAP |
GLAXOSMITHKLINE BIOLOGICALS |
735sx2 |
Injection site erythema, Injection site warmth
Injection site erythema, Injection site warmth
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Redness noted to patient's left thigh approximately 5 inches in diameter and warm to touch. No ...
Redness noted to patient's left thigh approximately 5 inches in diameter and warm to touch. No other symptoms noted. Dad has given the patient benadryl.
More
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| 2850114 | 17 | F | MN | 07/17/2025 |
HPV9 MENB MNQ TDAP |
MERCK & CO. INC. NOVARTIS VACCINES AND DIAGNOSTICS SANOFI PASTEUR SANOFI PASTEUR |
Y013768 CD44A U8493AA U8389AA |
Head injury, Syncope, Vomiting; Head injury, Syncope, Vomiting; Head injury, Syn...
Head injury, Syncope, Vomiting; Head injury, Syncope, Vomiting; Head injury, Syncope, Vomiting; Head injury, Syncope, Vomiting
More
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pt syncopized after her 4th immunization - recovered quickly, goose-egg on forehead but otherwise al...
pt syncopized after her 4th immunization - recovered quickly, goose-egg on forehead but otherwise alright - zofran given after pt vomited
More
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| 2850115 | 0.5 | M | CA | 07/17/2025 |
DTPPVHBHPB PNC20 RV5 |
MSP VACCINE COMPANY PFIZER\WYETH MERCK & CO. INC. |
U8265AA LN4930 Z007575 |
Crying, Cyanosis, Hypotonia, Screaming; Crying, Cyanosis, Hypotonia, Screaming; ...
Crying, Cyanosis, Hypotonia, Screaming; Crying, Cyanosis, Hypotonia, Screaming; Crying, Cyanosis, Hypotonia, Screaming
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Infant was at home and woke up from nap crying and then became limp for 25 minutes with some cyanosi...
Infant was at home and woke up from nap crying and then became limp for 25 minutes with some cyanosis around the mouth, symptoms spontaneously resolved. Parents called 911 and patient was taken to the ER. He was found to be anemic at ER. He was discharged and followed up with his PCP. He has been referred to Cardiology. Dr. History Report: History of Present Illness The patient presents for evaluation of a brief resolved unexplained event (BRUE) and anemia. He is accompanied by his parents. Pale, limp event - About 2 hrs after receiving his vaccinations 2 days ago, he had a contact nap for approximately 1 hour and 20 minutes, which is typical for his afternoon rest. - Upon waking, he was screaming with his eyes closed. - His mother attempted to soothe him but noticed that he had turned pale and was limp. - His breathing was slow, and his lips had turned blue. - Mom tried to sit him up on her hip but couldn't, he was so limp. - She tried lying him down as if for a diaper change. He would normally grab his feet. Just limp. No eye contact but eyes at times open, lids at times droopy as if falling asleep. Not interacting but eyes not rolled back or deviated. - No stiffening movements. - This episode lasted about 25 minutes. - Called EMS. By the time the fire department arrived, his color had slightly improved, but his oxygen levels were low and he was crying faintly like a moan. - He was taken to the hospital where tests revealed severe anemia. Parents noted HR when crying was over 200. ED documented HR 153.
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| 2850116 | 11 | M | MI | 07/17/2025 |
HPV9 MENB TDAP |
MERCK & CO. INC. NOVARTIS VACCINES AND DIAGNOSTICS GLAXOSMITHKLINE BIOLOGICALS |
Z004534 2P77Y 793PT |
No adverse event, Wrong product administered; No adverse event, Wrong product ad...
No adverse event, Wrong product administered; No adverse event, Wrong product administered; No adverse event, Wrong product administered
More
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Patient was given Men B instead of MCV4. No reaction reported.
Patient was given Men B instead of MCV4. No reaction reported.
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| 2850117 | 50 | F | WA | 07/17/2025 |
VARZOS VARZOS VARZOS VARZOS |
GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS |
332l4 332l4 |
Injection site induration, Injection site rash, Skin warm; Injection site erythe...
Injection site induration, Injection site rash, Skin warm; Injection site erythema, Injection site pain, Injection site pruritus, Injection site warmth; Injection site induration, Injection site rash, Skin warm; Injection site erythema, Injection site pain, Injection site pruritus, Injection site warmth
More
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Patient reported a 2 inch circular rash which was warm to touch and hard under the skin about 2 days...
Patient reported a 2 inch circular rash which was warm to touch and hard under the skin about 2 days after injection
More
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| 2850118 | 14 | M | MT | 07/17/2025 |
TDAP |
GLAXOSMITHKLINE BIOLOGICALS |
MC7HK |
Wrong product administered
Wrong product administered
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Wrong vaccine administered. Tdap administered instead of second HPV.
Wrong vaccine administered. Tdap administered instead of second HPV.
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| 2850119 | 50 | F | GA | 07/17/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
3273h |
Burning sensation, Erythema, Pruritus, Swelling
Burning sensation, Erythema, Pruritus, Swelling
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07/04/25 large amount of swelling - about size of hand - very red, severe itching and burning. This ...
07/04/25 large amount of swelling - about size of hand - very red, severe itching and burning. This lasted for at least 4 days. As of 07/17/25 still about palm of hand sized swelling - not itching or burning now.
More
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| 2850120 | 73 | F | TX | 07/17/2025 |
PNC20 PNC20 |
PFIZER\WYETH PFIZER\WYETH |
LN4930 LN4930 |
Dermatitis, Erythema, Fatigue, Gait disturbance, Myalgia; Skin warm, Slow speech...
Dermatitis, Erythema, Fatigue, Gait disturbance, Myalgia; Skin warm, Slow speech, Somnolence, Swelling
More
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Muscle Aches, Fatigue, Drowsiness, Slow Speech, Shuffled Feet on Tuesday 07/15/2025, has improved. S...
Muscle Aches, Fatigue, Drowsiness, Slow Speech, Shuffled Feet on Tuesday 07/15/2025, has improved. Slight swelling, redness, warm to the touch, Dermatitis on set today 07/17/2025.
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| 2850121 | 80 | M | OK | 07/17/2025 |
PNC21 TDAP |
MERCK & CO. INC. SANOFI PASTEUR |
y019158 u8564aa |
Erythema, Induration, Pruritus, Swelling; Erythema, Induration, Pruritus, Swelli...
Erythema, Induration, Pruritus, Swelling; Erythema, Induration, Pruritus, Swelling
More
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Large local swelling that appeared 6 days after the injection with itching, erythma and induration
Large local swelling that appeared 6 days after the injection with itching, erythma and induration
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| 2850122 | 45 | F | GA | 07/17/2025 |
TDAP |
SANOFI PASTEUR |
U8353AA |
Arthralgia
Arthralgia
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SHOULDER PAIN DISCOMFORT
SHOULDER PAIN DISCOMFORT
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| 2850123 | 73 | F | PR | 07/17/2025 |
MNQ |
SANOFI PASTEUR |
u8438aa |
Myalgia, Pruritus, Rash
Myalgia, Pruritus, Rash
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Patient have pain in the deltoid area, topical rash and itching 24 hour after administration
Patient have pain in the deltoid area, topical rash and itching 24 hour after administration
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| 2850124 | 1.33 | F | CO | 07/17/2025 |
DTAP HIBV PNC20 |
GLAXOSMITHKLINE BIOLOGICALS SANOFI PASTEUR PFIZER\WYETH |
5KR3R UK198AA LN4930 |
Febrile convulsion; Febrile convulsion; Febrile convulsion
Febrile convulsion; Febrile convulsion; Febrile convulsion
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Febrile seizure 12 hours after administration. Resolved in 2 minutes.
Febrile seizure 12 hours after administration. Resolved in 2 minutes.
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| 2850125 | 1 | M | CA | 07/17/2025 |
MMR VARCEL |
GLAXOSMITHKLINE BIOLOGICALS MERCK & CO. INC. |
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Eczema; Eczema
Eczema; Eczema
|
Severe eczema that has lasted for years.
Severe eczema that has lasted for years.
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โ | |||||
| 2850126 | 56 | F | ID | 07/17/2025 |
PNC20 |
PFIZER\WYETH |
LK6655 |
Injection site swelling, Injection site warmth
Injection site swelling, Injection site warmth
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Pneumonia vaccine was received on 07/11/25. The next day the patient experienced swelling at the inj...
Pneumonia vaccine was received on 07/11/25. The next day the patient experienced swelling at the injection site as well as skin feeling hot. Treatment was prescribed. Keflex for a 7 day supply for four times a day if symptoms persist were to be taken.
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| 2850127 | 11 | M | MO | 07/17/2025 |
MNQ TDAP |
NOVARTIS VACCINES AND DIAGNOSTICS GLAXOSMITHKLINE BIOLOGICALS |
2JS53 H4279 |
Injection site rash, Injection site warmth; Injection site rash, Injection site ...
Injection site rash, Injection site warmth; Injection site rash, Injection site warmth
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Rash at injection site with local warmth
Rash at injection site with local warmth
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| 2850128 | 52 | F | CO | 07/17/2025 |
PNC20 PNC20 PNC20 VARZOS VARZOS VARZOS |
PFIZER\WYETH PFIZER\WYETH PFIZER\WYETH GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS |
LX4484 LX4484 LX4484 3X97J 3X97J 3X97J |
Areflexia, Blood test, Fall, Fatigue, Guillain-Barre syndrome; Hypoaesthesia, Lu...
Areflexia, Blood test, Fall, Fatigue, Guillain-Barre syndrome; Hypoaesthesia, Lumbar puncture, Magnetic resonance imaging spinal, Muscular weakness, Myalgia; Paraesthesia; Areflexia, Blood test, Fall, Fatigue, Guillain-Barre syndrome; Hypoaesthesia, Lumbar puncture, Magnetic resonance imaging spinal, Muscular weakness, Myalgia; Paraesthesia
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On 4/20/2025 I started to develop fatigue and muscle aches that worsened through the week which was ...
On 4/20/2025 I started to develop fatigue and muscle aches that worsened through the week which was followed by muscles weakness, numbness and tingling and ultimately a fall due to weakness with led being hospitalized and diagnosed Guillain Barre Syndrome at Hospital on 4/25/2025.
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| 2850129 | 1.92 | M | GA | 07/17/2025 |
PNC13 |
PFIZER\WYETH |
GG6263 |
Expired product administered
Expired product administered
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PCV 13 dose expired 05/31/2025, and expired dose was administered. Additional dose is required due t...
PCV 13 dose expired 05/31/2025, and expired dose was administered. Additional dose is required due to inefficiency of expired vaccine.
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| 2850166 | 5 | M | MO | 07/17/2025 |
VARCEL |
MERCK & CO. INC. |
Y015108 |
No adverse event, Product storage error
No adverse event, Product storage error
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no symptoms reported; received improperly stored VARIVAX; This spontaneous report was received from ...
no symptoms reported; received improperly stored VARIVAX; This spontaneous report was received from a nurse and refers to a patient of unknown age and gender. The patient's medical history was not reported. The patient's concurrent conditions were not reported. Concomitant therapies were not reported. On 19-Jun-2025, the patient was vaccinated with Varicella Virus Vaccine Live (Oka-Merck) (VARIVAX) injection 0.5 mL (lot# Y015108, expiration date: 06-Sep-2026; strength, route of administration and anatomical site were not reported) administered by a health professional for prophylaxis. The vaccine was reconstituted with sterile diluent (MERCK STERILE DILUENT) (dose, route of administration, lot # and expiration date were not reported). It was reported that the vaccine was administered after being improperly stored at 6.3 F for 16 minutes (Product storage error). No symptoms were reported (No adverse event). This is one of several reports received from the same reporter. Follow up information has been received from the nurse on 11-Jul-2025. This report referred to a 5-year-old male patient. On 19-Jun-2025, the patient also received Diphtheria vaccine toxoid;Pertussis vaccine acellular 3-component;Polio vaccine inact 3v (Vero);Tetanus vaccine toxoid (Kinrix). There had been no patient events occurring since the vaccination.
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| 2850167 | KS | 07/17/2025 |
MMR |
MERCK & CO. INC. |
Y015995 |
Device connection issue, Exposure via skin contact
Device connection issue, Exposure via skin contact
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the needle hub became loose and began leaking between the plastic hub and the syringe itself; HCP al...
the needle hub became loose and began leaking between the plastic hub and the syringe itself; HCP also reports that some of the liquid came in contact with the patients skin.; HCP also reports that some of the liquid came in contact with the patients skin.; the needle hub became loose and began leaking between the plastic hub and the syringe itself; HCP reports she is unsure if patient received the entire dose; needle hub/luer lock Adaptor (syringe hub) became loose; This spontaneous report was received from a nurse and refers to a(n) patient of unknown age and gender. The patient's medical history, concurrent conditions, and concomitant therapies were not reported. On 03-Jul-2025, the patient was vaccinated with Measles, Mumps, and Rubella (Wistar RA 27-3) Virus Vaccine, Live (M-M-R II), lot #Y015995, expiration date: 24-Sep-2026 (information established upon internal review, also reported as 25-Sep-2026), 0.5 mL administered by intramuscular route (anatomical location was not provided)) for prophylaxis (reported as: immunization against MMR). The vaccine was reconstituted with sterile diluent (MERCK STERILE DILUENT). On the same date, while administering reconstituted Measles, Mumps, and Rubella (Wistar RA 27-3) Virus Vaccine, Live (M-M-R II) using sterile diluent (MERCK STERILE DILUENT) syringe, the needle hub became loose and began leaking between the plastic hub and the syringe itself. It was confirmed that the luer lock Adaptor (syringe hub) became loose (Device connection loose, Syringe leak, Poor quality device used). HCP reported no issues with sterile diluent (MERCK STERILE DILUENT) syringe during preparation of dose. HCP reported that she was unsure if patient received the entire dose (Accidental underdose). HCP also reported that some of the liquid came in contact with the patient's skin (Accidental exposure to product, Exposure via skin contact). HCP was wearing gloves and therefore no contact was made with her skin. No symptoms report by patient at this time. HCP stated she has discarded the sterile diluent (MERCK STERILE DILUENT) syringe and was unable to provide photos. At the reporting time, the outcome of the events was unknown. The action taken with Measles, Mumps, and Rubella (Wistar RA 27-3) Virus Vaccine, Live and sterile diluent was not applicable.
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| 2850168 | M | VA | 07/17/2025 |
HPV9 HPV9 |
MERCK & CO. INC. MERCK & CO. INC. |
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Depressed level of consciousness, Inappropriate schedule of product administrati...
Depressed level of consciousness, Inappropriate schedule of product administration, Sluggishness; Depressed level of consciousness, Inappropriate schedule of product administration, Sluggishness
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Caller noted that her 14 year old son had received his 2nd shot for GARDASIL-9 around 23 months afte...
Caller noted that her 14 year old son had received his 2nd shot for GARDASIL-9 around 23 months after receiving the first dose; AE was filed as caller noted that her son had become depressed and sluggish, however, has since balance back out.; This spontaneous report was received from a consumer or other non health professional and refers to a 14-year-old male patient. The patient's medical history, concurrent conditions and concomitant therapies were not reported. On an unknown date, the patient was vaccinated with the first dose of Human Papillomavirus 9-valent Vaccine, Recombinant (GARDASIL 9 (dose, route of administration, vaccination site, lot # and expiration date were not reported) administered for prophylaxis. On an unknown date, around 23 months after receiving the first dose, the patient was vaccinated with the second dose of Human Papillomavirus 9-valent Vaccine, Recombinant (GARDASIL 9 (dose, route of administration, vaccination site, lot # and expiration date were not reported) administered for prophylaxis (inappropriate schedule of product administration) On 19-May-2025, the reporter's son had become depressed and sluggish. The outcome of the event was considered to be recovered since the reporter noted, that he had "since balance back out". No additional information was provided. No additional adverse event (AE) and no product quality complain (PQC) was noted. Lot # is being requested and will be submitted if received.
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| 2850169 | FL | 07/17/2025 |
VARCEL |
MERCK & CO. INC. |
Z004454 |
Product storage error
Product storage error
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Caller stated no patient symptoms have been reported.; medical assistant who reported VARIVAX involv...
Caller stated no patient symptoms have been reported.; medical assistant who reported VARIVAX involved in temperature excursion has been administered; This spontaneous report was received from a medical assistant on 14-Jul-2025 and refers to a patient of unknown age and gender. The patient's medical history, concurrent conditions and concomitant therapies were not reported. On 10-Jul-2025, the patient was vaccinated with an improperly stored dose of Varicella Virus Vaccine Live (Oka-Merck) (VARIVAX), vial (lot #Z004454, expiration date: 13-Feb-2027), 1 dose, (route, anatomical location, and dose number were not reported) Prophylaxis. The vaccine was reconstituted with sterile diluent (MERCK STERILE DILUENT) (route, lot# expiration date, dose, dose number were unspecified) for Prophylaxis. The administered dose of the vaccine experienced a temperature excursion of 36.5 Fahrenheit for 2 hours, 21 minutes and 5. With no Previous excursion was not reported. There was no adverse effect reported. No product quality complaint was involved. This is one of several reports from the same source.
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| 2850170 | TX | 07/17/2025 |
HPV9 |
MERCK & CO. INC. |
Y015179 |
No adverse event, Product storage error
No adverse event, Product storage error
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No symptoms reported; HCP reported administration of GARDASIL 9 that experienced two temperature exc...
No symptoms reported; HCP reported administration of GARDASIL 9 that experienced two temperature excursions; This spontaneous report was received from a Registered medical assistant 15-Jul-2025 and refers to a patient of unknown age and gender. The patient's medical history was not reported. The patient's concurrent conditions were not reported. Concomitant therapies were not reported. On 14-Jul-2025, the patient was vaccinated with an improperly stored dose of Human Papillomavirus 9-valent Vaccine, Recombinant (lot #Y015179, expiration date: 28-Jan-2027) prefilled syringe, dose: 0.5 mL (dose number, route and anatomical location was not reported) for prophylaxis (Product storage error). The administered dose of the vaccine experienced a temperature excursion of 47.3 Fahrenheit for 50 minutes and 24 seconds. Previous excursion was not reported as 47.5 Fahrenheit for 36 minutes and 51 seconds. There was no adverse effect reported. No product quality complaint was involved. This is one of several reports from the same source.
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| 2850171 | F | ID | 07/17/2025 |
HPV9 HPV9 HPV9 HPV9 HPV9 |
MERCK & CO. INC. MERCK & CO. INC. MERCK & CO. INC. MERCK & CO. INC. MERCK & CO. INC. |
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Agitation, Alopecia, Amnesia, Anxiety, Asthenia; Autoimmune thyroiditis, Brain f...
Agitation, Alopecia, Amnesia, Anxiety, Asthenia; Autoimmune thyroiditis, Brain fog, Decreased appetite, Depression, Dizziness; Eye pain, Fatigue, Headache, Hyperhidrosis, Hypothyroidism; Impaired work ability, Libido decreased, Loss of personal independence in daily activities, Mood swings, Palpitations; Temperature intolerance, Thyroid function test abnormal, Thyroiditis
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heart palpitations; autoimmune, autonomic, and neurological injuries; autoimmune, autonomic, and neu...
heart palpitations; autoimmune, autonomic, and neurological injuries; autoimmune, autonomic, and neurological injuries; headache; diaphoresis; instability, dizziness,; loss of appetite; anxiety, agitations,; ocular pain; Hashimoto's Disease and Thyroiditis, depression, brain fog, memory loss, low sex drive, cold intolerance, hair loss, extreme mood swings, and severe weakness, hypothyroidism; This initial spontaneous report has been received from a lawyer regarding a case in litigation, concerning a 25-year-old female patient (pt). The pt's pertinent medical history, concurrent conditions, concomitant medications and previous drug reactions, or allergies were not reported. On an unknown date, the pt was vaccinated with the first (when she was 25 years old) and second (when she was 26 years old) doses of quadrivalent human papillomavirus (types 6,11,16,18) recomb. vaccine (GARDASIL) (dose, vaccination scheme, route of administration, anatomical location lot number and expiration date were not provided), administered for preventing cervical cancer. The pt experienced serious and debilitating injuries, including but not limited to autoimmune, autonomic, and neurological injuries. It was reported that on an unknown date (reported as following her first quadrivalent human papillomavirus (types 6,11,16,18) recomb. vaccine (GARDASIL) injection), the pt began to experience headaches, heart palpitations, diaphoresis, instability, dizziness, loss of appetite, extreme fatigue, anxiety, agitations, depression, brain fog, memory loss, low sex drive, cold intolerance, hair loss, ocular pain, extreme mood swings, and severe weakness. The pt reached out to her primary care provider and had bloodwork performed. Her thyroid test came back abnormal, and she was urgently referred to an endocrinologist. In December 2022, the pt was diagnosed with hypothyroidism. After multiple visits with the endocrinologist and extensive thyroid testing, she was ultimately diagnosed with Hashimoto's Disease and Thyroiditis in July 2023. As the months progressed, so did pt's injuries. She was seen by multiple physicians and specialists for her complaints which now included: hypothyroidism, headaches, heart palpitations, diaphoresis, instability, dizziness, loss of appetite, extreme fatigue, anxiety, agitations, depression, brain fog, memory loss, low sex drive, cold intolerance, hair loss, ocular pain, extreme mood swings, and severe weakness. The pt continued to experience daily fatigue, memory loss, and depression, which were made worse during a Hashimoto flare-up. The pt was on thyroid medication and continued to see multiple providers. She had also enrolled in numerous outpatient programs. As a result of her post- quadrivalent human papillomavirus (types 6,11,16,18) recomb. vaccine (GARDASIL) symptoms, the pt had been unable to engage in activities that a normal young person would enjoy. Following her quadrivalent human papillomavirus (types 6,11,16,18) recomb. vaccine (GARDASIL) injection, the pt experienced symptoms that negatively affected her career, ultimately leading to her discharge. Additionally, pt's symptoms had also made it challenging to keep up with her responsibilities for her child and her job at a veterinary clinic. Furthermore, the pt was unable to complete her typical weekly 5k runs or participate in the various sports she once enjoyed prior to receiving the quadrivalent human papillomavirus (types 6,11,16,18) recomb. vaccine (GARDASIL) injections. The pt contended that her quadrivalent human papillomavirus (types 6,11,16,18) recomb. vaccine (GARDASIL) injections caused her to develop serious and debilitating autoimmune and neurological injuries, including but not limited to Hashimoto's Disease and thyroiditis, as well as a constellation of adverse symptoms, complications, injuries, and other adverse events, many of which were alleged herein and all of which were caused by quadrivalent human papillomavirus (types 6,11,16,18) recomb. vaccine (GARDASIL) or otherwise linked to her quadrivalent human papillomavirus (types 6,11,16,18) recomb. vaccine (GARDASIL)-induced autoimmune disorder. As a proximate result of the company's alleged wrongful acts and quadrivalent human papillomavirus (types 6,11,16,18) recomb. vaccine (GARDASIL) manufacturing defects, pt suffered and continued to suffer severe and permanent physical injuries and associated symptomology and suffered severe and permanent emotional injuries, including pain and suffering. Also, she had a substantial fear of suffering additional and ongoing harms, including but not limited to now being at an increased risk of cancer, and future symptoms and harms associated with his autoimmune disease and other injuries caused by quadrivalent human papillomavirus (types 6,11,16,18) recomb. vaccine (GARDASIL). As a direct and proximate result of her quadrivalent human papillomavirus (types 6,11,16,18) recomb. vaccine (GARDASIL)-induced injuries, she suffered and continued to suffer economic losses, including considerable financial expenses for medical care and treatment, and diminished income capacity, and she would continue to incur those losses and expenses in the future. At the time of reporting, the pt had not recovered from the events. The reporter considered all the aforementioned events to be related to quadrivalent human papillomavirus (types 6,11,16,18) recomb. vaccine (GARDASIL). The events Hashimoto's disease, anxiety, autonomic nervous system imbalance, decreased appetite, diaphoresis, dizziness, headache, ocular pain, palpitations and neurological disorder, were considered disabling by the reporter.
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| 2850172 | M | CA | 07/17/2025 |
HEP |
DYNAVAX TECHNOLOGIES CORPORATION |
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Incorrect route of product administration, No adverse event
Incorrect route of product administration, No adverse event
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Accidentally Gave the HEPLISAV-B SubQ Instead of IM; Initial report received on 01-Jul-2025. A phar...
Accidentally Gave the HEPLISAV-B SubQ Instead of IM; Initial report received on 01-Jul-2025. A pharmacist reported that a 26-year-old male received HEPLISAV-B (hepatitis B vaccine) for hepatitis B immunization subcutaneously instead of intramuscularly. No medical history or concomitant medications were reported. On 30-May-2025, the patient received dose 1 of a hepatitis B vaccine [HEPLISAV-B (lot number, expiration date, NDC number, route, and site not available)]. On 30-Jun-2025, the patient received dose 2 of a hepatitis B vaccine [HEPLISAV-B (lot number 946062, expiration date 18-May-2027, and NDC number 43528-003-05)] subcutaneously in the right arm. No side effects were reported. No additional information was reported. Company Comment: The company assessed the event as non-serious.; Sender's Comments: The company assessed the event as non-serious.
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| 2850173 | F | IN | 07/17/2025 |
HEP |
DYNAVAX TECHNOLOGIES CORPORATION |
945665 |
Yellow skin
Yellow skin
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Arm is Yellow on the Underside Both Above the Elbow and Bellow the Elbow; Initial report received on...
Arm is Yellow on the Underside Both Above the Elbow and Bellow the Elbow; Initial report received on 03-Jul-2025. A pharmacist reported that a female patient received HEPLISAV-B (hepatitis B vaccine) for hepatitis B immunization and the patient's underside of her arm both above and below the elbow was yellow. No medical history or concomitant medications were reported. On 02-Jul-2025, the patient received a dose of a hepatitis B vaccine HEPLISAV-B (lot number 945665, expiration date 03-Jan-2027, and NDC number 43528-0003-05; site not available) intramuscularly. On 03-Jul-2025, 1 day after receiving HEPLISAV-B, the patient reported her arm is yellow on the underside both above and below the elbow. No other adverse effects were reported. No other information was available. Company Comment: The company assessed the event as non-serious.; Sender's Comments: The company assessed the event as non-serious.
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| 2850174 | NM | 07/17/2025 |
HEP |
DYNAVAX TECHNOLOGIES CORPORATION |
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Incomplete course of vaccination, No adverse event
Incomplete course of vaccination, No adverse event
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Received First Dose And It Has Been More Than One Month; Initial report received on 03-Jul-2025. A ...
Received First Dose And It Has Been More Than One Month; Initial report received on 03-Jul-2025. A pharmacist reported that a patient received HEPLISAV-B (hepatitis B vaccine) for hepatitis B immunization and has not received the next dose more than one month later. No medical history or concomitant medications were reported. On 28-May-2025, the patient received dose 1 of a hepatitis B vaccine [HEPLISAV-B (lot number, expiration date, NDC number, route, and site not available)]. On 03-Jul-2025, 37 days after receiving the first dose of HEPLISAV-B, the reporter noted that more than one month had passed since the patient's first injection. No adverse reactions were reported. The reporter declined to provide further information. Company Comment: The company assessed the event as non-serious.; Sender's Comments: The company assessed the event as non-serious.
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| 2850175 | 52 | F | OH | 07/17/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
73pp9 |
Expired product administered
Expired product administered
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vaccinated on 7 JUL 2025 in the left arm with SHINGRIX/product expired 30 MAY 2024; This non-serious...
vaccinated on 7 JUL 2025 in the left arm with SHINGRIX/product expired 30 MAY 2024; This non-serious case was reported by a nurse via call center representative and described the occurrence of expired vaccine used in a 52-year-old female patient who received Herpes zoster (Shingrix) (batch number 73pp9, expiry date 30-MAY-2024) for prophylaxis. On 07-JUL-2025, the patient received Shingrix (intramuscular, left arm) .5 ml. On 07-JUL-2025, an unknown time after receiving Shingrix, the patient experienced expired vaccine used (Verbatim: vaccinated on 7 JUL 2025 in the left arm with SHINGRIX/product expired 30 MAY 2024). The outcome of the expired vaccine used was not applicable. Additional Information: GSK receipt date: 07-JUL-2025 HCP was the reporter. Stated that a patient was vaccinated on 7th July 2025 in the left arm with Shingrix. HCP stated that the product expired on 30th May 2024, which led to expired vaccine used. No further information was provided/obtained.
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| 2850176 | M | FL | 07/17/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
UNK |
Incomplete course of vaccination
Incomplete course of vaccination
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received first dose of Shingrix in 2023 and has not yet had 2nd dose; This non-serious case was repo...
received first dose of Shingrix in 2023 and has not yet had 2nd dose; This non-serious case was reported by a consumer via call center representative and described the occurrence of incomplete course of vaccination in a male patient who received Herpes zoster (Shingrix) for prophylaxis. Previously administered products included Shingrix (1st dose of Shingrix received intramuscularly in 2023). On an unknown date, the patient did not receive the 2nd dose of Shingrix. The patient experienced incomplete course of vaccination (Verbatim: received first dose of Shingrix in 2023 and has not yet had 2nd dose). The outcome of the incomplete course of vaccination was not applicable. Additional Information: GSK receipt date: 08-JUL-2025 The patient received his first dose of Shingrix in 2023 and had not yet had his 2nd dose which led to incomplete course of vaccination.
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