| ID | Age | Sex | State | Date โผ | Onset Days | Vaccine | Manufacturer | Lot # | Symptoms | Narrative | ๐ | ๐ฅ | ๐ | โฟ | โ ๏ธ |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2848623 | 77 | M | MI | 07/07/2025 |
HEP |
DYNAVAX TECHNOLOGIES CORPORATION |
945663 |
Injection site pruritus
Injection site pruritus
|
Site: Itching at Injection Site-Medium
Site: Itching at Injection Site-Medium
|
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| 2848624 | 15 | F | IL | 07/07/2025 |
COVID19 |
PFIZER\BIONTECH |
ME6072 |
Dizziness, Syncope, Unresponsive to stimuli
Dizziness, Syncope, Unresponsive to stimuli
|
Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Severe
Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Severe
|
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| 2848625 | 78 | F | CA | 07/07/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
33f03 |
Injection site erythema, Injection site pain, Injection site pruritus
Injection site erythema, Injection site pain, Injection site pruritus
|
Site: Itching at Injection Site-Mild, Site: Redness at Injection Site-Medium, Additional Details: Pa...
Site: Itching at Injection Site-Mild, Site: Redness at Injection Site-Medium, Additional Details: Patient reports itching and tenderness near injection site. Near injection site is red
More
|
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| 2848626 | 62 | F | CA | 07/07/2025 |
VARZOS VARZOS |
GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS |
33fd3 33fd3 |
Arthralgia, Burning sensation, Injection site pain, Injection site swelling, Los...
Arthralgia, Burning sensation, Injection site pain, Injection site swelling, Loss of personal independence in daily activities; Pain in extremity, Sleep disorder
More
|
Site: Pain at Injection Site-Medium, Site: Swelling at Injection Site-Medium, Systemic: Joint Pain-M...
Site: Pain at Injection Site-Medium, Site: Swelling at Injection Site-Medium, Systemic: Joint Pain-Medium, Systemic: Unable to Sleep-Mild, Additional Details: pt describes pain and burning up and down her injection arm from wrist to shoulder making it difficult to sleep and function after 1st dose. has md appt on 6/30/2025
More
|
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| 2848627 | 39 | F | IL | 07/07/2025 |
HPV9 |
MERCK & CO. INC. |
y013469 |
Injection site erythema, Injection site swelling, Injection site warmth
Injection site erythema, Injection site swelling, Injection site warmth
|
Site: Redness at Injection Site-Medium, Site: Swelling at Injection Site-Medium, Systemic: warm to t...
Site: Redness at Injection Site-Medium, Site: Swelling at Injection Site-Medium, Systemic: warm to touch the area-Mild, Additional Details: This was a delayed reaction, but was at the actual injection site, so her primary dr told her to have us report it.
More
|
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| 2848628 | 24 | F | TN | 07/07/2025 |
HEP |
DYNAVAX TECHNOLOGIES CORPORATION |
946062 |
Dizziness
Dizziness
|
Systemic: Dizziness / Lightheadness-Medium, Additional Details: Vaccination given and patient discha...
Systemic: Dizziness / Lightheadness-Medium, Additional Details: Vaccination given and patient discharged to waiting room. Patient came back saying she felt like was going to pass out. Patient was laid down on exam table and BP taken was 82/50. Water given to patient and she said that she was feeling better and BP was 94/68. Waiting a few more minutes after and BP was checked again with patient sitting on edge of bed and was 102/76. Symptoms resolved and patient discharged.
More
|
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| 2848629 | 70 | F | PA | 07/07/2025 |
PNC20 |
PFIZER\WYETH |
lj5280 |
Injected limb mobility decreased, Injection site pain
Injected limb mobility decreased, Injection site pain
|
Site: Pain at Injection Site-Medium, Additional Details: Still having muscular pain in left deltoid....
Site: Pain at Injection Site-Medium, Additional Details: Still having muscular pain in left deltoid. Has trouble reaching behind to her back as well as lifting her arm up. She states that this has continued ever since she got the vaccine. She has not spoken to her doctor about this issue. Recommended that she reach out to doctor to discuss the problem and to get a workup to determine severity of issue, Other Vaccines: VaccineTypeBrand: Comirnaty; Manufacturer: Pfizer; LotNumber: LN0589; Route: Intramuscular; BodySite: Left arm; Dose: ; VaxDate: UNKNOWN
More
|
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| 2848630 | 19 | F | CA | 07/07/2025 |
MENB |
NOVARTIS VACCINES AND DIAGNOSTICS |
a274j |
Dizziness, Face injury, Syncope, Tremor
Dizziness, Face injury, Syncope, Tremor
|
Systemic: Dizziness / Lightheadness-Mild, Systemic: Shakiness-Mild, Additional Details: pt recived v...
Systemic: Dizziness / Lightheadness-Mild, Systemic: Shakiness-Mild, Additional Details: pt recived vaccine and sat down after gave both parents two vaccines each thereafter so good 5 minutes time lapsed. mom asked pt to come in and change out the bandage. bandaged changed out by rxist and thats when pt fainted forward hitting door with face and went down face down. called 911 immediately. while waiting for them pt was alert and aware. first responders came and assessed pt and refused to go to hospital citing she was ok, aware, coherent and cognizant of what happened. pt and parent
More
|
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| 2848631 | 51 | F | FL | 07/07/2025 |
PNC21 PNC21 |
MERCK & CO. INC. MERCK & CO. INC. |
Y019157 Y019157 |
Erythema, Injection site erythema, Injection site pain, Injection site swelling,...
Erythema, Injection site erythema, Injection site pain, Injection site swelling, Peripheral swelling; Product administered at inappropriate site, Rash
More
|
Site: Pain at Injection Site-Medium, Site: Redness at Injection Site-Medium, Site: Swelling at Injec...
Site: Pain at Injection Site-Medium, Site: Redness at Injection Site-Medium, Site: Swelling at Injection Site-Medium, Systemic: Allergic: Rash (specify: facial area, extremeties)-Medium, Systemic: Allergic: Rash Generalized-Medium, Additional Details: Patient reports having a red swollen arm and visited the urgent care to receive antibiotics in order to help in case there is an infection on top of the allergic reaction. Patient states that the injection was given lower than usual and started having an allergic reaction a day or so later. The arm is red and swollen.
More
|
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| 2848632 | 67 | M | AL | 07/07/2025 |
VARZOS VARZOS |
GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS |
5Y4TL 5Y4TL |
Angioedema, Chest discomfort, Chest pain, Condition aggravated, Dyspnoea; Fatigu...
Angioedema, Chest discomfort, Chest pain, Condition aggravated, Dyspnoea; Fatigue, Injection site pain, Lethargy, Myalgia, Nausea
More
|
Site: Pain at Injection Site-Severe, Systemic: Chest Tightness / Heaviness / Pain-Medium, Systemic: ...
Site: Pain at Injection Site-Severe, Systemic: Chest Tightness / Heaviness / Pain-Medium, Systemic: Exhaustion / Lethargy-Severe, Systemic: Fever-Mild, Systemic: SHORTNESS OF BREATH MUSCLE ACHES-Medium, Systemic: Nausea-Severe, Additional Details: SHORTNESS OF BREATH AND CHEST PAIN HAD BEEN PRESENT PRIOR TO VACCINE, Other Vaccines: VaccineTypeBrand: COVID; Manufacturer: PFIZER; LotNumber: ME6072; Route: INTRAMUSCULAR; BodySite: RIGHT ARM; Dose: UNKNOWN; VaxDate: 06/30/2025
More
|
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| 2848633 | 16 | F | SC | 07/07/2025 |
MENB MENB |
NOVARTIS VACCINES AND DIAGNOSTICS NOVARTIS VACCINES AND DIAGNOSTICS |
zkp4 zkp4 |
Dizziness, Flushing, Headache, Hyperhidrosis, Loss of consciousness; Nausea, Syn...
Dizziness, Flushing, Headache, Hyperhidrosis, Loss of consciousness; Nausea, Syncope, Tremor, Unresponsive to stimuli
More
|
Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Severe, Systemic: Flus...
Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Severe, Systemic: Flushed / Sweating-Medium, Systemic: Headache-Medium, Systemic: Nausea-Medium, Systemic: Shakiness-Medium, Additional Details: passed out after receiving both vaccines
More
|
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| 2848635 | 69 | F | TX | 07/07/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
TS525 |
Injection site erythema, Injection site pain, Injection site swelling
Injection site erythema, Injection site pain, Injection site swelling
|
Site: Pain at Injection Site-Mild, Site: Redness at Injection Site-Mild, Site: Swelling at Injection...
Site: Pain at Injection Site-Mild, Site: Redness at Injection Site-Mild, Site: Swelling at Injection Site-Mild
More
|
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| 2848636 | 26 | M | CA | 07/07/2025 |
TDAP TDAP |
GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS |
h4279 h4279 |
Injection site bruising, Injection site erythema, Injection site mass, Injection...
Injection site bruising, Injection site erythema, Injection site mass, Injection site pain, Injection site pruritus; Injection site swelling
More
|
Site: Bruising at Injection Site-Mild, Site: Itching at Injection Site-Mild, Site: Pain at Injection...
Site: Bruising at Injection Site-Mild, Site: Itching at Injection Site-Mild, Site: Pain at Injection Site-Medium, Site: Redness at Injection Site-Medium, Site: Swelling at Injection Site-Mild, Additional Details: pt came in 6/30/25 for us to examine arm post vaccine, reported pain, swelling,redness and lump near injection. upon examination, small 1inch mildly red bump, counseled pt this is common site reaction post vaccines, recommened ice, tylenol, advil, and monitering, if red patch grows, pain increases, fever/chills, pus or signs of infection, contact md, pt will f/u with us within couple of days
More
|
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| 2848637 | 23 | F | MD | 07/07/2025 |
TDAP |
GLAXOSMITHKLINE BIOLOGICALS |
KR75K |
Malaise, Syncope, Unresponsive to stimuli
Malaise, Syncope, Unresponsive to stimuli
|
Systemic: Fainting / Unresponsive-Mild, Additional Details: 10 min after tdap vaccine pt was walking...
Systemic: Fainting / Unresponsive-Mild, Additional Details: 10 min after tdap vaccine pt was walking out of Target store when she told her mom she didn't feel well. Mom and customer guided her to sit on floor. She fainted once on floor. She came to within 30 seconds. Customer called 911. Target called code green and came to alert RPh. Pt did not go in ambulance but was checked by EMT. She said she had not eaten all day and felt better and was going to get dinner. Have not been able to reach her for more follow up.
More
|
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| 2848638 | 50 | M | SC | 07/07/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
5y4tl |
Injection site pain
Injection site pain
|
Site: Pain at Injection Site-Severe, Other Vaccines: VaccineTypeBrand: tdap; Manufacturer: GSK; Lot...
Site: Pain at Injection Site-Severe, Other Vaccines: VaccineTypeBrand: tdap; Manufacturer: GSK; LotNumber: h4279; Route: Intramuscular; BodySite: Right Arm; Dose: ; VaxDate: UNKNOWN
More
|
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| 2848640 | 73 | F | SC | 07/07/2025 |
TDAP TDAP |
GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS |
37r35 37r35 |
Injection site bruising, Injection site erythema, Injection site pruritus, Injec...
Injection site bruising, Injection site erythema, Injection site pruritus, Injection site swelling, Injection site warmth; Pruritus
More
|
Site: Itching at Injection Site-Mild, Site: Redness at Injection Site-Mild, Site: Swelling at Inject...
Site: Itching at Injection Site-Mild, Site: Redness at Injection Site-Mild, Site: Swelling at Injection Site-Mild, Systemic: Allergic: Itch Generalized-Mild, Systemic: Allergic: Rash Generalized-Mild, Additional Details: pt states where her injection was it was warm and swollen a little and red, the swelling did go down and there is till some mild itching and a bruise above the injection site pt is ok and did not have any other diffciulties
More
|
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| 2848641 | 77 | F | MI | 07/07/2025 |
VARZOS VARZOS |
GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS |
3273h 3273h |
Injection site erythema, Injection site pruritus, Injection site swelling, Perip...
Injection site erythema, Injection site pruritus, Injection site swelling, Peripheral swelling, Pruritus; Rash, Swelling, Swelling face
More
|
Site: Itching at Injection Site-Medium, Site: Redness at Injection Site-Medium, Site: Swelling at In...
Site: Itching at Injection Site-Medium, Site: Redness at Injection Site-Medium, Site: Swelling at Injection Site-Medium, Systemic: Allergic: Itch (specify: facial area, extremeties)-Medium, Systemic: Allergic: Itch Generalized-Medium, Systemic: Allergic: Rash (specify: facial area, extremeties)-Medium, Systemic: Allergic: Rash Generalized-Medium, Systemic: Allergic: Swelling of Face / Eyes / Mouth / Tongue-Medium, Additional Details: MD claimed patient had swelling on arm, shoulder, face, and MD insisted it was from vaccine and nothing else, patient experienced symtoms few days post vaccines. MD claims patient presented to pharmacy 6/12/25 and filling rph said symptoms were not due to vaccine.
More
|
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| 2848642 | 88 | F | NV | 07/07/2025 |
VARZOS VARZOS |
GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS |
75d3a 75d3a |
Fatigue, Injection site erythema, Injection site pain, Injection site swelling, ...
Fatigue, Injection site erythema, Injection site pain, Injection site swelling, Lethargy; Pain, Pyrexia
More
|
Site: Pain at Injection Site-Mild, Site: Redness at Injection Site-Medium, Site: Swelling at Injecti...
Site: Pain at Injection Site-Mild, Site: Redness at Injection Site-Medium, Site: Swelling at Injection Site-Medium, Systemic: Body Aches Generalized-Mild, Systemic: Exhaustion / Lethargy-Mild, Systemic: Fever-Medium
More
|
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| 2848643 | 81 | F | NC | 07/07/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
E754F |
Injection site pain, Injection site swelling, Pain
Injection site pain, Injection site swelling, Pain
|
On 7/7 during an outreach call, the patient stated that she experienced the most painful vaccine on ...
On 7/7 during an outreach call, the patient stated that she experienced the most painful vaccine on 6/13/25. She stated that she had an approx 3 inch circle of swelling for approx 1 week and continues to have swelling and pain when lifting arm and an approx 1 and 3/4 inch hard swollen spot where administered. She alleges the vaccine was administered too low on the arm.
More
|
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| 2848645 | 0.17 | F | 07/07/2025 |
HPV9 HPV9 HPV9 HPV9 |
MERCK & CO. INC. MERCK & CO. INC. MERCK & CO. INC. MERCK & CO. INC. |
Y015599 Y015599 y015599 y015599 |
Product administered to patient of inappropriate age, Wrong product administered...
Product administered to patient of inappropriate age, Wrong product administered; No adverse event, Product administered to patient of inappropriate age; Product administered to patient of inappropriate age, Wrong product administered; No adverse event, Product administered to patient of inappropriate age
More
|
Patient was given the HPV vaccine by mistake. Provider notified parent that the wrong shot was give...
Patient was given the HPV vaccine by mistake. Provider notified parent that the wrong shot was given Later in the afternoon and the physician was on call this weekend and didn't have any calls from the parent to say that anything had developed.
More
|
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| 2848646 | 90 | M | IA | 07/07/2025 |
COVID19 |
MODERNA |
3043838 |
Death
Death
|
Resident passed away
Resident passed away
|
โ | |||||
| 2848647 | 2 | M | AL | 07/07/2025 |
DTAPIPV |
GLAXOSMITHKLINE BIOLOGICALS |
42Y93 |
Product administered to patient of inappropriate age
Product administered to patient of inappropriate age
|
On 2/24/2025, approximately 8:15am, a 2 year old patient received a dose of Kinrix ( DTaP & IPV ...
On 2/24/2025, approximately 8:15am, a 2 year old patient received a dose of Kinrix ( DTaP & IPV ) , which is for ages 4-6 years. Kinrix is incorrect for age, although immunization registry accepts dose as valid.
More
|
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| 2848648 | 10 | F | ME | 07/07/2025 |
HPV9 TDAP |
MERCK & CO. INC. GLAXOSMITHKLINE BIOLOGICALS |
Y013407i 7KD5B |
Dizziness, Face injury, Tunnel vision, Unresponsive to stimuli; Dizziness, Face ...
Dizziness, Face injury, Tunnel vision, Unresponsive to stimuli; Dizziness, Face injury, Tunnel vision, Unresponsive to stimuli
More
|
Patient was given two vaccines, one in each arm, given one at a time. Approximately 10 minutes after...
Patient was given two vaccines, one in each arm, given one at a time. Approximately 10 minutes after getting the vaccines, patient left the exam room and proceeded to the check out window. She was trying to get to the chair and missed. They yelled for the RN and when she ran out to help, the patient had already dropped to the floor. It appeared she went down, landed on her chest, then the left side of her face hit the floor. When the RN got to her, her eyes were open wide, but, she did not seem super responsive. But, came back quickly. She was moved to the chair for a minute by Dr. and mom. We then took her to exam room one, She lied down, legs elevated, cool cloth on forehead, BP and pulse taken (WNL). Monitored her for 15 minutes till safe to leave. Patient said when she started to pass out, her vision became dark and tunnel like.
More
|
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| 2848649 | 23 | F | MO | 07/07/2025 |
IPV |
SANOFI PASTEUR |
y1a212m |
No adverse event, Wrong product administered
No adverse event, Wrong product administered
|
was meant to be a TB test and nurse drew up 0.1 of Polio and not TB-- no reaction on patient
was meant to be a TB test and nurse drew up 0.1 of Polio and not TB-- no reaction on patient
|
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| 2848650 | 16 | M | GA | 07/07/2025 |
MNQ |
SANOFI PASTEUR |
U8256AB-CP |
Cold sweat, Hypotension, Nausea, Pallor, Syncope
Cold sweat, Hypotension, Nausea, Pallor, Syncope
|
Pt. had a syncopal episode shorty after injection at 11:29 am. This happened once to the patient in ...
Pt. had a syncopal episode shorty after injection at 11:29 am. This happened once to the patient in the past when he was getting his blood drawn. Pt. stayed in seat, but episode lasted around 10 seconds. Pt. came to and experienced clamminess, pale skin, low BP and nausea. Patient sat about 15 minutes and condition improved back to baseline.
More
|
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| 2848651 | 29 | M | UT | 07/07/2025 |
COVID19 |
MODERNA |
3043823 |
Expired product administered, No adverse event
Expired product administered, No adverse event
|
Gave 7 days after the assigned expiration date. No adverse events were reported.
Gave 7 days after the assigned expiration date. No adverse events were reported.
|
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| 2848652 | 64 | F | 07/07/2025 |
COVID19 |
MODERNA |
3043823 |
Expired product administered, No adverse event
Expired product administered, No adverse event
|
Gave 7 days after the assigned expiration date, no adverse events reported.
Gave 7 days after the assigned expiration date, no adverse events reported.
|
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| 2848653 | F | MO | 07/07/2025 |
UNK |
UNKNOWN MANUFACTURER |
|
Jaundice, Yellow skin
Jaundice, Yellow skin
|
after getting the vitamin K shot, our baby got jaundice. When she was born she had no yellow colorin...
after getting the vitamin K shot, our baby got jaundice. When she was born she had no yellow coloring, but a little bit after the vitamin K shot, she got yellowish hue that lasted for several days.
More
|
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| 2848654 | 58 | F | NC | 07/07/2025 |
PNC21 |
MERCK & CO. INC. |
z004302 |
Heart rate increased, Injection site pain, Injection site swelling
Heart rate increased, Injection site pain, Injection site swelling
|
patient described pain and swelling at injection site, rapid heartbeat requiring er visit and medica...
patient described pain and swelling at injection site, rapid heartbeat requiring er visit and medications
More
|
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| 2848655 | 80 | F | TX | 07/07/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
35a77 |
Drug abuse, Pyrexia, Rash, Rash pruritic
Drug abuse, Pyrexia, Rash, Rash pruritic
|
the patient received the second shingles shot on 6/24/25. she called the pharmacy on 7/7/5 to report...
the patient received the second shingles shot on 6/24/25. she called the pharmacy on 7/7/5 to report that she had rash all over her body and her eyelid a eek after she received the second shingles shot. she also had a low grade fever. patient still having itchy rash on her body and she will see a doctor on 7/9/2025
More
|
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| 2848656 | 3 | M | MA | 07/07/2025 |
DTAP |
GLAXOSMITHKLINE BIOLOGICALS |
5KR3R |
Injection site erythema, Injection site pruritus, Injection site swelling
Injection site erythema, Injection site pruritus, Injection site swelling
|
Localized erythema and swelling at injection site that grew to extend past the left elbow. Itching a...
Localized erythema and swelling at injection site that grew to extend past the left elbow. Itching also noted. Oral Zyrtec administered with positive effect- reduction in symptoms noted.
More
|
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| 2848657 | 0.33 | F | PA | 07/07/2025 |
DTAPIPV DTAPIPV DTAPIPV DTAPIPV |
GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS |
5G23D 5G23D |
No adverse event, Product administered to patient of inappropriate age; Crying, ...
No adverse event, Product administered to patient of inappropriate age; Crying, Pyrexia; No adverse event, Product administered to patient of inappropriate age; Crying, Pyrexia
More
|
Kinrix vaccine was administered off label to infant. No adverse events or outcomes to date.
Kinrix vaccine was administered off label to infant. No adverse events or outcomes to date.
|
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| 2848658 | 0.33 | F | AZ | 07/07/2025 |
HEP HEP HEP |
MERCK & CO. INC. MERCK & CO. INC. MERCK & CO. INC. |
Y014090 Y014090 Y014090 |
Blood test normal, Cyanosis, Electroencephalogram normal, Eye movement disorder,...
Blood test normal, Cyanosis, Electroencephalogram normal, Eye movement disorder, Gaze palsy; Hypertonia, Lumbar puncture normal, Opisthotonus, Seizure like phenomena, Ultrasound head normal; Urine analysis normal
More
|
Patient had seizure like activity in pediatrician office after vaccine was administered (arms raised...
Patient had seizure like activity in pediatrician office after vaccine was administered (arms raised up and something "in her eye", lasted 15 seconds). Had second episode of seizure like activity at home (similar characteristics but eyes rolled back, lasted 3-5 seconds). Taken to ER. Normal exam in ER with Neurology consulted. Discharged home. Immediately after discharge, patient had third episode of seizure like activity (patient was back arching/eyes deviated to left, increase tone, color change (blue/purple), lasted 7 seconds). Went back into the ER. Fourth episode noted by ER provider (similar characteristics to above instances. Keppra load IV started and transfered to hospital. Hospitalized for 2 days. Imaging and workup done. Discharged home. Started on outpatient Keppra. Set to see PCH Neurology on 7/8/25. Saw pediatrician for ER/Hospitalization follow up on 7/1/25.
More
|
โ | |||||
| 2848659 | 16 | F | GA | 07/07/2025 |
HPV9 HPV9 MNQ MNQ |
MERCK & CO. INC. MERCK & CO. INC. SANOFI PASTEUR SANOFI PASTEUR |
X026668 X026668 U8361AA U8361AA |
Cold sweat, Dizziness, Hypoacusis, Loss of consciousness, Nausea; Syncope, Visio...
Cold sweat, Dizziness, Hypoacusis, Loss of consciousness, Nausea; Syncope, Vision blurred; Cold sweat, Dizziness, Hypoacusis, Loss of consciousness, Nausea; Syncope, Vision blurred
More
|
Patient experienced a syncopal episode in her chair at 1:34 pm. Pt. regained consciousness around 5-...
Patient experienced a syncopal episode in her chair at 1:34 pm. Pt. regained consciousness around 5-10 seconds later but experienced dizziness, blurry vision, hearing impairment, nausea and clammy skin. Pt. recovered to baseline within 15 minutes. Grandparent and patient left facility with no difficulty.
More
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| 2848660 | 55 | F | WV | 07/07/2025 |
TDAP |
GLAXOSMITHKLINE BIOLOGICALS |
kr75k |
Induration, Myalgia, Oedema, Skin warm
Induration, Myalgia, Oedema, Skin warm
|
Slight edema, muscle soreness, hot to touch, 30mm induration.
Slight edema, muscle soreness, hot to touch, 30mm induration.
|
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| 2848661 | 14 | F | CA | 07/07/2025 |
HPV9 |
MERCK & CO. INC. |
|
Seizure
Seizure
|
Seizure 15 seconds
Seizure 15 seconds
|
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| 2848662 | 65 | F | CA | 07/07/2025 |
PNC20 |
PFIZER\WYETH |
LJ5281 |
Injection site erythema, Skin warm
Injection site erythema, Skin warm
|
Large red patch located below injection site of approximately 3" by 4". Area hot to touch...
Large red patch located below injection site of approximately 3" by 4". Area hot to touch. Syptoms began clearing on 6th day after vaccination. Red patch still evident on 6th day but area only warm to touch.
More
|
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| 2848663 | 17 | M | NV | 07/07/2025 |
MENB |
NOVARTIS VACCINES AND DIAGNOSTICS |
5P2P7 |
Wrong product administered
Wrong product administered
|
Child was inadvertently given Bexsero instead of Trumenba as a second dose in the Men B vaccination ...
Child was inadvertently given Bexsero instead of Trumenba as a second dose in the Men B vaccination series. Reviewed with client and parent. Offered a 6 m follow up to complete the series correctly. Supv reviewed and gave input to nurse who has done the error and has completed this form
More
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| 2848664 | 11 | F | TX | 07/07/2025 |
HPV9 |
MERCK & CO. INC. |
Y012508 |
Dizziness, Pallor, Vision blurred
Dizziness, Pallor, Vision blurred
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HPV was administered to patient's right deltoid at 1:00PM on Monday, 07/07/2025. Within 1 minut...
HPV was administered to patient's right deltoid at 1:00PM on Monday, 07/07/2025. Within 1 minute of administration, patient reported that she was experiencing "slightly blurry" vision and dizziness. She immediately drank some water offered by her guardian/mother. After resting for 1-2 minutes, she stood rapidly and walked 5 steps before reporting a worsening of her symptoms. Upon observation, she appeared pale. She was able to independently return to her chair immediately where she accepted a sugar lollipop. During this entire episode, patient was able to speak clearly and maintain eye contact. Speaking with patient, she mentioned that the HPV dose made her feel "woozy". Calm affect, able to respond to stimuli and conversation appropriately. At 1:15PM, she appeared to have more color in her cheeks, observed by RNs, and confirmed by patient's guardian. Patient confirmed that her symptoms (dizziness, blurry vision) had resolved. Patient and her guardian were advised to seek medical evaluation if her symptoms returned, including but not limited to an ER visit and/or her pediatrician. Patient denied a wheelchair escort, stating that she felt "much better" and could walk on her own. Patient was able to ambulate independently from the chair, out of the clinic, and out of the facility. While observing her gait, she maintained a steady balance, walking in a straight line without guidance or assistance.
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| 2848665 | 59 | F | CA | 07/07/2025 |
PNC20 PNC20 VARZOS VARZOS |
PFIZER\WYETH PFIZER\WYETH GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS |
LK6655 LK6655 2HJ99 2HJ99 |
Injection site cellulitis, Injection site erythema, Injection site inflammation,...
Injection site cellulitis, Injection site erythema, Injection site inflammation, Injection site pain, Injection site warmth; Pyrexia; Injection site cellulitis, Injection site erythema, Injection site inflammation, Injection site pain, Injection site warmth; Pyrexia
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Patient received vaccines Thursday afternoon 07/03/25, in the evening around 10pm her body started h...
Patient received vaccines Thursday afternoon 07/03/25, in the evening around 10pm her body started hurting. Friday morning the vaccine site was hot and red and she started with a fever. Saturday morning the vaccine site was still red and inflamed and patient was running a fever. Sunday morning the vaccine administration site was still red and inflamed and sensitive to the touch, patient decided to go to the urgent care and was diagnosed with Cellulitis and prescribed Cefadroxil. The patient experienced diarrhea with the Cefadroxil, the Cefadroxil was changed to Augmentin and Septra DS by her PCP.
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| 2848666 | 4 | F | AR | 07/07/2025 |
DTAPIPV |
GLAXOSMITHKLINE BIOLOGICALS |
5g23d |
Injection site erythema, Injection site swelling, Injection site warmth
Injection site erythema, Injection site swelling, Injection site warmth
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Parent reports redness, swelling, and heat at site.
Parent reports redness, swelling, and heat at site.
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| 2848667 | 70 | M | MD | 07/07/2025 |
RSV |
PFIZER\WYETH |
LL8398 |
Chills, Nausea
Chills, Nausea
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Nausea, chills onset 2 hrs following immunization
Nausea, chills onset 2 hrs following immunization
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| 2848668 | 75 | F | SC | 07/07/2025 |
PNC20 |
PFIZER\WYETH |
LN4927 |
Erythema, Pruritus, Swelling
Erythema, Pruritus, Swelling
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Patient was given a Prevnar20 shot on 7/1 around 4:15 in the afternoon. She experienced redness, swe...
Patient was given a Prevnar20 shot on 7/1 around 4:15 in the afternoon. She experienced redness, swelling and itchiness in the days following. On 7/7, there is still redness and patient still expresses feeling itchy.
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| 2848669 | 0.17 | M | CT | 07/07/2025 |
RV5 |
MERCK & CO. INC. |
2052022 |
Dermatitis diaper, Diarrhoea
Dermatitis diaper, Diarrhoea
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diarrhea for several days that resulted in diaper rash that took a few weeks to resolve.
diarrhea for several days that resulted in diaper rash that took a few weeks to resolve.
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| 2848670 | 19 | F | IA | 07/07/2025 |
HEPA HEPA MENB |
GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS NOVARTIS VACCINES AND DIAGNOSTICS |
MZ474 HR4RB 3L339 |
No adverse event, Underdose; No adverse event, Underdose; No adverse event, Unde...
No adverse event, Underdose; No adverse event, Underdose; No adverse event, Underdose
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Pediatric Hepatitis A was given during visit. After administration, it was noticed that the vaccine ...
Pediatric Hepatitis A was given during visit. After administration, it was noticed that the vaccine given was the pediatric dose, rather than the adult dose. About 10 minutes later, patient was given the adult dose of Hepatitis A. No symptoms noted so far. Patient was notified of signs and symptoms to look for, and to contact us if any symptoms occur.
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| 2848671 | 16 | F | CA | 07/07/2025 |
HPV9 MENB |
MERCK & CO. INC. NOVARTIS VACCINES AND DIAGNOSTICS |
Z003690 77KA5 |
Injection site bruising, Injection site erythema, Injection site swelling; Injec...
Injection site bruising, Injection site erythema, Injection site swelling; Injection site bruising, Injection site erythema, Injection site swelling
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2-3 hours after vaccination pt reported redness, swelling and bruising to site. Could not lift arm f...
2-3 hours after vaccination pt reported redness, swelling and bruising to site. Could not lift arm for a few days. Did not seek medical care. MOP administered Motrin 800mg x1 for 3 days.
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| 2848672 | 40 | F | NV | 07/07/2025 |
IPV |
SANOFI PASTEUR |
Y1D03P1 |
Injection site pain
Injection site pain
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Patient complained of soreness in the right deltoid.
Patient complained of soreness in the right deltoid.
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| 2848673 | 1.17 | M | IL | 07/07/2025 |
HEPA MMR VARCEL |
MERCK & CO. INC. MERCK & CO. INC. MERCK & CO. INC. |
Y018512 Y008591 Z004245 |
Rash, Rash erythematous, Rash papular; Rash, Rash erythematous, Rash papular; Ra...
Rash, Rash erythematous, Rash papular; Rash, Rash erythematous, Rash papular; Rash, Rash erythematous, Rash papular
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Head to toe rash. Rash spots are light red and circular. On bilateral legs, rash spots are larger wi...
Head to toe rash. Rash spots are light red and circular. On bilateral legs, rash spots are larger with a red outline and a purple middle. Rash is slightly raised at the outline spots. Rash is not itchy or painful. Symptoms began 07/05. Rash has spreaded and worsened since 07/05. Rash spots are continuing to get bigger. Mom has tried loose clothing, cool wash cloth, and limiting time outside. No relief with treatment so far.
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| 2848674 | 70 | M | OH | 07/07/2025 |
COVID19 COVID19 |
PFIZER\BIONTECH PFIZER\BIONTECH |
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Blood test, Diplopia, Electromyogram, Magnetic resonance imaging head, Muscular ...
Blood test, Diplopia, Electromyogram, Magnetic resonance imaging head, Muscular weakness; Pain in extremity
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Binocular diplopia, leg muscle weakness and pain; 11/24-present
Binocular diplopia, leg muscle weakness and pain; 11/24-present
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| 2848698 | 0.25 | M | CA | 07/07/2025 |
VARCEL |
UNKNOWN MANUFACTURER |
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Product administered to patient of inappropriate age
Product administered to patient of inappropriate age
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Inappropriate age at vaccine administration; This literature marketed report has been received from ...
Inappropriate age at vaccine administration; This literature marketed report has been received from the authors of a published literature article, and refers to a 3-month-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 Varicella Virus Vaccine Live (Oka-Merck) (manufacturer unknown), Solution for injection (lot # and expiration date were not reported) diluted with sterile diluent (manufacturer unknown), Solution for injection (indication, expiration date, and lot # were not reported) (inappropriate age at vaccine administration). Lot # is being requested and will be submitted if received.
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