| ID | Age | Sex | State | Date โผ | Onset Days | Vaccine | Manufacturer | Lot # | Symptoms | Narrative | ๐ | ๐ฅ | ๐ | โฟ | โ ๏ธ |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2848770 | 72 | M | TX | 07/07/2025 |
VARZOS VARZOS |
GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS |
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Arthralgia, Limb discomfort, Pain in extremity, Pruritus, Rash; Rash pruritic, U...
Arthralgia, Limb discomfort, Pain in extremity, Pruritus, Rash; Rash pruritic, Urticaria
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At the advice of my PCP, I decided to get an updated Shingles Vaccine injection. (previous injectio...
At the advice of my PCP, I decided to get an updated Shingles Vaccine injection. (previous injection was greater than 15 years ago). June 19, 2025 received Shingrix injection @ ~1:00pm in the left arm June 20-23, left arm felt heavy, sore but nothing bad June 24-25, the top of the right ear lobe became itchy but no rash June 25-29, a rash started on the inside of the left arm, near the elbow. Very itchy. Nothing seemed to work in relieving the itchiness. Some internal achiness in the shoulder area. Arm strength seems to be impacted. June 30th called Dermatologist to get an appointment. Rash was spreading to front waistline area. July 3rd, went to Dermatologist, diagnosed as hives, likely as a result of an allergic reaction to the Shingrix injection. Dermatologist prescribed medicine to alleviate the hives. July 3-7, rash spread to the right butt area, around the back side of the waist. Other areas where itchiness has started including the upper chest, shoulders and back of the neck, as well as down the leg toward the knee area. No issues below the knee. July 7, uncertain if getting better, still uncomfortable as hell. The initial areas on the inside of the left arm appear to be waning away, rash still visible but smaller, not itching.
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| 2848771 | 71 | F | SC | 07/07/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
x4535 |
Hemiparesis, Immediate post-injection reaction, Pain
Hemiparesis, Immediate post-injection reaction, Pain
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Customer was administered first dose of Shingrix vaccine in left arm on 6/11/25. Reported immediate ...
Customer was administered first dose of Shingrix vaccine in left arm on 6/11/25. Reported immediate soreness. Customer stated she felt some weakness begin in left arm about two days after vaccination. She states this has progressed to include her right arm at times as well as her legs. These symptoms were not reported to pharmacy until 7/7/25. She denies seeking medical treatment for complaints. Pharmacist notified PCP via phone regarding symptoms with customer's permission and advised the customer to seek medical treatment same day. Customer was observed walking around store / pharmacy on 7/7/25 in person. At that time customer still had not sought medical treatment from doctor.
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| 2848772 | 57 | F | WA | 07/07/2025 |
COVID19 |
MODERNA |
052C21A |
Urticaria
Urticaria
|
Broke out in hives all over my body, I now break out in hives 2 to 3 x a year.
Broke out in hives all over my body, I now break out in hives 2 to 3 x a year.
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โ | |||||
| 2848537 | 12 | F | GA | 07/06/2025 |
MNQ MNQ TDAP TDAP |
SANOFI PASTEUR SANOFI PASTEUR SANOFI PASTEUR SANOFI PASTEUR |
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Chills, Laboratory test normal, Mouth ulceration, Pain, Pyrexia; Respiratory syn...
Chills, Laboratory test normal, Mouth ulceration, Pain, Pyrexia; Respiratory syncytial virus test negative, SARS-CoV-2 test negative, Streptococcus test negative, Urine analysis normal, Vulval ulceration; Chills, Laboratory test normal, Mouth ulceration, Pain, Pyrexia; Respiratory syncytial virus test negative, SARS-CoV-2 test negative, Streptococcus test negative, Urine analysis normal, Vulval ulceration
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Spiked a 103 fever, chills, body aches, and Apthous Ulcer in Vulva and mouth. Fever broke on July 2...
Spiked a 103 fever, chills, body aches, and Apthous Ulcer in Vulva and mouth. Fever broke on July 2, she is still suffering with the ulcers.
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| 2848538 | 39 | F | WA | 07/06/2025 |
HEP |
DYNAVAX TECHNOLOGIES CORPORATION |
946060 |
Arthralgia, Myalgia
Arthralgia, Myalgia
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Patient reports that exactly one week after vaccination, she experienced joint pain and muscle pain ...
Patient reports that exactly one week after vaccination, she experienced joint pain and muscle pain all over her body. Now, 3 weeks later, she only has pain in one elbow - she says it feels bruised.
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| 2848539 | 50 | F | MO | 07/06/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
2hj99 |
Pain, Paraesthesia, Product administered at inappropriate site
Pain, Paraesthesia, Product administered at inappropriate site
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vaccine determinded to have been administered too high and ito the joint. pt had shooting/tingling p...
vaccine determinded to have been administered too high and ito the joint. pt had shooting/tingling pain. pt took ibuprofen with no relief. pt went to urgent care the next morning and received prednisone, zofran, lidocaine patch, cyclobenzaprine, and norco.
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| 2848540 | 51 | F | PR | 07/06/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
GJ952 |
Injection site erythema, Injection site mass, Injection site pain, Injection sit...
Injection site erythema, Injection site mass, Injection site pain, Injection site warmth
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Patient reported pain during the administration of the vaccine, and later during the day she develop...
Patient reported pain during the administration of the vaccine, and later during the day she developed redness in the administration area, as well as a "bump" and the area feeling warm to the touch. She used cold compresses for the symptoms, but it didn't help. The symptoms lasted for more than 5 days.
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| 2848541 | 79 | M | FL | 07/06/2025 |
COVID19 |
PFIZER\BIONTECH |
MD3414 |
Heart rate decreased, Nausea, Vomiting
Heart rate decreased, Nausea, Vomiting
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Patient reported he started with nausea and vomiting at home and went to the ER . he said he was ad...
Patient reported he started with nausea and vomiting at home and went to the ER . he said he was admitted for 24 hours due to a low heart rate .
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| 2848542 | 62 | F | NC | 07/06/2025 |
PNC15 PNC15 |
MERCK & CO. INC. MERCK & CO. INC. |
Y019158 Y019158 |
Arthralgia, Erythema, Headache, Induration, Myalgia; Pyrexia, Swelling
Arthralgia, Erythema, Headache, Induration, Myalgia; Pyrexia, Swelling
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Generalized myalgias, arthralgias, headache, low grade fever x 48 hours with redness and swelling of...
Generalized myalgias, arthralgias, headache, low grade fever x 48 hours with redness and swelling of 10 x 7 cm induration for 72 hours.
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| 2848564 | 56 | F | TX | 07/06/2025 |
VARZOS VARZOS VARZOS |
GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS |
PJ353 PJ353 PJ353 |
Abdominal pain upper, Asthenia, Dizziness, Fatigue, Injection site erythema; Inj...
Abdominal pain upper, Asthenia, Dizziness, Fatigue, Injection site erythema; Injection site induration, Injection site inflammation, Injection site pain, Injection site warmth, Pruritus; Pyrexia, Rash
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Patient received both Shingrix (1st dose) and Capvaxive (NDC: 00006-4347-02, lot: Z002626, Exp: 09/0...
Patient received both Shingrix (1st dose) and Capvaxive (NDC: 00006-4347-02, lot: Z002626, Exp: 09/04/2026) on left deltoid muscle on 7/2/25, On 7/3/25, patient reported the following symptoms: 1. Fever/tired/slight stomach pain/weak/dizziness that last for 3 days. 2. Rashes/bumpiness/itching on both legs around the knees area, lower 1/3 part of her thighs, and upper 1/3 part of her calves area--- according to patient there is no change in food or medications and she strongly believed those bumps/itchiness are caused by the vaccine(s). 3. Primary concern are the Pain, Redness, firm, inflame, and warm to touch of the injection site and the surrounding area (about the size of a golf ball). Patient was recommend to apply ice pack to the area 20 min every hours and taking tylenol 500mg (2 tab Q6-8HPRN PAIN), loratadine, hydrocortisone 1% cream. Patient will try to get in contact with her primary provider to assess/resolve the reaction and potentially get some steroid.
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| 2848565 | 48 | F | AZ | 07/06/2025 |
HEP HEP |
DYNAVAX TECHNOLOGIES CORPORATION DYNAVAX TECHNOLOGIES CORPORATION |
945660 945660 |
Blood test, Computerised tomogram, Ear pain, Headache, Hemiparesis; Magnetic res...
Blood test, Computerised tomogram, Ear pain, Headache, Hemiparesis; Magnetic resonance imaging, Neurological symptom, Pain in extremity, Swelling face, Vomiting
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Pain from right arm to the back of the right side of head to the ear. Massive headache, face swellin...
Pain from right arm to the back of the right side of head to the ear. Massive headache, face swelling, vomiting and right side weakness with neurological symptoms
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โ | โ | ||||
| 2848519 | F | NY | 07/05/2025 |
MMR |
MERCK & CO. INC. |
Y008290 |
No adverse event, Occupational exposure to product
No adverse event, Occupational exposure to product
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No adverse event; HCP reports MMR II vaccine splashed into HCP right eye when she was drawing up the...
No adverse event; HCP reports MMR II vaccine splashed into HCP right eye when she was drawing up the medication. Caller states the HCP rinsed her eye with tap water and is not currently experiencing any symptoms. Caller states MD from office also examined eye and di; Accidental exposure; Exposure via mucosa; This spontaneous report was received from a registered nurse and refers to a(n) female patient of unknown age. The patient's medical history, concurrent conditions and concomitant therapies were not reported. On 23-Jun-2025, Measles, Mumps, and Rubella (Wistar RA 27-3) Virus Vaccine, Live (M-M-R II), (lot #Y008290, expiration date: 24-Apr-2026) diluted in sterile diluent (MERCK STERILE DILUENT), splashed into the HCP right eye when she was drawing up the medication (Exposure via mucosa, Accidental exposure to product, Occupational exposure to product). Measles, Mumps, and Rubella (Wistar RA 27-3) Virus Vaccine, Live (M-M-R II), was supposed to be administered for Prophylaxis. She rinsed her eye with tap water and was not experiencing any symptom. A physician from the office examined the eye and did not see any irritation No adverse event was reported.
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| 2848520 | MS | 07/05/2025 |
PNC20 |
PFIZER\WYETH |
LP4947 |
Death, Injection site discomfort, Injection site erythema, Injection site swelli...
Death, Injection site discomfort, Injection site erythema, Injection site swelling
More
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Redness, swollen, discomfort at the injection site; Redness, swollen, discomfort at the injection si...
Redness, swollen, discomfort at the injection site; Redness, swollen, discomfort at the injection site; Redness, swollen, discomfort at the injection site; Inappropriate dose of vaccine administered; This is a spontaneous report received from a Nurse from a sales representative. An elderly patient received pneumococcal 20-val conj vac (dipht CRM197 protein) (PREVNAR 20), in Oct2024 as dose number unknown, single (Lot number: GW7964) and as dose number unknown, single (Lot number: LP4947) for immunisation. The patient's relevant medical history and concomitant medications were not reported. The following information was reported: INCORRECT DOSE ADMINISTERED (non-serious) with onset Oct2024, outcome "unknown", described as "Inappropriate dose of vaccine administered"; VACCINATION SITE ERYTHEMA (death, hospitalization), VACCINATION SITE SWELLING (death, hospitalization), VACCINATION SITE DISCOMFORT (death, hospitalization), outcome "fatal" and all described as "Redness, swollen, discomfort at the injection site". It was unknown if therapeutic measures were taken as a result of vaccination site erythema, vaccination site swelling, vaccination site discomfort. The patient date of death was unknown. Reported cause of death: "Redness, swollen, discomfort at the injection site". It was not reported if an autopsy was performed. Clinical course: Redness, swollen, discomfort at the injection site. At least two occurrences of this of late, one of which required hospitalization.; Sender's Comments: As there is limited information in the case provided, the causal association between the events vaccination site erythema, vaccination site swelling, and vaccination site discomfort; and the suspect drug PNEUMOCOCCAL 20-VAL CONJ VAC (DIPHT CRM197 PROTEIN) cannot be excluded. The case will be reassessed once new information is available. The impact of this report on the benefit/risk profile of the Pfizer product is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to Regulatory Authorities, Ethics Committees, and Investigators, as appropriate.; Reported Cause(s) of Death: Redness, swollen, discomfort at the injection site; Redness, swollen, discomfort at the injection site; Redness, swollen, discomfort at the injection site
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| 2848521 | 62 | F | NC | 07/05/2025 |
COVID19 |
PFIZER\BIONTECH |
ER2613 |
Illness, Knee arthroplasty, Pain, Pyrexia
Illness, Knee arthroplasty, Pain, Pyrexia
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fever; sick; aches, pains; knee replacement surgery in January; This is a spontaneous report receive...
fever; sick; aches, pains; knee replacement surgery in January; This is a spontaneous report received from a Consumer or other non HCP from medical information team, Program ID. A 62-year-old female patient received BNT162b2 (BNT162B2), on 17Mar2021 as dose 1, single (Lot number: ER2613) at the age of 62 years, in left arm for COVID-19 immunisation. The patient's relevant medical history included: "Blood pressure high" (unspecified if ongoing); "Weight loss" (unspecified if ongoing); "ADHD" (unspecified if ongoing). Concomitant medication(s) included: ZEPBOUND taken for weight decreased (ongoing); NEVIBOLOL DCI taken for hypertension (ongoing); METHYLPHENIDATE taken for attention deficit hyperactivity disorder (ongoing). The following information was reported: KNEE ARTHROPLASTY (medically significant) with onset 21Jan2025, outcome "unknown", described as "knee replacement surgery in January"; PYREXIA (non-serious), outcome "unknown", described as "fever"; ILLNESS (non-serious), outcome "unknown", described as "sick"; PAIN (non-serious), outcome "unknown" and all described as "aches, pains". Clinical course: the patient reported that when she got a covid vaccine, she experienced a fever within few hours and got pretty sick. She had aches, pains and a fever. She also had knee replacement surgery in Jan, so she thought perhaps that had something to do with her experience.; Sender's Comments: Linked Report(s) : US-PFIZER INC-202500132274 Same patient and drug, different dose and event;
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| 2848523 | 5 | M | HI | 07/05/2025 |
UNK |
UNKNOWN MANUFACTURER |
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Dyspnoea, Injection site swelling
Dyspnoea, Injection site swelling
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DIFFICULTY BREATHING, SWELLING AT INJECTION SITE
DIFFICULTY BREATHING, SWELLING AT INJECTION SITE
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| 2848524 | 53 | M | CO | 07/05/2025 |
MMR |
MERCK & CO. INC. |
Y014095 |
Rash, Rash erythematous, Rash pruritic
Rash, Rash erythematous, Rash pruritic
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RASH DEVELOPED BEHIND EARS, THEN SPREAD TO NECK AND SHOULDERS. RED AND ITCHY
RASH DEVELOPED BEHIND EARS, THEN SPREAD TO NECK AND SHOULDERS. RED AND ITCHY
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| 2848525 | 54 | M | FL | 07/05/2025 |
COVID19 |
MODERNA |
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Pain in extremity, Superficial vein thrombosis, Ultrasound Doppler abnormal
Pain in extremity, Superficial vein thrombosis, Ultrasound Doppler abnormal
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Blood clots formed in superficial veins in right leg. They dissipated after 5 weeks with no treatme...
Blood clots formed in superficial veins in right leg. They dissipated after 5 weeks with no treatment. Blood clots returned on 7/4/2025 in right leg. Moderate pain is being observed by the patient.
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| 2848526 | 56 | F | VA | 07/05/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
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Chills, Headache, Nausea, Pyrexia, Vomiting
Chills, Headache, Nausea, Pyrexia, Vomiting
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Fever, chills, headache, vomiting, nausea
Fever, chills, headache, vomiting, nausea
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| 2848527 | 56 | F | TX | 07/05/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
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Blister, Chest pain, Fatigue, Herpes zoster, Hypoaesthesia
Blister, Chest pain, Fatigue, Herpes zoster, Hypoaesthesia
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Got shingles 2 weeks after. Chest pain arm numbness, extreme fatigue and of course the blisters
Got shingles 2 weeks after. Chest pain arm numbness, extreme fatigue and of course the blisters
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| 2848528 | 19 | F | OH | 07/05/2025 |
MENB |
PFIZER\WYETH |
HG6057 |
Back pain, Headache, Nausea
Back pain, Headache, Nausea
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Patient called clinic to report that after she got home, approximately 1 hours after immunization, s...
Patient called clinic to report that after she got home, approximately 1 hours after immunization, she began to have headache, backache and nausea. She took two ibuprofen (200mg each) and currently (about 2 hours after administration) feels like symptoms are subsiding. Advised her to continue to monitor symptoms, rest, and drink plenty of fluids, and if symptoms worsen in any way, she should go to ER for evaluation. Plan is to follow up with patient tomorrow by phone to check on her condition.
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| 2848529 | 55 | F | CA | 07/05/2025 |
HEPA TDAP TYP |
MERCK & CO. INC. SANOFI PASTEUR SANOFI PASTEUR |
Z003701 U8366AA X2A411M |
Rash, Skin lesion; Rash, Skin lesion; Rash, Skin lesion
Rash, Skin lesion; Rash, Skin lesion; Rash, Skin lesion
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Reports rash on both arms that started 3 days after shots which spread to chest, back and face. No ...
Reports rash on both arms that started 3 days after shots which spread to chest, back and face. No edema/shortness of breath. States residual skin lesions on face
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| 2848530 | 79 | F | CA | 07/05/2025 |
TDAP |
GLAXOSMITHKLINE BIOLOGICALS |
793pt |
Neuropathy peripheral
Neuropathy peripheral
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Patient started getting neuropathy in both feet on or around 06/26/25. The sensation is progressing ...
Patient started getting neuropathy in both feet on or around 06/26/25. The sensation is progressing upward to her legs. As of 07/05/25 she is still experiencing the neuropathy.
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| 2848531 | 79 | F | CA | 07/05/2025 |
HEP |
DYNAVAX TECHNOLOGIES CORPORATION |
946062 |
Neuropathy peripheral
Neuropathy peripheral
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Patient started getting neuropathy in both feet on or around 06/26/25. The sensation is progressing ...
Patient started getting neuropathy in both feet on or around 06/26/25. The sensation is progressing upward to her legs. As of 07/05/25 she is still experiencing the neuropathy. She received 2 vaccines on 6/23 and 6/25 so unable to determine which vaccine may have caused the reaction
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| 2848532 | 60 | F | CO | 07/05/2025 |
PNC20 VARZOS |
PFIZER\WYETH GLAXOSMITHKLINE BIOLOGICALS |
ln4929 5A4XG |
Cellulitis; Cellulitis
Cellulitis; Cellulitis
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PATIENT CAME IN TO THE PHARMACY AND REPORTED THAT THEY HAD STARTED EXPERIENCING MILD CELLULITIS SYMP...
PATIENT CAME IN TO THE PHARMACY AND REPORTED THAT THEY HAD STARTED EXPERIENCING MILD CELLULITIS SYMPTOMS AND WANTED US TO REPORT. THE PATIENT IS AN MD. NOT CURRENTLY NEEDING TO RECEIVE ANY TREATMENT FOR HTE CONDITION.
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| 2848533 | 22 | M | MI | 07/05/2025 |
COVID19 COVID19 COVID19 COVID19 COVID19 COVID19 COVID19 COVID19 COVID19 COVID19 COVID19 COVID19 COVID19 COVID19 COVID19 COVID19 COVID19 COVID19 |
PFIZER\BIONTECH PFIZER\BIONTECH PFIZER\BIONTECH PFIZER\BIONTECH PFIZER\BIONTECH PFIZER\BIONTECH PFIZER\BIONTECH PFIZER\BIONTECH PFIZER\BIONTECH PFIZER\BIONTECH PFIZER\BIONTECH PFIZER\BIONTECH PFIZER\BIONTECH PFIZER\BIONTECH PFIZER\BIONTECH PFIZER\BIONTECH PFIZER\BIONTECH PFIZER\BIONTECH |
EW0167 EW0167 EW0167 EW0167 EW0167 EW0167 EW0167 EW0167 EW0167 EW0185 EW0185 EW0185 EW0185 EW0185 EW0185 EW0185 EW0185 EW0185 |
Aphasia, Asthenia, Biopsy heart abnormal, Blood pressure decreased, Blood test; ...
Aphasia, Asthenia, Biopsy heart abnormal, Blood pressure decreased, Blood test; Brain injury, Cardiac ablation, Cardiac arrest, Cardiac ventricular scarring, Cardioversion; Cognitive disorder, Computerised tomogram head, Computerised tomogram heart, Dysstasia, Echocardiogram; Echocardiogram abnormal, Electrocardiogram, Electrocardiogram ambulatory, Executive dysfunction, Exercise electrocardiogram; Gait inability, Genetic testing, Hypoxia, Impaired work ability, Implantable defibrillator insertion; Intensive care, Loss of personal independence in daily activities, Lung assist device therapy, Magnetic resonance imaging head, Magnetic resonance imaging heart abnormal; Memory impairment, Multiple organ dysfunction syndrome, Muscle atrophy, Positron emission tomogram, Posture abnormal; Pulmonary embolism, Pulmonary haemorrhage, Resuscitation, Scan with contrast, Therapeutic embolisation; Thromboembolectomy, Urine analysis, Ventricular tachycardia, Weight decreased; Aphasia, Asthenia, Biopsy heart abnormal, Blood pressure decreased, Blood test; Brain injury, Cardiac ablation, Cardiac arrest, Cardiac ventricular scarring, Cardioversion; Cognitive disorder, Computerised tomogram head, Computerised tomogram heart, Dysstasia, Echocardiogram; Echocardiogram abnormal, Electrocardiogram, Electrocardiogram ambulatory, Executive dysfunction, Exercise electrocardiogram; Gait inability, Genetic testing, Hypoxia, Impaired work ability, Implantable defibrillator insertion; Intensive care, Loss of personal independence in daily activities, Lung assist device therapy, Magnetic resonance imaging head, Magnetic resonance imaging heart abnormal; Memory impairment, Multiple organ dysfunction syndrome, Muscle atrophy, Positron emission tomogram, Posture abnormal; Pulmonary embolism, Pulmonary haemorrhage, Resuscitation, Scan with contrast, Therapeutic embolisation; Thromboembolectomy, Urine analysis, Ventricular tachycardia, Weight decreased
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Item 18 On Saturday, August 21, 2021, while on evening run, patient suffered a catastrophic sudden c...
Item 18 On Saturday, August 21, 2021, while on evening run, patient suffered a catastrophic sudden cardiac arrest. At the time he was a 22 year-old recent college graduate, just beginning an extremely promising professional career in management consulting. He was a former college athlete, strong, healthy, in excellent physical condition, and worked out every day. (Note: patient received two doses of the Pfizer Covid-19 vaccine on April 28 and May 19, 2021) When stricken with cardiac arrest, patient would have died on the spot, if not for random passersby who jumped in to provide CPR. By chance, one of these persons was a physician also out for a run. Another five people provided extensive aid. These people also happened to be experienced cardiac ICU and cardiac step-down nurses. These strangers gave the patient a chance for survival. Patient?s condition was dire and ER medical staff had great difficulty stabilizing his ventricular tachycardia. Even with max doses of five (5) different vasopressors, he still required numerous and repeated cardioversion therapy to restart or stabilize his heart rhythm. As a result, patient had prolonged low oxygen flow, contributing to internal organ damage and an anoxic brain injury. Prior to this cardiac event, patient had no congenital defects, no genetic predisposition or family history of heart disease. While in hospital, MRI imaging and a heart biopsy revealed no abnormalities, aside from significant ventricular scarring associated with the cardiac arrest. Patient was in cardiac ICU at Hospital for four (4) weeks. The multi-system organ failures worsened, before slowly rebounding. One week after cardiac arrest, on 08/28/2021, patient developed left lung bleed and nearly died during a procedure to remove clotting, when he again went into v-tach and blood pressure dropped dangerously low. He was then placed on ECMO (VV) life support for eight days, so specialists could safely perform repeated procedures to repair and restore the damaged lung. Patient received an implanted cardioverter defibrillator (ICD), and after six weeks was discharged from the hospital (10/02/2021). He had survived an out-of-hospital cardiac arrest (less than 10% survival rate) but also lost 50 lbs. and his considerable muscle mass. He was severely weakened, unable to stand, walk or hold his head up, and now with brain damage. Patient was admitted to a facility for five (5) weeks of intensive multi-discipline inpatient therapy, including re-learning to walk, speak and begin to regain strength. Then, patient began outpatient Day Rehab. For the next six months, patient endured exhausting physical (PT), occupational (OT) and speech/cognitive therapy (SLP), six hours per day, five days per week. He required extensive therapy to address his brain injury and the new deficits and challenges it caused. Patient was discharged from facility on 05/03/2022, no longer requiring PT and OT. Patient continued to present with substantial cognitive communication deficits from the anoxic brain injury. These deficits included significant impairment in short term and verbal working memory, as well as impaired executive function, reasoning, cognitive flexibility and decreased cognitive endurance. Cognitive and language deficits included decreased high-level word finding, verbal organization, response elaboration and decreased verbal/non-verbal pragmatic skills. Patient was recommended for ongoing SLP therapy, 2-3 times/week, targeting his numerous deficits. This treatment began 05/09/2022 and continues to this day. Patient has made great improvements since that time, but has not been able to live independently, nor work. Although patient has recently (March 2025) tested exceptionally high for math, logic, reasoning, analytic abilities, language and verbal skills, his short-term and working memory is severely compromised due to the brain injury. Finally, as of May 2025, patient is able to begin working, initially on a limited, part-time basis only, and in far more simplified and less demanding work. Patient?s cardiac health is currently stable and good, but has not been without problems. After extensive testing and elimination of other potential causes, it is believed the cardiac arrest was brought on by myocarditis, likely the negative reaction to the Covid vaccine. The damage to patient?s heart was significant, but he is able to work out daily. He continues to be followed by local cardiologist at home, as well as specialists. He has had two (2) difficult ventricular ablations, most recently in January 2025, a very complicated 12-hour procedure. One additional such procedure perhaps less difficult is anticipated in 4Q2025. There is no disputing the significant life-changing impact of patient?s August 2021 cardiac arrest. It nearly ended a healthy young man?s life, and certainly interrupted a promising professional career, and left an extremely intelligent and capable individual with an extensive brain injury. It is uncertain if patient?s prior career, at the level he started, will be able to be resumed.
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| 2848534 | 55 | M | CA | 07/05/2025 |
HEP PNC20 |
DYNAVAX TECHNOLOGIES CORPORATION PFIZER\WYETH |
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Injection site swelling, Pain; Injection site swelling, Pain
Injection site swelling, Pain; Injection site swelling, Pain
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after 3 days, pain slowly improving , no redness, slightly swollen around injection site
after 3 days, pain slowly improving , no redness, slightly swollen around injection site
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| 2848535 | 68 | F | CA | 07/05/2025 |
TD |
SANOFI PASTEUR |
Y019157 |
Rash
Rash
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Patient received vaccine on 6/29/25 but got a rash on 7/4/25. She said she is doing better with ice ...
Patient received vaccine on 6/29/25 but got a rash on 7/4/25. She said she is doing better with ice packs and Tylenol. Pt was advised to take Benadryl and Ibuprofen if symptoms worsen and to call MD.
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| 2848536 | 65 | F | CA | 07/05/2025 |
MMR |
MERCK & CO. INC. |
Y015022 |
Urticaria
Urticaria
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A few small hives appeared on stomach area after a hot bath. Resolved in a few hours. No treatment t...
A few small hives appeared on stomach area after a hot bath. Resolved in a few hours. No treatment taken.
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| 2848423 | F | NY | 07/04/2025 |
PNC21 PNC21 |
MERCK & CO. INC. MERCK & CO. INC. |
Y019157 Y019157 |
Cough, Erythema, Headache, Injection site pain, Nausea; Oropharyngeal pain, Pain...
Cough, Erythema, Headache, Injection site pain, Nausea; Oropharyngeal pain, Pain, Pain in extremity, Swelling
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COUGH; HEADACHE; INJECTION SITE ERYTHEMA; INJECTION SITE PAIN; NAUSEA; OROPHARYNGEAL PAIN; PAIN; PAI...
COUGH; HEADACHE; INJECTION SITE ERYTHEMA; INJECTION SITE PAIN; NAUSEA; OROPHARYNGEAL PAIN; PAIN; PAIN IN EXTREMITY; SWELLING; Information has been received from the Food Drug Administration (FDA) (agency # 2834478-1) on 16-JUN-2025 This spontaneous report refers to a 65-year-old female patient. The patient's medical history was not reported. The patient's concurrent conditions included head cold, Covid +, hypothyroidism, IBS,, asthma, reflux, and Allergy to Erythromycin. Concomitant medications included Wixela inhub (Fluticasone propionate;Salmeterol xinafoate), Levothyroxine (Levothyroxine sodium), Dicyclomine (Dicycloverine hydrochloride), Vitamin D3 Ol (Colecalciferol), Multivitamin (Ascorbic acid;Nicotinamide;Retinol;Riboflavin;Thiamine;Vitamin d nos), Calcium d (Ascorbic acid;Calcium gluconate;Calcium lactate;Calcium phosphate dibasic;Ergocalciferol), Vilazodone hcl (Vilazodone hydrochloride), Famotidine d (Famotidine), Alprazolams (Alprazolam), Clomipramine (Clomipramine hydrochloride). On 31-Mar-2025, at private, the patient was vaccinated in her left arm with the first dose of Pneumococcal 21-valent Conjugate Vaccine (CAPVAXIVE) intramuscular, lot #: Y019157, expiration date not provided but upon internal validation stablished as: 23-MAY-2026; dose and anatomical location were not provided) administered for prophylaxis. On 31-Mar-2025, the patient experienced cough, body aches, headache, sore throat and nausea, sore arm, redness, tenderness at injection site. (Baseball size) Self treated with Tylenol and OTC cold medicine. arm redness, swelling went down within 24 hours. Declined office visit to assess. On unspecified date in 2025, the patient recovered from all adverse events. The causal relationship between the adverse events and suspect vaccine was not reported.; Sender's Comments: Priority : 5 , Is case serious : No , Index user : , Index date : 2025-06-17 , MNSC number : , CLIC number : , ESTAR number : , IRMS number : 2834478-1 , Central date : 2025-06-17 , Classification : DMC, Attachment description : Post Marketing Basic , Safety case number :
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| 2848424 | AL | 07/04/2025 |
MMRV |
MERCK & CO. INC. |
Z007214 |
No adverse event, Product storage error
No adverse event, Product storage error
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HCP reported that the patient did not experience any adverse side effects from administered dose; HC...
HCP reported that the patient did not experience any adverse side effects from administered dose; HCP called to report TE for PROQUAD with a prior excursion on 6/18/2025 and a current excursion on 07/02/2025 that was administered post excursion to a patient on 06/24/2025.; This spontaneous report was received from a Nurse and refers to a patient of unknown age and gender. The patient's medical history, concurrent conditions and concomitant therapies were not reported. On 24-JUN-2025, the patient was vaccinated with a improper storage Measles, Mumps, Rubella and Varicella (Oka-Merck) Virus Vaccine Live (PROQUAD) Injection (lot #Z007214, expiration date: 05-Oct-2026) at a dose of 0.5 mL reconstituted with sterile diluent (MERCK STERILE DILUENT) (lot # and expiration date were not reported) for prophylaxis following a temperature excursion of 8.6F for 1 hour, 17 minutes, 0 seconds, and 6.8F for 0 hours, 47 minutes, 0 seconds. HCP reported that the patient did not experience any adverse side effects from administered dose was unknown.
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| 2848425 | MO | 07/04/2025 |
VARCEL |
MERCK & CO. INC. |
Y015108 |
No adverse event, Product storage error
No adverse event, Product storage error
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No symptoms reported. No additional AE; This case pertains to one patient who received improperly st...
No symptoms reported. No additional AE; This case pertains to one patient who received improperly stored VARIVAX on 06/30/2025.; This spontaneous report has been received from a nurse, regarding to patient of unknown age and gender. The patient's pertinent medical history, concurrent conditions, concomitant medications, and previous drug reactions or allergies were not reported. On 30-JUN-2025, the patient was vaccinated with improperly storage of Varicella Virus Vaccine Live (Oka-Merck) (VARIVAX) at a dose of 0.5 milliliter (ml) (lot #Y015108, expiration date: 06-SEP-2026) plus sterile diluent as prophylaxis (dose, route of administration, and anatomical site of injection were not reported). The administered doses were stored at a temperature of 6.3 degrees Fahrenheit (F) during a time frame of 16 minutes (product storage error). There was no previous temperature excursion. No additional side effects were reported in the patients.
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| 2848426 | MO | 07/04/2025 |
VARCEL |
MERCK & CO. INC. |
Y015108 |
No adverse event, Product storage error
No adverse event, Product storage error
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No additional AE; HCP reported that VARIVAX and PROQUAD were administered to multiple patients on mu...
No additional AE; HCP reported that VARIVAX and PROQUAD were administered to multiple patients on multiple dates after being improperly stored. This case pertains to one patient who received improperly stored VARIVAX on 06/25/2025; This spontaneous report was received from a Nurse and refers to a patient of unknown age and gender. The patient's medical history, concurrent conditions, previous drugs reactions or allergies and concomitant therapies were not reported. On 25-JUN-2025, the patient was vaccinated with an improperly Varicella Virus Vaccine Live (Oka-Merck) (VARIVAX), Injection (lot #Y015108, expiration date: 06-SEP-2026) at a dose of 0.5 mL (route of administration not reported) reconstituted with sterile diluent (MERCK STERILE DILUENT) (lot # and expiration date were not reported) for prophylaxis following a temperature excursion of 6.3F for 0 hours 16 minutes 0 seconds. No additional adverse event reported.
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| 2848427 | 54 | M | IL | 07/04/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
97D52 |
Product preparation issue
Product preparation issue
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Adjuvant was given without being mixed with the active ingredient; Adjuvant was given without being ...
Adjuvant was given without being mixed with the active ingredient; Adjuvant was given without being mixed with the active ingredient; This non-serious case was reported by a other health professional and described the occurrence of inappropriate preparation of medication in a 54-year-old male patient who received Herpes zoster (Shingrix) (batch number 97D52, expiry date 16-SEP-2025) for prophylaxis. On 13-FEB-2025, the patient received Shingrix (intramuscular use). On 13-FEB-2025, an unknown time after receiving Shingrix, the patient experienced inappropriate preparation of medication (Verbatim: Adjuvant was given without being mixed with the active ingredient) and inappropriate dose of vaccine administered (Verbatim: Adjuvant was given without being mixed with the active ingredient). The outcome of the inappropriate preparation of medication and inappropriate dose of vaccine administered were not applicable. Additional Information: GSK Receipt Date: 26-JUN-2025 The reporter stated that the Shingrix adjuvant was given to the patient without being mixed with the active ingredient, which led to an inappropriate preparation of medication and inappropriate dose of vaccine administered. The reporter considered the medication error without harm.; Sender's Comments: US-GSK-US2025061270:same reporter differnt patient
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| 2848428 | 61 | M | IL | 07/04/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
97D52 |
Product preparation issue
Product preparation issue
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Adjuvant was given without being mixed with the active ingredient; Adjuvant was given without being ...
Adjuvant was given without being mixed with the active ingredient; Adjuvant was given without being mixed with the active ingredient; This non-serious case was reported by a other health professional and described the occurrence of inappropriate preparation of medication in a 61-year-old male patient who received Herpes zoster (Shingrix) (batch number 97D52, expiry date 16-SEP-2025) for prophylaxis. Previously administered products included Venlafaxine (received a dose on an unknown date). On 21-APR-2025, the patient received Shingrix. On 21-APR-2025, an unknown time after receiving Shingrix, the patient experienced inappropriate preparation of medication (Verbatim: Adjuvant was given without being mixed with the active ingredient) and inappropriate dose of vaccine administered (Verbatim: Adjuvant was given without being mixed with the active ingredient). The outcome of the inappropriate preparation of medication and inappropriate dose of vaccine administered were not applicable. Additional Information: GSK Receipt Date: 26-JUN-2025 The reporter stated that the Shingrix adjuvant was given to the patient without being mixed with the active ingredient, which led to an inappropriate preparation of medication and inappropriate dose of vaccine administered.; Sender's Comments: US-GSK-US2025061270:
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| 2848429 | 12 | M | CA | 07/04/2025 |
MENB |
NOVARTIS VACCINES AND DIAGNOSTICS |
FH443 |
Wrong product administered
Wrong product administered
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Bexsero was unintentionally administered; This non-serious case was reported by a other health profe...
Bexsero was unintentionally administered; This non-serious case was reported by a other health professional via call center representative and described the occurrence of wrong vaccine administered in a 12-year-old male patient who received Men B NVS (Bexsero) (batch number FH443, expiry date 30-SEP-2027) for prophylaxis. On 24-JUN-2025, the patient received the 1st dose of Bexsero. On 24-JUN-2025, immediately after receiving Bexsero, the patient experienced wrong vaccine administered (Verbatim: Bexsero was unintentionally administered). The outcome of the wrong vaccine administered was not applicable. This report is made by GSK without prejudice and does not imply any admission or liability for the incident or its consequences. Additional Information: GSK Receipt Date: 01-JUL-2025 A vaccine coordinator reported the administration of a Bexsero vaccine to a patient by a member of the staff. She wanted to know how to proceed after this incident. The reporter wanted to report that Bexsero was unintentionally administered, and no other data was provided, which led to wrong vaccine administered. It was explained that it was administered within the recommended range of age. The Vaccine Administration Facility is the same as Primary Reporter. The reporter consented to follow up.
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| 2848430 | 12 | NV | 07/04/2025 |
DTAP DTAP |
SANOFI PASTEUR UNKNOWN MANUFACTURER |
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No adverse event, Wrong product administered; No adverse event, Wrong product ad...
No adverse event, Wrong product administered; No adverse event, Wrong product administered
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patient had their 5 previous doses, they are good to go. The 5th dose given to the patient was a Tda...
patient had their 5 previous doses, they are good to go. The 5th dose given to the patient was a Tdap, not a DTaP with no reported adverse event; Initial information received on 26-Jun-2025 regarding an unsolicited valid non-serious case received from a nurse. This case involves a 12 years old and unknown gender patient in which 5th dose was given was of Diphtheria, Tetanus And Acellular Pertussis Vaccine [Tdap] instead of Diphtheria-15/Tetanus/5 Ac Pertussis Vaccine [Daptacel] with no reported adverse event. The patient's past medical history, medical treatment(s), vaccination(s) and family history were not provided. On an unknown date, the patient received dose of suspect Diphtheria-15/Tetanus/5 Ac Pertussis Vaccine [Tdap] produced by unknown manufacturer, unknown formulation, (lot number, strength and expiry date not reported) via unknown route in unknown administration site for immunization as 5th dose, instead of Diphtheria-15/Tetanus/5 Ac Pertussis Vaccine with no reported adverse event (wrong product administered) (latency: same day). Information on the batch number was requested corresponding to the one at time of event occurrence. Reportedly,Nurse mentioned that the medical practice previously administered DTaP to a now 12 year-old patient. They are aware that as long as patient had their 5 previous doses, they are good to go. The 5th dose given to the patient was a Tdap, not a DTaP as patient is already 1. Action taken was not applicable. This suspected adverse reaction report is submitted and classified as a medication error solely and exclusively to ensure the marketing authorization holder's compliance with the requirements set out in the Directive 2001/83/EC and Module VI of the Good Pharmacovigilance Practices. The classification as a medical error is in no way intended, nor should it be interpreted or construed as an allegation or claim made by the marketing authorization holder that any third party has contributed to or is to be held liable for the occurrence of this medication error.
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| 2848431 | 1 | M | TX | 07/04/2025 |
HIBV |
SANOFI PASTEUR |
UK148AA |
No adverse event, Product preparation error
No adverse event, Product preparation error
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given the ACTHIB vaccine but didn't dilute it with the HIB diluent/diluted it with another dilu...
given the ACTHIB vaccine but didn't dilute it with the HIB diluent/diluted it with another diluent that was for PROQUAD & VARICELLA, with no reported adverse event; Initial information received on 01-Jul-2025 regarding an unsolicited valid non-serious case received from a other health professional. This case involves a 1 years old male patient who was administered with HIB (PRP/T) Vaccine [ACT-HIB] but didn't dilute it with the hib diluent/diluted it with another diluent that was for proquad & varicella, with no reported adverse event. The patient's past medical history, medical treatment(s), vaccination(s) and family history were not provided. Concomitant medications included Diphtheria vaccine toxoid, Pertussis vaccine acellular, Tetanus vaccine toxoid (Dtap), Pneumococcal vaccine conj 20v (CRM197) (Prevnar 20) for and HIB vaccine (HIB vaccine) for Immunisation. On 12-Jun-2025, the patient received 0.5 ml dose of suspect Hib (Prp/T) Vaccine, Powder and solvent for solution for injection, lot UK148AA, expiry date:30-Sep-2025,strength:standard, frequency:once, via intramuscular route in the left thigh for immunisation but didn't dilute it with the hib diluent/diluted it with another diluent that was for proquad & varicella, with no reported adverse event (product preparation error) (latency: same day). Action taken was not applicable. This suspected adverse reaction report is submitted and classified as a medication error solely and exclusively to ensure the marketing authorization holder's compliance with the requirements set out in the Directive 2001/83/EC and Module VI of the Good Pharmacovigilance Practices. The classification as a medical error is in no way intended, nor should it be interpreted or construed as an allegation or claim made by the marketing authorization holder that any third party has contributed to or is to be held liable for the occurrence of this medication error.
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| 2848432 | 0.25 | M | MI | 07/04/2025 |
DTAPIPVHIB |
SANOFI PASTEUR |
UK038AA |
Expired product administered, No adverse event
Expired product administered, No adverse event
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administration of an expired product with no reported adverse event; Initial information received on...
administration of an expired product with no reported adverse event; Initial information received on 01-Jul-2025 regarding an unsolicited valid non-serious case received from a other health professional. This case involves a 3 months old male patient who was administered with an expired dose of diphtheria/tetanus/5 hybrid AC pertussis/IPV(VERO)/HIB(PRP/T) vaccine [Pentacel (VERO)] with no reported adverse event. The patient's past medical history, medical treatment(s), vaccination(s) and family history were not provided. On 01-Jul-2025, the patient received 0.5 ml of an expired diphtheria/tetanus/5 hybrid AC pertussis/IPV(VERO)/HIB(PRP/T) vaccine Powder and suspension for suspension for injection with standard strength (expiry date- 30-Jun-2025 and lot UK038AA) once via intramuscular route in the left thigh for Immunization with no reported adverse event (expired product administered) (latency- same day). Reportedly, reporter would like to know the possible adverse reactions and if there was a need to revaccinate. Action taken was not applicable. This suspected adverse reaction report is submitted and classified as a medication error solely and exclusively to ensure the marketing authorization holder's compliance with the requirements set out in the Directive 2001/83/EC and Module VI of the Good Pharmacovigilance Practices. The classification as a medical error is in no way intended, nor should it be interpreted or construed as an allegation or claim made by the marketing authorization holder that any third party has contributed to or is to be held liable for the occurrence of this medication error.
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| 2848443 | 79 | F | NY | 07/04/2025 |
COVID19 COVID19 |
MODERNA MODERNA |
013H21B 013H21B |
Biopsy bone marrow, Breast cancer female, Chemotherapy, Mastectomy, Myelodysplas...
Biopsy bone marrow, Breast cancer female, Chemotherapy, Mastectomy, Myelodysplastic syndrome; Platelet count decreased, Transfusion, White blood cell count increased
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Breast Cancer diagnosed in November 2022. Never had any issues prior to the Moderna vaccine. Mastect...
Breast Cancer diagnosed in November 2022. Never had any issues prior to the Moderna vaccine. Mastectomy one breast January 2023. Diagnosed with MDS May 2024. Blood work showed very low platelets and high white blood count. Has tried chemotherapy pill that gave my mother extreme neuropathy. My mother has had 3 different very painful bone marrow biopsys. My mother has had many transfusions and etc. prior to the Moderna Booster my mother was in very good health. My mother has now been given a very poor prognosis.
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| 2848450 | MO | 07/04/2025 |
VARCEL |
MERCK & CO. INC. |
Y015108 |
No adverse event, Product storage error
No adverse event, Product storage error
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No symptoms reported. No additional AE/no PQC.; one patient who received improperly stored VARIVAX o...
No symptoms reported. No additional AE/no PQC.; one patient who received improperly stored VARIVAX on 06/27/2025; This spontaneous report was received from a Nurse on 02-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 27-Jun-2025, the patient was vaccinated with improperly stored varicella virus vaccine live (oka-merck) (VARIVAX), Injection (lot #Y015108, expiration date: 06-Sep-2026, 0.5 mL; route and anatomical site were not provided) for Prophylaxis (Product storage error). The vaccine was exposed to a temperature excursion of 6.3 Fahrenheit for 16 minutes. No previous temperature excursion was involved. No symptoms or additional adverse event (AE) reported.
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| 2848451 | M | WI | 07/04/2025 |
HEP |
GLAXOSMITHKLINE BIOLOGICALS |
N733B |
Exposure via skin contact, Product leakage, Underdose
Exposure via skin contact, Product leakage, Underdose
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the product leaked onto the patient's arm; ENGERIX-B leaked while administering to the patient;...
the product leaked onto the patient's arm; ENGERIX-B leaked while administering to the patient; full dose was not administered; product leaked; Product complaint; This non-serious case was reported by a nurse via call center representative and described the occurrence of exposure via skin contact in a male patient who received HBV (Engerix B adult) (batch number N733B, expiry date 27-AUG-2027) for prophylaxis. This case was associated with a product complaint. On an unknown date, the patient received Engerix B adult. On an unknown date, an unknown time after receiving Engerix B adult, the patient experienced exposure via skin contact (Verbatim: the product leaked onto the patient's arm), accidental exposure while administering drug (Verbatim: ENGERIX-B leaked while administering to the patient), accidental underdose (Verbatim: full dose was not administered), product leakage (Verbatim: product leaked) and pharmaceutical product complaint (Verbatim: Product complaint). The outcome of the exposure via skin contact, accidental exposure while administering drug, accidental underdose, product leakage and pharmaceutical product complaint were not applicable. Additional Information: GSK Receipt Date: 23-JUN-2025 The nurse reported that one prefilled syringe of Engerix b leaked while administering to the patient. Because of this, the product leaked onto the patient's arm and the full dose was not administered which led to accidental underdose. It was confirmed that luer lock needle was used.
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| 2848452 | 40 | F | IL | 07/04/2025 |
MMR |
GLAXOSMITHKLINE BIOLOGICALS |
J942L |
Product preparation error
Product preparation error
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reconstituted with sterile water from Merck Sharp and amp;; This non-serious case was reported by a...
reconstituted with sterile water from Merck Sharp and amp;; This non-serious case was reported by a nurse via call center representative and described the occurrence of wrong solution used in drug reconstitution in a adult female patient who received MMR (Priorix) (batch number J942L, expiry date 08-NOV-2026) for prophylaxis. On 23-JUN-2025, the patient received Priorix. On 23-JUN-2025, an unknown time after receiving Priorix, the patient experienced wrong solution used in drug reconstitution (Verbatim: reconstituted with sterile water from Merck Sharp and amp;). The outcome of the wrong solution used in drug reconstitution was not applicable. This report is made by GSK without prejudice and does not imply any admission or liability for the incident or its consequences. Additional Information: GSK Receipt Date: 24-JUN-2025 Nurse practitioner explained that on June 23rd 2025, 2 patients were vaccinated with Priorix doses that were accidentally reconstituted with sterile water from Merck Sharp. Dohme vaccines instead of the Priorix corresponding diluent provided by Glaxo Smith Kline which led to wrong solution used in drug reconstitution and inappropriate dose of vaccine administered. This case was linked with US2025079396, reported by same reporter different patient; Sender's Comments: US-GSK-US2025079396:same reporter /different patient
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| 2848468 | MD | 07/04/2025 |
MMRV |
MERCK & CO. INC. |
Y008280 |
No adverse event, Product administered to patient of inappropriate age, Wrong pr...
No adverse event, Product administered to patient of inappropriate age, Wrong product administered
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no adverse event; wrong product administered; Interchange of vaccine products; Medical Assistant cal...
no adverse event; wrong product administered; Interchange of vaccine products; Medical Assistant calling with a report of an adverse event regarding PROQUAD. Medical Assistant stated that a patient older than the recommended age for administration of PROQUAD was administered a dose today, 6/10/2025, during a routine vaccinatio; This spontaneous report was received from other health professional (medical assistant) 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-JUN-2025, the patient was vaccinated with measles, mumps, rubella and varicella (oka-merck) virus vaccine live (PROQUAD) (valid lot #Y008280, expiration date 21-OCT-2025 upon internal validation) 0.5 mL (two dose series) as prophylaxis. The vaccine was reconstituted with sterile diluent (MERCK STERILE DILUENT) (indication, expiration date, and lot # were not reported). It was informed that that the suspect vaccine was administered to a patient older than the recommended age (product administered to patient of inappropriate age). However, the patient should be vaccinated with a booster dose of Measles, Mumps, and Rubella (Wistar RA 27-3) Virus Vaccine (M-M-R-II) (wrong product administered/interchange of vaccine products). The dose of measles, mumps, rubella and varicella (oka-merck) virus vaccine live (PROQUAD) was administered due to an oversight while preparing the patient for vaccination and confirmed the patient had not reported any medical concerns or symptoms at this time after being vaccinated (no adverse event). No additional information provided.
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| 2848469 | F | AR | 07/04/2025 |
VARCEL VARCEL |
MERCK & CO. INC. MERCK & CO. INC. |
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Needle issue, Occupational exposure to product; Needle issue, Occupational expos...
Needle issue, Occupational exposure to product; Needle issue, Occupational exposure to product
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No additional AE; a medical assistant was preparing VARIVAX to administer to a patient when somehow ...
No additional AE; a medical assistant was preparing VARIVAX to administer to a patient when somehow the needle bent and it squirted into the medical assistants eye.; medical assistant was preparing VARIVAX to administer to a patient when somehow the needle bent and it squirted into the medical assistants eye; the needle bent and it squirted into the medical assistants eye. Nurse confirmed no PQC reporting it was a in house needle that bent, saying it was a non Merck product.; This spontaneous report was received from an Office Manager (Healthcare Business Professional [HBP]) and refers to a female patient of unknown age. The patient's medical history, concurrent conditions, and concomitant therapies were not reported. On 24-Jun-2025 about 1:00 PM, the patient (medical assistant) was preparing Varicella Virus Vaccine Live (Oka-Merck) (VARIVAX), Injection reconstituted with sterile diluent (MERCK STERILE DILUENT), Solution for injection (expiration date and lot # were not reported) to administer to a patient, when somehow the needle bent and it squirted into the medical assistants eye (Accidental exposure to product, Occupational exposure to product). It was a in house needle that bent, it was a non-Merck product (Needle issue). It was reported the suspect vaccine squirted into medical assistant eye and the medical assistant rinsed it out. It might have been the medical assistants left eye but she was not sure, there had been no pain or any other complaints since the incident occurred. The reporter did not know any further details regarding the event reporting the medical assistant and health care professional (HCP) were busy with another patient. When asked about patient, HBP reports no adverse event (AE) for patient. No additional AE (no adverse event). Lot # is being requested and will be submitted if received.
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| 2848470 | 85 | F | MA | 07/04/2025 |
PNC21 |
MERCK & CO. INC. |
Y019157 |
Injection site erythema, Injection site swelling, Pain in extremity
Injection site erythema, Injection site swelling, Pain in extremity
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The patient complained that first 4 days after the vaccination, her arm was "sore" and on ...
The patient complained that first 4 days after the vaccination, her arm was "sore" and on the 5th day the injection site got "red and swollen" and her arm was painful.; The patient complained that first 4 days after the vaccination, her arm was "sore" and on the 5th day the injection site got "red and swollen" and her arm was painful.; The patient complained that first 4 days after the vaccination, her arm was "sore" and on the 5th day the injection site got "red and swollen" and her arm was painful./However, pain and redness spread up to her elbow; However, pain and redness spread up to her elbow; This spontaneous report was received from a pharmacist and refers to a 85-year-old female patient. Her medical history, concurrent conditions and concomitant therapies were not reported. On 12-JUN-2025, the patient was vaccinated with Pneumococcal 21-valent Conjugate Vaccine (CAPVAXIVE) solution for injection, 1 dose, lot #Y019157, expiration date: 23-MAY-2026, administered by intramuscular route as routine vaccination (anatomical site was not reported). For first 4 days after the vaccination the patient complained that her arm was "sore" and on the 5th day the injection site got red and swollen and her arm was painful. She went to an urgent care and received a prescription for Doxycycline 100mg twice a day for 7 days. However, pain and redness spread up to her elbow, so she went to an unspecified hospital and received unspecified IV antibiotic. Confirmed with pharmacist that the patient was not hospitalized. At the reporting time, the patient had not recovered from the events. The action taken with Pneumococcal 21-valent Conjugate Vaccine (CAPVAXIVE) was not reported but established as not applicable. The causal relationship between the events and Pneumococcal 21-valent Conjugate Vaccine (CAPVAXIVE) was not provided.
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| 2848471 | PA | 07/04/2025 |
RVX RVX RVX |
UNKNOWN MANUFACTURER UNKNOWN MANUFACTURER UNKNOWN MANUFACTURER |
Y018376 Y018376 Y018376 |
No adverse event, Product administered to patient of inappropriate age; No adver...
No adverse event, Product administered to patient of inappropriate age; No adverse event, Product administered to patient of inappropriate age; No adverse event, Product administered to patient of inappropriate age
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ROTATEQ administered to a patient to greater that 32 weeks old. HCP stated that the patient was admi...
ROTATEQ administered to a patient to greater that 32 weeks old. HCP stated that the patient was administered their third dose of ROTATEQ today, 6/25/2025, due to the patient being behind with their vaccination appointments; No additional AE; HCP calling to report adverse event regarding ROTATEQ administered to a patient to greater that 32 weeks old.; This spontaneous report was received from a medical assistant and refers to a specified patient of unknown age and gender. The patient's medical history, concurrent conditions and concomitant therapies were not reported. On an unspecified date, the patient was vaccinated with the first dose of Rotavirus Vaccine, Live, Oral, Pentavalent (ROTATEQ) 2 mL (2 mL / three dose series) (lot #Y018376, expiration date reported as and upon internal validation confirmed to be: 07-May-2026) (route of administration and vaccination site were not reported) administered for prophylaxis. On an unspecified date, the patient was vaccinated with the second dose of Rotavirus Vaccine, Live, Oral, Pentavalent (ROTATEQ) 2 mL (2 mL / three dose series) (lot #Y018376, expiration date reported as and upon internal validation confirmed to be: 07-May-2026) (route of administration and vaccination site were not reported) administered for prophylaxis. On 25-Jun-2025, the patient was vaccinated with the first dose of Rotavirus Vaccine, Live, Oral, Pentavalent (ROTATEQ) 2 mL (2 mL / three dose series) (lot #Y018376, expiration date reported as and upon internal validation confirmed to be: 07-May-2026) (route of administration and vaccination site were not reported) administered for prophylaxis. On that day (today), Rotavirus Vaccine, Live, Oral, Pentavalent (ROTATEQ) was administered to the patient who was greater than 32 weeks old (Product administered to patient of inappropriate age). Health care professional (HCP) stated that the patient was administered their third dose of Rotavirus Vaccine, Live, Oral, Pentavalent (ROTATEQ) today, due to the patient being behind with their vaccination appointments (inappropriate schedule of product administration). HCP confirmed the patient has not experienced any medical concerns at this time after being administered Rotavirus Vaccine, Live, Oral, Pentavalent (ROTATEQ) beyond the recommended 32 weeks age. No additional information was provided. No additional adverse event or product quality compliant (AE/PQC) was noted (no adverse event).
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| 2848472 | PA | 07/04/2025 |
HPV9 |
MERCK & CO. INC. |
W031448 |
Expired product administered, No adverse event
Expired product administered, No adverse event
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No symptoms reported; expired dose of GARDASIL 9 was administered to a patient.; This spontaneous re...
No symptoms reported; expired dose of GARDASIL 9 was administered to a patient.; This spontaneous report was received from a Registered Nurse 30-Jun-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 25-Feb-2025, the patient was vaccinated with an expired vaccine of Human Papillomavirus 9-valent Vaccine, Recombinant Injection (GARDASIL 9) (dose number, lot #W031448, expiration date: 12-Feb-2025), dose:0.5 mL for Prophylaxis (Expired product administered). No symptoms reported
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| 2848473 | MO | 07/04/2025 |
VARCEL |
MERCK & CO. INC. |
Y015108 |
No adverse event, Product storage error
No adverse event, Product storage error
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No additional AE; HCP called to report a temperature excursion for VARIVAX and PROQUAD. HCP reported...
No additional AE; HCP called to report a temperature excursion for VARIVAX and PROQUAD. HCP reported that VARIVAX and PROQUAD were administered to multiple patients on multiple dates after being improperly stored. This case pertains to one patient who received imprope; 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 18-Jun-2025, the was vaccinated with improper storage dose of Varicella Virus Vaccine Live (Oka-Merck) (VARIVAX), formulation: injection, lot #Y015108, expiration date: 06-Sep-2026, 0.5 mL (route of administration and anatomical location were not provided) for prophylaxis. The vaccine was reconstituted with sterile diluent (MERCK STERILE DILUENT). On an unknown date, administered dose of vaccine was exposed to the temperature excursion of 6.3 degrees Fahrenheit (F) for 16 minutes (product storage error). No additional adverse event reported (no adverse event). This is one of several reports received from the same reporter.
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| 2848474 | MO | 07/04/2025 |
VARCEL |
MERCK & CO. INC. |
Y015108 |
No adverse event, Product storage error
No adverse event, Product storage error
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No additional AE; HCP reported that VARIVAX and PROQUAD were administered to multiple patients on mu...
No additional AE; HCP reported that VARIVAX and PROQUAD were administered to multiple patients on multiple dates after being improperly stored. This case pertains to one patient who received improperly stored VARIVAX on 06/10/2025; 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 10-JUN-2025, the patient was vaccinated with an improperly stored Varicella Virus Vaccine Live (Oka-Merck) (VARIVAX), Injection (lot #Y015108, expiration date: 06-SEP-2026) at a dose of 0.5 mL (route of administration not reported ) which was reconstituted with sterile diluent (MERCK STERILE DILUENT), at a dose of 0.5 mL (lot # and expiration date, route of administration were not reported) for prophylaxis following a temperature excursion of 6.3F for 0 hours 16 minutes 0 seconds. No additional adverse event was reported.
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| 2848475 | TX | 07/04/2025 |
HPV9 HPV9 HPV9 HPV9 |
MERCK & CO. INC. MERCK & CO. INC. MERCK & CO. INC. MERCK & CO. INC. |
z014790 z014790 2014790 2014790 |
No adverse event, Product administered to patient of inappropriate age; Product ...
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; Product administered to patient of inappropriate age, Wrong product administered
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No additional AEs were reported; Healthcare worker reported that a 2 month old patient received a do...
No additional AEs were reported; Healthcare worker reported that a 2 month old patient received a dose of GARDASIL 9. No additional AEs were reported, no further information provided. No PQC.; This spontaneous report was received from a healthcare worker and refers to 2-month-old patient of unknown gender. The patient's medical history, concurrent conditions and concomitant therapies were not reported. On 03-Jul-2025, the 2-month-old patient was vaccinated with Human Papillomavirus 9-valent Vaccine, Recombinant (GARDASIL 9), (invalid lot #z014790, expiration date: 22-Apr-2026) for prophylaxis (product administered to patient of inappropriate age). No additional adverse events (AEs) were reported. no further information provided.
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