| ID | Age | Sex | State | Date โผ | Onset Days | Vaccine | Manufacturer | Lot # | Symptoms | Narrative | ๐ | ๐ฅ | ๐ | โฟ | โ ๏ธ |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2847827 | F | NY | 06/30/2025 |
DTAPIPVHIB |
SANOFI PASTEUR |
|
Inappropriate schedule of product administration, No adverse event
Inappropriate schedule of product administration, No adverse event
|
received PENTACEL out of sequence, got it one-month early and now she is due for the 15-month dose w...
received PENTACEL out of sequence, got it one-month early and now she is due for the 15-month dose with no reported AE; Initial information received on 26-Jun-2025 regarding an unsolicited valid non-serious case received from a physician. This case involves Infant female patient who had received Diphtheria/Tetanus/5 Hybrid Ac Pertussis/Ipv(Vero)/Hib(Prp/T) Vaccine [Pentacel (Vero)] out of sequence, got it one-month early and now she is due for the 15-month dose 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 0.5 ml dose of suspect Diphtheria/Tetanus/5 Hybrid Ac Pertussis/Ipv(Vero)/Hib(Prp/T) Vaccine, Suspension for injection, (lot number, strength and expiry date not reported) frequency: once via unknown route in unknown administration site for immunisation, out of sequence, got it one-month early and now she is due for the 15-month dose with no reported ae (inappropriate schedule of product administration) (latency: same day). Information on the batch number was requested corresponding to the one at time of event occurrence. Action taken was not applicable. This suspected adverse reaction report is submitted and classified as a medication error solely and exclusively to ensure the marketing authorization holder's compliance with the requirements set out in the Directive 2001/83/EC and Module VI of the Good Pharmacovigilance Practices. The classification as a medical error is in no way intended, nor should it be interpreted or construed as an allegation or claim made by the marketing authorization holder that any third party has contributed to or is to be held liable for the occurrence of this medication error.
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| 2847828 | 1.5 | M | MI | 06/30/2025 |
IPV |
SANOFI PASTEUR |
x1c891m |
Extra dose administered, No adverse event
Extra dose administered, No adverse event
|
It was a extra dose of Polio that was given to pt. He had no reaction to this.
It was a extra dose of Polio that was given to pt. He had no reaction to this.
|
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| 2847829 | 62 | F | MI | 06/30/2025 |
MMRV |
MERCK & CO. INC. |
Y014307 |
Wrong product administered
Wrong product administered
|
Administered an MMRV, was scheduled for MMR
Administered an MMRV, was scheduled for MMR
|
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| 2847830 | 67 | F | FL | 06/30/2025 |
PNC20 |
PFIZER\WYETH |
lk6655 |
Injection site erythema, Injection site pain, Injection site pruritus, Injection...
Injection site erythema, Injection site pain, Injection site pruritus, Injection site warmth
More
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Site: Itching at Injection Site-Medium, Site: Pain at Injection Site-Medium, Site: Redness at Inject...
Site: Itching at Injection Site-Medium, Site: Pain at Injection Site-Medium, Site: Redness at Injection Site-Medium, Additional Details: Patient came back to pharmacy to report adverse reaction to vaccine. Starting the day after receiving vaccine, patient experienced general pain in the arm vaccine was administered in. She later noticed redness and warmth. When she came in on 6/17/25, arm was red in the area well below administration site and spread towards the front of the arm, almost reaching elbow. Patient later reported seeing provider on 6/17/25 and received prednisone 20 mg BID for 5 days, then QD for 5 days.
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| 2847831 | 62 | M | PA | 06/30/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
55th4 |
Hypoaesthesia, Injection site erythema, Injection site pruritus, Injection site ...
Hypoaesthesia, Injection site erythema, Injection site pruritus, Injection site swelling
More
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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: Numbness (specify: facial area, extremities)-Medium, Additional Details: numbness between right shoulder and spine area
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| 2847832 | TN | 06/30/2025 |
TD |
SANOFI PASTEUR |
|
Product storage error
Product storage error
|
unsuitable product administered with no reported adverse event; Initial information received on 26-J...
unsuitable product administered with no reported adverse event; Initial information received on 26-Jun-2025 regarding an unsolicited valid non-serious case received from a other health professional. This case involves a patient with unknown age and gender who was administered to unsuitable Diphtheria-2/Tetanus-5 Adsorbed Toxoids No Preservative Adult [Tenivac] 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 an unknown dose of suspect Diphtheria-2/Tetanus-5 Adsorbed Toxoids No Preservative Adult, Suspension for injection (lot number, expiry date and strength not reported) via unknown route in unknown administration site for Immunization and unsuitable product was administered with no reported adverse event (poor quality product administered) (latency same day). Information on the batch number was requested corresponding to the one at time of event occurrence. Reportedly, the duration of temperature excursion: 48 hours and maximum/minimum temperature reached: 5๏ฟฝC but the reported stated that she was not sure for the temperature. It was not related to human error. 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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| 2847833 | 19 | F | SC | 06/30/2025 |
MENB |
PFIZER\WYETH |
HG6057 |
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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| 2847834 | 39 | F | FL | 06/30/2025 |
MMR |
GLAXOSMITHKLINE BIOLOGICALS |
xx9n4 |
Dizziness, Dyspnoea, Hyporesponsive to stimuli, Loss of consciousness, Syncope
Dizziness, Dyspnoea, Hyporesponsive to stimuli, Loss of consciousness, Syncope
|
Systemic: Allergic: Difficulty Breathing-Medium, Systemic: Dizziness / Lightheadness-Severe, Systemi...
Systemic: Allergic: Difficulty Breathing-Medium, Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Severe, Additional Details: Patient complained after shot of feeling light headed, went to go get water for her, by the time I got back with it my tech said she passed out in the chair. She was slightly resposive when I checked her, called 911 who sent paramedics and she was taken to the hospital from here. Bp was 80/60 when they checked. Patient's husband came later to report she recovered, relayed she had a semiglutide injection recently and was fasting for her blood draw that morning. , Other Vaccines: VaccineTypeBrand: heplisav-b; Manufacturer: dynavax; LotNumber: 946063; Route: IM; BodySite: left arm; Dose: 1; VaxDate: 06/20/2025, VaccineTypeBrand: Varivax; Manufacturer: merck; LotNumber: 2004455; Route: IM; BodySite: left arm; Dose: ; VaxDate: 06/20/2025
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| 2847835 | 69 | M | IN | 06/30/2025 |
COVID19 |
PFIZER\BIONTECH |
ME6072 |
Pruritus, Rash, Rash pruritic
Pruritus, Rash, Rash pruritic
|
Systemic: Allergic: Itch Generalized-Mild, Systemic: Allergic: Rash Generalized-Mild, Additional Det...
Systemic: Allergic: Itch Generalized-Mild, Systemic: Allergic: Rash Generalized-Mild, Additional Details: RASHES APPEARED ON UPPER ARMS YESTERDAY WITH ITCHING
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| 2847836 | 19 | M | PA | 06/30/2025 |
HPV9 |
MERCK & CO. INC. |
x020725 |
Syncope, Unresponsive to stimuli
Syncope, Unresponsive to stimuli
|
Systemic: Fainting / Unresponsive-Mild, Additional Details: Patient somewhat fainted for about 5 sec...
Systemic: Fainting / Unresponsive-Mild, Additional Details: Patient somewhat fainted for about 5 seconds after receiving the injection of Gardasil 9. His father was there, so the patient did not fall off of the chair. 911 was called. Patient seemed to be ok. The medics checked him out and he seemed to be ok. His dad said this has happened in the past with other vaccines., Other Vaccines: VaccineTypeBrand: Gardasil 9; Manufacturer: Merck; LotNumber: x020725; Route: im; BodySite: arm; Dose: ; VaxDate: UNKNOWN
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| 2847837 | 29 | F | TX | 06/30/2025 |
VARCEL |
MERCK & CO. INC. |
y015101 |
Injection site erythema, Injection site swelling
Injection site erythema, Injection site swelling
|
Site: Redness at Injection Site-Mild, Site: Swelling at Injection Site-Mild
Site: Redness at Injection Site-Mild, Site: Swelling at Injection Site-Mild
|
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| 2847838 | 75 | F | IL | 06/30/2025 |
COVID19-2 |
PFIZER\BIONTECH |
ME6072 |
Injection site erythema, Injection site pain, Injection site pruritus, Injection...
Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling, Mobility decreased
More
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Site: Itching at Injection Site-Mild, Site: Pain at Injection Site-Mild, Site: Redness at Injection ...
Site: Itching at Injection Site-Mild, Site: Pain at Injection Site-Mild, Site: Redness at Injection Site-Medium, Site: Swelling at Injection Site-Mild, Additional Details: Pt does take 2 benadryl at night as a routine medication and she took on wed,thr and fri but sysmtomps did not get better. Pt does have difficulty raising arm or no tingling running towards finger. Advised patient to seek medical attention either with PCP or urgent care or immediate care due to weekend. Per pt, if it continues she will contatct her PCP on monday or seek medical attention sooner. , Other Vaccines: VaccineTypeBrand: Boostrix TDAP; Manufacturer: GSK; LotNumber: 793PT; Route: IM; BodySite: Right Deltoid; Dose: ; VaxDate: UNKNOWN, VaccineTypeBrand: Arexvy; Manufacturer: GSK; LotNumber: 4F45Z; Route: IM; BodySite: Right Deltoid; Dose: ; VaxDate: UNKNOWN
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| 2847839 | 72 | F | FL | 06/30/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
39H2S |
Injection site swelling, Rash
Injection site swelling, Rash
|
Site: Swelling at Injection Site-Severe, Systemic: Allergic: Rash (specify: facial area, extremeties...
Site: Swelling at Injection Site-Severe, Systemic: Allergic: Rash (specify: facial area, extremeties)-Medium, Additional Details: Patient had a "hamburger sized" injection site swelling, that decreased day after. (06/21/25). Patient started developing rash starting 06/21/25 evening rash from her upper thigh towards the glute. Started spraeding with bumps not blistering. Patient woke up at 06/22/25 and devleoped another rash across abdomin with same features. Patinet has been taking tylenol 500mg by mouth once daily since day of injection 06/20/25. Patient has been counselled to seek further medical help and advise., Other Vaccines: VaccineTypeBrand: Shingrix (Shingles); Manufacturer: Glaxosmithkline; LotNumber: 39H2S; Route: IM; BodySite: Right Arm; Dose: ; VaxDate: UNKNOWN
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| 2847840 | 68 | F | CA | 06/30/2025 |
RSV |
GLAXOSMITHKLINE BIOLOGICALS |
XA53Y |
Injection site erythema, Injection site pain, Injection site swelling
Injection site erythema, Injection site pain, Injection site swelling
|
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, Additional Details: Pt received Arexvy vaccine on Thursday 6/19/25. Pt came to pharmacy on Sunday 6/22/25 and reported redness, swelling, and pain in arm below injection site that has lasted for 3 days. Recommended pt take ibuprofen and diphenhydramine to alleviate symptoms. Will follow up with pt the next day., Other Vaccines: VaccineTypeBrand: Arexvy; Manufacturer: GSK; LotNumber: XA53Y; Route: IM; BodySite: ; Dose: ; VaxDate: UNKNOWN
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| 2847841 | 50 | M | GA | 06/30/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
93kk4 |
Injection site pain, Pain, Pain in extremity, Sleep disorder
Injection site pain, Pain, Pain in extremity, Sleep disorder
|
Site: Pain at Injection Site-Severe, Systemic: Body Aches Generalized-Severe, Additional Details: Pt...
Site: Pain at Injection Site-Severe, Systemic: Body Aches Generalized-Severe, Additional Details: Pt said that his all extremites are very painful and he is not able to sleep on left side at all., Other Vaccines: VaccineTypeBrand: Heplisav B; Manufacturer: dynavax; LotNumber: 947931; Route: intramusular; BodySite: right arm; Dose: 1; VaxDate: 06/16/2025
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| 2847842 | 56 | M | FL | 06/30/2025 |
PNC21 |
MERCK & CO. INC. |
2002626 |
Injection site bruising
Injection site bruising
|
Site: Bruising at Injection Site-Severe, Additional Details: patient reported to pharmacy to today w...
Site: Bruising at Injection Site-Severe, Additional Details: patient reported to pharmacy to today with severe bruising of large area of right arm. patient was advised to see a doctor immediately by rph both in person when in the pharmacy and later on phone. patient has refused to see doctor or go to the emergency room , Other Vaccines: VaccineTypeBrand: boostrix; Manufacturer: ; LotNumber: pd324; Route: intramuscular; BodySite: left deltoid; Dose: ; VaxDate: UNKNOWN, VaccineTypeBrand: pfizer comirnity; Manufacturer: ; LotNumber: md3414; Route: intramuscular; BodySite: left deltoid; Dose: ; VaxDate: UNKNOWN
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| 2847843 | 71 | F | CA | 06/30/2025 |
PNC20 |
PFIZER\WYETH |
ln4929 |
Injection site erythema, Injection site infection, Injection site swelling
Injection site erythema, Injection site infection, Injection site swelling
|
Site: Redness at Injection Site-Mild, Site: Swelling at Injection Site-Mild, Additional Details: pat...
Site: Redness at Injection Site-Mild, Site: Swelling at Injection Site-Mild, Additional Details: patient said the injection site turned red and swelling after a few days, patient went to the doctor to get it check out, and doctor said it was infected, and prescribed patient oral antibiotics, no other symtoms specified, patient called to let us know, no other complaints.
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| 2847844 | 31 | F | PA | 06/30/2025 |
COVID19 COVID19 |
PFIZER\BIONTECH PFIZER\BIONTECH |
me6072 me6072 |
Chest discomfort, Chest pain, Dizziness, Dyspnoea, Flushing; Hyperhidrosis, Naus...
Chest discomfort, Chest pain, Dizziness, Dyspnoea, Flushing; Hyperhidrosis, Nausea
More
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Systemic: Allergic: Difficulty Breathing-Medium, Systemic: Chest Tightness / Heaviness / Pain-Medium...
Systemic: Allergic: Difficulty Breathing-Medium, Systemic: Chest Tightness / Heaviness / Pain-Medium, Systemic: Dizziness / Lightheadness-Medium, Systemic: Flushed / Sweating-Medium, Systemic: Nausea-Medium
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| 2847845 | 18 | M | CA | 06/30/2025 |
MNQ MNQ MNQ |
SANOFI PASTEUR SANOFI PASTEUR SANOFI PASTEUR |
u8194aa u8194aa u8194aa |
Arthralgia, Dyskinesia, Facial pain, Fall, Headache; Hyperhidrosis, Lip injury, ...
Arthralgia, Dyskinesia, Facial pain, Fall, Headache; Hyperhidrosis, Lip injury, Loss of consciousness, Syncope, Thirst; Unresponsive to stimuli
More
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Systemic: Fainting / Unresponsive-Severe, Additional Details: Patient got MENACWY vaccine in his lef...
Systemic: Fainting / Unresponsive-Severe, Additional Details: Patient got MENACWY vaccine in his left arm. In 5 min patient got HPV vaccine in right arm, was doing well for 2 minutes, and was talking. Suddenly fell face forward and was unconscious. Had a couple second episode of jerking movements, SBP 150, patient was diaphoretic, in a couple of minutes started talking and was oriented to self, situation and place, was complaining of face pain due to trauma to the lip from falling and right knee pain, as well as headache. Was thirsty and was drinking, Other Vaccines: VaccineTypeBrand: HPV; Manufacturer: merck; LotNumber: z005469; Route: IM; BodySite: right deltoid; Dose: 1; VaxDate: 06/24/2025
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| 2847846 | 66 | F | CT | 06/30/2025 |
PNC21 |
MERCK & CO. INC. |
z004302 |
Infection, Injection site abscess
Infection, Injection site abscess
|
Site: Redness at Injection Site-Mild, Additional Details: Husband reports patient was seen for an in...
Site: Redness at Injection Site-Mild, Additional Details: Husband reports patient was seen for an infection, treated with short term course of kefelx, dispensed from pharmacy
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| 2847847 | 51 | M | CA | 06/30/2025 |
VARZOS VARZOS |
GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS |
5Y9CA 5Y9CA |
Fatigue, Injection site bruising, Injection site pain, Lethargy, Pain; Rash, Sca...
Fatigue, Injection site bruising, Injection site pain, Lethargy, Pain; Rash, Scan normal, X-ray normal
More
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Site: Bruising at Injection Site-Medium, Site: Pain at Injection Site-Mild, Systemic: Allergic: Rash...
Site: Bruising at Injection Site-Medium, Site: Pain at Injection Site-Mild, Systemic: Allergic: Rash (specify: facial area, extremeties)-Severe, Systemic: Allergic: Rash Generalized-Severe, Systemic: Body Aches Generalized-Mild, Systemic: Exhaustion / Lethargy-Mild, Additional Details: Patient received 2nd dose of Shingles vaccine on 6/6/2025. His first dose was in 2024. He does not recall if he had any reactions after the 1st dose. He complained for arm soreness, pain, and upper extremity rash. Those symptoms started 2 days after the vaccine. He visited the ER. The ER did X-rays and scans, which all came back normal. They prescriber stated patient may have possible reaction from vaccine. Pt will follow up with PCP.
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| 2847848 | CA | 06/30/2025 |
HIBV |
SANOFI PASTEUR |
|
No adverse event, Product administered to patient of inappropriate age
No adverse event, Product administered to patient of inappropriate age
|
ACTHIB being given to children 6 to 7 weeks of age with no reported AE; Initial information received...
ACTHIB being given to children 6 to 7 weeks of age with no reported AE; Initial information received on 27-Jun-2025 regarding an unsolicited valid non-serious case received from a pharmacist. This case involves Infant and unknown gender patient for whom HIB (PRP/T) vaccine [ACT-HIB] being given to children 6 to 7 weeks of age with no reported ae (adverse event). The patient's past medical history, medical treatment(s), vaccination(s) and family history were not provided. On an unknown date, the patient received an unknown dose of suspect HIB (PRP/T) vaccine; Powder and solvent for solution for injection (lot number, strength and expiry date not reported) via unknown route in unknown administration site for Immunization; being given to children 6 to 7 weeks of age with no reported ae (product administered to patient of inappropriate age) (latency: same day). Information on the batch number was requested corresponding to the one at time of event occurrence. Action taken was not applicable. This suspected adverse reaction report is submitted and classified as a medication error solely and exclusively to ensure the marketing authorization holder's compliance with the requirements set out in the Directive 2001/83/EC and Module VI of the Good Pharmacovigilance Practices. The classification as a medical error is in no way intended, nor should it be interpreted or construed as an allegation or claim made by the marketing authorization holder that any third party has contributed to or is to be held liable for the occurrence of this medication error.
More
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| 2847849 | 78 | F | FL | 06/30/2025 |
TDAP |
GLAXOSMITHKLINE BIOLOGICALS |
H4279 |
Dizziness, Syncope, Unresponsive to stimuli
Dizziness, Syncope, Unresponsive to stimuli
|
Systemic: Dizziness / Lightheadness-Mild, Systemic: Fainting / Unresponsive-Mild, Additional Details...
Systemic: Dizziness / Lightheadness-Mild, Systemic: Fainting / Unresponsive-Mild, Additional Details: Feeling faint, laid on the floor to recover
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| 2847850 | 67 | F | NC | 06/30/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
4n9pf |
Injection site pruritus, Rash, Rash pruritic
Injection site pruritus, Rash, Rash pruritic
|
Site: Itching at Injection Site-Medium, Systemic: Allergic: Rash (specify: facial area, extremeties)...
Site: Itching at Injection Site-Medium, Systemic: Allergic: Rash (specify: facial area, extremeties)-Medium, Additional Details: patient states approx 48 hrs after vaccination she experienced an "intensely itchy rash" on upper right arm and right ankle
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| 2847851 | 69 | F | FL | 06/30/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
99d52 |
Injection site bruising, Injection site erythema, Injection site pruritus, Injec...
Injection site bruising, Injection site erythema, Injection site pruritus, Injection site swelling
More
|
Site: Bruising at Injection Site-Mild, Site: Itching at Injection Site-Mild, Site: Redness at Inject...
Site: Bruising at Injection Site-Mild, Site: Itching at Injection Site-Mild, Site: Redness at Injection Site-Mild, Site: Swelling at Injection Site-Mild, Additional Details: Patient stated she feels itchy at the site of injection and swelling was there but does not bother her. She wants some itching symptom relief. Advice her to get benadryl tablet to take, also she can use benadryl cream for itching. Recommended ice pack or warm compression on arm. Patient stated she will monitor and seek for medical help if needed.
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| 2847852 | 73 | F | FL | 06/30/2025 |
PNC21 |
MERCK & CO. INC. |
y013009 |
Blood disorder, Deep vein thrombosis
Blood disorder, Deep vein thrombosis
|
Systemic: Blood Disorder (diagnosed by MD)-Medium, Additional Details: Patient developed a DVT in h...
Systemic: Blood Disorder (diagnosed by MD)-Medium, Additional Details: Patient developed a DVT in her right leg, has had a history of 3 previous DVTs in the right leg
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| 2847853 | 36 | F | CA | 06/30/2025 |
TDAP |
GLAXOSMITHKLINE BIOLOGICALS |
793pt |
Erythema, Skin warm
Erythema, Skin warm
|
Systemic: felt hot and redness on neck and arms-Mild, Additional Details: patient feels hot and redn...
Systemic: felt hot and redness on neck and arms-Mild, Additional Details: patient feels hot and redness on arms and neck
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| 2847854 | 45 | M | AL | 06/30/2025 |
HEP |
DYNAVAX TECHNOLOGIES CORPORATION |
946904 |
Injection site pain, Lymphadenopathy, Pruritus
Injection site pain, Lymphadenopathy, Pruritus
|
Site: Pain at Injection Site-Mild, Systemic: Allergic: Itch (specify: facial area, extremeties)-Mild...
Site: Pain at Injection Site-Mild, Systemic: Allergic: Itch (specify: facial area, extremeties)-Mild, Systemic: had some itching on wrist and says lympth node on that side swollen-Mild, Other Vaccines: VaccineTypeBrand: boostrix; Manufacturer: glaxosmith; LotNumber: hr4279; Route: im; BodySite: left arm; Dose: ; VaxDate: UNKNOWN, VaccineTypeBrand: gardasil; Manufacturer: merck; LotNumber: 2005055; Route: im; BodySite: left arm; Dose: ; VaxDate: UNKNOWN
More
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| 2847855 | 87 | M | NC | 06/30/2025 |
PNC21 |
MERCK & CO. INC. |
Z005765 |
Dizziness, Injection site pain
Dizziness, Injection site pain
|
Site: Pain at Injection Site-Medium, Systemic: Dizziness / Lightheadness-Mild
Site: Pain at Injection Site-Medium, Systemic: Dizziness / Lightheadness-Mild
|
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| 2847856 | 66 | F | NC | 06/30/2025 |
PNC21 |
MERCK & CO. INC. |
Z005765 |
Chills, Injection site erythema, Injection site pain, Injection site swelling, P...
Chills, Injection site erythema, Injection site pain, Injection site swelling, Pyrexia
More
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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: Chills-Medium, Systemic: Fever-Medium
More
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| 2847857 | 72 | F | FL | 06/30/2025 |
PPV |
MERCK & CO. INC. |
Y016291 |
Joint injury
Joint injury
|
Error: Shoulder Joint Injury (prolonged pain, tingling, etc.)-
Error: Shoulder Joint Injury (prolonged pain, tingling, etc.)-
|
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| 2847858 | 0.25 | F | AL | 06/30/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
not known |
Injection site pruritus
Injection site pruritus
|
Site: Itching at Injection Site-Mild, Additional Details: pt said they had itching reaction when ask...
Site: Itching at Injection Site-Mild, Additional Details: pt said they had itching reaction when asked if they wanted to finish the series. i asked patient if she wanted me to report she said yes. i can't view any of the other info in rx system
More
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| 2847860 | 60 | M | FL | 06/30/2025 |
VARZOS VARZOS |
GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS |
74NC9 74NC9 |
Autoimmune disorder, Blister, Erythema, Injection site erythema, Pruritus; Rash
Autoimmune disorder, Blister, Erythema, Injection site erythema, Pruritus; Rash
|
Site: Redness at Injection Site-Severe, Systemic: Allergic: Itch (specify: facial area, extremeties)...
Site: Redness at Injection Site-Severe, Systemic: Allergic: Itch (specify: facial area, extremeties)-Severe, Systemic: Allergic: Itch Generalized-Severe, Systemic: Allergic: Rash (specify: facial area, extremeties)-Severe, Systemic: Allergic: Rash Generalized-Severe, Systemic: Autoimmune Disease (diagnosed by MD)-Medium, Additional Details: patient states that he gets several blisters, patches of red spots with fluids all over the body including back of hair and butt. symptoms goes away after 7-8 days and comes back. this is 3rd time having these symptoms after second dose of shingrix... 1st dose was fine..., Other Vaccines: VaccineTypeBrand: prevnar 20; Manufacturer: wyeth Pharmaceuticals LLC; LotNumber: LJ5281; Route: IM; BodySite: right arm; Dose: 00; VaxDate: 02/28/2025
More
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| 2847861 | 80 | F | TX | 06/30/2025 |
COVID19 |
MODERNA |
3044069 |
Injection site bruising, Injection site erythema, Injection site pain, Injection...
Injection site bruising, Injection site erythema, Injection site pain, Injection site swelling, Pruritus
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Site: Bruising at Injection Site-Medium, Site: Itching at Injection Site-Medium, Site: Pain at Injec...
Site: Bruising at Injection Site-Medium, Site: Itching at Injection Site-Medium, Site: Pain at Injection Site-Medium, Site: Redness at Injection Site-Medium, Site: Swelling at Injection Site-Medium
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| 2847863 | 0.33 | F | SC | 06/30/2025 |
RV5 |
MERCK & CO. INC. |
2117044 |
Crying, Diarrhoea haemorrhagic, Food refusal
Crying, Diarrhoea haemorrhagic, Food refusal
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Inconsolable crying, decreased PO intake, developed bloody diarrhea on day 3 after vaccine
Inconsolable crying, decreased PO intake, developed bloody diarrhea on day 3 after vaccine
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| 2847865 | 19 | M | GA | 06/30/2025 |
COVID19 |
MODERNA |
8080803 |
Expired product administered, Injection site pain
Expired product administered, Injection site pain
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The patient received an expired vaccine at his appointment. On 06/12/2025 he received a COVID 19 vac...
The patient received an expired vaccine at his appointment. On 06/12/2025 he received a COVID 19 vaccine that expired 06/11/1025. He had soreness at injection site for 3 days. Has not had any new symtoms since.
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| 2847866 | 18 | F | GA | 06/30/2025 |
COVID19 |
MODERNA |
8080803 |
Expired product administered, No adverse event
Expired product administered, No adverse event
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Patient received a COVID vaccine on 06/13/2025, this vaccine expired on 06/11/3025. Patient did not ...
Patient received a COVID vaccine on 06/13/2025, this vaccine expired on 06/11/3025. Patient did not experience any adverse reactions from this injection.
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| 2847867 | 15 | M | 06/30/2025 |
COVID19 |
MODERNA |
8080803 |
Expired product administered, No adverse event
Expired product administered, No adverse event
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Patient was given a COVID 19 vaccine on 6/17/2025 that expired on 6/11/2025. I spoke to parents and ...
Patient was given a COVID 19 vaccine on 6/17/2025 that expired on 6/11/2025. I spoke to parents and patient did not experience any adverse resctions to this vaccine.
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| 2847868 | 0.17 | M | CO | 06/30/2025 |
RV5 |
MERCK & CO. INC. |
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Diarrhoea, Vomiting
Diarrhoea, Vomiting
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Diarrhea and spit up for 7 days
Diarrhea and spit up for 7 days
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| 2847869 | 39 | F | AL | 06/30/2025 |
HPV9 |
MERCK & CO. INC. |
X022735 |
Rash
Rash
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PATIENT STATES THAT A DAY OR TWO AFTER RECEIVING HPV VACCINE SHE BROKE OUT IN A SEVERE RASH TO THE A...
PATIENT STATES THAT A DAY OR TWO AFTER RECEIVING HPV VACCINE SHE BROKE OUT IN A SEVERE RASH TO THE ARM SHE RECEIVED THE VACCINE IN (RIGHT) AND TO THE TRUNK OF HER BODY. SHE WAS SEEN BY PMD AND WAS TOLD THAT SHE HAD A SEVERE REACTION TO THE VACCINE AND SHE IS STILL BEING TREATED FOR THE REACTION AT THIS TIME.
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| 2847870 | 11 | M | GA | 06/30/2025 |
MNQ TDAP |
SANOFI PASTEUR SANOFI PASTEUR |
pmcu8256ba-cp pmcu8115aa-cp |
Injection site swelling; Injection site swelling
Injection site swelling; Injection site swelling
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Patient had swelling at lower injection site (meq site). Swelling got bigger throughout the day. Ibu...
Patient had swelling at lower injection site (meq site). Swelling got bigger throughout the day. Ibuprofen was administered. Swelling still present 2 days after noticing.
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| 2847871 | 40 | M | VA | 06/30/2025 |
TD |
SANOFI PASTEUR |
u8492BA |
Muscular weakness, Pain
Muscular weakness, Pain
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States soreness, limited ROM, muscles weakness at times x 10 days
States soreness, limited ROM, muscles weakness at times x 10 days
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| 2847872 | 0.33 | M | 06/30/2025 |
DTAPHEPBIP |
GLAXOSMITHKLINE BIOLOGICALS |
9P329 |
Incorrect dose administered, No adverse event
Incorrect dose administered, No adverse event
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Patient recieved dtap-hep b-ipv vaccine instead of recommended dose of dtap-hib-ipv (pentacel), afte...
Patient recieved dtap-hep b-ipv vaccine instead of recommended dose of dtap-hib-ipv (pentacel), after patient received incorrect dose patient was acting his normal self. RN placed call to parent to inform of incorrect vaccine no answer, RN left message to have parent call clinic back.
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| 2847873 | 50 | F | TX | 06/30/2025 |
PNC20 PNC20 |
PFIZER\WYETH PFIZER\WYETH |
LN4930 LN4930 |
Chills, Headache, Injected limb mobility decreased, Pain, Pyrexia; Tremor
Chills, Headache, Injected limb mobility decreased, Pain, Pyrexia; Tremor
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Beginning around four hours after the injection I had limited to no mobility in my arm. A couple mor...
Beginning around four hours after the injection I had limited to no mobility in my arm. A couple more hours into the evening, I developed a really bad fever, had an immense headache, and severe chills. My teeth were chattering, and I could not stop shaking. It was about 10:30pm when I had to take some Aleve, as the pain was so intense. I was finally able to go to sleep, as the fever broke and stopped shaking. It has taken about three days for my arm to be at 90% of full range of motion. I have never experienced that fever or shaking before, as I don't ever get sick.
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| 2847874 | 77 | M | 06/30/2025 |
COVID19 |
PFIZER\BIONTECH |
ME6072 |
Flushing, Lacrimation increased, Pain, Pyrexia, Rhinorrhoea
Flushing, Lacrimation increased, Pain, Pyrexia, Rhinorrhoea
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At 0730 resident BP was 167/81 T 100.3 vital placed in vitals section in PCC, face was flushed has r...
At 0730 resident BP was 167/81 T 100.3 vital placed in vitals section in PCC, face was flushed has running nose and watery eyes, lip was red and slightly swollen. Resident stated it possibly could be related having the covid vaccine yesterday. Writer updated NP on call had given one time order Benadryl 25 mg and Tylenol 650 mg q 4 hours prn for fever/pain. Resident said he does not want to go to the hospital. Nursing staff will continue to monitor resident.
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| 2847875 | 52 | F | AL | 06/30/2025 |
PNC21 |
MERCK & CO. INC. |
Y019158 |
Injection site reaction, Urticaria
Injection site reaction, Urticaria
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Welts near site of injection
Welts near site of injection
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| 2847876 | 61 | F | LA | 06/30/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
PJ353 |
Diarrhoea, Rash, Rash pruritic
Diarrhoea, Rash, Rash pruritic
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PATIENT IS EXPERIENCING A ITCHY AND PAINFUL RASH. SHE IS ALSO HAVING DIARRHEA
PATIENT IS EXPERIENCING A ITCHY AND PAINFUL RASH. SHE IS ALSO HAVING DIARRHEA
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| 2847877 | 55 | F | CA | 06/30/2025 |
PNC20 |
PFIZER\WYETH |
LP4947 |
Injection site erythema, Injection site pain, Injection site rash, Injection sit...
Injection site erythema, Injection site pain, Injection site rash, Injection site swelling
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Pt has injection site rash with erythema, swelling and pain
Pt has injection site rash with erythema, swelling and pain
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| 2847878 | 17 | F | NM | 06/30/2025 |
HPV9 MENB MNQ TDAP |
MERCK & CO. INC. PFIZER\WYETH SANOFI PASTEUR GLAXOSMITHKLINE BIOLOGICALS |
Z002903 HP9988 U8438AA PG3RP |
Inappropriate schedule of product administration, No adverse event; Inappropriat...
Inappropriate schedule of product administration, No adverse event; Inappropriate schedule of product administration, No adverse event; Inappropriate schedule of product administration, No adverse event; Inappropriate schedule of product administration, No adverse event
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Tdap inadvertently given too soon. Patient did not suffer any adverse effects after inadvertent admi...
Tdap inadvertently given too soon. Patient did not suffer any adverse effects after inadvertent administration of Tdap.
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| 2847879 | 22 | F | IL | 06/30/2025 |
IPV |
SANOFI PASTEUR |
W1C7851M |
Incorrect route of product administration
Incorrect route of product administration
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Patient was given Poliovirus intradermally instead of TB. No symptoms at time of injection
Patient was given Poliovirus intradermally instead of TB. No symptoms at time of injection
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