| ID | Age | Sex | State | Date โผ | Onset Days | Vaccine | Manufacturer | Lot # | Symptoms | Narrative | ๐ | ๐ฅ | ๐ | โฟ | โ ๏ธ |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2846923 | 67 | M | MO | 06/23/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
TS525 |
Injection site erythema, Injection site swelling, Injection site warmth
Injection site erythema, Injection site swelling, Injection site warmth
|
Site: Redness at Injection Site-Medium, Site: Swelling at Injection Site-Mild, Additional Details: P...
Site: Redness at Injection Site-Medium, Site: Swelling at Injection Site-Mild, Additional Details: PATIENT ARRIVED AND SHOWED PHARMACIST INJECTION SITE OF WARM TO TOUCH AND SWOLLEN RED. SAYS IT DOESN'T BOTHER HIM BUT WANTED US TO BE AWARE. WILL FOLLOW UP IN A WEEK
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| 2846925 | 72 | F | MA | 06/23/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
99d52 |
Axillary pain, Injection site pain
Axillary pain, Injection site pain
|
Site: Pain at Injection Site-Medium, Additional Details: pt reported pain at the injection site and ...
Site: Pain at Injection Site-Medium, Additional Details: pt reported pain at the injection site and armpit. she is applying ice on the injection site and warm compresses on her armpit. Advised pt to call us back if pain persists and to call her Dr as well.
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| 2846926 | 89 | F | GA | 06/23/2025 |
RSV |
PFIZER\WYETH |
md5461 |
Injection site erythema, Injection site pruritus, Injection site swelling
Injection site erythema, Injection site pruritus, Injection site swelling
|
Site: Itching at Injection Site-Mild, Site: Redness at Injection Site-Medium, Site: Swelling at Inje...
Site: Itching at Injection Site-Mild, Site: Redness at Injection Site-Medium, Site: Swelling at Injection Site-Medium
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| 2846927 | 72 | F | NC | 06/23/2025 |
PNC20 |
PFIZER\WYETH |
ln4928 |
Asthenia, Injection site erythema, Injection site pain, Injection site swelling,...
Asthenia, 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: Fever-Medium, Systemic: Weakness-Medium
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| 2846928 | 72 | F | CA | 06/23/2025 |
COVID19 |
PFIZER\BIONTECH |
ME6072 |
Injection site erythema, Pruritus, Rash
Injection site erythema, Pruritus, Rash
|
Site: Redness at Injection Site-Medium, Systemic: Allergic: Itch Generalized-Medium, Systemic: Aller...
Site: Redness at Injection Site-Medium, Systemic: Allergic: Itch Generalized-Medium, Systemic: Allergic: Rash Generalized-Medium
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| 2846929 | 78 | M | IA | 06/23/2025 |
COVID19 |
MODERNA |
3046731 |
Death
Death
|
resident passed away
resident passed away
|
โ | |||||
| 2846930 | 1 | F | MA | 06/23/2025 |
VARCEL |
MERCK & CO. INC. |
Z002625 |
Rash
Rash
|
pimple like rash on arms, legs and face-small amount
pimple like rash on arms, legs and face-small amount
|
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| 2846931 | 52 | M | FL | 06/23/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
7zm55 |
Rash
Rash
|
Patient states after a week later of receiving the vaccines he develops rash all over his body and s...
Patient states after a week later of receiving the vaccines he develops rash all over his body and scalp but not itchy. He still has it until now. I advised him to wait to get second dose until he is seen by a provider.
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| 2846932 | M | TN | 06/23/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
|
Malaise
Malaise
|
He reports not feeling well for the evening after dose number 2; This non-serious case was reported ...
He reports not feeling well for the evening after dose number 2; This non-serious case was reported by a consumer via sales rep and described the occurrence of feeling unwell in a adult male patient who received Herpes zoster (Shingrix) for prophylaxis. Previously administered products included Shingrix (received first dose on an unknown date). On an unknown date, the patient received the 2nd dose of Shingrix. On an unknown date, an unknown time after receiving Shingrix, the patient experienced feeling unwell (Verbatim: He reports not feeling well for the evening after dose number 2). The outcome of the feeling unwell was not reported. It was unknown if the reporter considered the feeling unwell to be related to Shingrix. It was unknown if the company considered the feeling unwell to be related to Shingrix. Additional Information: GSK receipt date: 12-JUN-2025 The patient's age was approximately of 64 years. Patient has had both doses of Shingrix. He reported not feeling well for the evening after dose number 2.
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| 2846933 | 57 | F | IN | 06/23/2025 |
TDAP |
GLAXOSMITHKLINE BIOLOGICALS |
PG3RP |
Musculoskeletal discomfort
Musculoskeletal discomfort
|
A week later the patient reported significant shoulder discomfort when raising the arm with frontwar...
A week later the patient reported significant shoulder discomfort when raising the arm with frontward abduction. Advised she start taking ibuprofen 600mg TID for the next few days and encouraged continued ROM.
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| 2846934 | 69 | F | NJ | 06/23/2025 |
HEP |
DYNAVAX TECHNOLOGIES CORPORATION |
944915 |
Injection site erythema, Injection site mass, Injection site pruritus
Injection site erythema, Injection site mass, Injection site pruritus
|
Patient called the store today 6/23/25 and reported she has a red circle on her arm with 2 bumps in ...
Patient called the store today 6/23/25 and reported she has a red circle on her arm with 2 bumps in it where she got the vaccine. She also stated the area is itchy.
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| 2846935 | 53 | F | TX | 06/23/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
3273h |
Injection site erythema, Injection site pain
Injection site erythema, Injection site pain
|
Patient received vaccine Friday afternoon. Reported to pharmacy Monday morning. Arm soreness at inj...
Patient received vaccine Friday afternoon. Reported to pharmacy Monday morning. Arm soreness at injection site. There was some redness further down the arm around the bicep muscle. RPh recommended Chlorpheniramine, tylenol/ibuprofen, and icing the spot for the pain.
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| 2846936 | 58 | F | IL | 06/23/2025 |
VARZOS VARZOS |
GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS |
|
Injection site erythema, Injection site pain, Injection site swelling, Pain, Pai...
Injection site erythema, Injection site pain, Injection site swelling, Pain, Pain in extremity; Pyrexia
More
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Area was swollen, red and tender to touch. Arm hurt. Second day, entire body hurt and had a fever. I...
Area was swollen, red and tender to touch. Arm hurt. Second day, entire body hurt and had a fever. It has been a week and my arm still hurts although the swelling has gone down and it is not as red.
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| 2846937 | 58 | F | NC | 06/23/2025 |
PNC21 PNC21 PNC21 |
MERCK & CO. INC. MERCK & CO. INC. MERCK & CO. INC. |
|
Chills, Flushing, Injection site erythema, Injection site swelling, Nausea; Para...
Chills, Flushing, Injection site erythema, Injection site swelling, Nausea; Paraesthesia oral, Pruritus, Pyrexia, Rash, Rash erythematous; Rash macular, Urticaria
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Received PCV21 on 6/16/25. She had some redness and swelling of the injection site following the vac...
Received PCV21 on 6/16/25. She had some redness and swelling of the injection site following the vaccination. She developed fevers, chills, headaches, and nausea the following day. On 6/18, she developed a red, blotchy rash on her neck and chest. The rash was not itchy or painful. On 6/19, the red, blotchy rash spread to her upper abdomen and to the medial aspect of her left arm. By 6/21, the rash on her neck and trunk resolved but she woke up with facial flushing that felt similar to a sunburn. Denies any recent sun exposure. Reports that her lips also started to feel tingly intermittently. Denied any lip, tongue, or throat swelling. Denies any chest pain, shortness of breath, or difficulty breathing. On 6/22, the rash on her left arm became raised, "welty", itchy, and sore. Still endorses some intermittent nausea, cheek flushing, and intermittent lip tingling but symptoms are improving. Other symptoms have resolved.
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| 2846938 | 21 | M | TX | 06/23/2025 |
MNQ MNQ |
NOVARTIS VACCINES AND DIAGNOSTICS NOVARTIS VACCINES AND DIAGNOSTICS |
3443E 3443E |
Asthenia, Chills, Hyperhidrosis, Injection site haemorrhage, Loss of consciousne...
Asthenia, Chills, Hyperhidrosis, Injection site haemorrhage, Loss of consciousness; Paraesthesia, Pulse abnormal
More
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Patient DOB, received MCV4 (Meningococcal Conjugate Vaccine (Lot # 3443E) vaccine today, 6/20/2025, ...
Patient DOB, received MCV4 (Meningococcal Conjugate Vaccine (Lot # 3443E) vaccine today, 6/20/2025, administered by this nurse, to L Deltoid with scant bleeding. Appointment was completed at 1514. After leaving immediately after appointment, mother returned approximately five minutes later stating her son had passed out and was sweating profusely. The patient was carried in by his brother and laid on the lobby floor and assessed by the two nurses on site. At this time client was conscious, diaphoretic, reporting chills, tingling and weakness. Pulse was weak and thready, BP 90/60. Patient reported he had not eaten anything this day. EMS was called and arrived on scene approximately 1525. At this time patient was A&Ox4, assessed by EMS and put on the stretcher and loaded into ambulance at 1534. Ambulance left parking lot at 1554.
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| 2846939 | 68 | M | FL | 06/23/2025 |
PNC20 |
PFIZER\WYETH |
ln4927 |
Extra dose administered
Extra dose administered
|
Patient had already had a Prevnar 20 vaccine on 4/4/2023 and was given another one on 6/20/2025.
Patient had already had a Prevnar 20 vaccine on 4/4/2023 and was given another one on 6/20/2025.
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| 2846940 | 22 | F | 06/23/2025 |
VARCEL |
MERCK & CO. INC. |
y015101 |
Inappropriate schedule of product administration
Inappropriate schedule of product administration
|
shot given too soon from MMR administration
shot given too soon from MMR administration
|
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| 2846941 | 78 | F | MN | 06/23/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
3j2s2 |
Dizziness, Pharyngeal swelling, Tremor
Dizziness, Pharyngeal swelling, Tremor
|
Patient's husband came in and conveyed that hours after leaving the pharmacy the patient starte...
Patient's husband came in and conveyed that hours after leaving the pharmacy the patient started to develop swelling of the throat, shakiness, and lightheadedness. after taking some benadryl and going to the hospital the patient was admitted for supportive care. They were discharged after swelling went down
More
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| 2846942 | 1.17 | M | NC | 06/23/2025 |
DTAPIPVHIB DTAPIPVHIB HEPA HEPA MMRV MMRV PNC20 PNC20 |
SANOFI PASTEUR SANOFI PASTEUR GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS MERCK & CO. INC. MERCK & CO. INC. PFIZER\WYETH PFIZER\WYETH |
UK167AA UK167AA H3N97 H3N97 Y013572 Y013572 LC5484 LC5484 |
Febrile convulsion, Full blood count normal, Metabolic function test normal, Pyr...
Febrile convulsion, Full blood count normal, Metabolic function test normal, Pyrexia, Respiratory viral panel; Rhinorrhoea, Seizure, Tremor, Urine analysis normal, Viral infection; Febrile convulsion, Full blood count normal, Metabolic function test normal, Pyrexia, Respiratory viral panel; Rhinorrhoea, Seizure, Tremor, Urine analysis normal, Viral infection; Febrile convulsion, Full blood count normal, Metabolic function test normal, Pyrexia, Respiratory viral panel; Rhinorrhoea, Seizure, Tremor, Urine analysis normal, Viral infection; Febrile convulsion, Full blood count normal, Metabolic function test normal, Pyrexia, Respiratory viral panel; Rhinorrhoea, Seizure, Tremor, Urine analysis normal, Viral infection
More
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14-month-old male brought into the ED due to fever and seizures. He is up-to-date on all his vaccin...
14-month-old male brought into the ED due to fever and seizures. He is up-to-date on all his vaccines on 6/2/2025 he received approximately 7 vaccines. She states he has been very active all day, good intake of orals and solids in addition to good urine output has been playful. She also states he has been having runny nose and she noticed tremors upper and lower extremity called EMS EMS reevaluated him and he had a temperature greater than 102 he was then brought into the ED to be evaluated. Prior to ED presentation no recent head trauma, no sick contacts at home, no signs of any focal neurological deficits. Also states he has been playing on his left ear. He has been given ibuprofen and Tylenol in the ER. Discharge to home with diagnosis of Febrile seizure/viral syndrome.
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| 2846943 | F | 06/23/2025 |
HEP |
GLAXOSMITHKLINE BIOLOGICALS |
LG749 |
Device connection issue, Syringe issue
Device connection issue, Syringe issue
|
Reports by RN of liquid leaking out between syringe and needle connections. RN stated it had happene...
Reports by RN of liquid leaking out between syringe and needle connections. RN stated it had happened before.
More
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| 2846944 | M | 06/23/2025 |
HEP |
GLAXOSMITHKLINE BIOLOGICALS |
LG749 |
Device connection issue, Syringe issue
Device connection issue, Syringe issue
|
Plunger fell out of syringe prior to administration and all medication leaked out.
Plunger fell out of syringe prior to administration and all medication leaked out.
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| 2846945 | 1.17 | F | CO | 06/23/2025 |
DTAP DTAP DTAP DTAP |
GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS |
5kr3r 5kr3r 5kr3r 5kr3r |
Adenovirus test positive, Brain oedema, COVID-19, Cerebral mass effect, Computer...
Adenovirus test positive, Brain oedema, COVID-19, Cerebral mass effect, Computerised tomogram head abnormal; Electroencephalogram abnormal, Intensive care, Meningoencephalitis viral, Mental status changes, Pancytopenia; Pupil fixed, Pyrexia, Respiratory viral panel, SARS-CoV-2 test positive, Scan with contrast abnormal; Seizure
More
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Patient was seen for well child care on 5/22/2025. No abnormalities noted on history of exam. Patien...
Patient was seen for well child care on 5/22/2025. No abnormalities noted on history of exam. Patient received DTaP vaccine. Clinic received call from PICU at hospital on 5/28 notifying us that patient diagnosed with viral meningoencephalitis and plan was to withdraw care that day. Full records from hospital not visible. Chart review shows patient taken to hospital on 5/23/2025 with fever and seizure followed by continued altered mental status. Found to have pancytopenia. Positive for COVID-19 and Adenovirus on respiratory panel. Transferred to another hospital for further care. Consult note from Neurosurgery on 5/24 notes that patient had progressively worsening seizures overnight 5/23-5/24 and 5/24 had dilated unreactive right pupil but with continued EEG activity, 30 minutes later left pupil also dilated and unreactive, EEG flat, CTH showed extensive cerebral edema with left midline shift, CTA showed no cerebral perfusion. pt tested positive for both COVID and Adenovirus in PCR panel, Covid in Respiratory Panel. RN documented telephone encounter from 5/28/25: Intensivist was giving us an update on patient as care measures are being withdrawn today. Provider states that Patient was here for vaccines on 05/22 and visit with PCP. Patient presented to ED for possible febrile seizure the next evening. Then transferred to PICU at hospital. Provider states that patient was diagnosed with Viral Meningoenchephalitis.
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โ | โ | ||||
| 2846947 | 11 | F | IN | 06/23/2025 |
MNQ TDAP |
SANOFI PASTEUR SANOFI PASTEUR |
U8438AA 3CA33C1 |
Muscular weakness; Muscular weakness
Muscular weakness; Muscular weakness
|
Patient was standing by nurse station after receiving vaccines. Patient hugged mother and MA noticed...
Patient was standing by nurse station after receiving vaccines. Patient hugged mother and MA noticed leg buckle. MA lowered patient to the floor. Patient was awake the whole time and was talking to MA. No injury noted. Gave water and rest for approximately 10 mins and patient stated feeling better. Vitals checked and were WNL. Patient stated had not eat today and was hungry. Went to get food after visit. Patient has had an incident like this in the past and passed out after cast removal.
More
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| 2846948 | 18 | F | IL | 06/23/2025 |
HEP |
MERCK & CO. INC. |
Y006509 |
No adverse event, Product administered to patient of inappropriate age
No adverse event, Product administered to patient of inappropriate age
|
Pt inadvertently administered 20yr + vaccine. No adverse side effects noted at this time.
Pt inadvertently administered 20yr + vaccine. No adverse side effects noted at this time.
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| 2846949 | M | IN | 06/23/2025 |
TDAP |
GLAXOSMITHKLINE BIOLOGICALS |
CX4HL |
Wrong product administered
Wrong product administered
|
Hepatitis B vaccine ordered by provider. Staff nurse administered Tdap (Boostrix) in error.
Hepatitis B vaccine ordered by provider. Staff nurse administered Tdap (Boostrix) in error.
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| 2846950 | 1 | M | MI | 06/23/2025 |
HEPA MMRV PNC20 VARCEL |
GLAXOSMITHKLINE BIOLOGICALS MERCK & CO. INC. PFIZER\WYETH MERCK & CO. INC. |
DN273 Z002990 LN4928 Y015101 |
Extra dose administered; Extra dose administered; Extra dose administered; Extra...
Extra dose administered; Extra dose administered; Extra dose administered; Extra dose administered
More
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Patient received two doses of Varicella (patient was given MMRV instead of MMR and also given variva...
Patient received two doses of Varicella (patient was given MMRV instead of MMR and also given varivax). Parent was notified
More
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| 2846951 | 18 | M | TX | 06/23/2025 |
UNK |
UNKNOWN MANUFACTURER |
UK137AA |
Dyspnoea, Eye swelling, Paraesthesia oral, Urticaria
Dyspnoea, Eye swelling, Paraesthesia oral, Urticaria
|
Patient came in for a Yellow Fever vaccine. Mom called an hour or so later to report he was experien...
Patient came in for a Yellow Fever vaccine. Mom called an hour or so later to report he was experiencing side effects from the vaccine. His lips were tingling, having trouble breathing and developed hives. Mom gave him Benadryl and an Albuterol breathing treatment which helped with wheezing he was having. I told her she had done correct on the responsive measures. Encouraged her to go Urgent Care or give them a call. She called but they could not see him. Had a family friend that was a physician that told her to give him some steroids they had at home. Called 6/23/25 to check on patient He was doing better. Did not have to go to ER. Responsive at home treatments were working. He did develop swollen eyes.
More
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| 2846952 | 0.17 | M | AL | 06/23/2025 |
DTAPIPVHIB |
SANOFI PASTEUR |
UK194AA |
Unevaluable event
Unevaluable event
|
none reported
none reported
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| 2846953 | 70 | M | MO | 06/23/2025 |
FLU3 |
SEQIRUS, INC. |
AW1696A |
Wrong product administered
Wrong product administered
|
Patient supposed to get COVID booster, but seasonal influenza was given.
Patient supposed to get COVID booster, but seasonal influenza was given.
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| 2846954 | NV | 06/23/2025 |
HIBV |
GLAXOSMITHKLINE BIOLOGICALS |
3A2KF |
Device leakage, Occupational exposure to product
Device leakage, Occupational exposure to product
|
Product splashed onto HCP; Product splashed onto HCP; leur lock adapters becoming loose and detachin...
Product splashed onto HCP; Product splashed onto HCP; leur lock adapters becoming loose and detaching and sometimes the leur lock adaptor spinned when the cap was removed; Pharmaceutical product complaint; This non-serious case was reported by a other health professional via call center representative and described the occurrence of occupational exposure via skin contact with product in a patient who received Hib (Hiberix) (batch number 3A2KF, expiry date 14-JUL-2026) for prophylaxis. This case was associated with a product complaint. On 25-FEB-2025, the patient received Hiberix. On an unknown date, an unknown time after receiving Hiberix, the patient experienced occupational exposure via skin contact with product (Verbatim: Product splashed onto HCP), inadvertent exposure to vaccine (Verbatim: Product splashed onto HCP), syringe connection issue (Verbatim: leur lock adapters becoming loose and detaching and sometimes the leur lock adaptor spinned when the cap was removed) and pharmaceutical product complaint (Verbatim: Pharmaceutical product complaint). The outcome of the occupational exposure via skin contact with product, inadvertent exposure to vaccine, syringe connection issue and pharmaceutical product complaint were not applicable. It was unknown if the reporter considered the syringe connection issue to be related to Hiberix and Hiberix And Diluent Pre-Filled Syringe Device. It was unknown if the company considered the syringe connection issue to be related to Hiberix and Hiberix And Diluent Pre-Filled Syringe Device. 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: 25-FEB-2025 The office manager reported the complaint of the rotating and detachment of the leur lock adapters and it was confirmed a leur lock needles were used and they had several issues with the leur lock adapters becoming loose and detaching and sometimes the leur lock adaptor spinned when the cap was removed, it spin when the needle was attached and also came completely off along with the needle during the injection. The luer lock adapter detached during injection and product splashed onto the HCP, which led to occupational exposure via skin contact with product and inadvertent exposure to vaccine. The reporter was unable to tell how much of the product was given and McKesson Thin Wall Needle 25g of 1 inch was used.; Sender's Comments: US-GSK-US2025023704:Same reporter different patient
More
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| 2846955 | 71 | F | MO | 06/23/2025 |
FLU3 |
SEQIRUS, INC. |
AW1696A |
Wrong product administered
Wrong product administered
|
Patient supposed to get COVID booster, but seasonal influenza was given.
Patient supposed to get COVID booster, but seasonal influenza was given.
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| 2846956 | 20 | F | PA | 06/23/2025 |
HPV9 HPV9 |
MERCK & CO. INC. MERCK & CO. INC. |
Y015180 Y015180 |
Asthenia, Blindness, Hyperhidrosis, Nausea, Pallor; Syncope
Asthenia, Blindness, Hyperhidrosis, Nausea, Pallor; Syncope
|
Patient in the office for Nurse Visit for HPV vaccine. HPV vaccine was administered by office LPN. P...
Patient in the office for Nurse Visit for HPV vaccine. HPV vaccine was administered by office LPN. Patient had a pre-syncopal episode after the vaccine was administered. Patient became pale in the face and lips, diaphoretic, weak, nauseous, and stated her "vision going black". Patient was in chair during administration. Elevated patient' legs and feet. Unable to lower head due tom position in chair. Ice packs applied under bilateral axillas, back of neck, and forehead. Emesis bag provided to patient. As patient became more aware, small amount of glucose gel was given to patient as she stated she had not eaten anything prior to coming to appointment. Patient tolerated well and became more alert. Color returned to the patient's face and lips. Diaphoresis subsided. No vomiting. Nausea subsided. Patient alert and conversing with staff. Patient was able to drink 2 small cups of cold water. Vital signs: BP- 104/61, HR-66, RR-18, Pox RA-99%. Had patient sit for a while, then had her place her feet on the floor. Had patient stand and move and move head around. Patient denied any further dizziness, lightheadedness, weakness, nausea, vision changes. Patient was offered to stay and lay down for a while, but patient declined and stated she felt well to leave. Patient left the office.
More
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| 2846957 | 6 | F | PA | 06/23/2025 |
IPV MMR TDAP |
SANOFI PASTEUR MERCK & CO. INC. GLAXOSMITHKLINE BIOLOGICALS |
Y1A201M 4013131 7KD58 |
No adverse event, Wrong product administered; No adverse event, Wrong product ad...
No adverse event, Wrong product administered; No adverse event, Wrong product administered; No adverse event, Wrong product administered
More
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Tdap was inadvertnantly administered instead of the age appropriate DTAP. CLient had not received a...
Tdap was inadvertnantly administered instead of the age appropriate DTAP. CLient had not received any prior Dtap vaccines. NO adverse reactions. CLient will retrun for a DTAP vaccine.
More
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| 2846958 | 63 | F | KS | 06/23/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
332L4 |
Dysgeusia, Headache, Hypoaesthesia, Neuralgia, Syncope
Dysgeusia, Headache, Hypoaesthesia, Neuralgia, Syncope
|
Patient reported a headache that led to fainting on two occasions. Patient also had nerve pain in th...
Patient reported a headache that led to fainting on two occasions. Patient also had nerve pain in the mandibular area of the face on their left side. Patient's left side became swollen from the neck down to the arm on the left side of the body. Also had some numbness of the tongue and disfiguration in taste. Patient saw a chiropractor for the nerve pain and reported adverse events to us at the pharmacy.
More
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| 2846959 | 7 | F | WA | 06/23/2025 |
DTAP IPV MMRV |
GLAXOSMITHKLINE BIOLOGICALS SANOFI PASTEUR MERCK & CO. INC. |
5ST5M Y1A201M Y009344 |
Product administered to patient of inappropriate age; Product administered to pa...
Product administered to patient of inappropriate age; Product administered to patient of inappropriate age; Product administered to patient of inappropriate age
More
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Patient overdue for vaccine: DTAP. MA (myself) did not review age range for dose at the time of admi...
Patient overdue for vaccine: DTAP. MA (myself) did not review age range for dose at the time of administration. Patient should have received TDAP - patients age greater than 7 years old.
More
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| 2846960 | 59 | F | CT | 06/23/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
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Injection site erythema, Injection site warmth
Injection site erythema, Injection site warmth
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pt states her arm became hot and red about an inch below the injection site right away after being v...
pt states her arm became hot and red about an inch below the injection site right away after being vaccinated. It is now 2" x 1 1/4" in size and oval in size. It is less red and not as hot to the touch at this time. She contacted a pharmacy about this reaction and said it is not a normal reaction. She has had similar reactions from the anthrax vaccine and covid vaccine in the past where the symptoms seemed to get worse than what is happening with this vaccine. She is concerned about getting second dose.
More
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| 2846961 | 52 | F | TX | 06/23/2025 |
PNC21 |
MERCK & CO. INC. |
Z004302 |
Dyspnoea, Swelling
Dyspnoea, Swelling
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Patient experienced arm swelling consistent with an Arthus reaction. She presented on June 20th with...
Patient experienced arm swelling consistent with an Arthus reaction. She presented on June 20th with noted improvement at the injection site. On Monday, June 23rd, the patient called to report that she had been hospitalized over the weekend for one day due to shortness of breath and reported "swelling in the chest cavity." She stated that hospital staff informed her she may have had an allergic reaction to the injection.
More
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| 2846962 | 45 | F | CA | 06/23/2025 |
TDAP TDAP |
SANOFI PASTEUR SANOFI PASTEUR |
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Arthralgia, Hypoaesthesia, Immediate post-injection reaction, Injected limb mobi...
Arthralgia, Hypoaesthesia, Immediate post-injection reaction, Injected limb mobility decreased, Injection site pain; Loss of personal independence in daily activities, Pain, Paraesthesia, Product administered at inappropriate site, Rotator cuff syndrome
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Shot given directly into shoulder joint. Intense pain when needle entered, after pain was immediate....
Shot given directly into shoulder joint. Intense pain when needle entered, after pain was immediate. Numbness/tingling from shoulder down to fingertips. The more I move my arm around, the worse the tingling is. There is constant pain in the shoulder, as well as limited motion. The more i lift my arm out to my side, the more it hurts. I have seen 2 different Dr's following up on the issues and the first one blew it off while the second one actually checked it out and mentioned rotator cuff damage. The symptoms have yet to lessen, it is frustrating, and irritating due to this impeding on daily life.
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| 2846963 | 11 | M | OH | 06/23/2025 |
HPV9 MNQ TDAP |
MERCK & CO. INC. SANOFI PASTEUR GLAXOSMITHKLINE BIOLOGICALS |
Z005055 U8369BA XN575 |
Dizziness, Pallor; Dizziness, Pallor; Dizziness, Pallor
Dizziness, Pallor; Dizziness, Pallor; Dizziness, Pallor
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PALE, DIZZY/ LIGHT HEADED, FELT LIKE HE WAS GOING TO PASS OUT
PALE, DIZZY/ LIGHT HEADED, FELT LIKE HE WAS GOING TO PASS OUT
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| 2846964 | 6 | M | WA | 06/23/2025 |
COVID19 |
MODERNA |
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Expired product administered, No adverse event
Expired product administered, No adverse event
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Patient received an expired dose of Moderna COVID vaccine for ages 6 months-11 years. Expiration dat...
Patient received an expired dose of Moderna COVID vaccine for ages 6 months-11 years. Expiration date was 6/21/25 but medical assistant misread this as 6/27/25 and thus administered the dose on 6/23/25 after it was already expired. Barcode scanning technology was used AFTER administration and so the error was not caught until post-administration. No harm occurred to patient.
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| 2846965 | 12 | M | KS | 06/23/2025 |
TD |
SANOFI PASTEUR |
Y007991 |
Blindness, Immediate post-injection reaction, Seizure
Blindness, Immediate post-injection reaction, Seizure
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This nurse provided HPV vaccine to R deltoid. While needle was still in arm patient reports he can&...
This nurse provided HPV vaccine to R deltoid. While needle was still in arm patient reports he can't see and began to convulse and slide out of chair. This nurse took needle out of arm and placed it on side table and assisted patient by supporting his head and lowering him to the ground. This lasted approximately 20 seconds. Mother was present in the room and hollered for assistance. RN came to room as patient was coming to. RN went to retrieve pulse oximeter. This nurse assisted patient to room next door to lay down and turned the fan on. Checked vital signs: BP:127/79, P:80, O2: 97%, and R: 22. Patient was able to sit up and drink some water. Patient continued to lay on bed and sip water for 15 minutes. Father arrived and all questions were answered. Encouraged parents to follow up with PCP and mother voices she is taking patient to ER.
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| 2846966 | 13 | F | MI | 06/23/2025 |
MNQ |
SANOFI PASTEUR |
U8438AA |
Inappropriate schedule of product administration
Inappropriate schedule of product administration
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Staff member administered MenQuadFi dose # 2 too early per database and vaccine guidelines. No treat...
Staff member administered MenQuadFi dose # 2 too early per database and vaccine guidelines. No treatment needed or significant outcome for patient.
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| 2846967 | TX | 06/23/2025 |
RAB |
NOVARTIS VACCINES AND DIAGNOSTICS |
FDP00529 |
Hallucination
Hallucination
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Donor states having hallucinations after leaving center from receiving rabies vaccine. Vaccine was g...
Donor states having hallucinations after leaving center from receiving rabies vaccine. Vaccine was given at 1345, waited 20 minutes for any reaction. Donor then left center, as he walked to a close by store to buy groceries, he felt hallucinations as if someone was following him.
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| 2846968 | 11 | F | AL | 06/23/2025 |
HEP HPV9 IPV MNQ TDAP VARCEL |
GLAXOSMITHKLINE BIOLOGICALS MERCK & CO. INC. SANOFI PASTEUR SANOFI PASTEUR GLAXOSMITHKLINE BIOLOGICALS MERCK & CO. INC. |
47XP4 XO22737 W1C741M U8193AB 4799G Y004554 |
Syncope; Syncope; Syncope; Syncope; Syncope; Syncope
Syncope; Syncope; Syncope; Syncope; Syncope; Syncope
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On 06/20/2025 an 11 year old child in clinic for vaccinations, syncopal episode occurred resulting i...
On 06/20/2025 an 11 year old child in clinic for vaccinations, syncopal episode occurred resulting in patient taken to ER (Emergency Room) by Emergency Medical Services (EMS). Patient very nervous, shaking, and anxious about receiving vaccines. Patient received the following vaccines, Hep B, Polio, Varicella, HPV, meningococcal, and Tdap. A few minutes after receiving the vaccines, patient slumped in the chair, became pale in color, and patient was laid down. Patient started to respond to name and oriented x 3. Parent explained child hasn?t eaten any food since breakfast earlier today. 1:36 PM HR70, SAT 98% BP 98/60- 911 called, glucagon given. 1:40 PM HR 96, SAT 98%, BP 101/70 Patient responding to verbal commands, oriented x3, alert. 1:44 PM HR 109, SAT 97%, BP 92/60 Patient complained of nausea, no vomiting. 1:47 PM EMS arrival to site 1:49 PM HR 109, SAT 97%, BP 102/70, BS 102. Patient accompanied by her mother was taken to ER by EMS.
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| 2846969 | 60 | F | OK | 06/23/2025 |
TDAP |
GLAXOSMITHKLINE BIOLOGICALS |
KR75K |
Dizziness, Feeling hot
Dizziness, Feeling hot
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Patient started feeling lightheaded and hot about 5 minutes after the vaccination. It could have bee...
Patient started feeling lightheaded and hot about 5 minutes after the vaccination. It could have been related to her being nervous about getting the vaccine. Patient was fanned to cool down and offered cold water to drink. She did not start feeling better within 5 minutes and she requested we contact 911. Her blood pressure was taken and it was 126/74 with a pulse of 79. Patient was then taken by paramedics within 15 minutes after vaccine was given.
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| 2846970 | 10 | M | NE | 06/23/2025 |
HEPA |
GLAXOSMITHKLINE BIOLOGICALS |
A3X2K |
Extra dose administered, No adverse event, Wrong patient received product
Extra dose administered, No adverse event, Wrong patient received product
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Vaccine for a sibling sitting on the counter next to the patient's vaccine. Two nurses vaccinat...
Vaccine for a sibling sitting on the counter next to the patient's vaccine. Two nurses vaccinating patient. Nurse #2 gave the sibling's vaccine to the patient, instead of Gardasil. Patient received 2 doses of pediatric Havrix on the same day. No signs/symptoms of any problems occurred.
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| 2846971 | 30 | F | CA | 06/23/2025 |
UNK |
UNKNOWN MANUFACTURER |
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Abdominal pain, Dizziness, Fatigue, Swelling
Abdominal pain, Dizziness, Fatigue, Swelling
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They kept keep pushing into getting the vaccine, i went in with abdominal pain. They told me i neede...
They kept keep pushing into getting the vaccine, i went in with abdominal pain. They told me i needed right away, And i am feeling very tired and i am very upset. I am getting lightheaded, I am having some type of swelling.
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| 2846972 | 67 | F | FL | 06/23/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
ek225 |
Dysuria, Micturition urgency, Nasopharyngitis, Respiratory tract congestion
Dysuria, Micturition urgency, Nasopharyngitis, Respiratory tract congestion
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After second dose of shingrix, patient reported that she was having burning and urging sensation to ...
After second dose of shingrix, patient reported that she was having burning and urging sensation to go to the bathroom and ended up wetting herself. Also, she came down with a cold and was congested. Biggest compliant was about the bladder issues and unable to hold in her urine. Patient was advised to see a doctor / urgent care. She did not report back to the pharmacy if she did so.
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| 2846973 | 58 | F | NC | 06/23/2025 |
PNC21 |
MERCK & CO. INC. |
00006434702 |
Body temperature increased, Chills, Headache, Influenza like illness, Malaise
Body temperature increased, Chills, Headache, Influenza like illness, Malaise
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About 4 hours after I started feeling unwell. Quickly I began shivering slightly. Temp was 98.4 th...
About 4 hours after I started feeling unwell. Quickly I began shivering slightly. Temp was 98.4 then shivering starting to involve whole body to point of pain and couldn't hold anything in hands. Temp then went from 99.4 to 102.8 in half hour. I took motrin and hot shower to try and stop shaking. Then used an electric blanket. Felt flu like for about 24 hours with headache. .
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| 2846974 | 62 | F | CA | 06/23/2025 |
PNC20 PNC20 |
PFIZER\WYETH PFIZER\WYETH |
LX4483 LX4483 |
Dizziness, Erythema, Malaise, Mobility decreased, Pain in extremity; Pyrexia, Ra...
Dizziness, Erythema, Malaise, Mobility decreased, Pain in extremity; Pyrexia, Rash, Sleep disorder
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Initially injection hurt a lot going in Right arm. Then later in the day I began to feel very dizzy...
Initially injection hurt a lot going in Right arm. Then later in the day I began to feel very dizzy, felt overall horrible, log grade fever, arm soreness getting progressively worse, couldn't sleep due to pain, second day better, arm very sore. Limited use. Later second day, same reaction, dizziness, arm redness and rash spreading down my arm. Feverish, and overall unwell feeling. The next five days no other symptoms except redness and rash getting larger. Finally called my PCP, she ordered cream and antibiotic just in case since I was out of town. Used cream and within three days, if was finally gone.
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