| ID | Age | Sex | State | Date โผ | Onset Days | Vaccine | Manufacturer | Lot # | Symptoms | Narrative | ๐ | ๐ฅ | ๐ | โฟ | โ ๏ธ |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2845100 | 46 | F | FL | 06/16/2025 |
FLU3 FLU3 MMR MMR VARCEL VARCEL |
SEQIRUS, INC. SEQIRUS, INC. MERCK & CO. INC. MERCK & CO. INC. MERCK & CO. INC. MERCK & CO. INC. |
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Hot flush, Hyperhidrosis, Injection site erythema, Injection site induration, In...
Hot flush, Hyperhidrosis, Injection site erythema, Injection site induration, Injection site inflammation; Injection site pain; Hot flush, Hyperhidrosis, Injection site erythema, Injection site induration, Injection site inflammation; Injection site pain; Hot flush, Hyperhidrosis, Injection site erythema, Injection site induration, Injection site inflammation; Injection site pain
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VARICELLA RECATION WAS HARD RED INFLAMED MARK RADIATING FROM INJRCTION SITE TO ELBOW WITH PAIN. MMR ...
VARICELLA RECATION WAS HARD RED INFLAMED MARK RADIATING FROM INJRCTION SITE TO ELBOW WITH PAIN. MMR REACTION WAS REDNESS BURNING SENSATION WITH RED HARD LUMP AND VERY PAINFUL . FLU VACCINE WAS BURNING SENSATION THAT OCURRED RIGH TAFTER INJECTION FOLLOWED WITH SWEATS AND HOT FLASHES.
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| 2845101 | 1 | M | NH | 06/16/2025 |
MMR |
MERCK & CO. INC. |
X019101 |
Pyrexia, Rash, Rash morbilliform, Swelling face
Pyrexia, Rash, Rash morbilliform, Swelling face
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Patient has rash on thighs, hands and mostly on his face, low grade fever, some mild facial swelling...
Patient has rash on thighs, hands and mostly on his face, low grade fever, some mild facial swelling.
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| 2845102 | 61 | F | IN | 06/16/2025 |
MMR |
GLAXOSMITHKLINE BIOLOGICALS |
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Incorrect route of product administration
Incorrect route of product administration
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Administered via intramuscular route incorrectly vs subcutaneously.
Administered via intramuscular route incorrectly vs subcutaneously.
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| 2845103 | 63 | F | 06/16/2025 |
COVID19 |
MODERNA |
3043823 |
Injection site pain, Pain
Injection site pain, Pain
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Patient experienced pain at injection site following vaccination- most likely exacerbating past rota...
Patient experienced pain at injection site following vaccination- most likely exacerbating past rotator cuff pathology. Patient now needs to have a surgical procedure due to persistent pain.
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| 2845104 | 79 | F | 06/16/2025 |
HEP |
MERCK & CO. INC. |
P-Y009436 |
Inappropriate schedule of product administration
Inappropriate schedule of product administration
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Dose 3 given 6 weeks after dose 2.
Dose 3 given 6 weeks after dose 2.
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| 2845105 | 98 | F | MA | 06/16/2025 |
COVID19 |
MODERNA |
3046731 |
Lip swelling, Swollen tongue
Lip swelling, Swollen tongue
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06/15/25: TONGUE AND LOWER LIP SWOLLEN, STARTED ON BENADRYL PRN WITH (+) EFFECT.
06/15/25: TONGUE AND LOWER LIP SWOLLEN, STARTED ON BENADRYL PRN WITH (+) EFFECT.
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| 2845106 | 33 | F | NY | 06/16/2025 |
MMR MMR |
MERCK & CO. INC. MERCK & CO. INC. |
X027902 X027902 |
Cough, Dyspnoea, Hyperhidrosis, Lymphadenopathy, Pyrexia; Throat irritation
Cough, Dyspnoea, Hyperhidrosis, Lymphadenopathy, Pyrexia; Throat irritation
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Lymph nodes swollen, denies difficulty breathing/distress; cough, fever this morning-did not take te...
Lymph nodes swollen, denies difficulty breathing/distress; cough, fever this morning-did not take temperature-was sweating; throat itchy
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| 2845107 | 93 | F | MA | 06/16/2025 |
COVID19 |
MODERNA |
3046731 |
Death
Death
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06/15/25: EXPIRED AT 2030.
06/15/25: EXPIRED AT 2030.
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โ | |||||
| 2845108 | 58 | F | PA | 06/16/2025 |
PNC21 PNC21 PNC21 PNC21 |
MERCK & CO. INC. MERCK & CO. INC. MERCK & CO. INC. MERCK & CO. INC. |
Y019158 Y019158 Y019158 Y019158 |
Cellulitis, Immunisation reaction; Cellulitis, Injection site erythema, Injectio...
Cellulitis, Immunisation reaction; Cellulitis, Injection site erythema, Injection site pain, Injection site pruritus, Injection site warmth; Cellulitis, Immunisation reaction; Cellulitis, Injection site erythema, Injection site pain, Injection site pruritus, Injection site warmth
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Information from provider documentation: Cellulitis of right upper extremity/ Adverse effect of vacc...
Information from provider documentation: Cellulitis of right upper extremity/ Adverse effect of vaccine, initial encounter: States pneumonia vaccine was administered on 06/05/2025 her right arm. She reported that the injection site had become red, warm to the touch, and had been progressively worsening since the day after the shot. The redness intensifies throughout the day and is accompanied by burning and itching. She denies fevers, chills, dysphagia or swelling and stated that the typical post-vaccine arm soreness had resolved, leaving only the redness and warmth. She has a history of vaccine administration without prior adverse reactions and has allergies to penicillin and sulfa, which cause nausea and vomiting. She expressed concern about taking antihistamines due to her eye condition, as she is being monitored for glaucoma. ? Possible bacterial infection. ? Prescribed Keflex 500 mg four times a day for seven days, noting the potential for cross-reactivity but deeming it appropriate based on the nature of her penicillin allergy. ? Advised to monitor for spreading redness, fevers, or chills over the next two days and to report any worsening symptoms. ? Recommended to use over-the-counter anti-itch cream or hydrocortisone to help with the itching. ? Discussed possibility of soft tissue infection or a vaccine reaction causing an infection between the skin layers. Patient follow-up on 6/16/25: Patient stated she sees "definite improvement". She stated the site "remains a little bit sore, but the redness and swelling have gone down... not totally resolved but has improved". Patient denied any issues with the antibiotic and is due to complete the antibiotic course by Thursday 6/19/25. She stated she had skipped one dose on Saturday 6/14/25 and noticed that her arm was burning a bit more. She stated she took her dose as soon as she could and is back on schedule. Patient expressed her appreciation for the follow-up. Encouraged patient to call us with any changes or if symptoms worsen.
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| 2845109 | 75 | F | MN | 06/16/2025 |
COVID19 COVID19 |
PFIZER\BIONTECH PFIZER\BIONTECH |
MD3414 MD3414 |
Chills, Headache, Injection site erythema, Injection site swelling, Rash erythem...
Chills, Headache, Injection site erythema, Injection site swelling, Rash erythematous; Skin warm, Tenderness
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Site: Redness at Injection Site-Medium, Site: Swelling at Injection Site-Medium, Systemic: Chills-Me...
Site: Redness at Injection Site-Medium, Site: Swelling at Injection Site-Medium, Systemic: Chills-Medium, Systemic: Headache-Medium, Additional Details: Chill headaches 1st night. subsided after 24 hours. delayed local reaction a couple days after on 6/5/25. warm, tender, and pinkish-red rash patient has been icing area.
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| 2845110 | 60 | F | CA | 06/16/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
5y4tl |
Injection site erythema, Injection site pruritus, Injection site swelling, Pruri...
Injection site erythema, Injection site pruritus, Injection site swelling, Pruritus, Rash
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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: Allergic: Itch (specify: facial area, extremeties)-Medium, Systemic: Allergic: Itch Generalized-Medium, Systemic: Allergic: Rash (specify: facial area, extremeties)-Medium
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| 2845111 | 82 | F | TX | 06/16/2025 |
COVID19 |
MODERNA |
3043160 |
Amnesia, Loss of personal independence in daily activities, Syncope, Unresponsiv...
Amnesia, Loss of personal independence in daily activities, Syncope, Unresponsive to stimuli
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Systemic: Fainting / Unresponsive-Severe, Additional Details: Patient reported not being able to do ...
Systemic: Fainting / Unresponsive-Severe, Additional Details: Patient reported not being able to do daily functions and she was thrown out of the loop. Couldn't do anything just sitting there and she had a similar situation with the previous COVID vaccine received 01/04/2024 where she had no recollection of what happened for those couple of days following the vaccine.
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| 2845112 | 42 | M | OH | 06/16/2025 |
PPV |
MERCK & CO. INC. |
y009239 |
Hypoaesthesia, Injection site pain, Pain in extremity
Hypoaesthesia, Injection site pain, Pain in extremity
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Site: Pain at Injection Site-Medium, Systemic: pain down arm, verified shot was given in middle of d...
Site: Pain at Injection Site-Medium, Systemic: pain down arm, verified shot was given in middle of deltoid-Medium, Systemic: Numbness (specify: facial area, extremities)-Medium, Additional Details: patient reported pain numbness in arm shot was given in, shot given using proper c technique, and verified with patient shot was given in the middle of deltoid, i do not believe this is a radial nerve injury, advised patient sometimes vaccine can cause pain and if not better in 2 more days see a doctor
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| 2845113 | 68 | F | HI | 06/16/2025 |
COVID19 |
PFIZER\BIONTECH |
me6072 |
Ageusia, Flatulence, Injection site pain, Pruritus
Ageusia, Flatulence, Injection site pain, Pruritus
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Site: Pain at Injection Site-Mild, Systemic: Allergic: Itch Generalized-Medium, Systemic: gas, loss ...
Site: Pain at Injection Site-Mild, Systemic: Allergic: Itch Generalized-Medium, Systemic: gas, loss of taste-Medium, Additional Details: loss of taste, itchy scalp
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| 2845114 | 64 | M | TN | 06/16/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
4y2p4 |
Injection site discolouration, Injection site erythema
Injection site discolouration, Injection site erythema
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Site: Redness at Injection Site-Mild, Systemic: permanent skin discoloration at injection site-Mild,...
Site: Redness at Injection Site-Mild, Systemic: permanent skin discoloration at injection site-Mild, Additional Details: patient came in to pharmacy on 6.4.25 for pfizer covid-19 vaccine and stated that he experienced permanent discoloration at injection site after having mild redness
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โ | |||||
| 2845115 | 24 | F | NY | 06/16/2025 |
PNC21 PNC21 |
MERCK & CO. INC. MERCK & CO. INC. |
Z004301 Z004301 |
Fatigue, Flushing, Hyperhidrosis, Hypotension, Lethargy; Loss of consciousness, ...
Fatigue, Flushing, Hyperhidrosis, Hypotension, Lethargy; Loss of consciousness, Syncope, Unresponsive to stimuli
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Systemic: Exhaustion / Lethargy-Medium, Systemic: Fainting / Unresponsive-Medium, Systemic: passed o...
Systemic: Exhaustion / Lethargy-Medium, Systemic: Fainting / Unresponsive-Medium, Systemic: passed out for about 30 seconds-Medium, Systemic: Flushed / Sweating-Medium, Systemic: Hypotension-Medium, Additional Details: Patient experienced syncope after receiving the pnuemonia and shingles shot (patient is immunosuppressed) and loss consciousness breifly (about 30 seconds). After coming to patient was offered water and an ice pack while blood pressure was measured (104/60 mmhg). After sitting with the patient for 15 minutes, the patient felt she was okay to go. She stated that while this never happened before with vaccines, this has happened before when receiving prescribed medication infusions., Other Vaccines: VaccineTypeBrand: Shingrix; Manufacturer: glaxosmithkline; LotNumber: PJ353; Route: lintramuscular; BodySite: left deltoid; Dose: 1; VaxDate: 06/07/2025
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| 2845116 | 29 | F | LA | 06/16/2025 |
PPV PPV |
MERCK & CO. INC. MERCK & CO. INC. |
y009239 y009239 |
Arthralgia, Injection site erythema, Injection site pain, Injection site swellin...
Arthralgia, Injection site erythema, Injection site pain, Injection site swelling, Mobility decreased; Pyrexia
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Site: Pain at Injection Site-Severe, Site: Redness at Injection Site-Medium, Site: Swelling at Injec...
Site: Pain at Injection Site-Severe, Site: Redness at Injection Site-Medium, Site: Swelling at Injection Site-Medium, Systemic: Fever-Medium, Additional Details: patient had pain in her arm joint - could not lift her arm without significant pain. After dr appt, MRI possbile is still having pain. Patient also stated she was running fever 104 the afternoon and next day after vaccine.
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| 2845117 | 57 | F | NJ | 06/16/2025 |
COVID19 COVID19 |
PFIZER\BIONTECH PFIZER\BIONTECH |
ME6072 ME6072 |
Anxiety, Dizziness, Hypertension, Injection site bruising, Injection site erythe...
Anxiety, Dizziness, Hypertension, Injection site bruising, Injection site erythema; Injection site swelling, Pyrexia
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Site: Bruising at Injection Site-Medium, Site: Redness at Injection Site-Medium, Site: Swelling at I...
Site: Bruising at Injection Site-Medium, Site: Redness at Injection Site-Medium, Site: Swelling at Injection Site-Medium, Systemic: Dizziness / Lightheadness-Mild, Systemic: Fever-Medium, Systemic: anxiety-Mild, Systemic: Hypertension-Mild, Other Vaccines: VaccineTypeBrand: Twinrix; Manufacturer: GSK; LotNumber: P2443; Route: IM; BodySite: Left arm; Dose: 1; VaxDate: 06/05/2025
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| 2845118 | 76 | F | IN | 06/16/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
2m7gr |
Injection site bruising, Injection site erythema, Injection site pain, Injection...
Injection site bruising, Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling
More
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Site: Bruising at Injection Site-Mild, Site: Itching at Injection Site-Medium, Site: Pain at Injecti...
Site: Bruising at Injection Site-Mild, Site: Itching at Injection Site-Medium, Site: Pain at Injection Site-Medium, Site: Redness at Injection Site-Medium, Site: Swelling at Injection Site-Medium, Additional Details: patient developed redness and swelling- went to urgent care and was prescribed medications for swelling and possible infection- patient is requesting reimbursement for medications filled on 6/03/25 - fluconazole, clindamycin and prednisone
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| 2845119 | 52 | F | TX | 06/16/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
93KK4 |
Injection site bruising, Injection site erythema, Injection site pain, Injection...
Injection site bruising, Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling
More
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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, Other Vaccines: VaccineTypeBrand: SHINGRIX; Manufacturer: VSK; LotNumber: 93KK4; Route: IM; BodySite: LEFT UPPER ARM; Dose: ; VaxDate: UNKNOWN, VaccineTypeBrand: PNEUMOCOCCAL 21-VALENT CONJUGATE VACCINE(CAPVAXIVE); Manufacturer: MERK; LotNumber: Y019158; Route: IM; BodySite: LEFT UPPER ARM; Dose: ; VaxDate: UNKNOWN
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| 2845120 | 74 | F | NY | 06/16/2025 |
RSV RSV |
PFIZER\WYETH PFIZER\WYETH |
lh4508 lh4508 |
Blister, Erythema, Injection site erythema, Injection site pain, Injection site ...
Blister, Erythema, Injection site erythema, Injection site pain, Injection site swelling; Skin warm
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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: Blister-Mild, Additional Details: Local Reaction:warm and red, one small blister
More
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| 2845121 | 59 | F | NY | 06/16/2025 |
PNC21 |
MERCK & CO. INC. |
y019157 |
Injection site erythema, Injection site pain, Injection site swelling, Pruritus
Injection site erythema, Injection site pain, Injection site swelling, Pruritus
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Site: Pain at Injection Site-Mild, Site: Redness at Injection Site-Mild, Site: Swelling at Injection...
Site: Pain at Injection Site-Mild, Site: Redness at Injection Site-Mild, Site: Swelling at Injection Site-Mild, Systemic: Allergic: Itch Generalized-Mild, Additional Details: no fever per patient stated there was flushing/inflammation/bruising/swelling required doctor visit no antibiotics required
More
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| 2845122 | 61 | F | OK | 06/16/2025 |
VARZOS VARZOS VARZOS |
GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS |
ts525 ts525 ts525 |
Abdominal pain, Arthralgia, Autoimmune disorder, Brain fog, Chills; Confusional ...
Abdominal pain, Arthralgia, Autoimmune disorder, Brain fog, Chills; Confusional state, Dizziness, Fatigue, Injection site pain, Lethargy; Pain
More
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Site: Pain at Injection Site-Severe, Systemic: Abdominal Pain-Severe, Systemic: Autoimmune Disease (...
Site: Pain at Injection Site-Severe, Systemic: Abdominal Pain-Severe, Systemic: Autoimmune Disease (diagnosed by MD)-Severe, Systemic: Body Aches Generalized-Severe, Systemic: Chills-Severe, Systemic: Confusion-Severe, Systemic: Dizziness / Lightheadness-Severe, Systemic: Exhaustion / Lethargy-Severe, Systemic: Brain fog that comes and goes until now-Severe, Systemic: Joint Pain-Severe, Additional Details: She says the symptoms started 2am after the day of injection. Doctor told her it was likely a strong autoimmune reaction. She reports that brain fog still comes and goes even after the other symptoms have since dissipated.
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| 2845123 | 17 | F | MN | 06/16/2025 |
MNQ |
SANOFI PASTEUR |
U83698A |
Dizziness, Syncope
Dizziness, Syncope
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Systemic: Dizziness / Lightheadness-Mild, Systemic: Fainting / Unresponsive-Severe, Additional Detai...
Systemic: Dizziness / Lightheadness-Mild, Systemic: Fainting / Unresponsive-Severe, Additional Details: pt fainted after vaccine, laid down for 5 minutes. went to lobby to wait. felt light headed again. laid down for 10 more minutes with glucose tab, chocolate, and water. felt better after.
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| 2845124 | 50 | F | FL | 06/16/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
99D52 |
Dyspnoea, Malaise, Pyrexia
Dyspnoea, Malaise, Pyrexia
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Systemic: Allergic: Difficulty Breathing-Severe, Systemic: Fever-Mild, Additional Details: patient s...
Systemic: Allergic: Difficulty Breathing-Severe, Systemic: Fever-Mild, Additional Details: patient stated that she had difficulty breathing within the 1 st he after getting the 3 vaccines, she went to ER and admitted for 2 days and she was given benadryl IV , pt still have diffulty breathing but she stated that it got betther but still not feeling well, Other Vaccines: VaccineTypeBrand: Heplisav B; Manufacturer: ; LotNumber: 946062; Route: im; BodySite: left deltoid; Dose: ; VaxDate: UNKNOWN, VaccineTypeBrand: Priorix; Manufacturer: ; LotNumber: 4N222; Route: sc; BodySite: left upper arm; Dose: ; VaxDate: UNKNOWN
More
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โ | |||||
| 2845125 | 85 | M | CA | 06/16/2025 |
PNC21 |
MERCK & CO. INC. |
Y019158 |
Injection site swelling, Peripheral swelling
Injection site swelling, Peripheral swelling
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Site: Swelling at Injection Site-Medium, Systemic: left arm swollen down to left hand-Medium
Site: Swelling at Injection Site-Medium, Systemic: left arm swollen down to left hand-Medium
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| 2845126 | 66 | F | TX | 06/16/2025 |
COVID19 |
MODERNA |
3043160 |
Fatigue, Illness, Influenza, Pain, Pyrexia
Fatigue, Illness, Influenza, Pain, Pyrexia
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Systemic: Body Aches Generalized-Medium, Systemic: Fever-Medium, Systemic: Fever, fatigue-Medium, Ad...
Systemic: Body Aches Generalized-Medium, Systemic: Fever-Medium, Systemic: Fever, fatigue-Medium, Additional Details: Patient reported that she was really sick after receiving the Moderna covid vaccine. She describes it as a bad case of the flu; body aches, fever, and fatigue that lasted 2 days.
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| 2845127 | 72 | M | TX | 06/16/2025 |
COVID19 |
MODERNA |
3030371 |
Asthenia, Influenza like illness
Asthenia, Influenza like illness
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Systemic: Weakness-Mild, Additional Details: Flu like symptoms and patient not sure which vaccine ga...
Systemic: Weakness-Mild, Additional Details: Flu like symptoms and patient not sure which vaccine gave the adverse reaction, Other Vaccines: VaccineTypeBrand: flu quad 2023-2024; Manufacturer: ; LotNumber: 370266; Route: intramusculr; BodySite: ; Dose: ; VaxDate: 09/19/2023
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| 2845128 | 71 | F | TX | 06/16/2025 |
COVID19 |
MODERNA |
3030371 |
Asthenia, Injection site erythema, Injection site swelling
Asthenia, Injection site erythema, Injection site swelling
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Site: Redness at Injection Site-Mild, Site: Swelling at Injection Site-Mild, Systemic: Weakness-Mild...
Site: Redness at Injection Site-Mild, Site: Swelling at Injection Site-Mild, Systemic: Weakness-Mild, Additional Details: Patient not sure which vaccine gave the reaction, Other Vaccines: VaccineTypeBrand: Flu quad 2023-24; Manufacturer: ; LotNumber: 370266; Route: intramuscular; BodySite: right; Dose: ; VaxDate: 09/21/2023
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| 2845129 | 12 | F | TX | 06/16/2025 |
TDAP |
GLAXOSMITHKLINE BIOLOGICALS |
793PT |
Dizziness
Dizziness
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Systemic: Dizziness / Lightheadness-Mild, Additional Details: Patient was placed in the examination ...
Systemic: Dizziness / Lightheadness-Mild, Additional Details: Patient was placed in the examination table for vaccination for Tdap and MCV4, Menquadfi. She was very anxious about the vaccination. after vaccines were given, patient was feeling light headed and was lowered to the bed. she stayed there for few minutes . She took some cold water that the father bought as well as washed her face with cold water and felt better. no fall, no hit on the body nor swelling noted at any site. PATIENT LEFT THE ROOM SMILING after waiting for 15 more minutes with dad , Other Vaccines: VaccineTypeBrand: Tdap; Manufacturer: GSK; LotNumber: 793PT; Route: Intramuscular; BodySite: left deltoid; Dose: 1; VaxDate: 06/10/2025, VaccineTypeBrand: Menquadfi; Manufacturer: sanofi; LotNumber: U8494AA; Route: Intramuscular; BodySite: Right deltoid; Dose: 1; VaxDate: 06/10/2025
More
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| 2845130 | 23 | F | OH | 06/16/2025 |
MMR |
GLAXOSMITHKLINE BIOLOGICALS |
955e2 |
Syncope, Unresponsive to stimuli
Syncope, Unresponsive to stimuli
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Systemic: Fainting / Unresponsive-Mild, Other Vaccines: VaccineTypeBrand: priorix; Manufacturer: gs...
Systemic: Fainting / Unresponsive-Mild, Other Vaccines: VaccineTypeBrand: priorix; Manufacturer: gsk; LotNumber: 955e2; Route: sq; BodySite: right arm; Dose: 1; VaxDate: 06/10/2025
More
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| 2845131 | 73 | F | NY | 06/16/2025 |
PNC20 |
PFIZER\WYETH |
LN4930 |
Injection site erythema, Injection site pain, Injection site pruritus, Injection...
Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling
More
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Site: Itching at Injection Site-Medium, Site: Pain at Injection Site-Mild, Site: Redness at Injectio...
Site: Itching at Injection Site-Medium, Site: Pain at Injection Site-Mild, Site: Redness at Injection Site-Medium, Site: Swelling at Injection Site-Medium
More
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| 2845132 | 12 | F | CA | 06/16/2025 |
HPV9 |
MERCK & CO. INC. |
y012776 |
Fall, Head injury, Syncope, Unresponsive to stimuli
Fall, Head injury, Syncope, Unresponsive to stimuli
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Systemic: Fainting / Unresponsive-Mild, Additional Details: Patient fainted on the chair. Father sai...
Systemic: Fainting / Unresponsive-Mild, Additional Details: Patient fainted on the chair. Father said she also fell and hit her head. We called 911. Paramedics arrived and monitored patient and patient left with medics.
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| 2845133 | 19 | M | TX | 06/16/2025 |
MNQ |
NOVARTIS VACCINES AND DIAGNOSTICS |
9x7cd |
Dizziness, Electrocardiogram abnormal, Syncope, Unresponsive to stimuli
Dizziness, Electrocardiogram abnormal, Syncope, Unresponsive to stimuli
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Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Severe, Systemic: EMT ...
Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Severe, Systemic: EMT stated abnormal EKG-Severe
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| 2845134 | 35 | F | TX | 06/16/2025 |
HPV9 HPV9 HPV9 HPV9 |
MERCK & CO. INC. MERCK & CO. INC. MERCK & CO. INC. MERCK & CO. INC. |
X025115 X025115 X025115 X025115 |
Anaphylactic reaction, Arthralgia, Asthenia, Fatigue, Flushing; Headache, Hyperh...
Anaphylactic reaction, Arthralgia, Asthenia, Fatigue, Flushing; Headache, Hyperhidrosis, Injection site pruritus, Lethargy, Mobility decreased; Pain, Pruritus, Rash, Sleep disorder, Temperature intolerance; Urticaria
More
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Site: Itching at Injection Site-Severe, Systemic: Allergic: Anaphylaxis-Severe, Systemic: Allergic: ...
Site: Itching at Injection Site-Severe, Systemic: Allergic: Anaphylaxis-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: Body Aches Generalized-Medium, Systemic: Exhaustion / Lethargy-Medium, Systemic: CAN NOT FOLD HAND OR FEET-Severe, Systemic: Flushed / Sweating-Medium, Systemic: Headache-Severe, Systemic: Joint Pain-Severe, Systemic: Numbness (specify: facial area, extremities)-Severe, Systemic: Unable to Sleep-Medium, Systemic: Weakness-Severe, Additional Details: CAN NOT FOLD HANDS OR FEET , BECAME SENSITIVE TO HEAT, CAN NOT HANDLE HOT WATER OR WEATHER, HIVES
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| 2845135 | 79 | M | CT | 06/16/2025 |
COVID19-2 |
PFIZER\BIONTECH |
lm2210 |
Joint injury
Joint injury
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Error: Shoulder Joint Injury (prolonged pain, tingling, etc.)-, Other Vaccines: VaccineTypeBrand: f...
Error: Shoulder Joint Injury (prolonged pain, tingling, etc.)-, Other Vaccines: VaccineTypeBrand: fluad; Manufacturer: ; LotNumber: 388466; Route: im; BodySite: left deltoid; Dose: ; VaxDate: 10/07/2024
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| 2845136 | 17 | M | FL | 06/16/2025 |
MMR MMR |
MERCK & CO. INC. MERCK & CO. INC. |
unknown unknown |
Dizziness, Flushing, Hyperhidrosis, Malaise, Nausea; Pallor
Dizziness, Flushing, Hyperhidrosis, Malaise, Nausea; Pallor
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Systemic: Dizziness / Lightheadness-Mild, Systemic: Flushed / Sweating-Mild, Systemic: Nausea-Mild, ...
Systemic: Dizziness / Lightheadness-Mild, Systemic: Flushed / Sweating-Mild, Systemic: Nausea-Mild, Additional Details: Patient had just come from the pharmacy where he had an MMR vaccine administered. Patient was pale, diaphoretic, nauseous, not feeling well, and dizzy. Brought patient into the room to lay down on the bed. Patient states that he has never had a reaction like this before. After about 5 minutes color returned to the patients face and she stated he was feeling better. Deferred other vaccines at this time.
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| 2845137 | 25 | F | MA | 06/16/2025 |
HEPA |
GLAXOSMITHKLINE BIOLOGICALS |
2345b |
Dizziness, Injection site pain, Syncope
Dizziness, Injection site pain, Syncope
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Site: Pain at Injection Site-Mild, Systemic: Dizziness / Lightheadness-Mild, Systemic: dizzy/fainted...
Site: Pain at Injection Site-Mild, Systemic: Dizziness / Lightheadness-Mild, Systemic: dizzy/fainted-Mild, Additional Details: she fainted a few seconds after getting vaccine she has a history of fainting when giving blood, Other Vaccines: VaccineTypeBrand: vaxchora; Manufacturer: bavarian; LotNumber: 4344103; Route: oral; BodySite: mouth; Dose: 1; VaxDate: UNKNOWN
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| 2845138 | 53 | F | NV | 06/16/2025 |
PNC20 |
PFIZER\WYETH |
LN4928 |
Injection site erythema, Injection site swelling
Injection site erythema, Injection site swelling
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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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| 2845139 | 22 | F | GA | 06/16/2025 |
TDAP TDAP |
GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS |
793PT 793PT |
Anaphylactic reaction, Dizziness, Dyspnoea, Fatigue, Flushing; Hyperhidrosis, Hy...
Anaphylactic reaction, Dizziness, Dyspnoea, Fatigue, Flushing; Hyperhidrosis, Hypotension, Lethargy
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Systemic: Allergic: Anaphylaxis-Mild, Systemic: Allergic: Difficulty Breathing-Mild, Systemic: Dizzi...
Systemic: Allergic: Anaphylaxis-Mild, Systemic: Allergic: Difficulty Breathing-Mild, Systemic: Dizziness / Lightheadness-Medium, Systemic: Exhaustion / Lethargy-Medium, Systemic: Flushed / Sweating-Medium, Systemic: Hypotension-Mild, Additional Details: Gave patient 50mg of diphenhydramine and monitor blood pressure every 15 minutes. Adverse events resolve and No hospitalization required
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| 2845140 | 28 | F | PA | 06/16/2025 |
TDAP |
GLAXOSMITHKLINE BIOLOGICALS |
EB499 |
Pruritus, Rash
Pruritus, Rash
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Systemic: Allergic: Itch (specify: facial area, extremeties)-Medium, Systemic: Allergic: Rash Genera...
Systemic: Allergic: Itch (specify: facial area, extremeties)-Medium, Systemic: Allergic: Rash Generalized-Medium, Additional Details: Patient received vaccine on 06/10/2025, reported developing rash in the evening on 06/11/2025. Came back to pharmacy for assistance, counseled patient to take benadryl orally and apply hydrocortisone on rash for itching. Advised patient to go to urgent care if worsening symptoms or if they do not improve in a few days.
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| 2845141 | 66 | F | MA | 06/16/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
99D52 |
Injection site erythema
Injection site erythema
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Site: Redness at Injection Site-Mild
Site: Redness at Injection Site-Mild
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| 2845142 | 61 | F | VA | 06/16/2025 |
PNC21 PNC21 PNC21 |
MERCK & CO. INC. MERCK & CO. INC. MERCK & CO. INC. |
y013009 y013009 y013009 |
Chills, Dizziness, Erythema, Flushing, Hyperhidrosis; Influenza like illness, In...
Chills, Dizziness, Erythema, Flushing, Hyperhidrosis; Influenza like illness, Injection site erythema, Injection site pain, Injection site pruritus, Myalgia; Pain, Pruritus, Pyrexia
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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, Systemic: Allergic: Itch (specify: facial area, extremeties)-Medium, Systemic: Body Aches Generalized-Medium, Systemic: Chills-Mild, Systemic: Dizziness / Lightheadness-Mild, Systemic: Fever-Mild, Systemic: Flushed / Sweating-Mild, Additional Details: patient had vaccine on june 7th, only symptom she reports was muscle soreness. On June 8 she experienced flu like symptoms including but not limited to hot sweats, body ache, soreness on arm of injection to which she took tylenol. June 9, she started gettting redness all around arm and itchiness. fever and sweat were gone, but soreness still present. She stopped taking tylenol. patient reported to the pharmacy on june 12 witgh soreness, and redness. states the redness is getting better,still itc
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| 2845143 | 74 | F | MO | 06/16/2025 |
COVID19 |
MODERNA |
30343333 |
Injection site nerve damage, Injection site pain, Joint injury
Injection site nerve damage, Injection site pain, Joint injury
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Site: Pain at Injection Site-Medium, Error: Shoulder Joint Injury (prolonged pain, tingling, etc.)-,...
Site: Pain at Injection Site-Medium, Error: Shoulder Joint Injury (prolonged pain, tingling, etc.)-, Additional Details: Patient got a covid shot 8 months ago and stated that she now has nerve damage near the injection site and her doctor said that it was a result from a vaccine. Patient asked for corporates phone number and the name of the immunizer because she would like compensation. Exact details were not provided so the severity of the injury is unknown.
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| 2845144 | 32 | F | PA | 06/16/2025 |
MMR |
GLAXOSMITHKLINE BIOLOGICALS |
A2J35 |
Injection site pain
Injection site pain
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Site: Pain at Injection Site-Mild, Systemic: Improper documentation when ordering vaccine. Selected ...
Site: Pain at Injection Site-Mild, Systemic: Improper documentation when ordering vaccine. Selected 'no' instead of 'yes' when asked if diluted-Mild, Additional Details: Improper documentation when ordering vaccine. Selected 'no' instead of 'yes' when asked if diluted
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| 2845145 | 73 | F | SC | 06/16/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
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Fatigue, Myalgia, Rash
Fatigue, Myalgia, Rash
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Large area of rash under breasts, mylagia, tired
Large area of rash under breasts, mylagia, tired
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| 2845146 | 1.42 | F | TX | 06/16/2025 |
DTAPIPVHIB |
SANOFI PASTEUR |
UK225AB |
Product preparation error
Product preparation error
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Patient given Pentacel mixed with regular saline diluent rather than being mixed with the provided P...
Patient given Pentacel mixed with regular saline diluent rather than being mixed with the provided Pentacel diluent
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| 2845147 | 4 | M | TN | 06/16/2025 |
MMRV |
MERCK & CO. INC. |
Y017205 |
Extra dose administered, No adverse event
Extra dose administered, No adverse event
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No Adverse Events occurred
No Adverse Events occurred
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| 2845148 | 61 | M | KS | 06/16/2025 |
COVID19 RSV |
MODERNA PFIZER\WYETH |
3046731 LL8393 |
Feeling abnormal, Pain, Pyrexia; Feeling abnormal, Pain, Pyrexia
Feeling abnormal, Pain, Pyrexia; Feeling abnormal, Pain, Pyrexia
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Presented to the ED with reports of "pain all over." Started feeling poorly the afternoon ...
Presented to the ED with reports of "pain all over." Started feeling poorly the afternoon after receiving both vaccines. Subjective fevers reported. Hospitalized for diffuse pain on 6/13/2025.
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| 2845149 | 1.08 | F | GA | 06/16/2025 |
DTAPIPVHIB IPV |
SANOFI PASTEUR SANOFI PASTEUR |
UK017AA X1C891M |
Decreased appetite, Somnolence, Wrong product administered; Decreased appetite, ...
Decreased appetite, Somnolence, Wrong product administered; Decreased appetite, Somnolence, Wrong product administered
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Vaccine administration error. DTaP and polio vaccines were due. Pentacel and polio vaccines were adm...
Vaccine administration error. DTaP and polio vaccines were due. Pentacel and polio vaccines were administered. No adverse reaction occurred at the time of administration. The patient's mother reported patient was drowsy and had a decreased appetite on the day of vaccination but returned to her normal activity level the next morning. The patient's mother reported this is common behavior for her after receiving vaccines. As of 06/05/2025 at 12:00 pm, no additional symptoms were reported.
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