| ID | Age | Sex | State | Date โผ | Onset Days | Vaccine | Manufacturer | Lot # | Symptoms | Narrative | ๐ | ๐ฅ | ๐ | โฟ | โ ๏ธ |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2844609 | 06/11/2025 |
VARZOS |
UNKNOWN MANUFACTURER |
UNK |
Herpes zoster, Vaccination failure
Herpes zoster, Vaccination failure
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Suspected vaccination failure; have them and its been weeks; This serious case was reported by a con...
Suspected vaccination failure; have them and its been weeks; This serious case was reported by a consumer via interactive digital media and described the occurrence of vaccination failure in a 86-year-old patient who received Herpes zoster (Shingles vaccine) for prophylaxis. On an unknown date, the patient received Shingles vaccine. On an unknown date, an unknown time after receiving Shingles vaccine, the patient experienced vaccination failure (Verbatim: Suspected vaccination failure) (serious criteria GSK medically significant) and shingles (Verbatim: have them and its been weeks). The outcome of the vaccination failure and shingles were not reported. It was unknown if the reporter considered the vaccination failure and shingles to be related to Shingles vaccine. The company considered the vaccination failure to be unrelated to Shingles vaccine. It was unknown if the company considered the shingles to be related to Shingles vaccine. Additional Information: GSK Receipt Date: 05-JUN-2025 This case was reported by a patient via interactive digital media. A patient reported that he/she has them (shingles) and its been weeks. The patient thought he/she had got shots but going to check to make sure. This case was considered as suspected vaccination failure as details regarding completion of primary vaccination schedule, time to onset for shingles and laboratory confirmation regarding shingles were unknown at the time of reporting.; Sender's Comments: Vaccination failure is a listed event which, due to the following criteria (insufficient information provided about primary vaccination schedule, time to onset for shingles and laboratory confirmation regarding shingles ) is considered unrelated to GSK vaccine Shingles vaccine.
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| 2844610 | M | NC | 06/11/2025 |
HEPAB |
GLAXOSMITHKLINE BIOLOGICALS |
P2443 |
Inappropriate schedule of product administration
Inappropriate schedule of product administration
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Late second dose /first shot of Twinrix in November 2024 and today the second dose was given; This n...
Late second dose /first shot of Twinrix in November 2024 and today the second dose was given; This non-serious case was reported by a pharmacist via call center representative and described the occurrence of drug dose administration interval too long in a 64-year-old male patient who received HAB (Twinrix) (batch number P2443, expiry date 18-SEP-2027) for prophylaxis. Previously administered products included Twinrix (received first dose in November 2024.). On 02-JUN-2025, the patient received the 2nd dose of Twinrix. On 02-JUN-2025, an unknown time after receiving Twinrix, the patient experienced drug dose administration interval too long (Verbatim: Late second dose /first shot of Twinrix in November 2024 and today the second dose was given ). The outcome of the drug dose administration interval too long was not applicable. This report is made by GSK without prejudice and does not imply any admission or liability for the incident or its consequences. Additional Information: GSK Receipt Date: 02-JUN-2025 The pharmacist called regarding a patient who had received the first shot of Twinrix in November 2024 and today the second dose was given which led to drug dose administration interval too long. The pharmacist asked information about the recommended interval between the delayed second dose and the third dose.
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| 2844611 | 11 | F | CA | 06/11/2025 |
MNQ |
NOVARTIS VACCINES AND DIAGNOSTICS |
AMVB064A |
Product administered to patient of inappropriate age, Product preparation error
Product administered to patient of inappropriate age, Product preparation error
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Use of a Non-approved diluent; Use of a Non-approved diluent; This non-serious case was reported by ...
Use of a Non-approved diluent; Use of a Non-approved diluent; This non-serious case was reported by a other health professional via call center representative and described the occurrence of wrong solution used in drug reconstitution in a 11-year-old female patient who received Men ACWY-CRM NVS (Menveo) (batch number AMVB064A, expiry date 31-DEC-2025) for prophylaxis. On 28-MAY-2025, the patient received Menveo. On 28-MAY-2025, an unknown time after receiving Menveo, the patient experienced wrong solution used in drug reconstitution (Verbatim: Use of a Non-approved diluent) and inappropriate dose of vaccine administered (Verbatim: Use of a Non-approved diluent). The outcome of the wrong solution used in drug reconstitution and inappropriate dose of vaccine administered were not applicable. Additional Information: GSK Receipt Date: 03-JUN-2025 A Medical assistant called and reported that the Menveo vaccine was administered, and he/she used a different sterile diluent, which led to wrong solution used in drug reconstitution and inappropriate dose of vaccine administered. The reporter asked if the patient needs to retake the vaccine. The reporter consented to follow up. The Vaccine Administration Facility is the same as Primary Reporter.
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| 2844612 | CA | 06/11/2025 |
FLU3 VARZOS |
GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS |
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Product storage error; Product storage error
Product storage error; Product storage error
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Vaccine stored outside recommended conditions and administered to patient.; Repeated dose of Shingri...
Vaccine stored outside recommended conditions and administered to patient.; Repeated dose of Shingrix was administered in less time than recommended.; Incorrect storage of drug; This non-serious case was reported by a nurse via call center representative and described the occurrence of incorrect storage of drug in a patient who received Herpes zoster (Shingrix) for prophylaxis. Co-suspect products included Herpes zoster (Shingrix) for prophylaxis and Flu Seasonal TIV Quebec (FluLaval 2024-2025 season) for prophylaxis. On 08-OCT-2021, the patient received the 3rd dose of Shingrix. On 21-SEP-2021, the patient received the 2nd dose of Shingrix. On an unknown date, the patient received FluLaval 2024-2025 season. On an unknown date, not applicable after receiving Shingrix and FluLaval 2024-2025 season and an unknown time after receiving Shingrix, the patient experienced incorrect storage of drug (Verbatim: Vaccine stored outside recommended conditions and administered to patient.), extra dose administered (Verbatim: Repeated dose of Shingrix was administered in less time than recommended.) and incorrect storage of drug (Verbatim: Incorrect storage of drug). The outcome of the incorrect storage of drug, extra dose administered and incorrect storage of drug were not applicable. This report is made by GSK without prejudice and does not imply any admission or liability for the incident or its consequences. Additional Information: GSK Receipt Date: 03-JUN-2025 and 05-JUN-2025 Registered Nurse called to report that she just have a general question. When a vaccine goes out of range. When a vaccine was stored and it was out of range in the refrigerator and if patient had to revaccinate the patient, how soon can we re-vaccinate them? What should be the time interval if it should be immediately or if patient have wait a certain period of time? The reporter asked these questions specifically for the Flu vaccine and the Shingrix. The reporter consented to follow up. The HCP did not specify the conditions of the temperature excursion since she said it happened a couple of years ago. The repeated dose of Shingrix vaccine was administered in less than 28 days. She did not know which number of dose was administered. Less than 20 patients were affected but she stated that they made the report. Patient stated that the flu vaccine was Flulaval however she stated that she did not have the information in front of her. The reporter mentioned that a patient received the second dose of Shingrix, however this dose was involved in a temperature excursion, which led to incorrect storage of drug. Therefore, they revaccinate the patient, which led to extra dose administered. The reporter wanted to confirm if the dose given on 08-OCT-2021 was considered valid since the the CDC recommended a 28-day interval from the invalid dose to reduce the risk for interference from interferon on the subsequent doses.
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| 2844613 | F | PA | 06/11/2025 |
MENB MENB MNQ |
NOVARTIS VACCINES AND DIAGNOSTICS NOVARTIS VACCINES AND DIAGNOSTICS NOVARTIS VACCINES AND DIAGNOSTICS |
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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
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patient got a possible dose of Menveo on 2020; 69 years old female patient vaccinated with two doses...
patient got a possible dose of Menveo on 2020; 69 years old female patient vaccinated with two doses of Bexsero; 69 years old female patient vaccinated with two doses of Bexsero; This non-serious case was reported by a other health professional via call center representative and described the occurrence of inappropriate age at vaccine administration in a 69-year-old female patient who received Men B NVS (Bexsero) for prophylaxis. Co-suspect products included Men B NVS (Bexsero) for prophylaxis and Men ACWY-CRM NVS (Menveo) for prophylaxis. The patient's past medical history included splenectomy. On 09-NOV-2020, the patient received the 2nd dose of Bexsero. On 20-JUL-2020, the patient received the 1st dose of Bexsero. On an unknown date, the patient received Menveo. On 20-JUL-2020, an unknown time after receiving Bexsero, Bexsero and Menveo, the patient experienced inappropriate age at vaccine administration (Verbatim: 69 years old female patient vaccinated with two doses of Bexsero). On 09-NOV-2020, the patient experienced inappropriate age at vaccine administration (Verbatim: 69 years old female patient vaccinated with two doses of Bexsero). On an unknown date, the patient experienced inappropriate age at vaccine administration (Verbatim: patient got a possible dose of Menveo on 2020). The outcome of the inappropriate age at vaccine administration, inappropriate age at vaccine administration and inappropriate age at vaccine administration were not applicable. This report is made by GSK without prejudice and does not imply any admission or liability for the incident or its consequences. Additional Information: GSK Receipt Date: 05-JUN-2025 Reporter called to ask about a 69 years old female patient who had a splenectomy surgery and the patient was vaccinated on 2020 with two doses of Bexsero and now the patient was coming to receive a dose of Menveo, because she got recommended to get a Men B vaccine every 5 years, which led to inappropriate age at vaccine administration. HCP mentioned that the patient got a possible dose of Menveo on 2020 but they were not really sure because the patient got it in another office and they do not have the record.
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| 2844614 | IL | 06/11/2025 |
HEPAB |
GLAXOSMITHKLINE BIOLOGICALS |
4KF75 |
Expired product administered
Expired product administered
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Expired Dose Administered; This non-serious case was reported by a pharmacist via call center repres...
Expired Dose Administered; This non-serious case was reported by a pharmacist via call center representative and described the occurrence of expired vaccine used in a patient who received HAB (Twinrix) (batch number 4KF75, expiry date 03-JAN-2025) for prophylaxis. On an unknown date, the patient received Twinrix. On an unknown date, an unknown time after receiving Twinrix, the patient experienced expired vaccine used (Verbatim: Expired Dose Administered). The outcome of the expired vaccine used was not applicable. This report is made by GSK without prejudice and does not imply any admission or liability for the incident or its consequences. Additional Information: GSK Receipt Date: 05-JUN-2025 The pharmacist reported that a patient was mistakenly administered an expired Twinrix vaccine, which led to expired vaccine used. So wanted to know the lot number of that and see if there is any recommendations.
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| 2844615 | M | GA | 06/11/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
UNK |
Incomplete course of vaccination
Incomplete course of vaccination
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Shingrix second dose never administered; This non-serious case was reported by a pharmacist via call...
Shingrix second dose never administered; This non-serious case was reported by a pharmacist via call center representative and described the occurrence of incomplete course of vaccination in a 72-year-old male patient who received Herpes zoster (Shingrix) for prophylaxis. Previously administered products included Shingrix (received first dose on 15-APR-2019 with batch number 4X733 and expiry date 08 March 2021). On an unknown date, the patient did not receive the 2nd dose of Shingrix. On an unknown date, an unknown time after receiving Shingrix, the patient experienced incomplete course of vaccination (Verbatim: Shingrix second dose never administered). The outcome of the incomplete course of vaccination was not applicable. Additional Information: GSK Receipt Date: 05-JUN-2025 The Vaccine Administration Facility was the same as Primary Reporter On 5 June 2025, a pharmacist called on behalf of a patient for asking how to proceed on a Shingrix second dose never administered. The patient asked his doctor about getting the complete doses again and wanted it to be confirmed by the manufacturer. Till the time of reporting, the patient did not receive 2nd dose of Shingrix, which led to incomplete course of vaccination.
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| 2844616 | NH | 06/11/2025 |
RSV |
GLAXOSMITHKLINE BIOLOGICALS |
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Product preparation issue
Product preparation issue
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Possible administration only of the adjuvant portion; Possible administration only of the adjuvant p...
Possible administration only of the adjuvant portion; Possible administration only of the adjuvant portion; This non-serious case was reported by a other health professional via call center representative and described the occurrence of inappropriate preparation of medication in a patient who received RSVPreF3 adjuvanted (Arexvy) for prophylaxis. On an unknown date, the patient received Arexvy. On an unknown date, an unknown time after receiving Arexvy, the patient experienced inappropriate preparation of medication (Verbatim: Possible administration only of the adjuvant portion) and inappropriate dose of vaccine administered (Verbatim: Possible administration only of the adjuvant portion). The outcome of the inappropriate preparation of medication and inappropriate dose of vaccine administered were not applicable. Additional Information: GSK receipt date: 05-JUN-2025 It was asked if its possible to use the Arexvy vaccine with another diluent, different that the one in the vaccine box. They reported that they cannot find the adjuvant portion for the Arexvy vaccine. They are not sure if they missed the diluent, if they drop the vial, if a patient received only the diluent, etc During the call, they mentioned that they did not administer the powder portion plus another diluent to any patient, however, we will report this as a possible AE in case that a patient received only the adjuvant portion. As they did not know what happened with the Arexvy diluent, HCP did not provide any patient nor vaccine details. They mentioned that they did not administer the powder portion plus another diluent to any patient, however, we will report this as a possible AE in case that a patient received only the adjuvant portion, which led to inappropriate preparation of medication and inappropriate dose of vaccine administered.
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| 2844617 | 71 | M | 06/11/2025 |
COVID19 |
MODERNA |
3042646 |
COVID-19, SARS-CoV-2 test
COVID-19, SARS-CoV-2 test
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testing positive for covid; This spontaneous case was reported by a consumer and describes the occur...
testing positive for covid; This spontaneous case was reported by a consumer and describes the occurrence of COVID-19 (testing positive for covid) in a 71-year-old male patient who received mRNA-1273.712 (SPIKEVAX 2024-2025 PFS) (batch no. 3042646) for COVID-19 prophylaxis. The patient's past medical history included Clinical trial participant (Participated in Johnson and Johnson Covid Clinical trial) on 02-Dec-2020. Previously administered products included for Product used for unknown indication: Johnson and johnson Covid Clinical trial (Dose 1, intramuscular and Johnson and Johnson Covid Clinical trial) on 02-Dec-2020; for COVID-19 prophylaxis: Moderna COVID-19 vaccine (Dose 2) on 14-Jan-2021, Moderna Vaccine (Dose 3) on 11-Feb-2021, Moderna Vaccine (Dose 4) on 22-Oct-2021, Moderna Vaccine (Dose 5) on 20-Mar-2022, Moderna Vaccine (Dose 6) on 04-Sep-2022, Moderna COVID-19 Vaccine, Bivalent (Original and Omicron BA.4/BA.5) (Dose 7) on 20-Apr-2023, Moderna Vaccine (Dose 8) on 16-Sep-2023 and Spikevax 2023-2024 formula (Dose 9) on 07-Mar-2024. Past adverse reactions to the above products included No adverse effect with Johnson and johnson Covid Clinical trial, Moderna COVID-19 Vaccine, Bivalent (Original and Omicron BA.4/BA.5), Moderna COVID-19 vaccine, Moderna Vaccine, Moderna Vaccine, Moderna Vaccine, Moderna Vaccine, Moderna Vaccine and Spikevax 2023-2024 formula. Concurrent medical conditions included Increased blood pressure (under control with medications.), Blood cholesterol increased (under control with medications.) and Seasonal allergy (Seasonal allergies). Concomitant products included Rosuvastatin calcium (Rosuvastatin) for Blood cholesterol increased, Lisinopril for Increased blood pressure, Loratadine (Claritin) for Seasonal allergy, Cyanocobalamin (Vitamin b12) for an unknown indication. On 07-Sep-2024 at 3:00 PM, the patient received tenth dose of mRNA-1273.712 (SPIKEVAX 2024-2025 PFS) (Intramuscular use) 1 dosage form. On 22-Feb-2025, after starting mRNA-1273.712 (SPIKEVAX 2024-2025 PFS), the patient experienced COVID-19 (testing positive for covid). The patient was treated with Nirmatrelvir, Ritonavir (Paxlovid) from 23-Feb-2025 to 28-Feb-2025 at an unspecified dose and frequency. On 26-Feb-2025, COVID-19 (testing positive for covid) had resolved. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 22-Feb-2025, SARS-CoV-2 test: Positive. On 26-Feb-2025, SARS-CoV-2 test: Negative. The patient was not allergic to previous vaccination, medications, food, or other products. The patient did not receive any other vaccines within first 4 weeks prior to the first administration of the suspect vaccine. It was reported that patient had all Covid-19 vaccinations and boosters and even participated in Clinical trial of Johnson and Johnson vaccine. The patient had avoided getting Covid for four plus years even his wife had it twice. It was reported that the patient tested positive for Covid on 22-Feb-2025 and it did not require a visit to the Emergency Room or Physician's Office. Patient took Paxlovid and tested negative for Covid on 26-Feb-2025. The patient again tested positive on 29-Feb-2025 and mild symptoms resolved in few days but had rebound effect. It was reported that cough and headache of patient had resolved and still had allergy symptoms due to seasonal allergies. No predisposing factors were there and no at risk health issue or exposures. No culture was performed. No other relevant tests were reported. No other antipyretic products used around date of vaccination.
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| 2844618 | 41 | F | VA | 06/11/2025 |
COVID19 |
MODERNA |
054C21A |
Hyperlipidaemia, Inflammation, Weight, Weight increased
Hyperlipidaemia, Inflammation, Weight, Weight increased
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Hyperlipidemia, continues to increase and not lower; Body inflammation; Weight gain; This spontaneou...
Hyperlipidemia, continues to increase and not lower; Body inflammation; Weight gain; This spontaneous case was reported by a consumer and describes the occurrence of HYPERLIPIDAEMIA (Hyperlipidemia, continues to increase and not lower), INFLAMMATION (Body inflammation) and WEIGHT INCREASED (Weight gain) in a 42-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 054C21A and 054C21A) for COVID-19 prophylaxis. No Medical History information was reported. On 28-May-2021 at 10:30 AM, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular use) 1 dosage form. On 25-Jun-2021 at 11:00 AM, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular use) dosage was changed to 1 dosage form. On 01-Jun-2022, the patient experienced HYPERLIPIDAEMIA (Hyperlipidemia, continues to increase and not lower), INFLAMMATION (Body inflammation) and WEIGHT INCREASED (Weight gain). The patient was treated with Fluvastatin sodium (oral use) at a dose of 20 milligram once a day. At the time of the report, HYPERLIPIDAEMIA (Hyperlipidemia, continues to increase and not lower), INFLAMMATION (Body inflammation) and WEIGHT INCREASED (Weight gain) had not resolved. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 01-Jun-2022, Weight: Weight gain. Concomitant medication use information was not provided by reporter.
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| 2844619 | 80 | M | MS | 06/11/2025 |
PNC20 |
PFIZER\WYETH |
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Injection site pain, Oropharyngeal pain, Pain in extremity, Respiratory tract co...
Injection site pain, Oropharyngeal pain, Pain in extremity, Respiratory tract congestion
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Arm sore; congestion; Sore throat; Cough; pain on the injection site; This is a spontaneous report r...
Arm sore; congestion; Sore throat; Cough; pain on the injection site; This is a spontaneous report received from a Physician from medical information team. An 80-year-old male patient received pneumococcal 20-val conj vac (dipht CRM197 protein) (PREVNAR 20), on 29May2025 as dose number unknown, single (Batch/Lot number: unknown) at the age of 80 years for immunisation. The patient's relevant medical history and concomitant medications were not reported. The following information was reported: PAIN IN EXTREMITY (non-serious) with onset 2025, outcome "unknown", described as "Arm sore"; COUGH (non-serious) with onset 2025, outcome "unknown"; OROPHARYNGEAL PAIN (non-serious) with onset 2025, outcome "unknown", described as "Sore throat"; NASAL CONGESTION (non-serious) with onset 2025, outcome "unknown", described as "congestion"; VACCINATION SITE PAIN (non-serious) with onset 2025, outcome "unknown", described as "pain on the injection site". Additional information: Patient stated, "I am retired OBGYN (Obstetrics and Gynecology), doctor and I had the Prevnar vaccine one week ago (last Thursday 29May2025). and I looked into the website, and I could not find common side effects. So, I am calling to see if you can tell me what may be is fairly common with this vaccine. I am in tip top shape, I am very healthy, I have no comorbidities, no blood pressure, no diabetes, blood sugar, no pulmonary symptoms, urinary, kidney issues, I am very healthy and other than when I got the vaccine. It really made my arm sore. I was expecting that the nurse told me probably that would happen but I have developed a congestion, a sore throat, a cough". The reporter wondered whether that is common with the Prevnar 20 vaccine. He also mentioned that he had pain on the injection site. No follow-up attempts are possible. Batch/lot number is not provided, and it cannot be obtained.
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| 2844620 | 82 | M | MA | 06/11/2025 |
COVID19 |
PFIZER\BIONTECH |
LM2210 |
Syncope
Syncope
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I didn't faint until nearly two and a half days; This is a spontaneous report received from a C...
I didn't faint until nearly two and a half days; This is a spontaneous report received from a Consumer or other non HCP. An 82-year-old male patient received BNT162b2 omicron (kp.2) (COMIRNATY (2024-2025 FORMULA)), on 27Sep2024 at 09:00 as dose 1, single (Lot number: LM2210) at the age of 82 years, in right arm for covid-19 immunisation. The patient's relevant medical history included: "arrhythmia" (unspecified if ongoing), notes: heart arrhythmia; "syncope" (ongoing); "A-Fib" (unspecified if ongoing); "enlarged prostate" (unspecified if ongoing). Concomitant medication(s) included: FLU [INFLUENZA VACCINE] taken for immunisation, on 13Sep2024 as dose number unknown, single; METOPROLOL; LOSARTAN taken for atrial fibrillation, start date: Feb2024; ELIQUIS taken for atrial fibrillation, start date: Feb2024; SIMVASTATIN; DOXAZOSIN; VITAMIN D [VITAMIN D NOS]; MIRALAX; MELATONIN. Vaccination history included: Bnt162b2 (DOSE 1, SINGLE, When I received the original two shots, my only reactions were chills and arm soreness.), for COVID-19 immunization, reaction(s): "chills"; Bnt162b2 (DOSE 1, SINGLE, original two shots,only reactions were chills and arm soreness.), for COVID-19 immunization, reaction(s): "arm soreness"; Bnt162b2 (DOSE 2, SINGLE, original two shots,only reactions were chills and arm soreness.), for COVID-19 immunization, reaction(s): "chills", "arm soreness"; Bnt162b2 (DOSE NUMBER UNKNOWN (BOOSTER), SINGLE, tired for the first few booster shots. about 3 years ago, started about 12 hours after the shot and ended after about 24 hours.), administration date: 2022, for COVID-19 immunization, reaction(s): "being tired"; Bnt162b2 (DOSE NUMBER UNKNOWN (BOOSTER), SINGLE, Staring about 3 years ago, at about 12 hours would get chills, and then in the next 12 hours would faint, quickly awake, but be unstable, not aware of what is going on and sleep for x hours.), administration date: 2022, for COVID-19 immunization, reaction(s): "chills"; Bnt162b2 (DOSE NUMBER UNKNOWN (BOOSTER), SINGLE, Staring about 3 years ago, at about 12 hours would get chills, and then in the next 12 hours would faint, quickly awake, but be unstable, not aware of what is going on and sleep for x hours.), for COVID-19 immunization, reaction(s): "unstable", "faint". The following information was reported: SYNCOPE (medically significant), outcome "unknown", described as "I didn't faint until nearly two and a half days". Therapeutic measures were not taken as a result of syncope. Clinical course: The reporter has a history of heart arrhythmia and syncope, and was more recently diagnosed with atrial fibrillation (AFib). Their current medications include Metoprolol, Losartan, Finasteride, Doxazosin, Simvastatin, and Eliquis. When the initial two COVID-19 vaccine doses were administered, the only side effects reported were chills and soreness in the arm. For the first few booster shots, fatigue was also experienced, typically beginning around 12 hours after the injection and resolving within 24 hours. However, starting approximately three years ago, a new pattern began to emerge. Around 12 hours post-vaccination, chills would set in, followed by an episode of fainting within the next 12 hours. Although consciousness was quickly regained, the individual would remain disoriented, unstable, and would then sleep for several hours. Since the diagnosis of AFib and the initiation of treatment with Losartan and Eliquis, a change has occurred: the interval between receiving the booster and experiencing a fainting episode has gradually increased. After the most recent booster, given in the fall, the fainting did not occur until nearly two and a half days later. Now in their eighties, the reporter remains committed to continuing with COVID-19 boosters.; Sender's Comments: Linked Report(s) : US-PFIZER INC-202500117114 same patient, different dose/events;US-PFIZER INC-202500117115 same patient, different dose/events;US-PFIZER INC-202500117116 same patient, different dose/events;US-PFIZER INC-202500117641 same patient, different dose/events;
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| 2844621 | 80 | M | MA | 06/11/2025 |
COVID19 |
PFIZER\BIONTECH |
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Atrial fibrillation, Chills, Syncope
Atrial fibrillation, Chills, Syncope
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faint/quickly awake/be unstable/not aware of what is going on and sleep for x hours; A-Fib; chills; ...
faint/quickly awake/be unstable/not aware of what is going on and sleep for x hours; A-Fib; chills; This is a spontaneous report received from a Consumer or other non HCP. An 82-year-old male patient received BNT162b2, BNT162b2 omi ba.4-5 (BNT162B2, BNT162B2 OMI BA.4-5), in 2022 as dose number unknown (booster), single (Batch/Lot number: unknown) at the age of 80 years for covid-19 immunisation. The patient's relevant medical history included: "Heart arrhythmia" (unspecified if ongoing), notes: Heart; "syncope" (ongoing); "enlarged prostate" (unspecified if ongoing). Concomitant medication(s) included: METOPROLOL; SIMVASTATIN; DOXAZOSIN; VITAMIN D NOS; MELATONIN; MIRALAX. Vaccination history included: Covid-19 vaccine (Primary Immunization Series Completed, Manufacturer: Unknown), for Covid-19 Immunization; Covid-19 vaccine (Primary immunisation series complete; manufacturer unknown), for COVID-19 immunisation. The following information was reported: SYNCOPE (medically significant), outcome "unknown", described as "faint/quickly awake/be unstable/not aware of what is going on and sleep for x hours"; ATRIAL FIBRILLATION (medically significant), outcome "unknown", described as "A-Fib"; CHILLS (non-serious), outcome "unknown". Clinical course: The reporter has a history of heart arrhythmia and syncope, and was more recently diagnosed with atrial fibrillation (AFib). Their current medications include Metoprolol, Losartan, Finasteride, Doxazosin, Simvastatin, and Eliquis. When the initial two COVID-19 vaccine doses were administered, the only side effects reported were chills and soreness in the arm. For the first few booster shots, fatigue was also experienced, typically beginning around 12 hours after the injection and resolving within 24 hours. However, starting approximately three years ago, a new pattern began to emerge. Around 12 hours post-vaccination, chills would set in, followed by an episode of fainting within the next 12 hours. Although consciousness was quickly regained, the individual would remain disoriented, unstable, and would then sleep for several hours. Since the diagnosis of AFib and the initiation of treatment with Losartan and Eliquis, a change has occurred: the interval between receiving the booster and experiencing a fainting episode has gradually increased. After the most recent booster, given in the fall, the fainting did not occur until nearly two and a half days later. Now in their eighties, the reporter remains committed to continuing with COVID-19 boosters. The information on the batch/lot number for BNT162b2, BNT162b2 omi ba.4-5 will be requested and submitted if and when received.; Sender's Comments: Linked Report(s) : US-PFIZER INC-202500117105 same patient, different dose/events;US-PFIZER INC-202500117115 same patient and drug, different dose and events;US-PFIZER INC-202500117641 same patient, different dose/events;US-PFIZER INC-202500117116 same patient, different dose/events;
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| 2844622 | 70 | F | 06/11/2025 |
COVID19 |
PFIZER\BIONTECH |
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Chills, Hypersomnia, Vaccination site erythema, Vaccination site pain
Chills, Hypersomnia, Vaccination site erythema, Vaccination site pain
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had a reaction after she received the covid vaccine/redness and soreness in arm; had a reaction afte...
had a reaction after she received the covid vaccine/redness and soreness in arm; had a reaction after she received the covid vaccine/redness and soreness in arm; chills; slept for 12 hours last night; This is a spontaneous report received from a Consumer or other non HCP from License Party. Other Case identifier(s): AE-019548 (Biotech), 2021SA279542 (SANOFI). Initial information received on 18-Aug-2021 regarding an unsolicited valid non-serious case received from the patient. This case involves a 70 years old female patient who had a reaction after she received the covid vaccine/ redness and soreness in arm, slight chills, and slept for 12 hours last night while being treated with DUPILUMAB [DUPIXENT] delivered via Dupilumab syringe and COVID-19 VACCINE. And forgot to inject her Dupixent and is z week late on it with no reported adverse event directly linked to product dose omission in error. The patient's past medical history included Personal History of other malignant neoplasm of skin, Insomnia, Gastro-Esophageal Reflux Disease without Esophagitis and Bilateral Acute Atopic Conjunctivitis. The patient's past medical treatment(s), vaccination(s) and family history were not provided. At the time of the event, the patient had ongoing Poly osteoarthritis, Chronic Obstructive Asthma, Allergic Rhinitis Due To Pollen and Allergy-Codeine Sulfate, Iodine, Tizanidine HCL (hydrochloride). Concomitant medications included MULTIVITAMIN [VITAMINS NOT OTHERWISE SPECIFIED (NOS)] (MULTIVITAMIN [VITAMINS NOS]); ASCORBIC ACID, BETACAROTENE, COPPER, MANGANESE, NICOTINIC ACID, RIBOFLAVIN, RIBOFLAVIN, SELENIUM, VITAMIN E NOS, XANTOFYL, ZINC (OCUVITE + LUTEIN); CALCIUM CARBONATE (OYSTER SHELL CALCIUM); ELASOMERAN (SPIKEVAX); MONTELUKAST SODIUM (MONTELUKAST SODIUM); AZELASTINE HCL (AZELASTINE HCL); BECLOMETASONE DIPROPIONATE (QVAR REDIHALER); FLUTICASONE PROPIONATE (FLUTICASONE PROPIONATE); MOXIFLCXACIN HCL (MOXIFLOXACIN HCL); FLUCONAZOLE (FLUCONAZOLE); AMOXICILLIN TRIHYDRATE, CLAVULANATE POTASSIUM (AMOXICILLIN CLAVULANIC ACID); ASPIRIN [ACETYLSALICYLIC ACID] (ASPIRIN [ACETYLSALICYLIC ACID]); GUAIFENESIN (MUCINEX); AZELASTINE HYDROCHLORIDE, FLUTICASONE PROPIONATE (AZELASTINE/FLUTlCASONPROPIONAAT); and FAMOTIDINE (FAMOTIDINE). On an unknown date, the patient started taking DUPIXENT (DUPILUMAB) Solution for injection of strength 300 mg/2 ml at a dose of 300 mg Q O W via subcutaneous route for Refractory extrinsic Asthma. On 11-AUG-2021, the patient developed a non-serious event "forgot to inject her Dupixent and is a week late on it with no reported adverse event" (product dose omission in error) (unknown latency) following the first dose intake (Batch number: EW2480, expiry date on 31-Oct-2026) of DUPILUMAB. On 22-Apr-2025, the patient took COVID-19 VACCINE (unknown formulation, strength, dose, frequency, route of administration and indication). On 22-APR-2025, the patient developed a non-serious event "reaction after she received the covid vaccine/redness and soreness in arm" (vaccination site erythema) (vaccination site pain) (unknown latency) following the first dose intake (Batch number: EW2480, expiry date on 31-Oct-2026) of DUPILUMAB and COVID-19 Vaccine. On 22-APR-2025, the patient developed a non- serious event "slight chills" (chills) (unknown latency) following the first dose intake and (unknown latency) (unknown latency) following the first dose intake (Batch: EW2480, expiry date on 31-Oct-2026) of DUPILUMAB and COVID-19 VACCINE. On 22-APR-2025 the patient developed a non- serious event "slept for 12 hours last night" (hypersomnia) (unknown latency) following the first dose intake and (unknown latency) (unknown latency) following the first dose intake and (unknown latency) (unknown latency) following the first dose intake (Batch: EW2480, expiry date on 31-Oct-2026) of DUPILUMAB and COVID-19 VACCINE. It was reported "Patient stated that she forgot to inject her Dupixent and is a week late on it. I advised patient to inject her dose today and resume the every other week dosing. Patient expressed verbal understanding. She had a reaction after she received the covid vaccine on 22-Apr-2025. She has redness and soreness in arm, slight chills, and slept for 12 hours last night. Reports she gets that every time she gets a covid vaccine. No other details provided." Action taken: With respect to Dupilumab: No action taken for the events vaccination site erythema, vaccination site pain, chills, hypersomnia and unknown for the event product dose omission in error. With respect to Covid-19 Vaccine: Not applicable for all the events. Corrective treatment: Not reported for the events vaccination site erythema, vaccination site pain, chills, hypersomnia. Outcome: Unknown for the events vaccination site erythema, vaccination site pain, chills, hypersomnia. 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. Additional information was received on 23-Apr-2025 from patient: Based on information received new events vaccination site erythema, vaccination site pain, chills, hypersomnia, concomitant medications, co-suspect, medical history were added and text amended accordingly.
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| 2844623 | F | 06/11/2025 |
FLU3 |
SANOFI PASTEUR |
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Malaise
Malaise
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was down and out for 2 days; Initial information received on 05-Jun-2025 regarding an unsolicited va...
was down and out for 2 days; Initial information received on 05-Jun-2025 regarding an unsolicited valid non-serious case received from a patient. This case is linked to case- US-SA-2025SA163745 This case involves an unknown age female patient who was down and out for 2 days after receiving Influenza Quadrivalent Recombinant Vaccine [Flublok]. The patient's past medical history, medical treatment(s), vaccination(s) and family history were not provided. On an unknown date, the patient received Influenza Quadrivalent Recombinant Vaccine (form, dose, strength, batch and expiry date unknown) via unknown route in unknown administration site for Prophylactic vaccination (Immunisation). Information on batch number and expiry date corresponding to the one at time of event occurrence was requested. On an unknown date the patient was down and out for 2 days (illness) (unknown latency). Action taken: not applicable. It was not reported if the patient received a corrective treatment for the event At time of reporting, the outcome was Unknown for the event; Sender's Comments: US-SA-2025SA163745:Pateint 1
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| 2844624 | 15 | M | WA | 06/11/2025 |
MEN |
UNKNOWN MANUFACTURER |
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Inappropriate schedule of product administration
Inappropriate schedule of product administration
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15 year old was given MENQUADFI a month early with no reported AE; Initial information received on 0...
15 year old was given MENQUADFI a month early with no reported AE; Initial information received on 09-Jun-2025 regarding an unsolicited valid non-serious case received from a other health professional. This case involves a 15 years old male patient who was given Meningococcal A-C-Y-W135 (T Conj) Vaccine [Menquadfi] a month early 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 who was given a dose 2 of suspect Meningococcal A-C-Y-W135 (T Conj) Vaccine Solution for injection Frequency = once (strength standard) (batch, dose, expiry date unknown) via unknown route in the left arm for Immunization a month early with no reported ae (inappropriate schedule of product administration) (same day latency). Information on batch number and expiry date corresponding to the one at time of event occurrence was requested. Action taken: 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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| 2844625 | 1 | M | MO | 06/11/2025 |
DTAPIPVHIB |
SANOFI PASTEUR |
|
No adverse event, Product preparation issue
No adverse event, Product preparation issue
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inappropriate use due to only the DTaP/IPV portion of the product being administered/ The patient on...
inappropriate use due to only the DTaP/IPV portion of the product being administered/ The patient only received the liquid part of the vaccine, it was not mixed with no reported adverse event; Initial information received on 10-Jun-2025 (with live follow up process together with CSD: 10-Jun-2025) regarding an unsolicited valid non-serious case received from a physician. This case involves a 1 years old male patient for whom diphtheria/tetanus/5 hybrid ac pertussis/ipv(vero)/hib(prp/t) vaccine [Pentacel (Vero)] inappropriate use due to only the DTaP/IPV portion of the product being administered/ The patient only received the liquid part of the vaccine, it was not mixed with no reported adverse event. The patient's past medical history, medical treatment(s), vaccination(s) and family history were not provided. On 21-May-2025, the patient received an unknown dose (0.5ml) 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) via intramuscular route in the left thigh for Immunization; inappropriate use due to only the DTaP/IPV portion of the product being administered/ The patient only received the liquid part of the vaccine, it was not mixed with no reported adverse event (single component of a two-component product administered) (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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| 2844626 | 30 | F | GA | 06/11/2025 |
RAB |
SANOFI PASTEUR |
|
Loss of personal independence in daily activities, Muscle spasms
Loss of personal independence in daily activities, Muscle spasms
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Since a few hours after receiving the shot, I?ve had continuous both painless and painful CONSTANT m...
Since a few hours after receiving the shot, I?ve had continuous both painless and painful CONSTANT muscle spasms. I?ve been the the hospital multiple times and they keep saying, ?it?s anxiety? when I know for a fact it is not. It?s been well over a month I?ve been dealing with this and the hospital pushes it off like this is a joke. It?s effecting my daily life and SICK OF NOT BEING LISTENED TOO. They literally tell me it?s ?in my head? yet I?ve NEVER had this issue before.
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| 2844627 | 11 | M | MI | 06/11/2025 |
IPV |
SANOFI PASTEUR |
W1C831M |
Extra dose administered, No adverse event
Extra dose administered, No adverse event
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Patient received a dose of IPOL when he was not eligible for the dose. Patient has not had any sympt...
Patient received a dose of IPOL when he was not eligible for the dose. Patient has not had any symptoms, but did receive an extra dose.
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| 2844628 | 56 | F | NH | 06/11/2025 |
COVID19 |
MODERNA |
unknown |
Brain fog, Headache, Immediate post-injection reaction, Tinnitus
Brain fog, Headache, Immediate post-injection reaction, Tinnitus
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Immediate 6/10 headache for one week, brain fog for one week. Approx one month later - tinnitus
Immediate 6/10 headache for one week, brain fog for one week. Approx one month later - tinnitus
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| 2844629 | 0.83 | F | MI | 06/11/2025 |
HEPA |
GLAXOSMITHKLINE BIOLOGICALS |
C24B9 |
Inappropriate schedule of product administration
Inappropriate schedule of product administration
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10 month old patient delayed immunizations
10 month old patient delayed immunizations
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| 2844630 | 72 | M | NC | 06/11/2025 |
COVID19 |
PFIZER\BIONTECH |
ln0591 |
Colitis ulcerative, Condition aggravated, Faecal calprotectin abnormal
Colitis ulcerative, Condition aggravated, Faecal calprotectin abnormal
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Reporting suspect effect of covid 19 vaccine and its causal relationship to autoimmune ulcerative co...
Reporting suspect effect of covid 19 vaccine and its causal relationship to autoimmune ulcerative colitis condition . this should be further investigated. Patient was first diagnosed with pancolitis in 8/2024 by colonoscopy (he has had numerous previous covid vaccines, He remains asymptomatic, however inflammation due to autoimmune response is increasing. Note my intent on reporting is to report a suspect relationship. I have no actual causal proof.
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โ | |||||
| 2844631 | 0.42 | M | NC | 06/11/2025 |
DTAPHEPBIP DTAPHEPBIP HIBV HIBV PNC20 PNC20 RV5 RV5 |
GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS MERCK & CO. INC. MERCK & CO. INC. PFIZER\WYETH PFIZER\WYETH MERCK & CO. INC. MERCK & CO. INC. |
K25M5 K25M5 Y005366 Y005366 LN4929 LN4929 2096656 2096656 |
Condition aggravated, Dermatitis diaper, Electroencephalogram, Full blood count,...
Condition aggravated, Dermatitis diaper, Electroencephalogram, Full blood count, Metabolic function test; Rash, Seizure, Viral rash; Condition aggravated, Dermatitis diaper, Electroencephalogram, Full blood count, Metabolic function test; Rash, Seizure, Viral rash; Condition aggravated, Dermatitis diaper, Electroencephalogram, Full blood count, Metabolic function test; Rash, Seizure, Viral rash; Condition aggravated, Dermatitis diaper, Electroencephalogram, Full blood count, Metabolic function test; Rash, Seizure, Viral rash
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Pt taken to ER, 3 seizures 6-5-25. Pt taking Kepra BID. At office visit 6-4-25, pt also had a ras...
Pt taken to ER, 3 seizures 6-5-25. Pt taking Kepra BID. At office visit 6-4-25, pt also had a rash to trunk, diaper area, no fever. Diagnosed as viral exanthem. Pt reported to have 1-2 minute seizures a few times a week. Seizure on 6-5-25 lasted 8-10 minutes. Hospitalized overnight and given fosphenytoin loading dose and contiued on Kepra. Pt will habe follow up appointments with Peds neuro and pediatrician
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โ | |||||
| 2844632 | 63 | F | OH | 06/11/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
|
No adverse event, Product preparation issue
No adverse event, Product preparation issue
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This RN did not reconstitute this vaccine, this RN only gave the adjuvant. No symptoms or issues aft...
This RN did not reconstitute this vaccine, this RN only gave the adjuvant. No symptoms or issues after vaccine.
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| 2844633 | 11 | M | MT | 06/11/2025 |
HPV9 MNQ TDAP |
MERCK & CO. INC. NOVARTIS VACCINES AND DIAGNOSTICS GLAXOSMITHKLINE BIOLOGICALS |
Y015180 292L4 DY3K7 |
Pruritus, Rash, Urticaria; Pruritus, Rash, Urticaria; Pruritus, Rash, Urticaria
Pruritus, Rash, Urticaria; Pruritus, Rash, Urticaria; Pruritus, Rash, Urticaria
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received call from mom at 4:15pm that child had a rash from head to toe and his palms and feet were ...
received call from mom at 4:15pm that child had a rash from head to toe and his palms and feet were itchy. No problems with breathing or swelling in the throat or face. She gave him a Benadryl and the hives resolved several hours later. The next morning I called and the hives are gone and he has no other problems.
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| 2844634 | 0.08 | F | VA | 06/11/2025 |
RV5 |
MERCK & CO. INC. |
2003147 |
Expired product administered, No adverse event
Expired product administered, No adverse event
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Patient given vaccine that had expired (two days) prior, expired 6/7/2025 and administered 6/9/2025....
Patient given vaccine that had expired (two days) prior, expired 6/7/2025 and administered 6/9/2025. No noted effects or follow-up required at this time.
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| 2844635 | 1.25 | M | NE | 06/11/2025 |
DTAPIPVHIB |
SANOFI PASTEUR |
UK216AB |
Product preparation issue
Product preparation issue
|
15 month old patient was in for WCC and was suppose to receive Pentacel. However, we discovered toda...
15 month old patient was in for WCC and was suppose to receive Pentacel. However, we discovered today that we had 1 "extra" vial of Hib powder and no vial of Dtap/Polio. I ran an audit and found that this patient is the only one that received that lot number. I came to the conclusion that he only received Dtap & Polio (no Hib).
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| 2844636 | 1 | M | OH | 06/11/2025 |
DTAP |
GLAXOSMITHKLINE BIOLOGICALS |
|
Cough
Cough
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cough , croup like
cough , croup like
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| 2844637 | 0.67 | F | MD | 06/11/2025 |
RV1 |
GLAXOSMITHKLINE BIOLOGICALS |
YL9YN |
Inappropriate schedule of product administration, No adverse event
Inappropriate schedule of product administration, No adverse event
|
Vaccine given off schedule-reporting
Vaccine given off schedule-reporting
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| 2844638 | 82 | M | 06/11/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
ME424 |
Inappropriate schedule of product administration, No adverse event
Inappropriate schedule of product administration, No adverse event
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Patient given first dose in series on 07/31/24 and second dose on 9/6/24- less than the 2 month mini...
Patient given first dose in series on 07/31/24 and second dose on 9/6/24- less than the 2 month minimum. No side effects noted.
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| 2844639 | 31 | M | 06/11/2025 |
VARCEL |
MERCK & CO. INC. |
|
Circumstance or information capable of leading to medication error, No adverse e...
Circumstance or information capable of leading to medication error, No adverse event
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Provider reconstituted the diluent and the vaccine powder administered right vaccine reconstituted b...
Provider reconstituted the diluent and the vaccine powder administered right vaccine reconstituted but clicked the wrong button on a vaccine sheet where it asks if provider is aware that the vaccine needs to be reconstituted. Patient informed of that there is possibility he might have received partial component of Varicella vaccine . Recommendation for revaccination to ensure maximum protection benefits can be reached. Patient declined revaccination. No adverse effects to the patient
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| 2844640 | 68 | F | IN | 06/11/2025 |
VARZOS VARZOS |
GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS |
L17N34 L17N34 |
Blister, Burning sensation, Dyspnoea, Nausea, Pruritus; Pyrexia
Blister, Burning sensation, Dyspnoea, Nausea, Pruritus; Pyrexia
|
Fever, Nausea, Skin Broke out into Blisters in Multiple Locations, Burning Sensations, Itchiness, Tr...
Fever, Nausea, Skin Broke out into Blisters in Multiple Locations, Burning Sensations, Itchiness, Trouble Breathing for 6 Days
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| 2844641 | 79 | M | WI | 06/11/2025 |
COVID19 |
MODERNA |
3046732 |
Death
Death
|
Expired
Expired
|
โ | |||||
| 2844642 | 43 | M | NJ | 06/11/2025 |
COVID19 |
PFIZER\BIONTECH |
ME6072 |
Dizziness, Fatigue, Vomiting
Dizziness, Fatigue, Vomiting
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Extreme Dizziness and vomiting and fatique
Extreme Dizziness and vomiting and fatique
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| 2844643 | 4 | M | WV | 06/11/2025 |
IPV MMRV TDAP |
SANOFI PASTEUR MERCK & CO. INC. SANOFI PASTEUR |
W1C83M Y019465 U8232AA |
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
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Tdap was given to patient rather than dTap. No adverse reaction or unusual symptoms occurred.
Tdap was given to patient rather than dTap. No adverse reaction or unusual symptoms occurred.
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| 2844644 | 69 | M | CA | 06/11/2025 |
COVID19 |
PFIZER\BIONTECH |
MD3414 |
Laryngitis
Laryngitis
|
non-febrile laryngitis lasting 3 days.
non-febrile laryngitis lasting 3 days.
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| 2844645 | 62 | F | CA | 06/11/2025 |
MMR MMR MMR |
MERCK & CO. INC. MERCK & CO. INC. MERCK & CO. INC. |
|
Bursitis, Fatigue, Headache, Lymphadenopathy, Musculoskeletal stiffness; Periphe...
Bursitis, Fatigue, Headache, Lymphadenopathy, Musculoskeletal stiffness; Peripheral swelling, Pyrexia, Rash, Rash morbilliform, Swelling face; Tonsillar hypertrophy, Upper-airway cough syndrome
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Summary: Headache, post nasal drip, puffy cheeks, excessive tiredness, measles-like rash on face, to...
Summary: Headache, post nasal drip, puffy cheeks, excessive tiredness, measles-like rash on face, torso and upper limbs (not itchy), fever 100.9, swollen tonsils and neck glands. Swollen bursae all over the body in all the major joints and hands, staggered timing over a period of 15 days. Still some residual stiffness and swelling in hands remaining.
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โ | |||||
| 2844646 | 28 | M | NY | 06/11/2025 |
MMR VARCEL |
MERCK & CO. INC. MERCK & CO. INC. |
|
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
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2 Live vaccines administered on 2 separate days outside the recommendation. MMR vaccine on 06/09/25 ...
2 Live vaccines administered on 2 separate days outside the recommendation. MMR vaccine on 06/09/25 and Varicella vaccine on 06/10/25. Patient has not currently reported experiencing any side effects.
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| 2844647 | 77 | M | MI | 06/11/2025 |
PNC21 TDAP |
MERCK & CO. INC. GLAXOSMITHKLINE BIOLOGICALS |
z002626 Y3Z9P |
Pain; Pain
Pain; Pain
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Pt came in day after vaccine administration, said he could not move his arm without severe pain. No ...
Pt came in day after vaccine administration, said he could not move his arm without severe pain. No swelling or redness at injection site when checked
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| 2844648 | 0.5 | M | NV | 06/11/2025 |
HPV9 |
MERCK & CO. INC. |
Y009051 |
No adverse event, Product administered to patient of inappropriate age, Wrong pa...
No adverse event, Product administered to patient of inappropriate age, Wrong patient
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Vaccine error - medical assistant gave the HPV vaccine ( that was meant for a different patient) in...
Vaccine error - medical assistant gave the HPV vaccine ( that was meant for a different patient) in error to this patient who is 6 months old. No adverse reactions were noted during time in clinic for 30 minutes after vaccine was given. Phone call being made to parent to followup
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| 2844649 | 53 | F | 06/11/2025 |
YF |
SANOFI PASTEUR |
|
No adverse event, Product preparation error
No adverse event, Product preparation error
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Vaccine was reconstituted with sterile water instead of normal saline. Patient not exhibiting any ad...
Vaccine was reconstituted with sterile water instead of normal saline. Patient not exhibiting any adverse events.
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| 2844650 | 54 | F | MI | 06/11/2025 |
HEP |
GLAXOSMITHKLINE BIOLOGICALS |
JB4kz |
Underdose
Underdose
|
Pediatric Hep B was given instead of Adult. Doctor was notified and she contacted patient and expla...
Pediatric Hep B was given instead of Adult. Doctor was notified and she contacted patient and explained what happened and we will administer adult vaccine at next visit.
More
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| 2844651 | 61 | F | FL | 06/11/2025 |
RSV VARZOS |
GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS |
9sb34 ast73 |
Vaccination site infection; Vaccination site infection
Vaccination site infection; Vaccination site infection
|
Patient came in on Thursday 5th of June and said the site of vaccination was infected. RPH advised p...
Patient came in on Thursday 5th of June and said the site of vaccination was infected. RPH advised patient to use triple antibiotic cream, patient came back on Sunday the 8th and reported that it was getting better.
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| 2844652 | 4 | F | GA | 06/11/2025 |
DTAPIPV |
GLAXOSMITHKLINE BIOLOGICALS |
U8383AB |
Injection site erythema, Injection site reaction, Injection site swelling, Skin ...
Injection site erythema, Injection site reaction, Injection site swelling, Skin lesion
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erythematous raised lesion at site of injection, non tender, no fevers
erythematous raised lesion at site of injection, non tender, no fevers
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| 2844653 | 1.08 | F | CT | 06/11/2025 |
VARCEL |
MERCK & CO. INC. |
y015559 |
Wrong product administered
Wrong product administered
|
child was in office for MMR and Varicella vaccines. Nurse drew up an MMRV and Varicella. Administere...
child was in office for MMR and Varicella vaccines. Nurse drew up an MMRV and Varicella. Administered one vaccine before realizing the mistake and excused herself from the room when she realized she wasn't sure which vaccine was given. child was given a varicella but unaware if was given MMRV or Varivax
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| 2844654 | 1.75 | M | MA | 06/11/2025 |
DTAPIPV |
SANOFI PASTEUR |
|
Product administered to patient of inappropriate age
Product administered to patient of inappropriate age
|
Pt is 1 year 9 months and received DTAP-IPV combination vax .
Pt is 1 year 9 months and received DTAP-IPV combination vax .
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| 2844655 | 63 | F | FL | 06/11/2025 |
TDAP |
SANOFI PASTEUR |
2CA55C1 |
Expired product administered
Expired product administered
|
OUTDATED VACCINE
OUTDATED VACCINE
|
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| 2844656 | 29 | M | 06/11/2025 |
HPV9 |
MERCK & CO. INC. |
|
Circumstance or information capable of leading to medication error
Circumstance or information capable of leading to medication error
|
I accidentally used a 5/8 inch needle to administer an IM vaccine to a pt over 130 lb instead of the...
I accidentally used a 5/8 inch needle to administer an IM vaccine to a pt over 130 lb instead of the recommended 1 inch needle. Pt will have an additional clinic visit to have the vaccine administered with the correct needle length.
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| 2844657 | 39 | M | AZ | 06/11/2025 |
COVID19 |
MODERNA |
3046732 |
Extra dose administered, No adverse event
Extra dose administered, No adverse event
|
No known adverse reaction. Pt received two doses of COVID vaccine. Dose 1: 12/11/2024. Dose 2: 06/11...
No known adverse reaction. Pt received two doses of COVID vaccine. Dose 1: 12/11/2024. Dose 2: 06/11/2024
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| 2844658 | 90 | F | VA | 06/11/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
5Y4TL |
Rash
Rash
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patient had shingles vaccine on 03/26/2025 and states she noticed a rash on her ankles on Easter Su...
patient had shingles vaccine on 03/26/2025 and states she noticed a rash on her ankles on Easter Sunday (4/20/2025). She stated that she has seen her pcp and he doesn't not believe it is related to shingles vaccine, he believed it could be "flea or something" but patient thinks it might be vaccine. She states she also "may have a rash on some of her body". She has taken prednisone and another medication she didn't not know the name of but took one every 7 days and stated she only saw small improvement. Advised patient to follow up with PCP
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