| ID | Age | Sex | State | Date โผ | Onset Days | Vaccine | Manufacturer | Lot # | Symptoms | Narrative | ๐ | ๐ฅ | ๐ | โฟ | โ ๏ธ |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2844172 | F | WI | 06/06/2025 |
COVID19 COVID19 |
PFIZER\BIONTECH PFIZER\BIONTECH |
|
Blood test, COVID-19, Drug ineffective, Influenza A virus test, Influenza B viru...
Blood test, COVID-19, Drug ineffective, Influenza A virus test, Influenza B virus test; Respiratory syncytial virus test, SARS-CoV-2 test
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covid; covid; This is a spontaneous report received from a Physician from medical information team, ...
covid; covid; This is a spontaneous report received from a Physician from medical information team, Program ID. An 80-year-old female patient received BNT162b2 omicron (kp.2) (COMIRNATY (2024-2025 FORMULA)), as dose 1, single (Batch/Lot number: unknown) for covid-19 immunisation. The patient's relevant medical history and concomitant medications were not reported. The following information was reported: DRUG INEFFECTIVE (medically significant), COVID-19 (medically significant) all with onset 2025, outcome "recovering" and all described as "covid". The event "covid" required physician office visit. The patient underwent the following laboratory tests and procedures: Blood test: (2025) Unknown results; Influenza A virus test: (2025) Unknown results; Influenza B virus test: (2025) Unknown results; Respiratory syncytial virus test: (2025) Unknown results; SARS-CoV-2 test: (2025) Positive, notes: 3rd or 4th day tested positive. Therapeutic measures were taken as a result of drug ineffective, covid-19. Clinical course: It was the first time both reporter (husband) and his wife (the patient) had COVID since the beginning of the year. 3rd or 4th day, tested positive. They were put on Paxlovid and symptoms went absolutely away progressively. 5 days when they were on it, nasal drainage was much less, and it was putrid and coughing started to clear quite a bit. After 5th day, it was like a reticence of the disease and it was worse that they have ever had and next 2 or 3 days it was progressively worse and worse and worse. At time of report, week after that, and they seem to be doing well.; Sender's Comments: Vaccine efficacy varies from person to person and is subject to many other factors. The association between the event lack of effect (COVID-19) with COMIRNATY (2024-2025 FORMULA can not be fully excluded.
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| 2844173 | 66 | F | LA | 06/06/2025 |
COVID19 COVID19 COVID19 COVID19 |
PFIZER\BIONTECH PFIZER\BIONTECH PFIZER\BIONTECH PFIZER\BIONTECH |
HH7595 HH7595 |
COVID-19; COVID-19, Vaccination failure; COVID-19; COVID-19, Vaccination failure
COVID-19; COVID-19, Vaccination failure; COVID-19; COVID-19, Vaccination failure
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She got COVID after the vaccine; This is a spontaneous report received from a Consumer or other non ...
She got COVID after the vaccine; This is a spontaneous report received from a Consumer or other non HCP, Program ID. A 68-year-old female patient received BNT162b2 omi xbb.1.5 (COMIRNATY (2023-2024 FORMULA)), on 03Oct2023 as dose 1, single (Lot number: HH7595) at the age of 66 years, in left arm for covid-19 immunisation. The patient had no relevant medical history. There were no concomitant medications. Vaccination history included: Bnt162b2 (DOSE 1, SINGLE), administration date: Mar2021, when the patient was 64 years old, for COVID-19 Immunization; Bnt162b2 (DOSE 2, SINGLE), administration date: Mar2021, when the patient was 64 years old, for COVID-19 Immunization; Bnt162b2 (DOSE 3 (BOOSTER), SINGLE), administration date: Sep2021, when the patient was 64 years old, for COVID-19 Immunization; Bnt162b2 (DOSE 4 (BOOSTER), SINGLE), administration date: Apr2022, when the patient was 65 years old, for COVID-19 Immunization; Bnt162b2;bnt162b2 omi ba.4-5 (DOSE 5 (BOOSTER), SINGLE), administration date: Sep2022, when the patient was 65 years old, for COVID-19 Immunization; Bnt162b2;bnt162b2 omi ba.4-5 (DOSE 6 (BOOSTER), SINGLE), administration date: Apr2023, when the patient was 66 years old, for COVID-19 Immunization. The following information was reported: COVID-19 (non-serious) with onset 2025, outcome "unknown", described as "She got COVID after the vaccine". Additional information:Other Products: No. The patient did not had prior vaccination within 4 weeks. She got COVID after the vaccine and was just prescribed Paxlovid and wanted to get some help with paying for Paxlovid.
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| 2844174 | 81 | F | CA | 06/06/2025 |
COVID19 |
PFIZER\BIONTECH |
|
COVID-19, Drug ineffective
COVID-19, Drug ineffective
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her last vaccination was Feb, and now she got COVID; her last vaccination was Feb, and now she got C...
her last vaccination was Feb, and now she got COVID; her last vaccination was Feb, and now she got COVID; This is a spontaneous report received from a Consumer or other non HCP, Program ID. An 81-year-old female patient received BNT162b2 omicron (kp.2) (COMIRNATY (2024-2025 FORMULA)), in Feb2025 as dose 1, single (Batch/Lot number: unknown) at the age of 81 years for covid-19 immunisation. The patient's relevant medical history and concomitant medications were not reported. The following information was reported: DRUG INEFFECTIVE (medically significant), COVID-19 (medically significant) all with onset 2025, outcome "unknown" and all described as "her last vaccination was Feb, and now she got COVID". Therapeutic measures were taken as a result of covid-19. Clinical course information: During an inbound call for financial assistance, the reporter stated that the patient was diagnosed with COVID and received a prescription for Paxlovid. The patient just got Pfizer vaccinated in Feb. When asked for confirmation regarding the patient vaccination in Feb the reporter started her last vaccination was Feb, and now she got COVID. It's unfortunate. The patient has been on Paxlovid before, and then had gotten COVID, have they changed the formula, is it what are the chances specifically of that happening again after you have been on it once. The information on the batch/lot number for BNT162b2 omicron (kp.2) will be requested and submitted if and when received.
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| 2844175 | 06/06/2025 |
COVID19 |
PFIZER\BIONTECH |
|
Vaccination site pain
Vaccination site pain
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still to this day have a pain where the shot was administered; This is a spontaneous report received...
still to this day have a pain where the shot was administered; This is a spontaneous report received from a Consumer or other non HCP, Program ID. A 71-year-old patient received BNT162b2 omicron (kp.2) (COMIRNATY (2024-2025 FORMULA)), on 01Apr2025 as dose 1, single (Batch/Lot number: unknown) for covid-19 immunisation. The patient's relevant medical history and concomitant medications were not reported. Vaccination history included: Comirnaty (Primary immunization series complete), for Covid-19 immunization. The following information was reported: VACCINATION SITE PAIN (non-serious) with onset 2025, outcome "unknown", described as "still to this day have a pain where the shot was administered". The event "still to this day have a pain where the shot was administered" required physician office visit. Additional information: The patient went to the Doctor and it could be two things, a reaction to drug or the pharmacist hit a nerve. The patient stated that all his/her COVID shots where Pfizer and until now have had no issues. The information on the batch/lot number for BNT162b2 omicron (kp.2) will be requested and submitted if and when received.
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| 2844176 | 58 | F | NY | 06/06/2025 |
COVID19 COVID19 COVID19 COVID19 |
PFIZER\BIONTECH PFIZER\BIONTECH PFIZER\BIONTECH PFIZER\BIONTECH |
elo142 elo142 el9261 el9261 |
Angiogram, Angiogram cerebral, Atrial fibrillation, Atrial septal defect, Comput...
Angiogram, Angiogram cerebral, Atrial fibrillation, Atrial septal defect, Computerised tomogram; Craniotomy, Echocardiogram, Electrocardiogram, Haemorrhagic stroke, Magnetic resonance imaging; Angiogram, Angiogram cerebral, Atrial fibrillation, Atrial septal defect, Computerised tomogram; Craniotomy, Echocardiogram, Electrocardiogram, Haemorrhagic stroke, Magnetic resonance imaging
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I had a hemorrhagic stroke on 8/18/24 , with craniotomy that same day. Since it was a cryptic stro...
I had a hemorrhagic stroke on 8/18/24 , with craniotomy that same day. Since it was a cryptic stroke, I had further testing, which revealed AFib & PFO ( they don't think the PFO was the cause of the stroke). While I'm at the age where AFib can occur - I can't prove that the vaccines caused it - BUT you can't prove that the vaccine didn't cause it.
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โ | โ | ||||
| 2844177 | 16 | F | DE | 06/06/2025 |
MENB MNQ |
PFIZER\WYETH SANOFI PASTEUR |
LF5302 U8493AA |
Injection site bruising, Injection site erythema, Injection site swelling; Injec...
Injection site bruising, Injection site erythema, Injection site swelling; Injection site bruising, Injection site erythema, Injection site swelling
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Developed redness, swelling, bruising about 48h after injection. 2.5cm area of redness and swelling...
Developed redness, swelling, bruising about 48h after injection. 2.5cm area of redness and swelling. Seen in office 6/6/25 and symptoms were improving. Low concern for ongoing infection.
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| 2844178 | 5 | M | PA | 06/06/2025 |
DTAPIPV |
SANOFI PASTEUR |
U7838AA |
Erythema, Peripheral swelling, Skin warm
Erythema, Peripheral swelling, Skin warm
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Parent reported immunization reaction in arm Quadracel was administered. The arm was swollen, red, a...
Parent reported immunization reaction in arm Quadracel was administered. The arm was swollen, red, and hot to touch.
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| 2844179 | 5 | F | AL | 06/06/2025 |
DTAP HEP IPV MMRV |
SANOFI PASTEUR GLAXOSMITHKLINE BIOLOGICALS SANOFI PASTEUR MERCK & CO. INC. |
3CA03C3 7NX57 Y008787 |
Extra dose administered, No adverse event; Extra dose administered, No adverse e...
Extra dose administered, No adverse event; Extra dose administered, No adverse event; Extra dose administered, No adverse event; Extra dose administered, No adverse event
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There was no adverse reaction. Pt. received vaccines on 4/22/2025 and then again on 5/30/2025 (fat...
There was no adverse reaction. Pt. received vaccines on 4/22/2025 and then again on 5/30/2025 (father brought in child). After the vaccines were given on 5/30/2025 the mother called the clinic wanted to know why more shots were given when she was told she was up to date with vaccines. Our record showed these vaccines were due. Mother was asked to bring in her vaccine record and when vaccines were entered into database patient was up to date after the 7/19/2024 vaccines. Child received vaccines on 4/22/2025 that were not needed. Mother did not report any adverse reaction and mother was informed that child was indeed up to date.
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| 2844180 | 4 | F | PA | 06/06/2025 |
DTAPIPV |
SANOFI PASTEUR |
U7838AA |
Erythema, Peripheral swelling, Skin warm
Erythema, Peripheral swelling, Skin warm
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Parent reported immunization reaction in arm Quadracel was administered. The arm was swollen, red, a...
Parent reported immunization reaction in arm Quadracel was administered. The arm was swollen, red, and hot to touch.
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| 2844181 | 5 | F | PA | 06/06/2025 |
DTAPIPV |
SANOFI PASTEUR |
U7838AA |
Erythema, Peripheral swelling, Skin warm
Erythema, Peripheral swelling, Skin warm
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Parent reported immunization reaction in arm Quadracel was administered. The arm was swollen, red, a...
Parent reported immunization reaction in arm Quadracel was administered. The arm was swollen, red, and hot to touch.
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| 2844182 | 3 | F | 06/06/2025 |
MMRV |
MERCK & CO. INC. |
Z005150 |
Erythema multiforme, Urticaria
Erythema multiforme, Urticaria
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Patient developed a hive rash at night on the 31st. Received MMR/V 2 days prior (Given early for tra...
Patient developed a hive rash at night on the 31st. Received MMR/V 2 days prior (Given early for travel). However, she was also on Amoxicillin and that finished 2 days prior as well. The hives progressed to an erythema multiforme rash. She never developed a fever.
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| 2844183 | 7 | F | GA | 06/06/2025 |
MMR VARCEL |
MERCK & CO. INC. MERCK & CO. INC. |
Y005808 Y011019 |
Chest pain, Crying, Panic reaction; Chest pain, Crying, Panic reaction
Chest pain, Crying, Panic reaction; Chest pain, Crying, Panic reaction
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Patient described feeling chest pains after receiving the MMR and Varicella vaccines. She felt panic...
Patient described feeling chest pains after receiving the MMR and Varicella vaccines. She felt panicked and was crying and seeking comfort with her mother. Symptoms lasted for about an hour and then resolved.
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| 2844184 | 5 | F | AL | 06/06/2025 |
DTAP HEP |
SANOFI PASTEUR GLAXOSMITHKLINE BIOLOGICALS |
3CA03C3 7NX57 |
No adverse event, Vaccination error; No adverse event, Vaccination error
No adverse event, Vaccination error; No adverse event, Vaccination error
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There was NO adverse reaction to vaccinations administered. Doses that were not needed were administ...
There was NO adverse reaction to vaccinations administered. Doses that were not needed were administered due to incorrect immunization records that were entered into database by clerical staff.
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| 2844185 | 1 | F | AL | 06/06/2025 |
MMR MMR VARCEL VARCEL |
MERCK & CO. INC. MERCK & CO. INC. MERCK & CO. INC. MERCK & CO. INC. |
Y020516 Y020516 Y017061 Y017061 |
Blister, Faeces discoloured, Fatigue, Rash, Rash erythematous; Rash macular; Bli...
Blister, Faeces discoloured, Fatigue, Rash, Rash erythematous; Rash macular; Blister, Faeces discoloured, Fatigue, Rash, Rash erythematous; Rash macular
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MOP states the child woke up and had a red, macular rash on her face, that progressed down her body ...
MOP states the child woke up and had a red, macular rash on her face, that progressed down her body through out the morning. Pt was not scratching. MOP also states pt is "not herself" and fatigued with yellow poop. Mother says the child has not exhibited this color before. There are 2 blisters on patient's fingers, but MOP suggests its probably from teething, since patient has been chewing on her fingers. no recent change in diet or activities.
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| 2844186 | 12 | M | WI | 06/06/2025 |
HPV9 MNQ |
MERCK & CO. INC. NOVARTIS VACCINES AND DIAGNOSTICS |
y010466 x4t99 |
Injection site erythema; Injection site erythema
Injection site erythema; Injection site erythema
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Hi, patient had 2 shots on Monday, one in each shoulder. His right shoulder is red and he said it fe...
Hi, patient had 2 shots on Monday, one in each shoulder. His right shoulder is red and he said it feels like sunburn. His left is normal. He wasn't in the sun. I don't know which shot went into which arm. Other than that he's been behaving normally.
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| 2844187 | 44 | F | WA | 06/06/2025 |
PNC20 PNC20 |
PFIZER\WYETH PFIZER\WYETH |
|
Fatigue, Injection site pain, Injection site rash, Injection site swelling, Inje...
Fatigue, Injection site pain, Injection site rash, Injection site swelling, Injection site warmth; Pain
More
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Fatigue/body aches at 24-48 hours, increasing injection site pain/swelling/heat for 3-4 days, hive l...
Fatigue/body aches at 24-48 hours, increasing injection site pain/swelling/heat for 3-4 days, hive like rash on injected shoulder at 60hrs post injection
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| 2844188 | 2 | F | 06/06/2025 |
HIBV |
GLAXOSMITHKLINE BIOLOGICALS |
APSA3 |
Incorrect route of product administration
Incorrect route of product administration
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Administered subcutaneously instead of intramuscularly
Administered subcutaneously instead of intramuscularly
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| 2844189 | 51 | F | MN | 06/06/2025 |
PNC21 PNC21 |
MERCK & CO. INC. MERCK & CO. INC. |
Z002626 Z002626 |
Contusion, Erythema, Full blood count normal, Headache, Pain; Peripheral swellin...
Contusion, Erythema, Full blood count normal, Headache, Pain; Peripheral swelling, Pruritus, Skin warm
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Patient had headache and body aches the day after the vaccine. his arm then appeared red, swollen, w...
Patient had headache and body aches the day after the vaccine. his arm then appeared red, swollen, warm, and itchy. When he came in for appt there was noticeable symptoms. Outlined the redness in skin marker. The next day it was out of the markings and a noticeable bruise has formed by the redness NOT by the injection site. Blood test was done to see if patient had an elevated WBC, he did not. This vaccine has been added to pts allergy list. Prednisone was given to help with symptoms.
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| 2844190 | 3 | F | NY | 06/06/2025 |
DTAP HIBV PNC20 |
SANOFI PASTEUR MERCK & CO. INC. PFIZER\WYETH |
3CA55C1 UK328AA MF0415 |
Erythema, Rash; Erythema, Rash; Erythema, Rash
Erythema, Rash; Erythema, Rash; Erythema, Rash
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Woke up with bright red blotch on left cheek and left earlobe. Arms and back covered in rash.
Woke up with bright red blotch on left cheek and left earlobe. Arms and back covered in rash.
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| 2844191 | 23 | F | TX | 06/06/2025 |
COVID19 |
MODERNA |
052E21Q |
Chest pain, Electrocardiogram abnormal, Electrocardiogram ambulatory abnormal, P...
Chest pain, Electrocardiogram abnormal, Electrocardiogram ambulatory abnormal, Palpitations, Ventricular extrasystoles
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Chest pain with palpitations
Chest pain with palpitations
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| 2844192 | 48 | F | KY | 06/06/2025 |
COVID19 COVID19 COVID19 COVID19 COVID19 COVID19 |
MODERNA MODERNA MODERNA MODERNA MODERNA MODERNA |
053E21A 053E21A 053E21A 078C21A 078C21A 078C21A |
Angiogram, Arrhythmia, Bradycardia, Echocardiogram, Electrocardiogram; Electroca...
Angiogram, Arrhythmia, Bradycardia, Echocardiogram, Electrocardiogram; Electrocardiogram ambulatory, Implantable cardiac monitor insertion, Supraventricular extrasystoles, Tachycardia, Ultrasound scan; Ventricular extrasystoles; Angiogram, Arrhythmia, Bradycardia, Echocardiogram, Electrocardiogram; Electrocardiogram ambulatory, Implantable cardiac monitor insertion, Supraventricular extrasystoles, Tachycardia, Ultrasound scan; Ventricular extrasystoles
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Heart arrhythmia, PVC?s, PAC?s, tachycardia, bradycardia
Heart arrhythmia, PVC?s, PAC?s, tachycardia, bradycardia
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โ | โ | ||||
| 2844193 | 57 | F | OH | 06/06/2025 |
TYP TYP UNK UNK UNK UNK |
BERNA BIOTECH, LTD. BERNA BIOTECH, LTD. UNKNOWN MANUFACTURER UNKNOWN MANUFACTURER UNKNOWN MANUFACTURER UNKNOWN MANUFACTURER |
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Arthralgia, C-reactive protein, Mobility decreased, Neck pain, Polymyalgia rheum...
Arthralgia, C-reactive protein, Mobility decreased, Neck pain, Polymyalgia rheumatica; Red blood cell sedimentation rate; Arthralgia, C-reactive protein, Mobility decreased, Neck pain, Polymyalgia rheumatica; Red blood cell sedimentation rate; Arthralgia, C-reactive protein, Mobility decreased, Neck pain, Polymyalgia rheumatica; Red blood cell sedimentation rate
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Dec 13th day of injections; mild joint pain began on Dec 17th; Typhoid fever pills completed on Dec ...
Dec 13th day of injections; mild joint pain began on Dec 17th; Typhoid fever pills completed on Dec 20; Dec 26th moderate joint pain of knees and hips after riding in car for 2 hours; Jan 14, 2024 neck and shoulder pain began (moderate); knee, hip, neck and shoulder pain continue to worsen throughout Jan and early Feb 2024; Feb 10th, woke up and could not get out of bed without assistance; diagnosed with PMR March 18, 2024
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| 2844194 | 17 | M | GA | 06/06/2025 |
MNQ |
SANOFI PASTEUR |
U8361AA |
Hyperhidrosis, Hypotension, Syncope
Hyperhidrosis, Hypotension, Syncope
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Pt. initially tolerated injection well but had a syncopal episode around 11:08 am. Pt. sat in a chai...
Pt. initially tolerated injection well but had a syncopal episode around 11:08 am. Pt. sat in a chair right before episode and mother kept him in the chair. No fall occurred. Pt. was initially sweaty, and BP was low, but it increased within a few minutes. Instructed parent and child to report episode to healthcare facility when future vaccines are received, so they can make accommodations in case this was a vagal episode.
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| 2844195 | 48 | F | TN | 06/06/2025 |
COVID19 |
MODERNA |
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Photopsia, Retinal detachment, Vitreous detachment
Photopsia, Retinal detachment, Vitreous detachment
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On April 9, 2021, the vitreous in my left eye detached at approximately 9:30 PM CST. This event was ...
On April 9, 2021, the vitreous in my left eye detached at approximately 9:30 PM CST. This event was very obvious to me as I was sitting in a dark room at the time it happened. I saw a series of bright, white flashes in the corner of my eye, which subsided within a couple of minutes.
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| 2844196 | 31 | F | OK | 06/06/2025 |
HEP TDAP |
GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS |
T5D73 EB499 |
Hypoaesthesia, Malaise, Nausea, Syncope, Tinnitus; Hypoaesthesia, Malaise, Nause...
Hypoaesthesia, Malaise, Nausea, Syncope, Tinnitus; Hypoaesthesia, Malaise, Nausea, Syncope, Tinnitus
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Hep B administered IM in right deltoid; pt tolerated well. TDaP administered IM in left deltoid; aft...
Hep B administered IM in right deltoid; pt tolerated well. TDaP administered IM in left deltoid; after administration complete, pt states, "I don't feel well", and had syncope episode. Patient regained consciousness and reports ringing in her ears, numb hands, and nausea. Facility code blue arrived and took pt blood pressure and O2 sats and transferred by wheel chair to same day clinic for observation.
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| 2844197 | 31 | M | 06/06/2025 |
HEP MMR VARCEL |
DYNAVAX TECHNOLOGIES CORPORATION MERCK & CO. INC. MERCK & CO. INC. |
947931 Y020517 Y017062 |
No adverse event; No adverse event; No adverse event
No adverse event; No adverse event; No adverse event
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There have been no adverse reactions
There have been no adverse reactions
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| 2844198 | 11 | F | NC | 06/06/2025 |
HPV9 MNQ |
MERCK & CO. INC. NOVARTIS VACCINES AND DIAGNOSTICS |
Y012921 DL4YY |
Injection site induration, Pain in extremity; Injection site induration, Pain in...
Injection site induration, Pain in extremity; Injection site induration, Pain in extremity
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Left arm is hard from the shoulder down to the elbow. Painful to lift arm.
Left arm is hard from the shoulder down to the elbow. Painful to lift arm.
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| 2844199 | 69 | M | PA | 06/06/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
3273H |
Circumstance or information capable of leading to medication error
Circumstance or information capable of leading to medication error
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Had to stick pt twice. Pt flinched on first stick. Removed needle and replaced with new needle and s...
Had to stick pt twice. Pt flinched on first stick. Removed needle and replaced with new needle and stuck patient again approximately 1 inch away then pushed vaccine in.
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| 2844200 | 17 | M | NC | 06/06/2025 |
MNQ VARCEL |
NOVARTIS VACCINES AND DIAGNOSTICS MERCK & CO. INC. |
EK7DG Y014511 |
Cough, Dyspnoea, Throat clearing, Throat tightness, Urticaria; Cough, Dyspnoea, ...
Cough, Dyspnoea, Throat clearing, Throat tightness, Urticaria; Cough, Dyspnoea, Throat clearing, Throat tightness, Urticaria
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Patient's father brought him back to the office about 30 minutes after he left. He had hives on...
Patient's father brought him back to the office about 30 minutes after he left. He had hives on bilateral arms, face, neck, chest, and back. Patient was coughing and trying to clear his throat. He stated his throat felt tight and he was SOB. Patient was sent straight to the ED. Patient was given Zyrtec, Epi, Famotidine, and Solu-Medrol.
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| 2844201 | F | WI | 06/06/2025 |
HEP |
MERCK & CO. INC. |
7006341601 |
Expired product administered
Expired product administered
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Patient was given Hep V vaccine and the vaccine was expired.
Patient was given Hep V vaccine and the vaccine was expired.
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| 2844202 | 61 | F | TX | 06/06/2025 |
PNC21 |
MERCK & CO. INC. |
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Injection site cellulitis, Injection site rash, Injection site swelling, Injecti...
Injection site cellulitis, Injection site rash, Injection site swelling, Injection site warmth, Rash erythematous
More
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Patient reports that a rash appeared on left arm the day after the vaccine (located directly below t...
Patient reports that a rash appeared on left arm the day after the vaccine (located directly below the site of the injection on her left arm) but that she wasn't immediately concerned. Reports the rash was flat and seem to improve until yesterday when it got larger, hot to touch, and much more swollen. Exam demonstrated erythematous rash 3" x 5," hot to touch, and swollen, without abscess. Patient treated for cellulitis at site. Rx provided for Cephalexin 500mg every 6 hours for 10 days. Patient picked up the medication today (6/6/2025)
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| 2844203 | 80 | F | 06/06/2025 |
RSV |
PFIZER\WYETH |
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Pain in extremity, Rash erythematous, Skin warm
Pain in extremity, Rash erythematous, Skin warm
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RED RASH LARGER THAN 2 INCHES. PAIN IN ARM. SKIN HOT TO TOUCH. LASTED FOR AT LEAST 5 DAYS.
RED RASH LARGER THAN 2 INCHES. PAIN IN ARM. SKIN HOT TO TOUCH. LASTED FOR AT LEAST 5 DAYS.
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| 2844204 | 8 | M | TX | 06/06/2025 |
YF |
SANOFI PASTEUR |
uk137aa |
Incorrect route of product administration, No adverse event
Incorrect route of product administration, No adverse event
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No adverse reaction reported yet. Immunization was administered unintentionally into intramuscular ...
No adverse reaction reported yet. Immunization was administered unintentionally into intramuscular route.
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| 2844205 | 11 | F | AZ | 06/06/2025 |
HPV9 |
MERCK & CO. INC. |
Y005835 |
Fall
Fall
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Patient fell upon trying to stand after receiving HPV vaccine
Patient fell upon trying to stand after receiving HPV vaccine
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| 2844207 | 39 | F | NJ | 06/06/2025 |
COVID19 |
MODERNA |
0321321A |
Impaired work ability, Pain, Pericarditis
Impaired work ability, Pain, Pericarditis
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Pericarditis, repeated hospitalization, steroid myopathy in legs, chronic pain, disability from work
Pericarditis, repeated hospitalization, steroid myopathy in legs, chronic pain, disability from work
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โ | โ | ||||
| 2844208 | 56 | F | CT | 06/06/2025 |
VARCEL |
MERCK & CO. INC. |
Y013347 |
Extra dose administered
Extra dose administered
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Varicella was administered in error. Colleague came to clinic for administration of MMR dose #2. Col...
Varicella was administered in error. Colleague came to clinic for administration of MMR dose #2. Colleague has a history of Varicella positive titer and reports no allergy to Varicella. Colleague was educated on potential adverse reaction and at this time denies any adverse reactions. Colleague was administered MMR #2 on opposite arm within the hour of receiving Varicella.
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| 2844209 | 11 | F | ME | 06/06/2025 |
HPV9 MENB |
MERCK & CO. INC. NOVARTIS VACCINES AND DIAGNOSTICS |
W011321 2RF2X |
No adverse event, Product administered to patient of inappropriate age; No adver...
No adverse event, Product administered to patient of inappropriate age; No adverse event, Product administered to patient of inappropriate age
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Pt did not have an adverse reaction that we know of, however vaccine was given before the age it is ...
Pt did not have an adverse reaction that we know of, however vaccine was given before the age it is indicated.
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| 2844210 | 55 | F | CT | 06/06/2025 |
UNK UNK |
UNKNOWN MANUFACTURER UNKNOWN MANUFACTURER |
D4J9L D4J9L |
Asthenia, Feeling abnormal, Formication, Paraesthesia, Sensory disturbance; Slee...
Asthenia, Feeling abnormal, Formication, Paraesthesia, Sensory disturbance; Sleep disorder, Tremor
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On April 12, I was given the Tdap injection at pharmacy. After receiving it, I felt a strange sensa...
On April 12, I was given the Tdap injection at pharmacy. After receiving it, I felt a strange sensation on the left arms. I felt something crawling moving inside as if the medicine started working giving me small popping sensations. I thought this was normal and that the injection was working for me. But these crawling popping feelings continued to move day by day to different areas and I thought it was the medicine still doing the job. On June 1, during the night these sensations continue stronger from the mid section down. So the lower body started shaking uncontrollably for 5 to 10 seconds and I thought nothing of it the next day as I didn't feel it. I have been with little energy pushing myself day in and day out. On the night of 6/5/25 I didn't feel my left leg but then the sensation left quickly while the right had lots of tingling. I am not sleeping well either as these little popping feelings continue waking me up. Some days I feel great and some days I feel terrible. I just want to get better.
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| 2844211 | 4 | F | MI | 06/06/2025 |
DTAPIPV |
GLAXOSMITHKLINE BIOLOGICALS |
4L454 |
Injection site erythema, Injection site swelling, Pain, Pyrexia
Injection site erythema, Injection site swelling, Pain, Pyrexia
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24 HRS POST VACCINATION, LOW GRADE FEVER, PAIN, REDNESS AND SWELLING AT INJECTION SITE. PAIN AND RE...
24 HRS POST VACCINATION, LOW GRADE FEVER, PAIN, REDNESS AND SWELLING AT INJECTION SITE. PAIN AND REDNESS CONTINUED FOR 3 DAYS.
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| 2844212 | 45 | F | MN | 06/06/2025 |
COVID19 |
MODERNA |
Not noted in my |
Chronic fatigue syndrome, Impaired work ability, Loss of personal independence i...
Chronic fatigue syndrome, Impaired work ability, Loss of personal independence in daily activities, Postural orthostatic tachycardia syndrome
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Started with POTS symptoms and ME/CFS between 12/1/23 and 12/4/23 that escalated to having to be out...
Started with POTS symptoms and ME/CFS between 12/1/23 and 12/4/23 that escalated to having to be out of work, inability to work full time, and marked functional decline.
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| 2844213 | 51 | F | CA | 06/06/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
X72D2 |
Blister, Erythema
Blister, Erythema
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Small red fluid filled blisters on L wrist and R thigh
Small red fluid filled blisters on L wrist and R thigh
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| 2844214 | 58 | F | NH | 06/06/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
9L944 |
Product preparation issue
Product preparation issue
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Pt received the diluent only, the powder was not reconstituted.
Pt received the diluent only, the powder was not reconstituted.
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| 2844215 | 16 | F | FL | 06/06/2025 |
HPV9 TDAP |
MERCK & CO. INC. GLAXOSMITHKLINE BIOLOGICALS |
MSD X022735 SKB X449Y |
Extra dose administered; Extra dose administered
Extra dose administered; Extra dose administered
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These 2 vaccines were given in error to patient. They were meant to be given to her sister and were...
These 2 vaccines were given in error to patient. They were meant to be given to her sister and were incorrectly administered to her. She did not need these vaccines. She completed the 2 vaccines for HPV (dose 1 : 11/8/22, dose 2: 11/10/23) prior to age 15 which means she did not need a 3rd dose. She completed her TDAP series 6/5/19 and did not need this extra TDAP vaccine. We are concerned about adverse long term or short term effects of being given the wrong vaccines. Also, the doctor's office needs to be reported due to their gross errors in administering the wrong vaccines to our children.
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| 2844216 | 52 | F | MN | 06/06/2025 |
COVID19 COVID19 COVID19 COVID19 |
MODERNA MODERNA MODERNA MODERNA |
037K204 061M20A 003J212A AS7168B |
Death; Death; Death; Death
Death; Death; Death; Death
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Patient expired 6/5/2025.
Patient expired 6/5/2025.
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| 2844217 | 11 | F | FL | 06/06/2025 |
MENB |
NOVARTIS VACCINES AND DIAGNOSTICS |
SKB DD72H |
Wrong patient
Wrong patient
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This vaccine was given in error to patient. Her 16 year old sister was supposed to receive this vac...
This vaccine was given in error to patient. Her 16 year old sister was supposed to receive this vaccine and the medical assistant made a gross error in administering this vaccine to the wrong child. This vaccine should not have been administered to a healthy 11 year old with no pre-existing health concerns or need for Men B vaccine. Another form was filled out for her sister, since she received the vaccines meant for patient.
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| 2844218 | 11 | M | AZ | 06/06/2025 |
COVID19 |
PFIZER\BIONTECH |
LN7302 |
Expired product administered
Expired product administered
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Vaccine administered past beyond use date of 5/13/25.
Vaccine administered past beyond use date of 5/13/25.
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| 2844219 | 66 | M | GA | 06/06/2025 |
COVID19 |
PFIZER\BIONTECH |
MD3414 |
Rash
Rash
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Pityriasis rosea-like rash on front and back torso, not painful or itchy. Started with small outbrea...
Pityriasis rosea-like rash on front and back torso, not painful or itchy. Started with small outbreak and progressed to entire area as described.
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| 2844220 | 3 | F | AK | 06/06/2025 |
DTAP HEPA MMR |
GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS MERCK & CO. INC. |
9kb9g j4k4x y013131 |
Injection site erythema, Injection site induration, Injection site pain; Injecti...
Injection site erythema, Injection site induration, Injection site pain; Injection site erythema, Injection site induration, Injection site pain; Injection site erythema, Injection site induration, Injection site pain
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Patients mom called to mention that the site of the injection was hard and red and that she was comp...
Patients mom called to mention that the site of the injection was hard and red and that she was complaining of it hurting. She noticed it the Thursday after the vaccine and called Friday 6/6/25 to ask us about it. She drew a circle around it on Wednesday to see if it kept spreading and it did so she called. We informed her that it is a normal reaction, and to use tyelenol, ice it, to not let her touch the area and to watch her fever. If she were to spke a fever or it was to get worse over the weekend to go to urgent care as our clinic is not open on the weekend.
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| 2844221 | 9 | F | AZ | 06/06/2025 |
COVID19 |
PFIZER\BIONTECH |
LN7302 |
Expired product administered
Expired product administered
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Vaccine administered past beyond use date of 5/13/25. No known adverse event reported.
Vaccine administered past beyond use date of 5/13/25. No known adverse event reported.
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| 2844222 | 67 | F | OH | 06/06/2025 |
COVID19 COVID19 |
PFIZER\BIONTECH PFIZER\BIONTECH |
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Arthralgia, Dysstasia, Headache, Mobility decreased, Pain in extremity; Spinal p...
Arthralgia, Dysstasia, Headache, Mobility decreased, Pain in extremity; Spinal pain
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Extreme pain in both hips, middle to lower back along spine, pain down both legs. Have never had it ...
Extreme pain in both hips, middle to lower back along spine, pain down both legs. Have never had it this bad, not due to exercise or housework. On a pain scale, it was a 9 out of 10. Extreme difficulty moving, needed help getting out of chair. Also headaches started about the same time, 1 and a half to 2 days after shot. Took acetaminophen around the clock, and medical marijuana at evening. Neither helped to relieve the pain. It lasted a good 48 hours, finally felt some relief. Still sore but manageable. Different from arthritis and over worked joint pains I've had. Didn't see a physician.
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