| ID | Age | Sex | State | Date โผ | Onset Days | Vaccine | Manufacturer | Lot # | Symptoms | Narrative | ๐ | ๐ฅ | ๐ | โฟ | โ ๏ธ |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2842999 | 21 | F | IL | 05/28/2025 |
VARCEL |
MERCK & CO. INC. |
Y006582 |
No adverse event, Product label issue
No adverse event, Product label issue
|
Systemic: no adverse event occurred. Unable to document administration error with detail as none of ...
Systemic: no adverse event occurred. Unable to document administration error with detail as none of the administration errors apply and there is no comment section in vaccine administration error so used this option instead. Patient was given varicella correctly (-Mild, Additional Details: no adverse event occurred. Unable to document administration error with detail as none of the administration errors apply and there is no comment section in vaccine administration error so used this option instead. Patient was given varicella correctly (with the diluent and the active vial reconstituted correctly). The administration of vaccine was documented correctly however in another part of the chart the diluent had the wrong lot number recorded (active vial lot was recorded, instead) , Other Vaccines: VaccineTypeBrand: heplisav; Manufacturer: dynavax tech; LotNumber: 944920; Route: im; BodySite: left deltoid; Dose: 1; VaxDate: 04/04/2025
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| 2843001 | 51 | F | CA | 05/28/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
354m3 |
Injection site bruising, Injection site erythema, Injection site pain, Injection...
Injection site bruising, Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling
More
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Site: Bruising at Injection Site-Mild, Site: Itching at Injection Site-Mild, Site: Pain at Injection...
Site: Bruising at Injection Site-Mild, Site: Itching at Injection Site-Mild, Site: Pain at Injection Site-Severe, Site: Redness at Injection Site-Severe, Site: Swelling at Injection Site-Severe, Systemic: patient complaining of arm pain for 2 days, she said she could not move her arm. but she says since this am its a little better and she can move her arm and not as much pain, she says now her upper arm to her elbow only hurts-Severe, Additional Details: patient complained of pain in her left arm. and said was given badly. will follow up with patient tomorrow
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| 2843002 | 34 | M | VA | 05/28/2025 |
HEP HEP |
VBI VACCINES VBI VACCINES |
946062 946062 |
Aphasia, Confusional state, Flushing, Hyperhidrosis, Loss of consciousness; Para...
Aphasia, Confusional state, Flushing, Hyperhidrosis, Loss of consciousness; Paraesthesia, Seizure like phenomena, Syncope, Tremor, Unresponsive to stimuli
More
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Systemic: Fainting / Unresponsive-Mild, Systemic: Flushed / Sweating-Mild, Systemic: Tingling (speci...
Systemic: Fainting / Unresponsive-Mild, Systemic: Flushed / Sweating-Mild, Systemic: Tingling (specify: facial area, extemities)-Mild, Additional Details: patient recieved 2 vaccines hep a and b , after second shot , pt fell silent , and after about 30 seconds, his head fell forward , then he passed out on the floor , I tried to catch him ,and then he started to shake a little, seizure like reaction , then his partner screamed and after a few seconds , he became conscious again and looked at us very confused but was able to speak right away , we gave him water and crackers and he sat for 15+min then felt fine and comfortable to leave with partner, Other Vaccines: VaccineTypeBrand: havrix; Manufacturer: gsk; LotNumber: z27pb; Route: sq; BodySite: left arm; Dose: 1; VaxDate: 05/19/2025
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| 2843003 | 68 | F | TX | 05/28/2025 |
COVID19 |
MODERNA |
3042646 |
Blood disorder, Platelet count decreased
Blood disorder, Platelet count decreased
|
Systemic: Blood Disorder (diagnosed by MD)-Severe, Additional Details: Platelets below 40, ambulanc...
Systemic: Blood Disorder (diagnosed by MD)-Severe, Additional Details: Platelets below 40, ambulance transport to hospital pt. mentioned another person had a similar adverse reaction when they had COVID and flu shots at same time), Other Vaccines: VaccineTypeBrand: Flu (Fluad Trivalent); Manufacturer: Seqirus; LotNumber: ; Route: ; BodySite: ; Dose: 1; VaxDate: 10/01/2024
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| 2843004 | 55 | F | VA | 05/28/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
X5T42 |
Injection site erythema, Injection site pain, Injection site swelling
Injection site erythema, Injection site pain, Injection site swelling
|
Site: Pain at Injection Site-Medium, Site: Redness at Injection Site-Medium, Site: Swelling at Injec...
Site: Pain at Injection Site-Medium, Site: Redness at Injection Site-Medium, Site: Swelling at Injection Site-Medium
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| 2843005 | 75 | F | NC | 05/28/2025 |
COVID19-2 |
MODERNA |
3043822 |
Limb injury
Limb injury
|
Error: Shoulder Joint Injury (prolonged pain, tingling, etc.)-, Other Vaccines: VaccineTypeBrand: f...
Error: Shoulder Joint Injury (prolonged pain, tingling, etc.)-, Other Vaccines: VaccineTypeBrand: fluad Trivakebt 2024-25 syr; Manufacturer: sequris; LotNumber: 388498; Route: im; BodySite: right deltoid; Dose: 388498; VaxDate: 12/16/2024
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โ | |||||
| 2843006 | 78 | F | FL | 05/28/2025 |
VARZOS VARZOS |
GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS |
ga99k ga99k |
Condition aggravated, Fibromyalgia, Headache, Injection site erythema, Injection...
Condition aggravated, Fibromyalgia, Headache, Injection site erythema, Injection site pain; Pain, Rash
More
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Site: Pain at Injection Site-Severe, Site: Redness at Injection Site-Severe, Site: Swelling at Injec...
Site: Pain at Injection Site-Severe, Site: Redness at Injection Site-Severe, Site: Swelling at Injection Site-Severe, Systemic: Allergic: Rash Generalized-Severe, Systemic: Body Aches Generalized-Severe, Systemic: triggered fibromialgia flare-Severe, Systemic: Headache-Severe, Other Vaccines: VaccineTypeBrand: capvaxive; Manufacturer: merck sharp; LotNumber: z002626; Route: im; BodySite: left deltoid; Dose: ; VaxDate: UNKNOWN
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| 2843007 | 67 | F | CA | 05/28/2025 |
RSV |
GLAXOSMITHKLINE BIOLOGICALS |
4b22t |
Swelling, Throat irritation
Swelling, Throat irritation
|
Systemic: Allergic: Itch (specify: facial area, extremeties)-Mild, Systemic: Allergic: Swelling of F...
Systemic: Allergic: Itch (specify: facial area, extremeties)-Mild, Systemic: Allergic: Swelling of Face / Eyes / Mouth / Tongue-Mild, Additional Details: states has itching of throat and feeling of swelling, asked what she could possibly take for itching, pharmacist suggested benadryl for itch and to seek medical attention if feeling swelling of throad, patient states is going to visit an urgent care for evaluation
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| 2843008 | 69 | M | CA | 05/28/2025 |
COVID19 |
MODERNA |
3043160 |
Dizziness, Fatigue, Injection site pain, Lethargy
Dizziness, Fatigue, Injection site pain, Lethargy
|
Site: Pain at Injection Site-Medium, Systemic: Dizziness / Lightheadness-Mild, Systemic: Exhaustion ...
Site: Pain at Injection Site-Medium, Systemic: Dizziness / Lightheadness-Mild, Systemic: Exhaustion / Lethargy-Mild
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| 2843009 | 69 | F | CA | 05/28/2025 |
COVID19 |
MODERNA |
3042388 |
Pain, Pyrexia, Sleep disorder
Pain, Pyrexia, Sleep disorder
|
Systemic: Body Aches Generalized-Medium, Systemic: Fever-Mild, Systemic: Unable to Sleep-Medium
Systemic: Body Aches Generalized-Medium, Systemic: Fever-Mild, Systemic: Unable to Sleep-Medium
|
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| 2843011 | 55 | F | OK | 05/28/2025 |
PNC20 |
PFIZER\WYETH |
Y019158 |
Headache, Injection site erythema, Injection site rash, Pyrexia, Rash
Headache, Injection site erythema, Injection site rash, Pyrexia, Rash
|
Site: Redness at Injection Site-Medium, Systemic: Allergic: Rash Generalized-Medium, Systemic: Fever...
Site: Redness at Injection Site-Medium, Systemic: Allergic: Rash Generalized-Medium, Systemic: Fever-Medium, Systemic: Headache-Medium, Additional Details: injection site displayed localized rash, also experienced fever and head ache for 2 days
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| 2843012 | 33 | F | TN | 05/28/2025 |
HEP |
DYNAVAX TECHNOLOGIES CORPORATION |
945658 |
Injected limb mobility decreased, Injection site pain
Injected limb mobility decreased, Injection site pain
|
Site: Pain at Injection Site-Medium, Systemic: states arm hurts, hard to raise-Medium, Additional De...
Site: Pain at Injection Site-Medium, Systemic: states arm hurts, hard to raise-Medium, Additional Details: see above, Other Vaccines: VaccineTypeBrand: vaqta; Manufacturer: merk; LotNumber: y017625; Route: im; BodySite: left arm; Dose: ; VaxDate: 03/13/2025, VaccineTypeBrand: boostrix; Manufacturer: glaxo smith; LotNumber: 9n4e7; Route: im; BodySite: left arm; Dose: ; VaxDate: 03/13/2025
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| 2843013 | 72 | F | IN | 05/28/2025 |
COVID19 |
MODERNA |
8080748 |
Headache
Headache
|
Systemic: Headache-Mild
Systemic: Headache-Mild
|
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| 2843014 | 67 | F | MI | 05/28/2025 |
COVID19 |
MODERNA |
3042573 |
Chills
Chills
|
Systemic: Chills-Medium, Other Vaccines: VaccineTypeBrand: Shingrix; Manufacturer: GSK; LotNumber: ...
Systemic: Chills-Medium, Other Vaccines: VaccineTypeBrand: Shingrix; Manufacturer: GSK; LotNumber: KJ3N3; Route: Intramuscular; BodySite: Left Arm; Dose: 1; VaxDate: 09/27/2024
More
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| 2843015 | 33 | F | CA | 05/28/2025 |
TDAP |
SANOFI PASTEUR |
Eb499 |
Flushing, Hyperhidrosis, Syncope, Unresponsive to stimuli
Flushing, Hyperhidrosis, Syncope, Unresponsive to stimuli
|
Systemic: Fainting / Unresponsive-Mild, Systemic: Flushed / Sweating-Mild, Additional Details: PT FA...
Systemic: Fainting / Unresponsive-Mild, Systemic: Flushed / Sweating-Mild, Additional Details: PT FAINTED AFTER GETTING THE VACCINATION. PT TOLD IMMUNIZER THAT SHE FAINTS DURING BLOOD DRAWN AFTER SHE WOKE UP. THE PARA MEDICS WAS CALLED AND SHE FAINTED AGAIN WHEN PARA MEDICS WERE TRYING TO TEST BLOOD GLUCOSE. SHE WAS OK AFTERWARDS AND SHE DID NOT GO WITH THE PARA MEDICS
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| 2843016 | 27 | M | NC | 05/28/2025 |
TDAP |
GLAXOSMITHKLINE BIOLOGICALS |
5yb5g |
Nausea, Vomiting
Nausea, Vomiting
|
Systemic: Nausea-Mild, Systemic: Vomiting-Medium
Systemic: Nausea-Mild, Systemic: Vomiting-Medium
|
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| 2843017 | 60 | F | RI | 05/28/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
K2BB7 |
Discomfort, Injection site erythema, Tongue eruption
Discomfort, Injection site erythema, Tongue eruption
|
Systemic: Allergic: Rash (specify: facial area, extremeties)-Medium, Systemic: rash of the tongue-Mi...
Systemic: Allergic: Rash (specify: facial area, extremeties)-Medium, Systemic: rash of the tongue-Mild, Additional Details: Patient states that one week after receiving 2nd immunization in series, she began with experiencing rashes, particularly of the tongue. She is experienceing significant discomfort to this time. Main concern is tongue rash. (Redness at injection site inputed in order to proceed to submit form)
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| 2843018 | 52 | M | CA | 05/28/2025 |
HEP |
MERCK & CO. INC. |
Y003593 |
Syncope, Unresponsive to stimuli
Syncope, Unresponsive to stimuli
|
Systemic: Fainting / Unresponsive-Mild, Additional Details: Patient said he sometimes faints when gi...
Systemic: Fainting / Unresponsive-Mild, Additional Details: Patient said he sometimes faints when giving blood or seeing blood and not when getting vaccines. Patient fainted in the vaccination chair and returned in less than a minute. Patient laid down for about ten minutes to recover. Water was given. Patient was able to walk away from the pharmacy under own power., Other Vaccines: VaccineTypeBrand: prevnar 20; Manufacturer: pfizer; LotNumber: LX44483; Route: IM; BodySite: Left arm; Dose: ; VaxDate: UNKNOWN, VaccineTypeBrand: boostrix; Manufacturer: gsk; LotNumber: 793pt; Route: IM; BodySite: Left arm; Dose: ; VaxDate: UNKNOWN
More
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| 2843019 | 65 | F | MI | 05/28/2025 |
RSV |
PFIZER\WYETH |
LG9828 |
Arthralgia, Injection site erythema, Injection site pruritus, Injection site swe...
Arthralgia, Injection site erythema, Injection site pruritus, Injection site swelling
More
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Site: Itching at Injection Site-Medium, Site: Redness at Injection Site-Medium, Site: Swelling at In...
Site: Itching at Injection Site-Medium, Site: Redness at Injection Site-Medium, Site: Swelling at Injection Site-Medium, Systemic: Joint Pain-Severe
More
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| 2843020 | 78 | F | AZ | 05/28/2025 |
RSV |
GLAXOSMITHKLINE BIOLOGICALS |
l7y36 |
Injection site bruising, Injection site erythema, Injection site pain, Injection...
Injection site bruising, Injection site erythema, Injection site pain, Injection site swelling, Sleep disorder
More
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Site: Bruising at Injection Site-Medium, Site: Pain at Injection Site-Severe, Site: Redness at Injec...
Site: Bruising at Injection Site-Medium, Site: Pain at Injection Site-Severe, Site: Redness at Injection Site-Mild, Site: Swelling at Injection Site-Medium, Systemic: Unable to Sleep-Severe, Additional Details: started 2 days after administration, reports on 5/21 pain kept pt awake, rec pt to take ibuprofen and ice pack and will see dr friday if no improvement. will follow up with pt monday
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| 2843021 | 68 | F | MD | 05/28/2025 |
COVID19 |
MODERNA |
3042439 |
Injection site erythema, Injection site pain, Injection site swelling
Injection site erythema, Injection site pain, Injection site swelling
|
Site: Pain at Injection Site-Mild, Site: Redness at Injection Site-Mild, Site: Swelling at Injection...
Site: Pain at Injection Site-Mild, Site: Redness at Injection Site-Mild, Site: Swelling at Injection Site-Mild, Other Vaccines: VaccineTypeBrand: Flu Vaccine (Fluzone High-Dose Trivalent); Manufacturer: Sanofi; LotNumber: U8524CA; Route: IM; BodySite: Left Arm; Dose: 1; VaxDate: 10/23/2024, VaccineTypeBrand: Boostrix TDAP; Manufacturer: GSK; LotNumber: 235D2; Route: IM; BodySite: Left Arm; Dose: 1; VaxDate: 10/23/2024
More
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| 2843022 | 62 | F | FL | 05/28/2025 |
COVID19 |
MODERNA |
unknown |
Headache
Headache
|
Systemic: Headache-Mild
Systemic: Headache-Mild
|
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| 2843023 | 70 | F | TX | 05/28/2025 |
COVID19-2 |
MODERNA |
3042645 |
Pain
Pain
|
Systemic: body aches as if she had COVID-Mild, Additional Details: Patient reports having body aches...
Systemic: body aches as if she had COVID-Mild, Additional Details: Patient reports having body aches after all vaccines. She stated that the aches start on the day the vaccines is given, by that night, and last about 1.5 days.
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| 2843024 | 64 | F | PA | 05/28/2025 |
COVID19 |
MODERNA |
3042879 |
Nausea
Nausea
|
Systemic: Nausea-Mild
Systemic: Nausea-Mild
|
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| 2843025 | 16 | M | TX | 05/28/2025 |
MNQ MNQ |
NOVARTIS VACCINES AND DIAGNOSTICS NOVARTIS VACCINES AND DIAGNOSTICS |
57h54 57h54 |
Dizziness, Headache, Injection site pain, Loss of consciousness, Syncope; Tremor...
Dizziness, Headache, Injection site pain, Loss of consciousness, Syncope; Tremor, Unresponsive to stimuli
More
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Site: Pain at Injection Site-Mild, Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / ...
Site: Pain at Injection Site-Mild, Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Medium, Systemic: passed out for couple miutes-Medium, Systemic: Headache-Medium, Systemic: Shakiness-Medium, Additional Details: Patient received both Menveo and Trumenba same time. Advised to stay 15 minutes before leaving. Couple minutes later, Patient passed out and laid on the floor with his sister's assistance. 911 was called and patient gained conscious after 15 minutes. No epipen given.Patient was taken care by paramedic team after. , Other Vaccines: VaccineTypeBrand: TRUMENBA; Manufacturer: PFIZER; LotNumber: gf4142; Route: IM; BodySite: Left Arm; Dose: ; VaxDate: 05/22/2025
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| 2843026 | 62 | F | FL | 05/28/2025 |
PNC21 PNC21 PNC21 PNC21 |
MERCK & CO. INC. MERCK & CO. INC. MERCK & CO. INC. MERCK & CO. INC. |
z002626 z002626 Z002626 Z002626 |
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; Injection site erythema, Injection site induration, Injection site pain
More
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Site: Itching at Injection Site-Medium, Site: Pain at Injection Site-Medium, Site: Redness at Inject...
Site: Itching at Injection Site-Medium, Site: Pain at Injection Site-Medium, Site: Redness at Injection Site-Medium
More
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| 2843027 | 50 | M | TX | 05/28/2025 |
COVID19 |
PFIZER\BIONTECH |
me6072 |
Chills, Dizziness, Fatigue, Injection site pruritus, Lethargy
Chills, Dizziness, Fatigue, Injection site pruritus, Lethargy
|
Site: Itching at Injection Site-Mild, Systemic: Chills-Mild, Systemic: Dizziness / Lightheadness-Mil...
Site: Itching at Injection Site-Mild, Systemic: Chills-Mild, Systemic: Dizziness / Lightheadness-Mild, Systemic: Exhaustion / Lethargy-Mild, Additional Details: pt felt light headed. he said he didnt eat breakfast. he drank some water and orange juice and a cracker, Other Vaccines: VaccineTypeBrand: twinrx; Manufacturer: ; LotNumber: p2443; Route: im; BodySite: right deltoid; Dose: 1; VaxDate: 05/23/2025, VaccineTypeBrand: priorix; Manufacturer: ; LotNumber: 49m2f; Route: sq; BodySite: left upper arm; Dose: 1; VaxDate: 05/23/2025, VaccineTypeBrand: capvaxive; Manufacturer: ; LotNumber: yo19158; Route: im; BodySite: left deltoid; Dose: 1; VaxDate: 05/23/2025
More
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| 2843028 | 65 | F | TX | 05/28/2025 |
COVID19 |
MODERNA |
3042646 |
Herpes zoster, Mouth ulceration, Oral herpes
Herpes zoster, Mouth ulceration, Oral herpes
|
Systemic: Shingles; fever blisters; and mouth ulcers.-Medium, Additional Details: Patient has been e...
Systemic: Shingles; fever blisters; and mouth ulcers.-Medium, Additional Details: Patient has been experiencing Shingles, fever blisters, and mouth ulcers ever since she received the 2 aforementioned vaccines. The symptoms come and go, but haven't completely cleared. Note that patient has received 1 dose of Shingrix vaccine back on 11/09/2022, but hasn't completed the series yet., Other Vaccines: VaccineTypeBrand: Pneumonia (Prevnar 20); Manufacturer: Wyeth/Pfizer; LotNumber: LG5575; Route: IM; BodySite: Left Arm; Dose: 1; VaxDate: 10/23/2024
More
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| 2843029 | 71 | F | MA | 05/28/2025 |
COVID19 |
MODERNA |
3043153 |
COVID-19
COVID-19
|
Systemic: Patient got COVID-Severe, Additional Details: Patient says she was hospitalized due to get...
Systemic: Patient got COVID-Severe, Additional Details: Patient says she was hospitalized due to getting COVID-19 in February 2025.
More
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โ | |||||
| 2843030 | 68 | F | CT | 05/28/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
55th4215hryz |
Injection site erythema, Injection site swelling
Injection site erythema, Injection site swelling
|
Site: Redness at Injection Site-Medium, Site: Swelling at Injection Site-Medium, Additional Details:...
Site: Redness at Injection Site-Medium, Site: Swelling at Injection Site-Medium, Additional Details: immunization not given in deltoid, too low. rash around injection site.
More
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| 2843031 | F | TX | 05/28/2025 |
COVID19 |
PFIZER\BIONTECH |
|
Herpes zoster reactivation, Inappropriate schedule of product administration
Herpes zoster reactivation, Inappropriate schedule of product administration
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Dose 1: March 2020/Dose 2: June 2020; It was after dose 2 - 6 weeks to the day again. another case o...
Dose 1: March 2020/Dose 2: June 2020; It was after dose 2 - 6 weeks to the day again. another case of shingles; This is a spontaneous report and received from Other HCPs. An adult female patient (not pregnant) received BNT162b2 (BNT162B2 NOS), in Jun2020 as dose 2, single (Batch/Lot number: unknown) intramuscular for covid-19 immunisation. The patient's relevant medical history included: "High cholesterol" (unspecified if ongoing). Concomitant medication(s) included: LIVALO taken for blood cholesterol increased. Vaccination history included: Bnt162b2 (Dose 1, single), administration date: Mar2020, when the patient was 60 years old, for COVID-19 immunisation, reaction(s): "Herpes zoster reactivation". The following information was reported: INAPPROPRIATE SCHEDULE OF PRODUCT ADMINISTRATION (non-serious) with onset Jun2020, outcome "unknown", described as "Dose 1: March 2020/Dose 2: June 2020"; HERPES ZOSTER REACTIVATION (non-serious) with onset 2020, outcome "unknown", described as "It was after dose 2 - 6 weeks to the day again. another case of shingles". Additional information: The patient called her MD and opted not to take anti-viral as she was afraid it would interfere with effectiveness of the vaccine. Afer dose 1, the patient did not correlate the shingles to the vaccine; it was after dose 2 - 6 weeks to the day again another case of shingles. Never had an issue with a vaccine before. The information on the batch/lot number for BNT162b2 will be requested and submitted if and when received.; Sender's Comments: Linked Report(s) : US-PFIZER INC-202500074522 same patient, different dose and event;
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| 2843032 | 69 | F | MA | 05/28/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
55TH4 |
Asthenia, Pruritus, Rash, Urticaria
Asthenia, Pruritus, Rash, Urticaria
|
Systemic: Allergic: Itch (specify: facial area, extremeties)-Severe, Systemic: Allergic: Itch Genera...
Systemic: Allergic: Itch (specify: facial area, extremeties)-Severe, Systemic: Allergic: Itch Generalized-Severe, Systemic: Allergic: Rash (specify: facial area, extremeties)-Severe, Systemic: Allergic: Rash Generalized-Severe, Additional Details: Patient described it as hives all over the body that was extremely itchy and debilitating.
More
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| 2843033 | 74 | F | HI | 05/28/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
99HE4 |
Injection site pain, Loss of personal independence in daily activities, Pain, Pa...
Injection site pain, Loss of personal independence in daily activities, Pain, Pain in extremity
More
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Site: Pain at Injection Site-Medium, Additional Details: Patient describes constant dull pain in lef...
Site: Pain at Injection Site-Medium, Additional Details: Patient describes constant dull pain in left arm affecting activities of daily living that has not gotten better or subsided since getting vaccine on 5/12/25, Other Vaccines: VaccineTypeBrand: Boostrix; Manufacturer: glaxosmithkline; LotNumber: EB499; Route: Intramuscular; BodySite: Right Arm; Dose: ; VaxDate: UNKNOWN
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| 2843034 | 68 | F | PA | 05/28/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
93kk4 |
Injection site pain
Injection site pain
|
Site: Pain at Injection Site-Medium, Systemic: limited range of motion of the injected arm-Medium, A...
Site: Pain at Injection Site-Medium, Systemic: limited range of motion of the injected arm-Medium, Additional Details: Patient states that the issue with range of motion is slowly improving but hasn't fully recovered. Patient will mention to PCP if no improvement
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| 2843035 | 17 | F | NY | 05/28/2025 |
HPV9 HPV9 |
MERCK & CO. INC. MERCK & CO. INC. |
y007197 y007197 |
Dizziness, Flushing, Hyperhidrosis, Pallor, Syncope; Unresponsive to stimuli
Dizziness, Flushing, Hyperhidrosis, Pallor, Syncope; Unresponsive to stimuli
|
Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Severe, Systemic: Flus...
Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Severe, Systemic: Flushed / Sweating-Medium, Additional Details: pt had fainted, was pale and was sweating. 911 was called and the emt took pt out to the ambulance to examin her. I spoke with her father ( who brought her for the vaccine) 5/24/25 and he stated pt was doing well and did not go to hospital
More
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| 2843036 | 56 | F | PA | 05/28/2025 |
HEPA HEPA |
GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS |
772yt 772yt |
Abdominal pain, Chills, Diarrhoea, Headache, Injection site bruising; Pain, Vira...
Abdominal pain, Chills, Diarrhoea, Headache, Injection site bruising; Pain, Viral infection, Vomiting
More
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Site: Bruising at Injection Site-Mild, Systemic: Abdominal Pain-Mild, Systemic: Body Aches Generaliz...
Site: Bruising at Injection Site-Mild, Systemic: Abdominal Pain-Mild, Systemic: Body Aches Generalized-Mild, Systemic: Chills-Mild, Systemic: Diarrhea-Mild, Systemic: Headache-Mild, Systemic: Vomiting-Mild, Additional Details: per urgent care visit states virus infection
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| 2843037 | 48 | M | SC | 05/28/2025 |
COVID19 COVID19 |
MODERNA MODERNA |
3046731 3046731 |
Fatigue, Headache, Injection site pain, Lethargy, Pyrexia; Sleep disorder
Fatigue, Headache, Injection site pain, Lethargy, Pyrexia; Sleep disorder
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Site: Pain at Injection Site-Mild, Systemic: Exhaustion / Lethargy-Medium, Systemic: Fever-Medium, S...
Site: Pain at Injection Site-Mild, Systemic: Exhaustion / Lethargy-Medium, Systemic: Fever-Medium, Systemic: Headache-Medium, Systemic: Unable to Sleep-Medium
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| 2843038 | 49 | M | RI | 05/28/2025 |
PNC21 |
MERCK & CO. INC. |
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Fatigue, Headache, Injection site pain, Pyrexia
Fatigue, Headache, Injection site pain, Pyrexia
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Fever of 100.5 F, headache, extreme soreness at injection site and from shoulder to elbow and signif...
Fever of 100.5 F, headache, extreme soreness at injection site and from shoulder to elbow and significant fatigue. Symptoms lasted for approximately 72 hours.
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| 2843039 | 21 | M | MA | 05/28/2025 |
HEP |
MERCK & CO. INC. |
006-4981-00 |
Extra dose administered
Extra dose administered
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None
None
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| 2843040 | 11 | M | IN | 05/28/2025 |
MNQ MNQ MEN MEN |
SANOFI PASTEUR SANOFI PASTEUR UNKNOWN MANUFACTURER UNKNOWN MANUFACTURER |
u8369AA u8369AA U8369AA U8369AA |
No adverse event, Product preparation error; No adverse event, Product preparati...
No adverse event, Product preparation error; No adverse event, Product preparation issue; No adverse event, Product preparation error; No adverse event, Product preparation issue
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RN mixed 0.75cc sterile water with Meningococcal Conjugate. I talked to manufacturer 05/28/2025 and...
RN mixed 0.75cc sterile water with Meningococcal Conjugate. I talked to manufacturer 05/28/2025 and they stated that shot would need to be given again asap. I contacted the father today and explained what happened. Father stated son was doing well today. Patient will receive another dose on June 4th, 2025.
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| 2843041 | 78 | F | OH | 05/28/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
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Blister, Skin lesion
Blister, Skin lesion
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2 days after injection had 3 blisterlike lesion on her right thumb. no injury or other reason for b...
2 days after injection had 3 blisterlike lesion on her right thumb. no injury or other reason for blisters. no symptoms otherwise - just the blisters.
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| 2843042 | 0.33 | M | OR | 05/28/2025 |
DTAPIPV |
GLAXOSMITHKLINE BIOLOGICALS |
Y49BZ |
Product administered to patient of inappropriate age
Product administered to patient of inappropriate age
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Patient received Kinrix at 4 months of age. This is not the correct vaccine to have been given.
Patient received Kinrix at 4 months of age. This is not the correct vaccine to have been given.
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| 2843043 | 2 | M | IN | 05/28/2025 |
DTAP |
GLAXOSMITHKLINE BIOLOGICALS |
9R2D7 |
Expired product administered
Expired product administered
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Vaccination given was expired. Date of administration: 05/28/2025, Date of expiration: 05/23/2025.
Vaccination given was expired. Date of administration: 05/28/2025, Date of expiration: 05/23/2025.
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| 2843044 | 51 | M | FL | 05/28/2025 |
UNK UNK |
UNKNOWN MANUFACTURER UNKNOWN MANUFACTURER |
1 1 |
Anxiety, Blood test normal, Dyspnoea, Fatigue, Lethargy; Panic attack, Sleep def...
Anxiety, Blood test normal, Dyspnoea, Fatigue, Lethargy; Panic attack, Sleep deficit, Suicidal ideation
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I was visiting for my annual. Everything was great and i was in good health. The Nurse asked me if I...
I was visiting for my annual. Everything was great and i was in good health. The Nurse asked me if I would like the shingles vaccination. I said sure. Later that day i started feeling a tired and lethargic. I tried to play golf the next morning and I was unable to finish the round from pure exhaustion. I then started having bad anxiety attacks and sleep deprivation. I started waking up in the night and with the feeling that i coudn't breathe and the feeling of panic. The panic attacks started out for just a few hrs but then would happen again and again at longer intervals. I ended up in the ER with an attack that lasted over 10 hrs. It was so bad i wanted to kill myself. Worst experience ever. The panic attacks started getting lesser and shorter. I still felt unrest and like there was a battery plugged into my brain making it hard to relax or sleep. At around the 30 -40 day mark the symptoms finally went away. I finally feel like myself again but i am constantly in feer that i will feel that way again.
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| 2843045 | 29 | F | MO | 05/28/2025 |
COVID19 |
MODERNA |
033h21s |
Chest pain, Condition aggravated, Costochondritis, Echocardiogram
Chest pain, Condition aggravated, Costochondritis, Echocardiogram
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2 echo cardiograms, still chest pain. having a 3rd next week
2 echo cardiograms, still chest pain. having a 3rd next week
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| 2843046 | 60 | F | NC | 05/28/2025 |
MNQ MNQ |
NOVARTIS VACCINES AND DIAGNOSTICS NOVARTIS VACCINES AND DIAGNOSTICS |
Z92L4 Z92L4 |
Cellulitis, Injection site erythema, Injection site swelling, Injection site war...
Cellulitis, Injection site erythema, Injection site swelling, Injection site warmth, Lymph node pain; Lymphadenopathy, Musculoskeletal stiffness, Pain in extremity
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Redness swelling at injection site started within a few hours of administration. Sx's worsen w...
Redness swelling at injection site started within a few hours of administration. Sx's worsen with soreness and swollen axillary lymph nodes in same arm. Pt. reports pain soreness and stiffness in L. arm. Seen by provider on 5/28/25, Dx'ed with cellulitis with improving sx's. On 5/28/25, injection site is red, hot, and swollen. Measures 5 inches across and 2 inches in length. , RN
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| 2843047 | 12 | M | ME | 05/28/2025 |
MNQ TDAP |
SANOFI PASTEUR GLAXOSMITHKLINE BIOLOGICALS |
U8369BA 9YB4G |
Circumstance or information capable of leading to medication error, Scratch, Und...
Circumstance or information capable of leading to medication error, Scratch, Underdose; Circumstance or information capable of leading to medication error, Scratch, Underdose
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Patient was in office for a WCC and vaccines. Patient is autistic, Mom felt it would be better if th...
Patient was in office for a WCC and vaccines. Patient is autistic, Mom felt it would be better if the patient could stand and play on the phone while the vaccines are administered. The mother of the patient stood in front and the provider stood behind the patient. When the medical assistants administered the vaccines the patient dropped to their knees causing the needles to come out of the patients are, scratching the patient and the dose only being partially administered.
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| 2843048 | 18 | M | IN | 05/28/2025 |
MENB |
NOVARTIS VACCINES AND DIAGNOSTICS |
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Headache, Lethargy, Pain in extremity
Headache, Lethargy, Pain in extremity
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starting late evening on day of vaccination, patient L arm felt sore, experiencing headache, letharg...
starting late evening on day of vaccination, patient L arm felt sore, experiencing headache, lethargy and possible fever; treated with ES Tylenol, fluids and rest. same symptoms and treatment continued throughout 5/24 and 5/25. Upon morning of 5/26, patient felt all symptoms resolved.
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| 2843049 | 0.75 | M | NJ | 05/28/2025 |
COVID19 |
MODERNA |
3043023 |
Expired product administered
Expired product administered
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Given 5/21/21. Expired 5/19/25.
Given 5/21/21. Expired 5/19/25.
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| 2843050 | 47 | F | MD | 05/28/2025 |
PNC21 PNC21 PNC21 |
MERCK & CO. INC. MERCK & CO. INC. MERCK & CO. INC. |
Y019157 Y019157 Y019157 |
Asthenia, Chills, Dizziness, Dyspnoea, Fatigue; Headache, Injection site erythem...
Asthenia, Chills, Dizziness, Dyspnoea, Fatigue; Headache, Injection site erythema, Injection site pain, Injection site swelling, Irritability; Nausea, Rash, Rash pruritic, Tachycardia
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The donor was administered the CAPVAXIVE immunization by one of Nurse on 05/23/2025 at 11:50am IM in...
The donor was administered the CAPVAXIVE immunization by one of Nurse on 05/23/2025 at 11:50am IM in the donors left arm. The donor stayed with the Nurse to be assessed for any adverse post immunization reactions related to the vaccination administered. During and after that indicated 30 minutes time frame the donor did not have an immediate adverse reaction to the CAPVAXIVE immunization and the donor left the center in good condition. The donor stated that she had common adverse reaction symptoms related to the CAPVAXIVE vaccination starting on 05/24/2025 at 10:40am that occurred until 05/27/2025. These symptoms reported included injection site pain, erythema, and swelling, dizziness, fatigue, headache, nausea, chills, irritability, weakness, tachycardia, shortness of breath, and an itchy rash over the whole body. When asked about treatments the donor stated she did not seek medical treatment as she did not know if she was having all of these symptoms from the reaction or if she was having a panic attack. Also, the donor stated that they haven't had a reaction to any vaccination that she is aware of. The donor reported these symptoms to the nurse at the center on 05/28/2025 and stated that today she was feeling much better and that these common adverse reaction symptoms have subsided. The donor was instructed to seek medical treatment if these symptoms persist and or return and was advised to report this adverse reaction to VAERS. The donor left the center on 05/28/2025 in good condition.
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