| ID | Age | Sex | State | Date โผ | Onset Days | Vaccine | Manufacturer | Lot # | Symptoms | Narrative | ๐ | ๐ฅ | ๐ | โฟ | โ ๏ธ |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2842280 | 67 | M | IN | 05/22/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
|
Blood creatine phosphokinase, Full blood count, Metabolic function test, Muscle ...
Blood creatine phosphokinase, Full blood count, Metabolic function test, Muscle contractions involuntary, Muscle spasms
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muscle fasciculations and cramping. began two days after vaccine. has persisted over one month. uncl...
muscle fasciculations and cramping. began two days after vaccine. has persisted over one month. unclear if directly related to vaccine.
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| 2842281 | 80 | M | 05/22/2025 |
COVID19 RSV VARZOS |
PFIZER\BIONTECH GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS |
ME6072 AE435 93N4J |
Diarrhoea, Influenza like illness, Pyrexia; Diarrhoea, Influenza like illness, P...
Diarrhoea, Influenza like illness, Pyrexia; Diarrhoea, Influenza like illness, Pyrexia; Diarrhoea, Influenza like illness, Pyrexia
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fever, diarrhea, flu-like symptoms began overnight after vaccine administration. pt called 911 to go...
fever, diarrhea, flu-like symptoms began overnight after vaccine administration. pt called 911 to go to hospital due to side effect concerns
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| 2842282 | 0.5 | M | MA | 05/22/2025 |
COVID19 |
MODERNA |
3043023 |
Expired product administered
Expired product administered
|
Vaccine was expired by 3 days. Reported to Moderna and parent made aware.
Vaccine was expired by 3 days. Reported to Moderna and parent made aware.
|
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| 2842283 | 16 | M | PR | 05/22/2025 |
MENB MENB MNQ MNQ |
NOVARTIS VACCINES AND DIAGNOSTICS NOVARTIS VACCINES AND DIAGNOSTICS NOVARTIS VACCINES AND DIAGNOSTICS NOVARTIS VACCINES AND DIAGNOSTICS |
7MN4C 7MN4C 9X7CD 9X7CD |
Asthenia, Diarrhoea, Fatigue, Malaise, Pyrexia; Vomiting; Asthenia, Diarrhoea, F...
Asthenia, Diarrhoea, Fatigue, Malaise, Pyrexia; Vomiting; Asthenia, Diarrhoea, Fatigue, Malaise, Pyrexia; Vomiting
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WEAKNESS, TIREDNESS, VOMITING, DIARRHEA, FEVER, GENERAL MALAISE
WEAKNESS, TIREDNESS, VOMITING, DIARRHEA, FEVER, GENERAL MALAISE
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| 2842284 | 64 | F | FL | 05/22/2025 |
PNC20 |
PFIZER\WYETH |
LX4482 |
Erythema, Tenderness
Erythema, Tenderness
|
Redness, Tenderness
Redness, Tenderness
|
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| 2842285 | 40 | M | MO | 05/22/2025 |
COVID19 COVID19 COVID19 COVID19 |
PFIZER\BIONTECH PFIZER\BIONTECH PFIZER\BIONTECH PFIZER\BIONTECH |
FA7485 FA7485 FD8448 FD8448 |
Aortic valve incompetence, Cardiac murmur, Cardiac operation, Cardiac valve dise...
Aortic valve incompetence, Cardiac murmur, Cardiac operation, Cardiac valve disease, Catheterisation cardiac; Computerised tomogram heart abnormal, Echocardiogram, Electrocardiogram, Fatigue; Aortic valve incompetence, Cardiac murmur, Cardiac operation, Cardiac valve disease, Catheterisation cardiac; Computerised tomogram heart abnormal, Echocardiogram, Electrocardiogram, Fatigue
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Developed a deteriorated bicuspid valve that required open hear surgery
Developed a deteriorated bicuspid valve that required open hear surgery
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โ | |||||
| 2842286 | 3 | M | MD | 05/22/2025 |
MMR MMR MMR |
GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS |
|
Blood test normal, Computerised tomogram normal, Depressed level of consciousnes...
Blood test normal, Computerised tomogram normal, Depressed level of consciousness, Gait inability, Headache; Hypotonia, Immediate post-injection reaction, Mobility decreased, Screaming, Seizure like phenomena; Sleep disorder, Swelling, Tension
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Immediately after vaccination on Apr. 24, 2025 noticeable swelling that looked like a blister or ke...
Immediately after vaccination on Apr. 24, 2025 noticeable swelling that looked like a blister or keloid developed. 11 days later, on May 5th 2025 the patient woke from sleep around 10:30pm shrieking and screaming. His torso was very tense and then he fell limp with little to no control of his muscles. He could not walk and would not come-to after several attempts to wake him. This episode lasted for several minutes, long. We tried asking him if he was in pain to which he tried answering but he could not lift his head or arms to point but he did complain that his head hurt.
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| 2842287 | 30 | F | NC | 05/22/2025 |
TDAP |
GLAXOSMITHKLINE BIOLOGICALS |
|
Rash
Rash
|
rash within 24 hrs of vaccine in ER
rash within 24 hrs of vaccine in ER
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| 2842288 | 17 | M | MO | 05/22/2025 |
HPV9 MENB MNQ |
MERCK & CO. INC. PFIZER\WYETH SANOFI PASTEUR |
Y017907 HJ1516 U8375AA |
Dizziness, Heart rate increased, Hypertension, Paraesthesia; Dizziness, Heart ra...
Dizziness, Heart rate increased, Hypertension, Paraesthesia; Dizziness, Heart rate increased, Hypertension, Paraesthesia; Dizziness, Heart rate increased, Hypertension, Paraesthesia
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Client reported dizziness at 1:00 pm. It was also stated that client may have experienced tingling o...
Client reported dizziness at 1:00 pm. It was also stated that client may have experienced tingling of arms and mouth, conflicting information on those symptoms provided. HR and BP high. Sought emergency care. Recovered by 5:00 pm on 05/09/2025. ED doctor diagnosed allergic reaction to vaccine. Client has history of fainting and anxiety with previous tests involving needles. Client was extremely anxious prior to recieving vaccinations at this visit.
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| 2842289 | 27 | M | MS | 05/22/2025 |
ANTH |
EMERGENT BIOSOLUTIONS |
FAV 043 |
Arthralgia, Blood test, Joint swelling, Rash, X-ray
Arthralgia, Blood test, Joint swelling, Rash, X-ray
|
Rash, severe joint pain and swelling. Joint pain never went away - only got worse over time. Curre...
Rash, severe joint pain and swelling. Joint pain never went away - only got worse over time. Currently seeing Dr. at a Clinic.
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| 2842290 | 1.5 | F | ID | 05/22/2025 |
DTAP FLU3 HEPA |
SANOFI PASTEUR SEQIRUS, INC. GLAXOSMITHKLINE BIOLOGICALS |
|
Cyanosis, Death, Immunisation reaction, Lethargy, Malaise; Cyanosis, Death, Immu...
Cyanosis, Death, Immunisation reaction, Lethargy, Malaise; Cyanosis, Death, Immunisation reaction, Lethargy, Malaise; Cyanosis, Death, Immunisation reaction, Lethargy, Malaise
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Morning after vaccination child was lethargic and blue in the lips. Rushed to the emergency room whe...
Morning after vaccination child was lethargic and blue in the lips. Rushed to the emergency room where doctor agreed she was having a reaction to vaccines. Tylenol wasz given. She was sick the rest of the week until she passed away 5/1/25
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โ | |||||
| 2842291 | 1.5 | M | ID | 05/22/2025 |
DTAP FLU3 HEPA |
SANOFI PASTEUR SEQIRUS, INC. GLAXOSMITHKLINE BIOLOGICALS |
|
Cyanosis, Death, Immunisation reaction, Lethargy, Malaise; Cyanosis, Death, Immu...
Cyanosis, Death, Immunisation reaction, Lethargy, Malaise; Cyanosis, Death, Immunisation reaction, Lethargy, Malaise; Cyanosis, Death, Immunisation reaction, Lethargy, Malaise
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Child was lethargic and blue in the lips morning after vaccination. Mom rushed him to the ER where t...
Child was lethargic and blue in the lips morning after vaccination. Mom rushed him to the ER where the doctor confirmed he was having an adverse reaction to the vaccines. Tylenol was given. Child was sick the entire week as was his twin sister until they unfortunately passed away on 5/1/25.
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โ | |||||
| 2842292 | 1.42 | F | MI | 05/22/2025 |
RV1 |
GLAXOSMITHKLINE BIOLOGICALS |
LL455 |
No adverse event
No adverse event
|
Patient didn't have adverse reaction
Patient didn't have adverse reaction
|
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| 2842293 | 22 | F | AL | 05/22/2025 |
COVID19 COVID19 |
MODERNA MODERNA |
013M20A 029A21A |
Asthma, Decreased immune responsiveness, Hypersensitivity; Asthma, Decreased imm...
Asthma, Decreased immune responsiveness, Hypersensitivity; Asthma, Decreased immune responsiveness, Hypersensitivity
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Asthma, allergies, weakened immune system. Diagnosed with Eosinophilic Asthma in July of 2023
Asthma, allergies, weakened immune system. Diagnosed with Eosinophilic Asthma in July of 2023
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โ | โ | ||||
| 2842294 | 64 | M | AZ | 05/22/2025 |
COVID19 |
MODERNA |
|
Blood test, Cardiac failure, Echocardiogram, Myocarditis
Blood test, Cardiac failure, Echocardiogram, Myocarditis
|
Developed Mycarditis/heart failure soon after second vaccine shot, still have condition over 4 years...
Developed Mycarditis/heart failure soon after second vaccine shot, still have condition over 4 years later
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| 2842295 | 15 | M | AZ | 05/22/2025 |
HEPA HPV9 TDAP |
GLAXOSMITHKLINE BIOLOGICALS MERCK & CO. INC. GLAXOSMITHKLINE BIOLOGICALS |
2ys34 X005579 54cp2 |
Syncope; Syncope; Syncope
Syncope; Syncope; Syncope
|
syncope episode, observed for 15 minutes after episode, discharged to home without any further issue...
syncope episode, observed for 15 minutes after episode, discharged to home without any further issues
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| 2842296 | 67 | M | MA | 05/22/2025 |
COVID19 |
PFIZER\BIONTECH |
LN0590 |
Expired product administered
Expired product administered
|
Patient received Covid-19 Vaccine on 5/22/2025. Vaccine had an expiration date of 5/7/2025.
Patient received Covid-19 Vaccine on 5/22/2025. Vaccine had an expiration date of 5/7/2025.
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| 2842297 | 45 | F | NY | 05/22/2025 |
COVID19 |
MODERNA |
|
Myocardial infarction
Myocardial infarction
|
I had a heart attack 5 weeks after the shot
I had a heart attack 5 weeks after the shot
|
โ | โ | ||||
| 2842298 | 11 | F | AZ | 05/22/2025 |
FLU3 HPV9 MNQ TDAP |
GLAXOSMITHKLINE BIOLOGICALS MERCK & CO. INC. SANOFI PASTEUR GLAXOSMITHKLINE BIOLOGICALS |
KM5GK X023318 U7827AB X449Y |
Abdominal pain upper, Dizziness, Fall, Head injury, Syncope; Abdominal pain uppe...
Abdominal pain upper, Dizziness, Fall, Head injury, Syncope; Abdominal pain upper, Dizziness, Fall, Head injury, Syncope; Abdominal pain upper, Dizziness, Fall, Head injury, Syncope; Abdominal pain upper, Dizziness, Fall, Head injury, Syncope
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Client was given four vaccines (Tdap, MCV4, HPV9, and Flu). Client states she did not eat since 10:0...
Client was given four vaccines (Tdap, MCV4, HPV9, and Flu). Client states she did not eat since 10:00 a.m. Client was given tang juice prior to immunizations. After vaccinations given, assessed client, asked if she was dizzy while sitting, client denied any issues. Client stood up to grab a toy (rubber duck) from drawer and experienced syncopal episode falling to the floor. Unable to catch client, she then hit her front, left side of head on floor. Client awoke within 30 seconds to one minute. Client states she felt dizzy and her stomach hurt. Paramedics were called at this time and evaluated client. Vitals taken by paramedics at 3:05 p.m. (sitting) at 95/51 and "good" HR per paramedic, 100% Sp02. BP then taken by paramedics standing, 121/63. Paramedics state it was up to parents if they wanted client to go to hospital, parents opted to monitor client at home and not take her to hospital at this time. Client observed for 20 minutes longer after paramedics left clinic and laid down on patient bed with knees above head, ice pack behind neck and then given water and crackers. Client's BP at 3:22 p.m. taken again was 110/82. Client denied any dizziness, stomach pain, head pain/headache, nausea, or other symptoms at that time and fully recovered prior to leaving.
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| 2842299 | 7 | F | CA | 05/22/2025 |
TDAP |
GLAXOSMITHKLINE BIOLOGICALS |
25A2F |
Extra dose administered
Extra dose administered
|
accidently gave a Tdap dose when it was not needed
accidently gave a Tdap dose when it was not needed
|
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| 2842300 | 5 | F | FL | 05/22/2025 |
DTAP |
SANOFI PASTEUR |
3CA11C1 |
Injection site erythema, Injection site swelling, Injection site warmth
Injection site erythema, Injection site swelling, Injection site warmth
|
Vaccine (Daptacel) was administered in the left deltoid using aseptic technique on Tuesday (05/20/25...
Vaccine (Daptacel) was administered in the left deltoid using aseptic technique on Tuesday (05/20/25) at approximately 9:00am will no adverse reaction noted at that time. At approximately 9:00pm that evening dad reports noticing the vaccine site turn red, swell and feeling warm to the touch - dad states, it stayed like that since then with no changes.
More
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| 2842301 | 48 | F | MN | 05/22/2025 |
HEP |
DYNAVAX TECHNOLOGIES CORPORATION |
945665 |
Blood pressure decreased, Hot flush, Rash, Rash pruritic
Blood pressure decreased, Hot flush, Rash, Rash pruritic
|
Immediately after her hepatitis B vaccination she started to get warm feeling flushed developed a ra...
Immediately after her hepatitis B vaccination she started to get warm feeling flushed developed a rash on her neck and was itchy on the neck symptoms then spread to the entire body where she developed itching throughout the body and felt warm and flushed throughout. She denied any breathing difficulty wheezing or difficulty swallowing. She had no swelling of the lips or tongue. She was given Benadryl 25 mg immediately to see if that would improve symptoms. Vitals were monitored her blood pressure started to drop compared to initial blood pressure. She has a history of anaphylaxis to other drug ingredients in contrast. She also mention that she gets chronic hives intermittently and rashes when eating certain foods but has not pinpointed the specifics as she would like to see an allergist. She also had other med allergies. Discussed with her that she is having a mild anaphylactic reaction with the systemic itching and the rash. Recommended epi 0.3 mg IM which was given today. Following epinephrine administration by my nurses she immediately felt better and the itching improved. Blood pressure was stable she had no breathing difficulty throat swelling lip swelling tongue swelling upon discharge. Recommended Benadryl every 4-6 hours for the next 24 hours. Discussed worrisome signs and symptoms to follow up on or seek urgent medical care for.
More
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| 2842302 | 18 | F | AZ | 05/22/2025 |
HPV9 MENB MNQ |
MERCK & CO. INC. NOVARTIS VACCINES AND DIAGNOSTICS SANOFI PASTEUR |
2014634 TH9NR U7945BC |
Syncope; Syncope; Syncope
Syncope; Syncope; Syncope
|
syncope after immunizations; observed for 15 min, discharged to home without incident
syncope after immunizations; observed for 15 min, discharged to home without incident
|
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| 2842304 | 12 | F | TX | 05/22/2025 |
MNQ |
SANOFI PASTEUR |
|
Blood pressure diastolic decreased, Chest discomfort, Hyperhidrosis, Vomiting
Blood pressure diastolic decreased, Chest discomfort, Hyperhidrosis, Vomiting
|
Initially chest tightness, then sweating, low diastolic blood pressure. Then 20 minutes later vomite...
Initially chest tightness, then sweating, low diastolic blood pressure. Then 20 minutes later vomited.
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| 2842305 | 73 | F | AZ | 05/22/2025 |
PNC21 VARZOS |
MERCK & CO. INC. GLAXOSMITHKLINE BIOLOGICALS |
Y019157 3273H |
Peripheral swelling, Skin warm; Peripheral swelling, Skin warm
Peripheral swelling, Skin warm; Peripheral swelling, Skin warm
|
patients right arm swollen, light red, warm to touch. has not spread or improved the last few days. ...
patients right arm swollen, light red, warm to touch. has not spread or improved the last few days. patient has used ice packs, benadryl, ibuprofen. will continue to monitor for worsening signs/symptoms and go to hospital if needed
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| 2842306 | 5 | M | AZ | 05/22/2025 |
HEPA |
GLAXOSMITHKLINE BIOLOGICALS |
MZ474 |
Inappropriate schedule of product administration
Inappropriate schedule of product administration
|
second dose of Hep A given too soon
second dose of Hep A given too soon
|
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| 2842307 | 58 | F | SC | 05/22/2025 |
TDAP |
GLAXOSMITHKLINE BIOLOGICALS |
Y3Z9P |
Dizziness, Loss of consciousness, Malaise
Dizziness, Loss of consciousness, Malaise
|
Patient stated she had fainted with prior vaccine but had gotten 2 at once when it happened. We adm...
Patient stated she had fainted with prior vaccine but had gotten 2 at once when it happened. We administered the vaccine, then sat and chatted for several minutes. She then said she wasn't feeling well, pharmacist stayed with her, while the other pharmacist got her a water. Patient took few sips of water then stated she felt like she was going out. She passed out for a moment or 2 then came back. Patient continued to sit with the fan on her and cool paper towels. Offered sugar or crackers didn't want either. Still wasn't feeling well at about 20 mins, didn't want 911 called, called her husband who is a physician, and he came to the store. She sat for a few more moments than he left to take her to the hospital.
More
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| 2842308 | 47 | M | AZ | 05/22/2025 |
HEPA |
GLAXOSMITHKLINE BIOLOGICALS |
HR4RB |
Inappropriate schedule of product administration
Inappropriate schedule of product administration
|
second dose of Hep A was given too soon
second dose of Hep A was given too soon
|
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| 2842309 | 12 | M | AZ | 05/22/2025 |
TDAP |
GLAXOSMITHKLINE BIOLOGICALS |
54CP2 |
No adverse event, Wrong product administered
No adverse event, Wrong product administered
|
Gave child a tdap shot instead of the Hep A vaccine in which he was due for. Spoke with client and f...
Gave child a tdap shot instead of the Hep A vaccine in which he was due for. Spoke with client and family after I noticed the mistake and they said it was fine and did not report any issues.
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| 2842311 | 48 | F | AZ | 05/22/2025 |
HEPA |
GLAXOSMITHKLINE BIOLOGICALS |
HR4RB |
Inappropriate schedule of product administration
Inappropriate schedule of product administration
|
Hep A #2 administered too soon
Hep A #2 administered too soon
|
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| 2842312 | 68 | M | MA | 05/22/2025 |
COVID19 |
PFIZER\BIONTECH |
LN0590 |
Expired product administered
Expired product administered
|
Patient was given Covid-19 vaccination on 5/21/2025. Vaccination had an expiration date of 5/7/2025.
Patient was given Covid-19 vaccination on 5/21/2025. Vaccination had an expiration date of 5/7/2025.
|
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| 2842313 | 71 | M | DE | 05/22/2025 |
PNC20 |
PFIZER\WYETH |
LN4927 |
Injection site erythema, Injection site swelling, Injection site warmth
Injection site erythema, Injection site swelling, Injection site warmth
|
upper arm redness, site reaction with swelling/warmth approx 2.5 inches in diameter
upper arm redness, site reaction with swelling/warmth approx 2.5 inches in diameter
|
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| 2842314 | 35 | M | WI | 05/22/2025 |
COVID19 |
JANSSEN |
203A21A |
Blood test normal, Gene mutation identification test negative, Hepatic vascular ...
Blood test normal, Gene mutation identification test negative, Hepatic vascular thrombosis
More
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A random blood clot occurred near my liver. I am healthy with no prior conditions. I had my blood ch...
A random blood clot occurred near my liver. I am healthy with no prior conditions. I had my blood checked for any illnesses, and also had a genetics testing done that found no irregularities. I have not had any issues since. The doctors never saw a case like mine in a healthy individual. My only conclusion was the COVID vaccine, since others had the same issue.
More
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โ | โ | ||||
| 2842315 | 28 | M | WA | 05/22/2025 |
COVID19 COVID19 COVID19 COVID19 COVID19 COVID19 COVID19 COVID19 COVID19 COVID19 COVID19 COVID19 COVID19 COVID19 COVID19 |
MODERNA MODERNA MODERNA MODERNA MODERNA MODERNA MODERNA MODERNA MODERNA MODERNA MODERNA MODERNA MODERNA MODERNA MODERNA |
|
Anti-thyroid antibody increased, Asthenia, Blepharospasm, Blood pressure increas...
Anti-thyroid antibody increased, Asthenia, Blepharospasm, Blood pressure increased, Blood test; Cardiac stress test, Chest discomfort, Computerised tomogram, Dry skin, Echocardiogram; Heart rate increased, Hyperhidrosis, Immunology test normal, Inflammatory marker test, Laboratory test normal; Lymphadenopathy, Muscle spasms, Myalgia, Scan with contrast, Spinal pain; Thyroid hormones test, Tremor, Vertigo; Anti-thyroid antibody increased, Asthenia, Blepharospasm, Blood pressure increased, Blood test; Cardiac stress test, Chest discomfort, Computerised tomogram, Dry skin, Echocardiogram; Heart rate increased, Hyperhidrosis, Immunology test normal, Inflammatory marker test, Laboratory test normal; Lymphadenopathy, Muscle spasms, Myalgia, Scan with contrast, Spinal pain; Thyroid hormones test, Tremor, Vertigo; Anti-thyroid antibody increased, Asthenia, Blepharospasm, Blood pressure increased, Blood test; Cardiac stress test, Chest discomfort, Computerised tomogram, Dry skin, Echocardiogram; Heart rate increased, Hyperhidrosis, Immunology test normal, Inflammatory marker test, Laboratory test normal; Lymphadenopathy, Muscle spasms, Myalgia, Scan with contrast, Spinal pain; Thyroid hormones test, Tremor, Vertigo
More
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I was sitting still on a plane and got an immediate intense head rush/vertigo, Heart rate jumped to ...
I was sitting still on a plane and got an immediate intense head rush/vertigo, Heart rate jumped to 150 BPM, Blood pressure 160/110, sweats, body shakes and hand tremors. These were the first occurrences of these adrenaline dumps. Other symptoms included swollen armpit lymph nodes, rib cage discomfort, spinal pain, muscle pains and spasms, left eye twitches. From January 24, 2025 until May 13, 2025, these event became worse and worse as nutrients became more and more depleted from my body. Dry skin occurred, body weakness, and other low nutrient signs. One key note, walking seemed to short term assist in the issue but as soon as the body stops working out, the body begins to have these episodes again to cause adrenaline dumps once again. Episodes are 4-5 rushes every 20-30 minutes as adrenal glands fill up enough then begin dumping again.
More
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| 2842316 | 4 | F | AZ | 05/22/2025 |
DTAPIPV |
GLAXOSMITHKLINE BIOLOGICALS |
7D2Y4 |
Wrong product administered
Wrong product administered
|
Administered Kinrix to patient for 3rd Dose instead of 5th.
Administered Kinrix to patient for 3rd Dose instead of 5th.
|
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| 2842317 | 5 | M | AZ | 05/22/2025 |
DTAP |
GLAXOSMITHKLINE BIOLOGICALS |
47Y5M |
Inappropriate schedule of product administration
Inappropriate schedule of product administration
|
Dtap dose given not needed since he had received 4 doses and one of them was at age 4; plus 5th dose...
Dtap dose given not needed since he had received 4 doses and one of them was at age 4; plus 5th dose was administered 2 months after his last dose
More
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| 2842318 | 63 | M | CA | 05/22/2025 |
COVID19 COVID19 |
MODERNA MODERNA |
8080469 8081561 |
No adverse event, Vaccination error; No adverse event, Vaccination error
No adverse event, Vaccination error; No adverse event, Vaccination error
|
Dose given in error. Patient is asymptomatic. No c/o SOB, discomfort or pain, no N/V, gait steady, ...
Dose given in error. Patient is asymptomatic. No c/o SOB, discomfort or pain, no N/V, gait steady, auditory and vision intact. Speech clear, no c/o dizziness
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| 2842319 | 1.58 | M | CA | 05/22/2025 |
HIBV |
SANOFI PASTEUR |
UK168AC |
Product preparation error, Rash, Rash macular, Rash papular, Rash pruritic
Product preparation error, Rash, Rash macular, Rash papular, Rash pruritic
|
Last seen in the office 3/26 for 19mos HME -at that visit was given Hep A vaccine (right thigh) and ...
Last seen in the office 3/26 for 19mos HME -at that visit was given Hep A vaccine (right thigh) and HIB vaccine (left thigh) -the next days later, it was discovered that the HIB vaccine was inadvertently mixed with sterile water rather than the accompanying 0.4% saline diluent 4/4/2025 parent report patient developed a rash - bumpy, rough dry mildly itchy back legs and chest. Per physical exam significant for a cluster of erythematous papules on right thigh and lower back.
More
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| 2842320 | 1 | M | AL | 05/22/2025 |
MNQ |
NOVARTIS VACCINES AND DIAGNOSTICS |
XL223 |
Wrong product administered
Wrong product administered
|
Patient was injadverte4nly given menveo single dose vaccine instead of menveo two vial presentaion
Patient was injadverte4nly given menveo single dose vaccine instead of menveo two vial presentaion
|
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| 2842321 | 1.25 | F | KY | 05/22/2025 |
DTAPIPVHIB PNC20 |
SANOFI PASTEUR PFIZER\WYETH |
UK196AA MF0415 |
Pyrexia, Urticaria; Pyrexia, Urticaria
Pyrexia, Urticaria; Pyrexia, Urticaria
|
patient developed full body hives following vaccination, around 20-24 hours later. also had fever on...
patient developed full body hives following vaccination, around 20-24 hours later. also had fever on the same day as the vaccine that started around 12 hours after vaccination. no signs or symptoms of anaphylaxis reported by parents, seen in the ED and PCP office without any other symptoms beyond skin findings.
More
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| 2842322 | 21 | F | AZ | 05/22/2025 |
HPV9 |
MERCK & CO. INC. |
X005579 |
Inappropriate schedule of product administration, Injection site pain
Inappropriate schedule of product administration, Injection site pain
|
Notified pt that her 3rd HPV given was too soon and she will need to get another vaccine on 5/25/202...
Notified pt that her 3rd HPV given was too soon and she will need to get another vaccine on 5/25/2024 or later. Pt states she is feeling fine, has a sore arm where vaccine was placed. Pt states that is the same way she felt after her previous HPV vaccines. Pt voices understanding she needs to get another dose of HPV on 5/25/24 or later.
More
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| 2842323 | 76 | M | MT | 05/22/2025 |
HEPA |
GLAXOSMITHKLINE BIOLOGICALS |
5JA57 |
No adverse event, Underdose
No adverse event, Underdose
|
Gave 1 dose pediatric dose of Hep A vaccine in error instead of adult dose. Had patient come back in...
Gave 1 dose pediatric dose of Hep A vaccine in error instead of adult dose. Had patient come back in for 2nd pediatric dose in same day to equal an adult dose. He tolerated the vaccines well. Each were given in separate arms. No symptoms or adverse events noted or reported by patient.
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| 2842324 | 5 | M | AZ | 05/22/2025 |
HEPA MMRV |
GLAXOSMITHKLINE BIOLOGICALS MERCK & CO. INC. |
3397T W024552 |
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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Mother of patient called back and was notified that pt received his Hep A vaccine too soon. He will ...
Mother of patient called back and was notified that pt received his Hep A vaccine too soon. He will need to come back 12/1/2023 or later to complete series. Mother voices understanding and states child has done well with his vaccines, no fever or illness.
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| 2842325 | 70 | F | TX | 05/22/2025 |
PNC21 |
MERCK & CO. INC. |
Y013009 |
Injection site pain, Lethargy, Somnolence
Injection site pain, Lethargy, Somnolence
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Patient has soreness at injection site, is lethargic, and very sleepy.
Patient has soreness at injection site, is lethargic, and very sleepy.
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| 2842326 | 16 | F | CO | 05/22/2025 |
HEP HEPA MMR MNQ TDAP |
GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS MERCK & CO. INC. NOVARTIS VACCINES AND DIAGNOSTICS GLAXOSMITHKLINE BIOLOGICALS |
GC3N4 T5727 Y007613 X7R4Z X449Y |
Hyperhidrosis, Nausea, Pallor, Syncope; Hyperhidrosis, Nausea, Pallor, Syncope; ...
Hyperhidrosis, Nausea, Pallor, Syncope; Hyperhidrosis, Nausea, Pallor, Syncope; Hyperhidrosis, Nausea, Pallor, Syncope; Hyperhidrosis, Nausea, Pallor, Syncope; Hyperhidrosis, Nausea, Pallor, Syncope
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Pallor, diaphoresis, nausea, and syncope. Pt assisted to supine position on table and monitored. Pt ...
Pallor, diaphoresis, nausea, and syncope. Pt assisted to supine position on table and monitored. Pt rested for approximately 5 minutes -10 minutes and stated she "felt okay". Upon standing pt experienced the same symptoms again, assisted to sitting position in chair. Pt experienced syncopial episode. Pt monitored, VS stable, pt responsive after syncopial episode. Symptoms resolved after 15-20 minutes of rest and juice with cracker.
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| 2842327 | 11 | F | AL | 05/22/2025 |
HPV9 MNQ TDAP |
MERCK & CO. INC. SANOFI PASTEUR GLAXOSMITHKLINE BIOLOGICALS |
X022737 U8193AB KY27J |
Syncope; Syncope; Syncope
Syncope; Syncope; Syncope
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Pt fainted approximately 15 minutes after receiving vaccines; Pt became alert within 30 seconds or l...
Pt fainted approximately 15 minutes after receiving vaccines; Pt became alert within 30 seconds or less of fainting; Vital signs were stable; No interventions needed.
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| 2842328 | 41 | F | DC | 05/22/2025 |
COVID19 COVID19 UNK UNK |
MODERNA MODERNA UNKNOWN MANUFACTURER UNKNOWN MANUFACTURER |
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Cardiac disorder, Catheterisation cardiac, Computerised tomogram, Condition aggr...
Cardiac disorder, Catheterisation cardiac, Computerised tomogram, Condition aggravated, Echocardiogram; Electrocardiogram, Gastric neoplasm, Headache, Neoplasm, Ultrasound scan; Cardiac disorder, Catheterisation cardiac, Computerised tomogram, Condition aggravated, Echocardiogram; Electrocardiogram, Gastric neoplasm, Headache, Neoplasm, Ultrasound scan
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Heart problems have worsened. Headaches, I have growths in my neck and stomach that I didn't h...
Heart problems have worsened. Headaches, I have growths in my neck and stomach that I didn't have before.
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| 2842329 | 77 | F | IL | 05/22/2025 |
TDAP |
GLAXOSMITHKLINE BIOLOGICALS |
M77CC |
Myalgia, Peripheral swelling
Myalgia, Peripheral swelling
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Patient received Tdap vaccine (Boostrix) in right deltoid muscle on 4/8/2025. Pt called pharmacy on ...
Patient received Tdap vaccine (Boostrix) in right deltoid muscle on 4/8/2025. Pt called pharmacy on 5/19 (44 days later) to report that she was still having muscular pain. Said her arm did not bruise but recalls some swelling after the injection. Did not report joint pain in shoulder, just muscular pain.
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| 2842330 | 34 | M | AZ | 05/22/2025 |
HEP |
DYNAVAX TECHNOLOGIES CORPORATION |
945656 |
Feeling hot, Headache, Nausea
Feeling hot, Headache, Nausea
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Employee reported warmness, headache, and nausea 4 minutes after receiving Hep-B vaccination ( 1:07 ...
Employee reported warmness, headache, and nausea 4 minutes after receiving Hep-B vaccination ( 1:07 pm). He reported feeling better by 1:50pm with no treatment.
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| 2842331 | 31 | F | VA | 05/22/2025 |
PNC20 TDAP |
PFIZER\WYETH GLAXOSMITHKLINE BIOLOGICALS |
HM8949 DY3K7 |
Arthralgia; Arthralgia
Arthralgia; Arthralgia
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Patient reported approximately 2 weeks after vaccines were given that she experienced shoulder pain....
Patient reported approximately 2 weeks after vaccines were given that she experienced shoulder pain. She states she felt this pain 2 days after the vaccines but did not report it until about 2 weeks later.
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