| ID | Age | Sex | State | Date โผ | Onset Days | Vaccine | Manufacturer | Lot # | Symptoms | Narrative | ๐ | ๐ฅ | ๐ | โฟ | โ ๏ธ |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2841626 | 14 | F | DE | 05/19/2025 |
HPV9 |
MERCK & CO. INC. |
y007991 |
Loss of consciousness
Loss of consciousness
|
Patient with a history of vaso vagal reaction to vaccines and needles. Mom asked that vaccine be giv...
Patient with a history of vaso vagal reaction to vaccines and needles. Mom asked that vaccine be given because they do not have a PCP. Patient verbally and visually extremely nervous before vaccine given. Agreeable to vaccine. About 30 seconds after vaccine given, patient lost consciousness. She was easily roused, given water and placed ice packs on her neck. She stayed in the office for about 30 minutes and stated that she felt fine to go back to class. Mom was advised of the incident.
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| 2841627 | 45 | F | NC | 05/19/2025 |
HEPAB PNC21 VARZOS |
GLAXOSMITHKLINE BIOLOGICALS MERCK & CO. INC. GLAXOSMITHKLINE BIOLOGICALS |
p2443 y019157 3273h |
Erythema, Pruritus; Erythema, Pruritus; Erythema, Pruritus
Erythema, Pruritus; Erythema, Pruritus; Erythema, Pruritus
|
redness and itching and rash that is spreading.
redness and itching and rash that is spreading.
|
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| 2841628 | 77 | M | IA | 05/19/2025 |
COVID19 |
MODERNA |
3046731 |
Death
Death
|
Passed away
Passed away
|
โ | |||||
| 2841629 | 72 | M | IA | 05/19/2025 |
COVID19 COVID19 |
MODERNA MODERNA |
3046731 3046731 |
Aortic aneurysm, Blood iron decreased, Computerised tomogram thorax abnormal, De...
Aortic aneurysm, Blood iron decreased, Computerised tomogram thorax abnormal, Death, Faecal occult blood negative; Haemoglobin decreased, Iron binding capacity total normal, Scan with contrast abnormal, Transferrin saturation decreased
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Passed away
Passed away
|
โ | |||||
| 2841630 | 11 | F | MT | 05/19/2025 |
HEPA |
GLAXOSMITHKLINE BIOLOGICALS |
MZ474 |
Wrong product administered
Wrong product administered
|
None. It was intended to have a Meningitis Vaccine.
None. It was intended to have a Meningitis Vaccine.
|
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| 2841631 | 84 | M | FL | 05/19/2025 |
COVID19 COVID19 |
PFIZER\BIONTECH PFIZER\BIONTECH |
EL8982 EL8982 |
Blindness transient, Blindness unilateral, Blood test, COVID-19, Electrocardiogr...
Blindness transient, Blindness unilateral, Blood test, COVID-19, Electrocardiogram; Macular oedema, Retinal vein occlusion, Vision blurred
More
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pt states in Sept of 2021 he developed covid. In 2023 both eyes began to get blurry. April 25th, 2...
pt states in Sept of 2021 he developed covid. In 2023 both eyes began to get blurry. April 25th, 2024, out of nowhere he lost vision in the right eye for about a minute and a half. It came back but was still blurry but began to get more blurry. On May 17th, 2024, he went to Dr. He was diagnosed with central retinal vein occlusion with macula edema of the right eye. He was given a shot in the eye and continues to get shots in the eyes every 2 months depending on how the eyes looks. He now gets them every 3 months. The last shot was on March 28th, 2025. He will go back for next visit in June 30th, 2025.
More
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โ | |||||
| 2841632 | 83 | F | WV | 05/19/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
EK225 |
Amnesia, Asthenia, Fatigue, Headache
Amnesia, Asthenia, Fatigue, Headache
|
Per the patient. Felt weak, tired and had a headache in the late afternoon after getting the vaccine...
Per the patient. Felt weak, tired and had a headache in the late afternoon after getting the vaccine. Then the next day has barely any memory of the entire day, apparently went to a remote location (that she owns) and forgot her husband wasn't with her and sent out a family search party for him even though he was at home the whole time. Patient does state that she feels perfectly fine now.
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| 2841633 | 67 | F | IA | 05/19/2025 |
HEP HEPA HEPA |
GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS |
9K34M YD25C YD25C |
Underdose; Underdose; Underdose
Underdose; Underdose; Underdose
|
pediatric dose of Hep A (720 720 EL.U.) vaccine was inadvertently administered instead of adult Hep...
pediatric dose of Hep A (720 720 EL.U.) vaccine was inadvertently administered instead of adult Hep A (1440 EL.U.)
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| 2841634 | 0.17 | F | 05/19/2025 |
RV5 |
MERCK & CO. INC. |
|
Cyanosis, Infantile apnoea
Cyanosis, Infantile apnoea
|
Baby was noted blue on lips and not breathing for a few seconds
Baby was noted blue on lips and not breathing for a few seconds
|
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| 2841635 | 0.92 | M | MO | 05/19/2025 |
HIBV |
SANOFI PASTEUR |
t9tl9 |
Inappropriate schedule of product administration
Inappropriate schedule of product administration
|
Vaccine coordinator called manufacture they stated nothing else needs to be done just watch for side...
Vaccine coordinator called manufacture they stated nothing else needs to be done just watch for side affects and patient can remain on schedule as usual
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| 2841636 | 73 | F | AL | 05/19/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
mg5s9 |
Herpes zoster
Herpes zoster
|
pateint states she got shingles outbreak from the vaccine
pateint states she got shingles outbreak from the vaccine
|
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| 2841637 | 0.17 | F | VA | 05/19/2025 |
DTPPVHBHPB PNC20 RV5 |
MSP VACCINE COMPANY PFIZER\WYETH MERCK & CO. INC. |
U7392AA LK6655 2117043 |
Haematochezia, Mucous stools; Haematochezia, Mucous stools; Haematochezia, Mucou...
Haematochezia, Mucous stools; Haematochezia, Mucous stools; Haematochezia, Mucous stools
More
|
Bloody stool with a lot of mucus
Bloody stool with a lot of mucus
|
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| 2841638 | 72 | F | NY | 05/19/2025 |
PNC21 |
MERCK & CO. INC. |
Z002626 |
Erythema, Injection site pain
Erythema, Injection site pain
|
Patient developed diffuse erythema, tenderness at injection site lasting longer than 3 days
Patient developed diffuse erythema, tenderness at injection site lasting longer than 3 days
|
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| 2841639 | 59 | F | NY | 05/19/2025 |
PNC21 PNC21 |
MERCK & CO. INC. MERCK & CO. INC. |
Z002626 Z002626 |
Chills, Injection site erythema, Injection site mass, Injection site pain, Injec...
Chills, Injection site erythema, Injection site mass, Injection site pain, Injection site pruritus; Musculoskeletal stiffness
More
|
Patient developed diffuse erythema, tenderness, hard "lump", itching and stiffness of the ...
Patient developed diffuse erythema, tenderness, hard "lump", itching and stiffness of the limb at injection site lasting longer than 3 days-- Also experienced generalized chills which resolved 05/05/2025. Advised by medical team to apply intermittent cold compress.
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| 2841640 | 62 | F | NY | 05/19/2025 |
PNC21 |
MERCK & CO. INC. |
Z002626 |
Injection site erythema, Injection site pain
Injection site erythema, Injection site pain
|
Patient developed diffuse erythema, tenderness at injection site lasting longer than 3 days
Patient developed diffuse erythema, tenderness at injection site lasting longer than 3 days
|
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| 2841641 | 77 | F | FL | 05/19/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
MG5S9 |
Discomfort, Inflammation, Rash
Discomfort, Inflammation, Rash
|
PT CALLED AND STATED THAT AFTER 2 DAYS OF VACCINATION, SHE WENT TO THE POOL AND SHE NOTICED THAT SH...
PT CALLED AND STATED THAT AFTER 2 DAYS OF VACCINATION, SHE WENT TO THE POOL AND SHE NOTICED THAT SHE HAS RASH/INFLAMED AREA ON HER BACK. SHE STATED THAT THE AREA WAS COVERED BY HER SWIMMING SUIT, AND SHE HAD SOME DISCOMFORT FEELING AT THIS AREA. SHE THINKS THAT IT MIGHT BE A REACTION FROM THE VACCINE, BECAUSE THE DISCOMFORT FEELING SEEMED SIMILAR TO THE FEELING WHEN SHE HAD SHINGLES IN THE PAST, BUT IT IS LESS SEVERE. THIS HAS BEEN LASTING FOR 10 DAYS
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| 2841642 | 39 | F | MI | 05/19/2025 |
COVID19 |
PFIZER\BIONTECH |
FC8182 |
Bundle branch block right, Cardiac pacemaker insertion, Dyspnoea, X-ray abnormal
Bundle branch block right, Cardiac pacemaker insertion, Dyspnoea, X-ray abnormal
|
I was sitting down and then all of sudden it felt like my heart stopped and it took the breathe out ...
I was sitting down and then all of sudden it felt like my heart stopped and it took the breathe out of me. And i felt weird i went to the ER and they did an XRay and they found right branch block and i had to get a pace maker put in.
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| 2841643 | 1.25 | M | TN | 05/19/2025 |
DTAP HEPA VARCEL |
GLAXOSMITHKLINE BIOLOGICALS MERCK & CO. INC. MERCK & CO. INC. |
B532G Y012054 X024648 |
Injection site bruising, Injection site erythema, Injection site swelling, Injec...
Injection site bruising, Injection site erythema, Injection site swelling, Injection site warmth, Pyrexia; Injection site bruising, Injection site erythema, Injection site swelling, Injection site warmth, Pyrexia; Injection site bruising, Injection site erythema, Injection site swelling, Injection site warmth, Pyrexia
More
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Left thigh with bruising and redness after Dtap vaccine on 5/16/25. Saturday morning it was red and ...
Left thigh with bruising and redness after Dtap vaccine on 5/16/25. Saturday morning it was red and hot to touch, 101 fever, swollen. Fever continued through Sunday. Parents gave Tylenol & Ibuprofen and at visit on 5/19/25, report that Patient is improving and have pictures which show that he is improving. At office visit on 5/19/25, physician advised mom to do the following: Start 1/4 tsp Zyrtec daily, local compress. Call if fever returns, does not bear weight, and/or for other concerns.
More
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| 2841644 | 0.08 | F | ID | 05/19/2025 |
DTAP PNC20 RV5 |
SANOFI PASTEUR PFIZER\WYETH MERCK & CO. INC. |
U7921AA MF0415 Y005907 |
Inappropriate schedule of product administration; Inappropriate schedule of prod...
Inappropriate schedule of product administration; Inappropriate schedule of product administration; Inappropriate schedule of product administration
More
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Vaccine was given 4 days before recommended date of 5/12/25
Vaccine was given 4 days before recommended date of 5/12/25
|
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| 2841645 | 88 | F | OR | 05/19/2025 |
COVID19 COVID19 |
MODERNA MODERNA |
|
Arthralgia, Asthenia, COVID-19, Nasopharyngitis, Neck pain; Pain, SARS-CoV-2 tes...
Arthralgia, Asthenia, COVID-19, Nasopharyngitis, Neck pain; Pain, SARS-CoV-2 test negative, SARS-CoV-2 test positive
More
|
pt says she started feeling like she was getting a cold. She was tested for Covid twice and both tim...
pt says she started feeling like she was getting a cold. She was tested for Covid twice and both times were negative. By that following Monday, May 12th, she had a full blown cold and was tested again and she was Covid positive. She says her right shoulder and neck are sore and painful. No fever or chills. Just has body aches and cold symptoms along with some weakness. She says she is still achy. She will contact her doctors office to let the know she is having symptoms.
More
|
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| 2841646 | 66 | F | SC | 05/19/2025 |
RSV |
PFIZER\WYETH |
ll8398 |
Device connection issue
Device connection issue
|
Syringe adaptor became unattached while drawing up the dose, resulting in loss of product and inabil...
Syringe adaptor became unattached while drawing up the dose, resulting in loss of product and inability to administer to patient.
More
|
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| 2841647 | 81 | F | MN | 05/19/2025 |
COVID19 |
MODERNA |
3046731 |
Meningitis
Meningitis
|
Patient was hospitalized with meningitis.
Patient was hospitalized with meningitis.
|
โ | |||||
| 2841648 | 0.17 | F | IL | 05/19/2025 |
RV5 |
MERCK & CO. INC. |
2096661 |
No adverse event, Product administration error
No adverse event, Product administration error
|
No adverse events, just vaccine administration error
No adverse events, just vaccine administration error
|
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| 2841649 | 4 | F | NC | 05/19/2025 |
DTAPIPV MMRV |
GLAXOSMITHKLINE BIOLOGICALS MERCK & CO. INC. |
YN2X2 Y018163 |
Injection site cellulitis, Injection site erythema, Injection site pain; Injecti...
Injection site cellulitis, Injection site erythema, Injection site pain; Injection site cellulitis, Injection site erythema, Injection site pain
More
|
Patient had pain and redness at injection site 1-2 days after administration, diagnosed with celluli...
Patient had pain and redness at injection site 1-2 days after administration, diagnosed with cellulitis and treated with mupirocin and Cefdinir.
More
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| 2841650 | 75 | F | WA | 05/19/2025 |
COVID19 |
PFIZER\BIONTECH |
ME607210 |
Unevaluable event
Unevaluable event
|
patient received vaccine, left the immunization room and then husband was asking out loud for smelli...
patient received vaccine, left the immunization room and then husband was asking out loud for smelling salts
More
|
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| 2841651 | 16 | F | KY | 05/19/2025 |
MNQ |
NOVARTIS VACCINES AND DIAGNOSTICS |
343DD |
Injection site erythema, Injection site pruritus, Injection site warmth
Injection site erythema, Injection site pruritus, Injection site warmth
|
Mom brought pt to clinic next day 5-13-25 at approx 3:15pm to report erythema, itching, and warmth t...
Mom brought pt to clinic next day 5-13-25 at approx 3:15pm to report erythema, itching, and warmth to 1/3 of upper RUE, circumferential. Mom stated that pt began experiencing itching and redness approx 8-12h after administration of Menveo on 5-12-25. Encouraged cold pack, OTC antihistamine, and IBU/APAP; worsening s/s or SOB to go to the nearest emergency room or dial 911. Attempted to contact pt on 5-15-25, 5-16, and 5-19-25 and unable to reach. VM left for parent to contact clinic for f/u.
More
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| 2841652 | 25 | M | VA | 05/19/2025 |
TDAP |
SANOFI PASTEUR |
U8232AA |
Circumstance or information capable of leading to medication error, Injection si...
Circumstance or information capable of leading to medication error, Injection site reaction, Scratch
More
|
Autistic patient who did not handle vaccinations well, once needle was inserted into skin, he pulled...
Autistic patient who did not handle vaccinations well, once needle was inserted into skin, he pulled away and the needle came out and scratched his skin. Mother of patient wanted to continue 2nd vaccine, same incident happened again and mom demanded injection be given the rest of the way, CMA then administered the 2nd vaccine but did not change needle. No adverse effects noted other than injection site scratch.
More
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| 2841653 | 12 | M | NM | 05/19/2025 |
HPV9 MNQ TDAP |
MERCK & CO. INC. SANOFI PASTEUR GLAXOSMITHKLINE BIOLOGICALS |
Y007197 U8375AA 333BM |
Dizziness, Fall, Head injury; Dizziness, Fall, Head injury; Dizziness, Fall, Hea...
Dizziness, Fall, Head injury; Dizziness, Fall, Head injury; Dizziness, Fall, Head injury
More
|
After administering vaccines client complained of pain to left deltoid where HPV was administered. C...
After administering vaccines client complained of pain to left deltoid where HPV was administered. Client remained sitting on chair while this nurse spoke with the mother. The mother asked if she could have some condoms for her other teenage son. This nurse went to get the condoms and when returned, was approached by mother outside of exam room. Was speaking to mother, when heard a thump/noise and turned around to find that client was on floor sitting with back against the wall, with head leaning to right side by door going out to waiting area of clinic. This nurse yelled for help, and clerks from front came to help. Went to client's side and examined him for injuries, with mother at side. Client was awake alert and oriented x4. Noticed that client had some redness by right eye. Client said that he got dizzy, fell, and hit his head. Client vital signs were taken, BP 125/86, heart rate 71, pulse 65, oxygen 95%-99% via room air. With the help of mother, helped client get up and was taken back to exam room. Mother was asked if she wanted us to call an ambulance and mother replied 'no." Client in exam room denied any dizziness or nausea. Client stated that his head hurt 7/10. Had client lie flat on back on the examination table with feet elevated. Ice pack was placed where client had the redness by right eye, no swelling was noted. No redness or swelling noted on areas of vaccine administration. Client was given some orange juice and was conversing. Called Nurse Manager via phone call and informed her. Called Dr. via phone call to inform him and he advised that out of an abundance of precaution; mother should take client to the ER due to client stating that he hit his head. Mother agreed and said she would be taking client to ER. With the help of clerks and this nurse, client was transferred via wheelchair to mother's vehicle. Client's mother was called later the evening of 5/16/2025 by Manager and mother stated that she had taken her son to the ER and that he was "fine."
More
|
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| 2841654 | 29 | F | CO | 05/19/2025 |
HEP |
GLAXOSMITHKLINE BIOLOGICALS |
4D333 |
Underdose
Underdose
|
Provider ordered Engerix-B (Hep B). Nurse prepared, had a second member of the team perform a secon...
Provider ordered Engerix-B (Hep B). Nurse prepared, had a second member of the team perform a second check, and administered the Pediatric variation, instead of the adult variation that was ordered. She was made aware of the error when she was documenting, as the lot number was not available to select. Nurse notified the provider who advised patient to return in a week to receive the adult dose. Patient notified and scheduled to return. The nurse advised that being new to primary care, was unaware that there was an adult and pediatric dose. Noted that the syringe is not clearly marked as adult or pediatric, although the packaging does indicate which it is.
More
|
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| 2841655 | 55 | F | 05/19/2025 |
MNQ |
NOVARTIS VACCINES AND DIAGNOSTICS |
LN75D |
Erythema, Injection site erythema, Injection site pain, Pyrexia, Swelling
Erythema, Injection site erythema, Injection site pain, Pyrexia, Swelling
|
Swelling, injection site pain, redness, fever > 101F, all beginning one day post injection. Fever...
Swelling, injection site pain, redness, fever > 101F, all beginning one day post injection. Fever has subsided, but injection site and surrounding areas are still red. Patient has been icing the area.
More
|
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| 2841656 | 24 | F | MN | 05/19/2025 |
DTAP |
SANOFI PASTEUR |
U8122AA |
Erythema, Swelling
Erythema, Swelling
|
Redness 2 x 2 inches Right Arm. Mild swelling
Redness 2 x 2 inches Right Arm. Mild swelling
|
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| 2841657 | 1 | M | MA | 05/19/2025 |
HEPA MMR PNC20 |
MERCK & CO. INC. MERCK & CO. INC. PFIZER\WYETH |
Y015027 Y013131 |
Injection site rash, Injection site reaction, Urticaria; Injection site rash, In...
Injection site rash, Injection site reaction, Urticaria; Injection site rash, Injection site reaction, Urticaria; Injection site rash, Injection site reaction, Urticaria
More
|
Mom reported rash/welt appeared two days after vaccine on 5/17/25 on right anterior thigh. He had He...
Mom reported rash/welt appeared two days after vaccine on 5/17/25 on right anterior thigh. He had Hep A and Prevnar 20 in this thigh. Vaccines were administered on 5/15/25. Mom reported on 5/19/25 that rash improved/resolved.
More
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| 2841658 | 1.67 | F | CA | 05/19/2025 |
DTAP DTAP HEPA HEPA MMR MMR |
GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS MERCK & CO. INC. MERCK & CO. INC. MERCK & CO. INC. MERCK & CO. INC. |
|
Alopecia, Asthma, Eczema, Erythema, Food allergy; Gluten sensitivity, Milk aller...
Alopecia, Asthma, Eczema, Erythema, Food allergy; Gluten sensitivity, Milk allergy, Rash; Alopecia, Asthma, Eczema, Erythema, Food allergy; Gluten sensitivity, Milk allergy, Rash; Alopecia, Asthma, Eczema, Erythema, Food allergy; Gluten sensitivity, Milk allergy, Rash
More
|
Patient had been drinking almond milk after she turned 1 for 8 months leading to her vaccinations. S...
Patient had been drinking almond milk after she turned 1 for 8 months leading to her vaccinations. She had no issues with nuts, no asthma, no allergies, and no skin conditions. After receiving her first dose of vaccines, she began to develop allergies to foods she had eaten before, severe eczema, and asthma. She has been suffering for the last 5 years. She has been on an alternative vaccine schedule however after each vaccine her symptoms have gotten progressively worse. She now is unable to eat gluten, takes multiple medications and suffers daily from hair loss and skin rashes. Most recently, she went in for her next set of vaccines and now has been dealing with redness in her face, severe allergies and severe eczema.
More
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| 2841660 | 50 | F | TX | 05/19/2025 |
PNC20 PNC20 |
PFIZER\WYETH PFIZER\WYETH |
MA2519 MA2519 |
Arthralgia, Injection site erythema, Injection site induration, Injection site s...
Arthralgia, Injection site erythema, Injection site induration, Injection site swelling, Injection site warmth; Lymphadenopathy, Neck pain, Pain
More
|
Patient reported redness, swelling, and warmth around injection site starting the next morning afte...
Patient reported redness, swelling, and warmth around injection site starting the next morning after vaccination. The redness was approximately 3x5 inch with a 2x2 inch induration centered around injection site. Patient also reported joint pain in the left shoulder radiating up neck. Also, patient reports swelling of left axial lymphth nodes. Patient took ibuprofen for 3 days, and pain, swelling, redness, and induration were all significantly improved. One week after injection, patient still has a small amount of redness and warmth around injection site, but says she is "significantly better".
More
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| 2841661 | 21 | F | ME | 05/19/2025 |
HEP |
DYNAVAX TECHNOLOGIES CORPORATION |
941061 |
No adverse event, Wrong product administered
No adverse event, Wrong product administered
|
Patient came in for a HPV9 (Gardasil 9) vaccine but received a HepB (Heplisav-b) vaccine instead. Th...
Patient came in for a HPV9 (Gardasil 9) vaccine but received a HepB (Heplisav-b) vaccine instead. The patient did not have any side effects or symptoms. This was discovered when the patient came in for their physical on 4/16/25.
More
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| 2841662 | 10 | M | MI | 05/19/2025 |
MNQ |
SANOFI PASTEUR |
U8493AA |
Unevaluable event
Unevaluable event
|
none
none
|
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| 2841663 | 9 | F | PA | 05/19/2025 |
HPV9 |
MERCK & CO. INC. |
Y012776 |
Keratosis pilaris, Rash, Tenderness
Keratosis pilaris, Rash, Tenderness
|
Keratosis Pilaris like rash on arm with mild tenderness. No swelling or decreased range of motion
Keratosis Pilaris like rash on arm with mild tenderness. No swelling or decreased range of motion
|
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| 2841664 | 71 | F | NC | 05/19/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
|
Injection site reaction, Rash erythematous, Rash pruritic
Injection site reaction, Rash erythematous, Rash pruritic
|
pt developed a red itchy rash 2 inches below the injection site.
pt developed a red itchy rash 2 inches below the injection site.
|
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| 2841665 | 0.42 | F | AR | 05/19/2025 |
HIBV |
SANOFI PASTEUR |
UK148AA |
No adverse event
No adverse event
|
N/A No adverse side effects
N/A No adverse side effects
|
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| 2841666 | 0.17 | M | FL | 05/19/2025 |
RV1 |
GLAXOSMITHKLINE BIOLOGICALS |
|
Diarrhoea, Infant irritability, Vomiting
Diarrhoea, Infant irritability, Vomiting
|
vomiting, diarrhea, irritability since receiving vaccine 13 days ago. Infant otherwise had normal VS...
vomiting, diarrhea, irritability since receiving vaccine 13 days ago. Infant otherwise had normal VSD, no PMH and pleasant baby.
More
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| 2841667 | 50 | M | MI | 05/19/2025 |
HEP |
GLAXOSMITHKLINE BIOLOGICALS |
K4JH7 |
Underdose
Underdose
|
Patient was given a pediatric dose instead of an adult dosenone
Patient was given a pediatric dose instead of an adult dosenone
|
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| 2841668 | 71 | M | TN | 05/19/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
75GZ7 |
Hypersensitivity, Lethargy
Hypersensitivity, Lethargy
|
Patient had allergic reaction and lethargy - wife got concerned and took him to ER - Got discharged ...
Patient had allergic reaction and lethargy - wife got concerned and took him to ER - Got discharged for ER and he is doing ok - I called on Friday evening and Monday morning to check up on him - and wife stated that he is okay.
More
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| 2841669 | 0.5 | M | IN | 05/19/2025 |
DTPPVHBHPB PNC20 |
MSP VACCINE COMPANY PFIZER\WYETH |
U7907AA HM5980 |
Hypotonia, Tremor; Hypotonia, Tremor
Hypotonia, Tremor; Hypotonia, Tremor
|
Approx 5 hours after vaccines were given, mom reports he was shaking all over and then went limp. S...
Approx 5 hours after vaccines were given, mom reports he was shaking all over and then went limp. She called 911 and was taking to Hospital. He was found to be afebrile with normal exam; no further testing was done. Note documents possibility of being connected to vaccines (pertussis?) given earlier that day. Mom was told to follow up with neurology but no appointment was ever given. Now he is doing well
More
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| 2841670 | 50 | F | TX | 05/19/2025 |
COVID19 |
MODERNA |
B0001 |
Expired product administered, No adverse event
Expired product administered, No adverse event
|
Patient was given expired vaccine, waited 15 mins after vaccine was given and did not have any sympt...
Patient was given expired vaccine, waited 15 mins after vaccine was given and did not have any symptoms after receiving the vaccine.
More
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| 2841671 | 57 | M | AZ | 05/19/2025 |
COVID19 |
PFIZER\BIONTECH |
|
Dizziness, Laboratory test, Postural orthostatic tachycardia syndrome, Tilt tabl...
Dizziness, Laboratory test, Postural orthostatic tachycardia syndrome, Tilt table test
More
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Dizzy, light headed after shot. Had to sit for 15 min after. Felt dizzy for a while after. 10 days ...
Dizzy, light headed after shot. Had to sit for 15 min after. Felt dizzy for a while after. 10 days later developed postural tachycardia and was hospitalized. Have had POTS symptoms for 14 months. Neurologist today diagnosed POTS from vaccine injury.
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| 2841672 | 16 | M | TN | 05/19/2025 |
MENB |
NOVARTIS VACCINES AND DIAGNOSTICS |
7MN4C |
Injection site erythema, Injection site haemorrhage, Injection site induration, ...
Injection site erythema, Injection site haemorrhage, Injection site induration, Injection site pain, Injection site swelling
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Patient reports that about 2 hours after the vaccine was administered in his right arm, he had pain ...
Patient reports that about 2 hours after the vaccine was administered in his right arm, he had pain at the injection site and a bump developed. He reports that some blood drained from the bump yesterday (5/18/25). He presented to the office today to get checked. There was an approximately 1 cm diameter pink raised and indurated area at the right upper arm. He had been given MenQuadfi at the left arm and no reaction was noted. He does have underlying eczema and keratosis pilaris for which he uses the prescription steroid creams. He was also diagnosed with nickel allergy on the same day as his vaccination appointment and the rash on his belly improved greatly with changing to a belt with a plastic rather than a metal buckle. He was prescribed mupirocin ointment to use on the reddened area and instructed to start duricef by mouth if the area of redness became larger.
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| 2841673 | 5 | F | OK | 05/19/2025 |
MMRV MMRV |
MERCK & CO. INC. MERCK & CO. INC. |
X024913 |
Expired product administered, No adverse event; Expired product administered, No...
Expired product administered, No adverse event; Expired product administered, No adverse event
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No side effects or symptoms reported; patient received a dose of expired PROQUAD; This spontaneous r...
No side effects or symptoms reported; patient received a dose of expired PROQUAD; This spontaneous report was received from a nurse and refers to a 5-year-old female patient. Her concurrent conditions, medical history and concomitant therapies were not provided. On 24-APR-2025, the patient was vaccinated with a dose of Measles, Mumps, Rubella and Varicella (Oka-Merck) Virus Vaccine (PROQUAD) 0.5 ml, lot # X024913, expiration date 14-APR-2025 (Expired product administered). No adverse events were reported.
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| 2841674 | M | FL | 05/19/2025 |
VARCEL |
MERCK & CO. INC. |
y017063 |
No adverse event, Product container issue
No adverse event, Product container issue
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he might have been exposed to the product as he picked up the glass with his fingers.; Caller initia...
he might have been exposed to the product as he picked up the glass with his fingers.; Caller initially stated that he had a vial of VARIVAX that was cracked. Upon asking further questions, the HBP stated that the vial was actually broken into two of more pieces and was held together by the sticker with the product information; No additional AE/PQC; This spontaneous report was received from a consumer or other non-health professional and refers to a male patient of unknown age. The patient's medical history was not reported. The patient's concurrent conditions were not reported. Concomitant therapies were not reported. Varicella Virus Vaccine Live (Oka-Merck) (VARIVAX), (lot #y017063, expiration date: 11-Oct-2026) for an unknown indication. On an unknown date, the patient started therapy with sterile diluent (MERCK STERILE DILUENT), (indication, expiration date, and lot # were not reported). On an unknown date, patient stated that he had a vial of Varicella Virus Vaccine Live (Oka-Merck) (VARIVAX), (lot #y017063, expiration date: 11-Oct-2026) that was cracked. The vial was actually broken into two of more pieces and was held together by the sticker with the product information (Product container issue). Caller stated that there was no injury or missed doses, but he might have been exposed to the product as he picked up the glass with his fingers (Occupational exposure to product). No additional adverse event was reported.
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| 2841675 | NY | 05/19/2025 |
MMR |
MERCK & CO. INC. |
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Measles antibody negative, Mumps antibody test negative, Rubella antibody negati...
Measles antibody negative, Mumps antibody test negative, Rubella antibody negative
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Specialist called and transferred HCP on the line who stated that the adult patient received all the...
Specialist called and transferred HCP on the line who stated that the adult patient received all their childhood vaccinations but showed no immunity to measles, mumps, and rubella. HCP did not have any past vaccination details and was unsure if the p; Specialist called and transferred HCP on the line who stated that the adult patient received all their childhood vaccinations but showed no immunity to measles, mumps, and rubella. HCP did not have any past vaccination details and was unsure if the p; Specialist called and transferred HCP on the line who stated that the adult patient received all their childhood vaccinations but showed no immunity to measles, mumps, and rubella. HCP did not have any past vaccination details and was unsure if the p; This spontaneous report was received from a Pharmacist and refers to an Adult patient of unknown gender (exact age unknown). The patient's medical history was not reported. The patient's concurrent conditions were not reported. Concomitant therapies were not reported. On an unknown date, the patient started therapy with Measles, Mumps, and Rubella (Wistar RA 27-3) Virus Vaccine, Live (M-M-R II) administered with sterile diluent (MERCK STERILE DILUENT) (dose, formulation, route and site of administration, lot # and expiration date were not reported) as routine vaccinations. It was stated that the patient had received all their childhood vaccinations, but showed no immunity to measles, mumps, and rubella (Mumps antibody test negative, Rubella antibody negative, and Measles antibody negative). The health care professional (HCP) did not have any past vaccination details and was unsure if the patient received MMR-II previously. HCP did not have any additional information on the "no immunity". No additional information. Lot # is being requested and will be submitted if received.
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| 2841676 | 0.5 | OK | 05/19/2025 |
MMRV |
MERCK & CO. INC. |
Y013573 |
No adverse event, Product administered to patient of inappropriate age
No adverse event, Product administered to patient of inappropriate age
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no symptoms reported; patient who was inadvertently administered PROQUAD at younger than indicated a...
no symptoms reported; patient who was inadvertently administered PROQUAD at younger than indicated age on 04/25/2025; This spontaneous report was received from a registered nurse (R. N.) concerning a 6-month-old (reported as "6-months and 8-days old") patient of unspecified gender. The patient's medical history, concurrent conditions and drug reactions/allergies were not reported. Rotavirus Vaccine, Live, Oral, Pentavalent (Rotateq), Haemophilus b Conjugate Vaccine (Meningococcal Protein Conjugate) (LIQUID PEDVAX HIB), Pneumococcal vaccine conj 20v (CRM197) (Prevnar 20), and Diphtheria vaccine toxoid (+) Hepatitis b vaccine rHBsAg (yeast) (+) Pertussis vaccine acellular 3-component (+) Polio vaccine inact 3v (Vero) (+) Tetanus vaccine toxoid (Pediarix) were administered concomitantly with the suspect vaccine. On 25-Apr-2025, the patient was inadvertently administered Measles, Mumps, Rubella and Varicella (Oka-Merck) Virus Vaccine Live (PROQUAD) at younger than indicated age (batch/lot number Y013573 has been verified to be a valid batch/lot number for Measles, Mumps, Rubella and Varicella (Oka-Merck) Virus Vaccine Live, expiration date reported and upon internal validation established as 03-Feb-2026) 0.5 mL (0.5mL/dose) administered as prophylaxis (dosage regimen, anatomical location and route of administration were not reported) (product administered to patient of inappropriate age), which was diluted with sterile diluent (expiration date and lot # were not reported.) There were no symptoms or additional adverse events (AE) details reported. Lot # is being requested and will be submitted if received.
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