| ID | Age | Sex | State | Date โผ | Onset Days | Vaccine | Manufacturer | Lot # | Symptoms | Narrative | ๐ | ๐ฅ | ๐ | โฟ | โ ๏ธ |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2840042 | 36 | F | MA | 05/08/2025 |
HEP |
GLAXOSMITHKLINE BIOLOGICALS |
42B22 |
No adverse event, Wrong product administered
No adverse event, Wrong product administered
|
Patient came in for a post-partum visit 5/2/2025, patient was due for her second dose of hep b vacci...
Patient came in for a post-partum visit 5/2/2025, patient was due for her second dose of hep b vaccine on 2/23/2025 but did not schedule appt. After collaboration with Dr. it was agreed she will receive her 2nd dose today during the appt. Upon getting the vaccine ready, I acciedntly pulled the Heb P vaccine from the state vaccine section in our vaccine refrigerator (pediatric dose 0.5 mL) and administered the hep b vaccine to patient. I was aware that I made this misake as I was in patient chart to document vaccine and the lot number was not populating in the state nor the private vaccine section. Asked Nursing Supervisor for assistance. She investigated and informed me that I pulled the wrong vaccine from fridge. Patient was called and informed of this situation and has been rescheduled for a nurse visit to get the correct dose of the Heb Vaccine. Pt had no adverse reaction outside of the need to repeat dose w/the 1 mL vaccine.
More
|
||||||
| 2840043 | 70 | F | NC | 05/08/2025 |
VARZOS VARZOS |
GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS |
31994 31994 |
Chills, Decreased appetite, Fatigue, Headache, Influenza like illness; Pyrexia
Chills, Decreased appetite, Fatigue, Headache, Influenza like illness; Pyrexia
|
Severe flu like symptoms: fatigue, headache, chills, fever, and reduced appetite lasting for longer ...
Severe flu like symptoms: fatigue, headache, chills, fever, and reduced appetite lasting for longer than expected (4 days).
More
|
||||||
| 2840044 | 72 | M | FL | 05/08/2025 |
PNC20 |
PFIZER\WYETH |
LX4482 |
Pneumonia
Pneumonia
|
Patient received 2 pneumonia doses within one year's time -- first dose administered on 8/10/20...
Patient received 2 pneumonia doses within one year's time -- first dose administered on 8/10/2024; second dose given on 5/7/2025. Patient has not reported any adverse effects to date.
More
|
||||||
| 2840045 | 55 | F | NH | 05/08/2025 |
PNC20 PNC20 |
PFIZER\WYETH PFIZER\WYETH |
IMM21058 IMM21058 |
Fatigue, Immediate post-injection reaction, Injection site erythema, Injection s...
Fatigue, Immediate post-injection reaction, Injection site erythema, Injection site pain, Injection site swelling; Mobility decreased
More
|
Immediate and extreme pain in the injection site. Inability to lift arm for 48 hours. Pain is decrea...
Immediate and extreme pain in the injection site. Inability to lift arm for 48 hours. Pain is decreasing now and mobility is increasing but it is still painful four days later. Redness, swelling at injection site is still present four days later. Extreme exhaustion for several days.
More
|
||||||
| 2840047 | 2 | M | NY | 05/08/2025 |
PNC21 |
MERCK & CO. INC. |
Y019158 |
No adverse event, Wrong product administered
No adverse event, Wrong product administered
|
LPN, gave Pneumococcal Conjugate 21 today in place of Prevnar 20 in error; Time 5/8 at 1028am; No re...
LPN, gave Pneumococcal Conjugate 21 today in place of Prevnar 20 in error; Time 5/8 at 1028am; No reaction thus far
More
|
||||||
| 2840048 | 18 | F | MI | 05/08/2025 |
COVID19 |
PFIZER\BIONTECH |
LP1776 |
Expired product administered
Expired product administered
|
vaccine give after expiration date of 4/25/26
vaccine give after expiration date of 4/25/26
|
||||||
| 2840049 | 7 | M | NV | 05/08/2025 |
DTAP |
SANOFI PASTEUR |
3ca20c1 |
Product administered to patient of inappropriate age
Product administered to patient of inappropriate age
|
PT was given a Dtap even though they are seven and it is indicated for ages up to 6.
PT was given a Dtap even though they are seven and it is indicated for ages up to 6.
|
||||||
| 2840050 | 73 | M | MA | 05/08/2025 |
FLU3 |
SANOFI PASTEUR |
UT8437DA |
Hyperlipidaemia, Muscle strength normal, Pain, Sensory level normal
Hyperlipidaemia, Muscle strength normal, Pain, Sensory level normal
|
Left arm pain... Onset: november context: covid vaccine in left arm, flu in the right Constant pai...
Left arm pain... Onset: november context: covid vaccine in left arm, flu in the right Constant pain since then, sometimes radiating to fingers states pain in the muscle than the joint active rom is painful pt thinks related to vaccine, shoulder injury after vaccines limits his activity somewhat, does a lot of landscaping (rocks, wheelbarrels) []exam today= MUSCULOSKELETAL: no ttp over muscles, has good rom, but painful in abduction/internal rotation/external rotation, some crepitus on articulation fo left shoulder joint NEURO: bilateral upper ext strength 5/5, intact prinprick sensation of left upper extremity
More
|
||||||
| 2840051 | 2 | F | CA | 05/08/2025 |
DTAPIPV |
GLAXOSMITHKLINE BIOLOGICALS |
Y49BZ |
No adverse event, Product administered to patient of inappropriate age
No adverse event, Product administered to patient of inappropriate age
|
NO REACTION, PATIENT WAS NOT OF AGE TO RECEIVE,
NO REACTION, PATIENT WAS NOT OF AGE TO RECEIVE,
|
||||||
| 2840052 | 16 | F | TN | 05/08/2025 |
MENB MENB MNQ MNQ MENB MENB MNQ MNQ |
NOVARTIS VACCINES AND DIAGNOSTICS NOVARTIS VACCINES AND DIAGNOSTICS NOVARTIS VACCINES AND DIAGNOSTICS NOVARTIS VACCINES AND DIAGNOSTICS NOVARTIS VACCINES AND DIAGNOSTICS NOVARTIS VACCINES AND DIAGNOSTICS NOVARTIS VACCINES AND DIAGNOSTICS NOVARTIS VACCINES AND DIAGNOSTICS |
3E99M 3E99M DD72H DD72H 3E99M 3E99M |
Body temperature increased, Headache, Injection site hypoaesthesia, Injection si...
Body temperature increased, Headache, Injection site hypoaesthesia, Injection site pain, Ultrasound scan abnormal; Injected limb mobility decreased, Injection site erythema, Injection site hypoaesthesia, Injection site pain; Body temperature increased, Headache, Injection site hypoaesthesia, Injection site pain, Ultrasound scan abnormal; Injected limb mobility decreased, Injection site erythema, Injection site hypoaesthesia, Injection site pain; Body temperature increased, Headache, Injection site hypoaesthesia, Injection site pain, Ultrasound scan abnormal; Injected limb mobility decreased, Injection site erythema, Injection site hypoaesthesia, Injection site pain; Body temperature increased, Headache, Injection site hypoaesthesia, Injection site pain, Ultrasound scan abnormal; Injected limb mobility decreased, Injection site erythema, Injection site hypoaesthesia, Injection site pain
More
|
Menveo and Bexsero yesterday. Numbness close to injection site and pain in rest of the arm. No redne...
Menveo and Bexsero yesterday. Numbness close to injection site and pain in rest of the arm. No redness or swelling. Tmax 100.6. Headaches, but no vomiting, diarrhea, or dizziness. ?Her arm has numbness, it hit after lunch. This happened yesterday, they took ibuprofen and it helped. Her heart rate is elevated, her blood pressure is up, she's starting to run a fever. Right arm hurts. She can lift it and move it, if she moves too fast it hurts very bad. She does have a lot of fluid in her ears, that was checked yesterday. No upset stomach, no diarrhea. She has a throbbing headache. She had a blood pressure of 132/87, HR 128 at school.
More
|
||||||
| 2840053 | 0.5 | M | IN | 05/08/2025 |
DTPPVHBHPB HIBV PNC20 |
MSP VACCINE COMPANY SANOFI PASTEUR PFIZER\WYETH |
U7947AA UK107AB LJ5282 |
Injection site erythema, Injection site swelling, Injection site warmth; Injecti...
Injection site erythema, Injection site swelling, Injection site warmth; Injection site erythema, Injection site swelling, Injection site warmth; Injection site erythema, Injection site swelling, Injection site warmth
More
|
Pt. mother was called and informed on 5/1 that there had been a vaccine error. Pt. mother stated dur...
Pt. mother was called and informed on 5/1 that there had been a vaccine error. Pt. mother stated during phone call that pt. L thigh was red and swollen around injection site. Mother was advised to bring pt in to be seen. Upon being seen, it was noted by NP that pt. had a 3cm round area at injection site that was warm to the touch. Mother was sent home with antibiotic in the event that area on L thigh did not get better, and was advised to contact PCP NP should it get worse over the weekend.
More
|
||||||
| 2840054 | 75 | F | TX | 05/08/2025 |
RSV |
GLAXOSMITHKLINE BIOLOGICALS |
4bn95 |
Pain in extremity, Skin warm
Pain in extremity, Skin warm
|
Sore arm and warm spot after 3 weeks
Sore arm and warm spot after 3 weeks
|
||||||
| 2840055 | 1.5 | M | KS | 05/08/2025 |
MMR |
MERCK & CO. INC. |
Y007613 |
Patient isolation, Rash, Stomatitis
Patient isolation, Rash, Stomatitis
|
Rash covered body, has spots in mouth, ended up in the hospital and in isolation.
Rash covered body, has spots in mouth, ended up in the hospital and in isolation.
|
โ | |||||
| 2840056 | 92 | M | SC | 05/08/2025 |
PNC20 |
PFIZER\WYETH |
LC5482 |
Tremor
Tremor
|
Patient reports that the day after the vaccine was administered, he began to uncontrollably shake. P...
Patient reports that the day after the vaccine was administered, he began to uncontrollably shake. Patient described the shaking as violent and full body prompting him to go to the ER. Patient stated that shortly after arriving to the ER he was provided "fluids and antibiotics" and the shaking stopped. The patient reports that the hospital elected to keep him for a total of 4 days due to other concerns. He has not had any more symptom since initially arriving at the ER.
More
|
โ | |||||
| 2840057 | F | AL | 05/08/2025 |
HEP |
MERCK & CO. INC. |
4ZN3H |
Expired product administered
Expired product administered
|
EXPIRED VACCINE GIVEN ON 5/8/25. VACCINE EXPIRATION DATE 3/28/25. HEALTH DEPT AND MANUFACTURER REPRE...
EXPIRED VACCINE GIVEN ON 5/8/25. VACCINE EXPIRATION DATE 3/28/25. HEALTH DEPT AND MANUFACTURER REPRESENTATIVE CONTACTED, INSTRUCTED THAT VACCINE WILL HAVE TO BE REDOSED AT A LATER TIME AND THAT A VAERS REPORT NEEDED TO BE SUBMITTED.
More
|
|||||||
| 2840058 | 0.5 | F | NC | 05/08/2025 |
DTAPIPV PNC20 RV5 |
GLAXOSMITHKLINE BIOLOGICALS PFIZER\WYETH MERCK & CO. INC. |
34MF9 HE6169 X008015 |
Unevaluable event; Unevaluable event; Unevaluable event
Unevaluable event; Unevaluable event; Unevaluable event
|
None
None
|
||||||
| 2840059 | 7 | F | UT | 05/08/2025 |
HPV9 |
MERCK & CO. INC. |
Y008119 |
Product administered to patient of inappropriate age
Product administered to patient of inappropriate age
|
client was 7 years old
client was 7 years old
|
||||||
| 2840060 | 24 | F | CO | 05/08/2025 |
TDAP |
SANOFI PASTEUR |
u8232aa |
Chills, Headache, Muscle disorder, Nausea, Seizure like phenomena
Chills, Headache, Muscle disorder, Nausea, Seizure like phenomena
|
Patient reported nausea, chills, muscles HA around 1 hour later and states suspected seizure like ac...
Patient reported nausea, chills, muscles HA around 1 hour later and states suspected seizure like activity overnight.
More
|
||||||
| 2840061 | 18 | F | MI | 05/08/2025 |
MENB |
NOVARTIS VACCINES AND DIAGNOSTICS |
52n4s |
Fall, Loss of consciousness
Fall, Loss of consciousness
|
As Patient was leaving after being checked out fell down unconscious.
As Patient was leaving after being checked out fell down unconscious.
|
||||||
| 2840062 | 44 | M | IN | 05/08/2025 |
COVID19 |
MODERNA |
|
Arrhythmia, Cardiac monitoring abnormal, Cardiac ventricular thrombosis, Cathete...
Arrhythmia, Cardiac monitoring abnormal, Cardiac ventricular thrombosis, Catheterisation cardiac abnormal, Myocardial infarction
More
|
Abnormal heart rhythm followed by a blood clot and heart attack.
Abnormal heart rhythm followed by a blood clot and heart attack.
|
โ | โ | โ | |||
| 2840063 | 9 | F | NC | 05/08/2025 |
PNC20 |
PFIZER\WYETH |
|
Injection site rash, Rash
Injection site rash, Rash
|
She broke out on a rash around the shot site and then it spread to her cheeks, chest, and legs
She broke out on a rash around the shot site and then it spread to her cheeks, chest, and legs
|
||||||
| 2840064 | 71 | M | CA | 05/08/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
75D3A |
Injection site swelling, Rash
Injection site swelling, Rash
|
Patient reporting having mild rash all over his body, and injection site is worse starting 5 days af...
Patient reporting having mild rash all over his body, and injection site is worse starting 5 days after injection. Injection site is also swollen per patient.
More
|
||||||
| 2840066 | 53 | F | CO | 05/08/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
GA99K |
Rash, Skin warm
Rash, Skin warm
|
Rash, hot to the touch
Rash, hot to the touch
|
||||||
| 2840067 | 53 | M | WI | 05/08/2025 |
HEP TDAP |
DYNAVAX TECHNOLOGIES CORPORATION GLAXOSMITHKLINE BIOLOGICALS |
945664 Y3Z9P |
Dysgeusia, Immediate post-injection reaction; Dysgeusia, Immediate post-injectio...
Dysgeusia, Immediate post-injection reaction; Dysgeusia, Immediate post-injection reaction
More
|
Patient stated he tasted a metalic taste in mouth while Heplisav was being administered. Seconds lat...
Patient stated he tasted a metalic taste in mouth while Heplisav was being administered. Seconds later he then felt fine. Patient was instructed to monitor for any additional side effects.
More
|
||||||
| 2840068 | 31 | M | CA | 05/08/2025 |
COVID19 |
JANSSEN |
206A21A |
Type 1 diabetes mellitus
Type 1 diabetes mellitus
|
I was diagnosed with Type 1 Diabetes two years later
I was diagnosed with Type 1 Diabetes two years later
|
โ | โ | โ | |||
| 2840069 | 0.25 | M | IL | 05/08/2025 |
RV5 |
MERCK & CO. INC. |
2117043 |
Urticaria
Urticaria
|
12:20 pm Rotavirus vaccine started, 12:22 pm hives started, 12:25 pm 2.5 ml Benadryl given po, 1...
12:20 pm Rotavirus vaccine started, 12:22 pm hives started, 12:25 pm 2.5 ml Benadryl given po, 12:35 pm reaction was less erythematous, 12:45 pm even less erythematous and parents were ready to go home. Patient did not develop respiratory distress during reaction and observation. Script for prednisolone 2 ml po BID x 3 days given and is to be started if hives persist beyond 1 hour. To ER if breathing problems develop or RTC 5/12/25 if hives persist.
More
|
||||||
| 2840070 | 42 | F | CA | 05/08/2025 |
HEP HEP VARZOS VARZOS |
DYNAVAX TECHNOLOGIES CORPORATION DYNAVAX TECHNOLOGIES CORPORATION GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS |
945664 945664 3334Y 3334Y |
Chills, Dizziness, Headache, Injection site pain, Pharyngeal swelling; Pyrexia, ...
Chills, Dizziness, Headache, Injection site pain, Pharyngeal swelling; Pyrexia, Throat tightness; Chills, Dizziness, Headache, Injection site pain, Pharyngeal swelling; Pyrexia, Throat tightness
More
|
In the evening of the day I received the vaccines, I first experienced chills, along with the sorene...
In the evening of the day I received the vaccines, I first experienced chills, along with the soreness at the injection sites. This changed to several hours of fever, dizziness, and headache. I also felt tightness in the throat when swallowing. The next day, Wednesday, I experienced chills again, along with extreme dizziness and headache. Today, Thursday, I am experiencing dizziness and continuing soreness at the injection sites.
More
|
||||||
| 2840071 | 32 | F | GA | 05/08/2025 |
TDAP |
GLAXOSMITHKLINE BIOLOGICALS |
l5229 |
Extra dose administered
Extra dose administered
|
Pt came in to pick up Rx. We were prompted in our que that she was due for Tdap and HPV. We offered ...
Pt came in to pick up Rx. We were prompted in our que that she was due for Tdap and HPV. We offered the vaccinations and patient accepted. I pulled database and saw she was due for Tdap and HPV and printed screen. There was no report that it had been given at other location. I gave the shot after confirming multiple times that patient was about to get Tdap and HPV.
More
|
||||||
| 2840072 | 1 | F | GA | 05/08/2025 |
HEPA MMRV VARCEL |
MERCK & CO. INC. MERCK & CO. INC. MERCK & CO. INC. |
Y008338 Y014438 Y013073 |
Extra dose administered; Extra dose administered; Extra dose administered
Extra dose administered; Extra dose administered; Extra dose administered
|
Given Proquad instead of MMR. Was given the same time as Varivax so 2 doses of Varicella vaccines.
Given Proquad instead of MMR. Was given the same time as Varivax so 2 doses of Varicella vaccines.
|
||||||
| 2840073 | 82 | F | TX | 05/08/2025 |
VARZOS VARZOS |
GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS |
|
Abdominal pain upper, Asthenia, Chills, Diarrhoea, Fatigue; Injection site pain,...
Abdominal pain upper, Asthenia, Chills, Diarrhoea, Fatigue; Injection site pain, Pyrexia
More
|
arm tenderness at injection site; stomach pain; diarrhea; shivering; fever; weakness; extreme fatiqu...
arm tenderness at injection site; stomach pain; diarrhea; shivering; fever; weakness; extreme fatique for 3 days; no treatment
More
|
||||||
| 2840074 | 47 | F | AS | 05/08/2025 |
IPV |
SANOFI PASTEUR |
W1C741M |
No adverse event, Wrong product administered
No adverse event, Wrong product administered
|
Patient requested PPD plant for work. Was administered with Polio 0.1 mL in error. Discussed with D...
Patient requested PPD plant for work. Was administered with Polio 0.1 mL in error. Discussed with Dr. Immunization ok to receive at this age and may serve as a booster. Upon review, IPV is safe to be administered intradermally. Patients may obtain booster. Only received 0.1 mL vs 0.5 mL which may serve as a therapeutic dose. Call to patient and advised of error. Advised immunization is safe via given route. She reports no immediate reaction. Stated understanding. Patient scheduled for administration of PPD.
More
|
||||||
| 2840075 | 8 | F | CA | 05/08/2025 |
FLU3 |
SANOFI PASTEUR |
UT8468LA |
Product storage error
Product storage error
|
Covid 19 vaccines was administered after the do no use beyond date.
Covid 19 vaccines was administered after the do no use beyond date.
|
||||||
| 2840076 | 63 | F | VA | 05/08/2025 |
TDAP |
SANOFI PASTEUR |
U8389AA |
Pain in extremity, Peripheral swelling
Pain in extremity, Peripheral swelling
|
Pt said her arm was sore and swollen and had to seek medical attention
Pt said her arm was sore and swollen and had to seek medical attention
|
||||||
| 2840077 | 23 | F | FL | 05/08/2025 |
UNK |
UNKNOWN MANUFACTURER |
Unknown |
Abortion spontaneous, Herpes zoster, Pain, Rash
Abortion spontaneous, Herpes zoster, Pain, Rash
|
My miscarriage occurred from Nov.9.2020- February2021 malpractice and shingles June 1st 2021 that ca...
My miscarriage occurred from Nov.9.2020- February2021 malpractice and shingles June 1st 2021 that cause the left side of my body was in agonizing pain for 3 months until they discover through the sores that opened up on my face it was shingles which has cause lasting issues I'm still dealing with due to the shot. I was completely healthy now my immunity compromised now.
More
|
||||||
| 2840078 | 55 | F | GA | 05/08/2025 |
TDAP VARZOS |
GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS |
l5229 7zm55 |
Product storage error; Product storage error
Product storage error; Product storage error
|
Patient received Boostrix on 2/17/25 and 5/5/25. She hasn't reported any AEs but we are reporti...
Patient received Boostrix on 2/17/25 and 5/5/25. She hasn't reported any AEs but we are reporting administration outside of normal range.
More
|
||||||
| 2840079 | 11 | F | AR | 05/08/2025 |
HPV9 PNC15 |
MERCK & CO. INC. MERCK & CO. INC. |
Y005465 Y008119 |
Product storage error; Product storage error
Product storage error; Product storage error
|
Phn went to the refrigerator and accidentally chose Prevnar 15 instead of HPV vaccine to give to pat...
Phn went to the refrigerator and accidentally chose Prevnar 15 instead of HPV vaccine to give to patient. Phn realized after giving vaccine what she had done. Patient and patient's mother were informed of what happened and hpv vaccine was then given to patient in the other arm.
More
|
||||||
| 2840080 | 53 | F | TX | 05/08/2025 |
PNC21 |
MERCK & CO. INC. |
Y019158 |
Injection site erythema, Injection site pain, Injection site swelling
Injection site erythema, Injection site pain, Injection site swelling
|
Redness at and around injection site, swollen, painful, spreading down arm below elbow after a few d...
Redness at and around injection site, swollen, painful, spreading down arm below elbow after a few days.
More
|
||||||
| 2840081 | 5 | F | CA | 05/08/2025 |
COVID19 FLU3 |
PFIZER\BIONTECH SANOFI PASTEUR |
LM2045 UT8468LA |
Expired product administered; Expired product administered
Expired product administered; Expired product administered
|
Covid 19 vaccine was administered after the do not use beyond date
Covid 19 vaccine was administered after the do not use beyond date
|
||||||
| 2840082 | 36 | F | MA | 05/08/2025 |
COVID19 COVID19 COVID19 COVID19 COVID19 COVID19 |
MODERNA MODERNA MODERNA MODERNA MODERNA MODERNA |
028L20A 028L20A 001A21A 001A21A 065F21A 065F21A |
Abortion spontaneous, Echocardiogram, Electrocardiogram, Fibrin D dimer increase...
Abortion spontaneous, Echocardiogram, Electrocardiogram, Fibrin D dimer increased, Laboratory test; Magnetic resonance imaging heart, Musculoskeletal pain, Myocarditis, Troponin increased; Abortion spontaneous, Echocardiogram, Electrocardiogram, Fibrin D dimer increased, Laboratory test; Magnetic resonance imaging heart, Musculoskeletal pain, Myocarditis, Troponin increased; Abortion spontaneous, Echocardiogram, Electrocardiogram, Fibrin D dimer increased, Laboratory test; Magnetic resonance imaging heart, Musculoskeletal pain, Myocarditis, Troponin increased
More
|
Beginning on/around August 2021, I was experiencing constant back pain in the upper left shoulder bl...
Beginning on/around August 2021, I was experiencing constant back pain in the upper left shoulder blade area. There was no relief. Lying down did not help, standing did not help, sitting did not help, Motrin did not help. After experiencing this pain for months, on/around 10/12/2021, I went to the Emergency Department at Hospital. My bloodwork resulted in a 2 day hospital stay at hospital.
More
|
โ | โ | ||||
| 2840083 | 20 | M | PR | 05/08/2025 |
HEP |
GLAXOSMITHKLINE BIOLOGICALS |
4BX39 |
Blood pressure decreased, Dizziness
Blood pressure decreased, Dizziness
|
The patient became dizzy and his blood pressure dropped after receiving the first dose of Engrerix B...
The patient became dizzy and his blood pressure dropped after receiving the first dose of Engrerix B 20mcg. His blood pressure was taken twice: 85/52 and 87/53. We gave him an ice pack, he lay down with his legs elevated, we got him water, and his mother brought him a chocolate bar because he hadn't had breakfast or lunch. After 20 minutes, his color improved, he felt well, and he left. N/A
More
|
||||||
| 2840084 | 8 | M | OR | 05/08/2025 |
TDAP |
SANOFI PASTEUR |
U8352AA |
Injection site erythema, Injection site pain
Injection site erythema, Injection site pain
|
24h after vaccination, noted to have tenderness and redness within 1 in of vaccine site. Over the ne...
24h after vaccination, noted to have tenderness and redness within 1 in of vaccine site. Over the next 12 hours redness spread to 6.5x6in area with fullness and some gait disruption (mild limp). No fever.
More
|
||||||
| 2840085 | 4 | F | CT | 05/08/2025 |
DTAPIPV MMRV |
GLAXOSMITHKLINE BIOLOGICALS MERCK & CO. INC. |
5G23D Y019173 |
Immediate post-injection reaction, Injection site reaction, Rash, Rash erythemat...
Immediate post-injection reaction, Injection site reaction, Rash, Rash erythematous, Urticaria; Immediate post-injection reaction, Injection site reaction, Rash, Rash erythematous, Urticaria
More
|
Immediately after administration of vaccines (less than a minute), a red rash appeared on abdomen, s...
Immediately after administration of vaccines (less than a minute), a red rash appeared on abdomen, spreading to cheeks, hives appeared on knees, red welts appeared around injection sites, covering upper left arm. Benadryl given, rash stopped spreading after Benadryl administration.
More
|
||||||
| 2840086 | 7 | F | CA | 05/08/2025 |
COVID19 FLU3 |
PFIZER\BIONTECH SANOFI PASTEUR |
LM2045 UT8468LA |
Expired product administered; Expired product administered
Expired product administered; Expired product administered
|
Covid 19 vaccine was administered to patient after the do not use beyond date.
Covid 19 vaccine was administered to patient after the do not use beyond date.
|
||||||
| 2840087 | 10 | M | CA | 05/08/2025 |
DTAP |
GLAXOSMITHKLINE BIOLOGICALS |
9kb9g |
No adverse event, Wrong product administered
No adverse event, Wrong product administered
|
There was no adverse effect reported but rather an incorrect vaccine administered to the patient bas...
There was no adverse effect reported but rather an incorrect vaccine administered to the patient based on their age. Patients guardian brought a list of vaccines requested by the school district. School requested DTap vaccine and Infanrix was given into the patient. The vaccine NDC: 58160-810-52(box) expiration:07/07/2026 and lot number 9KB9G. Dtap was delivered to patient even though they were supposed to receive Tdap based on their age (10 years old). The mistake was realized on 5/8/25 and the patient will be notified via phone call that they can receive Tdap vaccine via VFC program here at our pharmacy. ISMP reported and submitted 05/08/25 at 12:38 pm.
More
|
||||||
| 2840088 | 78 | M | MI | 05/08/2025 |
COVID19 |
PFIZER\BIONTECH |
MD3414 |
Chest pain
Chest pain
|
Started in the evening felt like having an Angina in the chest. It was short and each event would la...
Started in the evening felt like having an Angina in the chest. It was short and each event would last for 5-10 seconds, go away and come back again. It happened for 3 days at least 6 times a day spread out through out the day and each would last for 10 sec.
More
|
||||||
| 2840090 | 10 | M | CA | 05/08/2025 |
COVID19 FLU3 |
PFIZER\BIONTECH SANOFI PASTEUR |
LM2045 UT8468LA |
Expired product administered; Expired product administered
Expired product administered; Expired product administered
|
Covid 19 vaccines was administered after the do not use beyond date
Covid 19 vaccines was administered after the do not use beyond date
|
||||||
| 2840091 | 59 | M | PA | 05/08/2025 |
HEP HEP VARZOS VARZOS |
MERCK & CO. INC. MERCK & CO. INC. GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS |
|
Abdominal pain, Chills, Computerised tomogram, Laboratory test, Magnetic resonan...
Abdominal pain, Chills, Computerised tomogram, Laboratory test, Magnetic resonance imaging; Metabolic function test, Muscular weakness, Neuropathy peripheral, Pyrexia; Abdominal pain, Chills, Computerised tomogram, Laboratory test, Magnetic resonance imaging; Metabolic function test, Muscular weakness, Neuropathy peripheral, Pyrexia
More
|
fever, chills, muscle weakness, neuropathy, intense abdominal pain
fever, chills, muscle weakness, neuropathy, intense abdominal pain
|
โ | |||||
| 2840092 | 58 | F | GA | 05/08/2025 |
PNC21 |
MERCK & CO. INC. |
Y013009 |
Injection site rash, Injection site swelling
Injection site rash, Injection site swelling
|
Patient has large swollen rash at injection site that required follow-up with primary care MD. Start...
Patient has large swollen rash at injection site that required follow-up with primary care MD. Started on oral prednisone and rash marked by PCP. Patient will be following up with PCP in 3 days or sooner if rash continues to spread.
More
|
||||||
| 2840093 | 11 | M | TN | 05/08/2025 |
MNQ TDAP |
SANOFI PASTEUR SANOFI PASTEUR |
48256ab 48015aa |
Injection site rash, Rash, Urticaria; Injection site rash, Rash, Urticaria
Injection site rash, Rash, Urticaria; Injection site rash, Rash, Urticaria
|
Large local reaction at left deltoid and developing uticarial rash left axilla extending to neck and...
Large local reaction at left deltoid and developing uticarial rash left axilla extending to neck and upper chest
More
|
||||||
| 2840094 | 26 | M | NC | 05/08/2025 |
ANTH |
EMERGENT BIOSOLUTIONS |
300215A |
Immediate post-injection reaction, Pain, Pruritus, Urticaria
Immediate post-injection reaction, Pain, Pruritus, Urticaria
|
Patient received Anthrax vaccine dose #2 on 4/28/2025. Immediately after the vaccine he began feelin...
Patient received Anthrax vaccine dose #2 on 4/28/2025. Immediately after the vaccine he began feeling stinging and itching sensations on his body, however he did not report this to the Immunization staff and left the clinic. Within and hour he reported for medical evaluation after developing diffuse hives on his torso and arms, with severe itching and stinging.
More
|