| ID | Age | Sex | State | Date โผ | Onset Days | Vaccine | Manufacturer | Lot # | Symptoms | Narrative | ๐ | ๐ฅ | ๐ | โฟ | โ ๏ธ |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2839620 | 88 | F | OK | 05/06/2025 |
COVID19 COVID19 COVID19 COVID19 COVID19 COVID19 |
UNKNOWN MANUFACTURER UNKNOWN MANUFACTURER UNKNOWN MANUFACTURER UNKNOWN MANUFACTURER UNKNOWN MANUFACTURER UNKNOWN MANUFACTURER |
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Bacterial test positive, Blood chloride normal, Blood glucose normal, Blood lact...
Bacterial test positive, Blood chloride normal, Blood glucose normal, Blood lactic acid increased, Blood magnesium normal; Bundle branch block left, Cardiomegaly, Computerised tomogram abdomen normal, Computerised tomogram head normal, Computerised tomogram thorax abnormal; Crystal urine, Electrocardiogram ST segment elevation, Fibrin D dimer normal, Full blood count, Hypertension; Influenza virus test negative, Left ventricular hypertrophy, Leukocytosis, Metabolic function test, Oxygen saturation decreased; Pyrexia, SARS-CoV-2 test negative, Seizure, Seizure like phenomena, Troponin increased; Urine analysis abnormal, White blood cell count increased
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Chief Complaint Patient presents with Seizure 88-year-old female with past medical history of type 2...
Chief Complaint Patient presents with Seizure 88-year-old female with past medical history of type 2 diabetes, hypertension, senile dementia, and baseline deficits due to a past CVA presents to the emergency department for nursing home concern of high blood pressure, fever, and seizure-like activity. Nursing home reports that she had 2 episodes of seizures with a fever which began this morning. Patient did get COVID vaccination in her left deltoid yesterday. When I call nursing home to get report, RN reported that when CNA went to get vitals today she had an elevated temperature at 102 and witnessed a seizure. RN went into assess patient and reported that patient had a clonic seizure for nearly 30 seconds in which her oxygen saturation dropped to 86 during convulsions and came up to 99% shortly after. With seizure and fever, they did have concern to send her to the emergency department. Initial EKG shows normal sinus rhythm at 73 bpm with left anterior fascicular block and left ventricular hypertrophy with less than 1 mm of ST segment elevation in lead III and aVR. CBC shows slightly elevated white blood cell count at 13.4. CMP is remarkable for chloride of 101 and a glucose of 162 otherwise unremarkable. Initial lactic lactic acid is 3.0. Initial troponin is elevated at 0.143. Urine microscopic shows moderate bacteria and mucus as well as amorphous urate crystals present. COVID and flu are negative. D-dimer is negative and magnesium is normal. CT head shows no acute intracranial process. CT chest shows no acute chest process with moderate cardiomegaly and CT abdomen pelvis shows no acute abdominal or pelvic process. Radiology techs did report that patient had an episode in the CT room of what seemed like mild convulsions for less than 30 seconds but returned to normal. Even with elevation of lactic acid and slight elevation of leukocytes, minimal concern for sepsis due to no definitive cause of infection. Without fever, minimal concern for meningitis although difficult to examine in specific patient. Troponin is elevated with a negative D-dimer but not definitive changes on EKG concerning for ACS. Will trend troponins. Repeat troponin elevated slightly at 0.177 and repeat lactic acid is within normal limits at 1.8. Repeat EKG shows no changes from initial with normal sinus rhythm at 60 bpm with left anterior fascicular block and LVH. Less than 1 mm of ST segment elevation in lead III and aVR. I discussed with patient's husband that there is concern for further processes including rule out for stroke with a CTA to check for occlusion, could transfer to cardiology for further cardiac workup to rule out cardiac cause, and the other possibility of meningitis which would require lumbar puncture and culture of CSF, although unlikely, is on the differential. Husband of patient declines saying he would like to make sure she is comfortable and would like no heroics that would cause her any more pain or discomfort. Made him aware that we will make sure she stays comfortable and does not continue to have any seizures. We will monitor her white blood cell count and make sure she shows no signs of systemic infection including fever, chills, hypotension, tachycardia, or continued elevation of her white cell count. He does consent and agree with this treatment plan. Without being able to definitively rule out competing differentials. I do believe symptoms of convulsions and leukocytosis are due to COVID-vaccine reaction which may have transiently raised her troponin due to the convulsions. Patient will be admitted to observation for troponin trends and monitoring to make sure of no more seizure like activity.
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โ | โ | ||||
| 2839621 | 77 | M | VA | 05/06/2025 |
FLU3 FLU3 FLU3 |
SANOFI PASTEUR SANOFI PASTEUR SANOFI PASTEUR |
067904234931240 067904234931240 067904234931240 |
Albuminocytological dissociation present, Areflexia, Autonomic nervous system im...
Albuminocytological dissociation present, Areflexia, Autonomic nervous system imbalance, Axonal neuropathy, CSF white blood cell count negative; Cytology normal, Electromyogram abnormal, Guillain-Barre syndrome, Magnetic resonance imaging normal, Muscular weakness; Sensory loss, Urinary retention
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He developed a clinical picture of Guillain-Bare Syndrome 10 days after flu vaccine. Severe bilatera...
He developed a clinical picture of Guillain-Bare Syndrome 10 days after flu vaccine. Severe bilateral lower extremity weakness and sensory loss. Absent lower extremity reflexes, axonal neuropathy on EMG (+) cytoalbuminologic dissociation on CSF. Also had dysautonomia - urinary retention
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โ | โ | ||||
| 2839678 | 53 | F | VA | 05/06/2025 |
PNC20 |
PFIZER\WYETH |
LK6651 |
Injection site induration, Injection site rash, Injection site warmth
Injection site induration, Injection site rash, Injection site warmth
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4-day history of erythematous circumferential rash to right upper outer extremity that presented 1 d...
4-day history of erythematous circumferential rash to right upper outer extremity that presented 1 day after receiving Prevnar vaccination. Area is about 3 inches in circumference, with warmth, and mild firmness at center. No TTP. No infectious symptoms. No extension of symptoms beyond the direct site. She notes it has been reducing in size.
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| 2839679 | 4 | M | TN | 05/06/2025 |
MMR |
GLAXOSMITHKLINE BIOLOGICALS |
4L454 |
Gait disturbance, Injection site pain
Gait disturbance, Injection site pain
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PAIN AND LIMPING IN LEFT LEG NO REDNESS OR CELLULITIS
PAIN AND LIMPING IN LEFT LEG NO REDNESS OR CELLULITIS
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| 2839680 | 19 | F | GA | 05/06/2025 |
MMR MMR |
MERCK & CO. INC. MERCK & CO. INC. |
Y013171 Y013171 |
Arthralgia, Discomfort, Dizziness, Headache, Lymphadenopathy; Pyrexia, Rash morb...
Arthralgia, Discomfort, Dizziness, Headache, Lymphadenopathy; Pyrexia, Rash morbilliform
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Patient started experiencing measles-like rash, left axillary lymph node swelling/discomfort, fever,...
Patient started experiencing measles-like rash, left axillary lymph node swelling/discomfort, fever, headache, dizziness, joint pain on Friday, May 2, 2025. Symptoms have now started to improve
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| 2839681 | 35 | F | MI | 05/06/2025 |
MMR |
MERCK & CO. INC. |
Y013130 |
Chills, Ocular discomfort, Pyrexia, Rash
Chills, Ocular discomfort, Pyrexia, Rash
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Patient reports slight rash on arms on 05/05/2025 with slight fever on 05/05/2025. On 05/06/2025 sli...
Patient reports slight rash on arms on 05/05/2025 with slight fever on 05/05/2025. On 05/06/2025 slight rash om chest and some chills but no fever. Also reports eyeballs feel sore when shifting to look to the sides.
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| 2839682 | 78 | M | 05/06/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
EK225 |
Dizziness, Fatigue, Feeling abnormal
Dizziness, Fatigue, Feeling abnormal
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Pt's wife called and said patient is feeling very tired this morning and is feeling lousy. She ...
Pt's wife called and said patient is feeling very tired this morning and is feeling lousy. She also mentioned that he felt dizzy when he stood up and had to lay back down. I suggested the patient take tylenol if they have a fever. I told her he will probably start to feel better later today, but if anything gets worse to call his doctor and also us at the pharmacy
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| 2839683 | 30 | M | MI | 05/06/2025 |
COVID19 |
JANSSEN |
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Thrombosis
Thrombosis
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Multiple blood clots in abdomen.
Multiple blood clots in abdomen.
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โ | โ | ||||
| 2839684 | 47 | F | OH | 05/06/2025 |
PNC20 PNC20 |
PFIZER\WYETH PFIZER\WYETH |
LG5577 LG5577 |
Erythema, Hypoaesthesia, Limb discomfort, Paraesthesia, Peripheral swelling; X-r...
Erythema, Hypoaesthesia, Limb discomfort, Paraesthesia, Peripheral swelling; X-ray
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11/11/24: Prevnar 20 administered, 11/19/24: patient reports, "top of arm is still swollen and ...
11/11/24: Prevnar 20 administered, 11/19/24: patient reports, "top of arm is still swollen and red" and "arm feels heavy, tingling and numbness while typing" with a severity of 9/10, patient denies fever or previous reaction. patient prescribed 10-day supply of naproxen 500mg twice a day with meals. 12/3/24 patient calls and says naproxen is not working and she is referred to ortho (cannot see if there was any appointment made or what the results were).3/27/25 patient reports no relief and all the same symptoms continue referred to neurology but patient refuses, offered pain managment referral
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| 2839685 | 1 | F | MI | 05/06/2025 |
HIBV |
SANOFI PASTEUR |
BE9G7 |
Product preparation issue
Product preparation issue
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PATIENT WAS ONLY GIVEN STERILE DILUTENT LYOPHILIZED POWDER WAS NOT ADMINISTERED
PATIENT WAS ONLY GIVEN STERILE DILUTENT LYOPHILIZED POWDER WAS NOT ADMINISTERED
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| 2839686 | 44 | F | WI | 05/06/2025 |
HPV9 HPV9 |
MERCK & CO. INC. MERCK & CO. INC. |
|
Blindness transient, Erythema, Hypoaesthesia, Mobility decreased, Muscle spasms;...
Blindness transient, Erythema, Hypoaesthesia, Mobility decreased, Muscle spasms; Pain, Swelling, X-ray limb
More
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10/16/24- Redness, swelling, pain, numbness, muscle spasms, limited mobility. Instances of extreme p...
10/16/24- Redness, swelling, pain, numbness, muscle spasms, limited mobility. Instances of extreme pain cause temporary blindness.
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โ | |||||
| 2839687 | 72 | F | GA | 05/06/2025 |
COVID19 COVID19 |
MODERNA MODERNA |
048C21A 048C21A |
Activated partial thromboplastin time, Computerised tomogram abnormal, Computeri...
Activated partial thromboplastin time, Computerised tomogram abnormal, Computerised tomogram thorax, Dyspnoea, Full blood count; Laboratory test, Prothrombin time, Pulmonary embolism, Tachycardia, Thromboembolectomy
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Had shortness of breath and intermittent tachycardia for a few months before being transported to ER...
Had shortness of breath and intermittent tachycardia for a few months before being transported to ER by ambulance on 2/23/25, for shortness of breath and tachycardia (150-170). Chest CT with contrast done showing massive pulmonary embolus. Taken to cardiac cath lab for pulmonary artery clot evacuation. Pulmonary artery pressures were elevated to 57/19/35, and returned to normal 24/8/15 post procedure. IV heparin infusion X 24 hrs, Eliquis double dose X 7 days then Eliquis 5mg q 12 hrs. indefinitely .
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โ | โ | ||||
| 2839688 | 12 | F | OK | 05/06/2025 |
HPV9 MNQ TDAP |
MERCK & CO. INC. NOVARTIS VACCINES AND DIAGNOSTICS GLAXOSMITHKLINE BIOLOGICALS |
Z005055 57H54 Y3Z9P |
Fall, Loss of consciousness, Syncope; Fall, Loss of consciousness, Syncope; Fall...
Fall, Loss of consciousness, Syncope; Fall, Loss of consciousness, Syncope; Fall, Loss of consciousness, Syncope
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PATIENT FELL BACK AFTER RECEIVING VACCINE AND APPEARED TO FAINT/BE UNCONSCIOUS FOR ABOUT 30-45 SECON...
PATIENT FELL BACK AFTER RECEIVING VACCINE AND APPEARED TO FAINT/BE UNCONSCIOUS FOR ABOUT 30-45 SECONDS, PER MA IN ROOM. DR DESCRIBED IT TO MOM AS A LIKELY VASOVAGAL SYNCOPE EPISODE.
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| 2839689 | 1.25 | F | NY | 05/06/2025 |
DTAPIPVHIB DTAPIPVHIB DTAPIPVHIB DTAPIPVHIB |
SANOFI PASTEUR SANOFI PASTEUR SANOFI PASTEUR SANOFI PASTEUR |
UK194AA UK194AA UK194AA UK194AA |
Blister, Cellulitis, Contusion, Erythema, Muscle twitching; Peripheral swelling,...
Blister, Cellulitis, Contusion, Erythema, Muscle twitching; Peripheral swelling, Skin reaction, Tremor; Blister, Cellulitis, Contusion, Erythema, Muscle twitching; Peripheral swelling, Skin reaction, Tremor
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The evening of 5/2 the patient started with shaking and muscle twitching. The following day, mom sta...
The evening of 5/2 the patient started with shaking and muscle twitching. The following day, mom started taking pictures as she noticed left arm redness and swelling that was progressing. Patient was evaluated at Urgent Care where it was determined to be a localized vaccine reaction. On 5/4 patient was referred to ED for progressing arm redness and swelling with bruising and blistering noted. It was determined to most likely be a vaccine reaction with cellulitis being a less likely cause.
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| 2839691 | 50 | F | IN | 05/06/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
|
Palpitations, Ventricular extrasystoles
Palpitations, Ventricular extrasystoles
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Palpitations, frequent PVCs that started within 24 hours of vaccination and persisted consistently x...
Palpitations, frequent PVCs that started within 24 hours of vaccination and persisted consistently x 3 days. Still uncertain if r/t the Shingrix vaccine. No chest pain, SOB, or lightheadedness. No other contributing factors identified. Has not fully resolved, but does feel to be improving on 5/6/25 versus the prior 3 days.
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| 2839692 | 1.92 | M | WI | 05/06/2025 |
DTAP DTAP DTAP DTAP DTAP DTAP HEP HEP HEP PNC20 PNC20 PNC20 VARCEL VARCEL VARCEL |
GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS MERCK & CO. INC. MERCK & CO. INC. MERCK & CO. INC. PFIZER\WYETH PFIZER\WYETH PFIZER\WYETH MERCK & CO. INC. MERCK & CO. INC. MERCK & CO. INC. |
Y011267 Y011267 Y011267 5H773 5H773 5H773 X021477 X021477 X021477 HR3649 HR3649 HR3649 Y005921 Y005921 Y005921 |
Blood culture, Blood test normal, Computerised tomogram abnormal, Culture urine,...
Blood culture, Blood test normal, Computerised tomogram abnormal, Culture urine, Endotracheal intubation; Intensive care, Muscle twitching, Pyrexia, Respiratory viral panel, Status epilepticus; Tremor, Urine analysis normal, Viral test negative; Blood culture, Blood test normal, Computerised tomogram abnormal, Culture urine, Endotracheal intubation; Intensive care, Muscle twitching, Pyrexia, Respiratory viral panel, Status epilepticus; Tremor, Urine analysis normal, Viral test negative; Blood culture, Blood test normal, Computerised tomogram abnormal, Culture urine, Endotracheal intubation; Intensive care, Muscle twitching, Pyrexia, Respiratory viral panel, Status epilepticus; Tremor, Urine analysis normal, Viral test negative; Blood culture, Blood test normal, Computerised tomogram abnormal, Culture urine, Endotracheal intubation; Intensive care, Muscle twitching, Pyrexia, Respiratory viral panel, Status epilepticus; Tremor, Urine analysis normal, Viral test negative; Blood culture, Blood test normal, Computerised tomogram abnormal, Culture urine, Endotracheal intubation; Intensive care, Muscle twitching, Pyrexia, Respiratory viral panel, Status epilepticus; Tremor, Urine analysis normal, Viral test negative
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Patient presented to emergency room in status epilepticus at 23:25 on 5/5/25 after receiving the abo...
Patient presented to emergency room in status epilepticus at 23:25 on 5/5/25 after receiving the above vaccines at PCP earlier in the day. Per documentation, Mother noted tactile fever around 22:00. Around 22:30 saw shaking in his arm and twitching in his face. This lasted around 5 minutes before they called EMS. He was given a dose of IN versed and transported to ED. In the ED, there was concern he was in subclinical status so received 2 doses of Ativan and a Keppra load. He subsequently got intubated for concern for acute respiratory failure and and transferred to the PICU. History only of global developmental delay. Immigrated about 2 months ago.
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โ | |||||
| 2839693 | 1.08 | F | CA | 05/06/2025 |
MMR |
GLAXOSMITHKLINE BIOLOGICALS |
U019290 |
Decreased appetite, Pyrexia, Rash, Vomiting
Decreased appetite, Pyrexia, Rash, Vomiting
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Patient was in office for apt. at 10:10am and received #1 MMR Live vaccine in office date 04/01/2022...
Patient was in office for apt. at 10:10am and received #1 MMR Live vaccine in office date 04/01/2022 around 11:00am with no symptoms later evening. Patient started with high fever of 105 04/02/2022 early noon 12 and alternated between Tylenol and Motrin Q4hrs PRN with no other symptoms. Mother states patient woke up next morning 04/03/2022 with rash all over body, decreased appetite, not keeping fluids down and continued with high fevers on and off with no redness or warm to touch injection site was not irritated to mothers knowledge. Mother spoke with an on call provider explaining symptoms she was advised to keep patient hydrated and continue with medications any other symptoms occur seek Medical ER attention. By Tuesday 04/05/2022 patient was much better.
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| 2839694 | 70 | F | MA | 05/06/2025 |
COVID19 COVID19 |
PFIZER\BIONTECH PFIZER\BIONTECH |
|
Arthralgia, Blood test normal, Gait disturbance, Injected limb mobility decrease...
Arthralgia, Blood test normal, Gait disturbance, Injected limb mobility decreased, Joint swelling; Laboratory test, Mobility decreased, Muscle disorder, Vaccine positive rechallenge, X-ray
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pt says she started swelling in the left ankle after the 1st injection. She went to see her PCP S...
pt says she started swelling in the left ankle after the 1st injection. She went to see her PCP She was told not to worry about it and to have her 2nd injection. After the 2nd injection, both ankles started swelling. She wasn't able to raise her arms over her head. She could barely walk. She was in a lot of pain from the swelling. She went to back to the doctor and was sent to the hospital to have test. She was told it was not her heart and was referred to Dr. She was told that the swelling was from the covid vaccine and prescribed prednisone. She went to a specialist They did blood work and ran test that were all negative and was told she did not have arthritis. Her hand Surgeon told her symptoms were from the covid vaccine and that she would have to live with it. She now has problems with the muscles in her arms and her legs and has a follow up appt w/ Dr.
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โ | โ | ||||
| 2839695 | 18 | F | 05/06/2025 |
HPV9 |
MERCK & CO. INC. |
1775827 |
Amenorrhoea, Blood test, Hormone level abnormal, Polycystic ovarian syndrome, Ul...
Amenorrhoea, Blood test, Hormone level abnormal, Polycystic ovarian syndrome, Ultrasound scan
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Nine months after vaccination, my period disappeared for five months, and my hormone levels were imb...
Nine months after vaccination, my period disappeared for five months, and my hormone levels were imbalanced for who knows how long prior, and I was diagnosed with PCOS. I have never had issues like this before.
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โ | ||||||
| 2839696 | 5 | M | TN | 05/06/2025 |
UNK |
UNKNOWN MANUFACTURER |
5G23D |
Aggression, Anxiety
Aggression, Anxiety
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Child was very anxious/combative, kicking, fighting. Grandmother, his aunt, and 2 nurses Attempted t...
Child was very anxious/combative, kicking, fighting. Grandmother, his aunt, and 2 nurses Attempted to give Kinrix vaccine IM to R deltoid, pt jerked his arm away pulling the syringe out of his arm and bending the needle and scratching his arm in the process. Scratched area was cleaned with an alcohol pad and a band aid was applied. Grandmother was instructed to schedule an appt with his PCP for his immunizations. Grandmother states she has concerns about his behavior-states he is out of control and combative most of the day. She states she has plans to have him evaluated.
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| 2839697 | 63 | F | OH | 05/06/2025 |
COVID19 |
PFIZER\BIONTECH |
GJ3277 |
Influenza like illness, Injection site erythema, Injection site pain, Injection ...
Influenza like illness, Injection site erythema, Injection site pain, Injection site swelling
More
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Patient had received the COVID-19 original 2 dose series from Pfizer. The arm where vaccinated from ...
Patient had received the COVID-19 original 2 dose series from Pfizer. The arm where vaccinated from the first dose became swollen and red and she was experiencing flu-like symptoms. These symptoms are not abnormal for her, but she still experiences the same residual pain infrequently like she had recently received a vaccine what she hadn't. The pain has no pattern and does not seem to be triggered by anything. It is described as a sore muscle right at the injection site. It typically does not last longer than a day and can resolve on its own. Ice or heat is used for swelling, but patient denies use of treatment for pain. The patient has also received additional COVID-19 boosters in the same arm since the original series. She does not report worsening or changing of the pain after boosters.
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| 2839698 | 16 | M | OR | 05/06/2025 |
COVID19 |
MODERNA |
MD3414 |
Extra dose administered
Extra dose administered
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Additional dose/administration error
Additional dose/administration error
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| 2839699 | 0.08 | F | MI | 05/06/2025 |
DTAPHEPBIP HIBV PNC20 RV5 |
GLAXOSMITHKLINE BIOLOGICALS MERCK & CO. INC. PFIZER\WYETH MERCK & CO. INC. |
2G273 Y020467 LN4927 Y014321 |
Erythema, Joint swelling, Skin warm; Erythema, Joint swelling, Skin warm; Erythe...
Erythema, Joint swelling, Skin warm; Erythema, Joint swelling, Skin warm; Erythema, Joint swelling, Skin warm; Erythema, Joint swelling, Skin warm
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Pt developed redness, warmth and swelling of L knee. Parents administered tyelnol and Sx resolved w...
Pt developed redness, warmth and swelling of L knee. Parents administered tyelnol and Sx resolved withing 1.5 hrs. Woke next am and was normal.
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| 2839700 | 41 | F | VA | 05/06/2025 |
HEP |
GLAXOSMITHKLINE BIOLOGICALS |
K4JH7 |
Incorrect dose administered
Incorrect dose administered
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gave a patient a Hep B vaccine that was meant for a child, not an adult
gave a patient a Hep B vaccine that was meant for a child, not an adult
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| 2839701 | 61 | F | NH | 05/06/2025 |
FLU3 FLU3 |
SEQIRUS, INC. SEQIRUS, INC. |
AW1616A AW1616A |
Immediate post-injection reaction, Injected limb mobility decreased, Injection s...
Immediate post-injection reaction, Injected limb mobility decreased, Injection site pain, Pain, Pain in extremity; Product administered at inappropriate site
More
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Flu shot was administered into upper shoulder (very high) and hurt immediately. I figured it would ...
Flu shot was administered into upper shoulder (very high) and hurt immediately. I figured it would be sore for a few days but now I have instances of severe pain and limited ROM in my right arm (I am right-handed). The pain can come when I stretch, throw something out, reach for my garage door opener. I can range in severity with the most painful, dropping me to my knees and making me feel nauseous. I grab my should the pain slowly starts to subside while I try to breathe. I have an appointment with my primary on May 16, 2025
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| 2839702 | 0.42 | M | TX | 05/06/2025 |
DTAPIPVHIB |
SANOFI PASTEUR |
UJ994AA |
Expired product administered, No adverse event
Expired product administered, No adverse event
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Expired Pentacel vaccine was given unintentionally. No reaction noted after vaccine administration.
Expired Pentacel vaccine was given unintentionally. No reaction noted after vaccine administration.
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| 2839703 | 58 | F | TX | 05/06/2025 |
PNC20 PNC20 TDAP TDAP VARZOS VARZOS |
PFIZER\WYETH PFIZER\WYETH GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS |
LK6655 LK6655 M2G3Z M2G3Z 3J2S2 3J2S2 |
Decreased appetite, Dizziness, Fatigue, Pain in extremity, Peripheral swelling; ...
Decreased appetite, Dizziness, Fatigue, Pain in extremity, Peripheral swelling; Pyrexia; Decreased appetite, Dizziness, Fatigue, Pain in extremity, Peripheral swelling; Pyrexia; Decreased appetite, Dizziness, Fatigue, Pain in extremity, Peripheral swelling; Pyrexia
More
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PATIENT REPORTS FEVER, SWELLING/PAIN IN LEFT ARM, FATIGUE, LACK OF APPETITE, LIGHT HEADEDNESS.
PATIENT REPORTS FEVER, SWELLING/PAIN IN LEFT ARM, FATIGUE, LACK OF APPETITE, LIGHT HEADEDNESS.
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| 2839704 | 12 | M | ME | 05/06/2025 |
HPV9 |
MERCK & CO. INC. |
Y012865 |
Rash, Urticaria
Rash, Urticaria
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Patient was given HPV (Gardasil 9) on 04/29/25. Patient noticed the start of hives on 04/30/25. Star...
Patient was given HPV (Gardasil 9) on 04/29/25. Patient noticed the start of hives on 04/30/25. Started taking OTC Cetrizine to help alleviate the rash. On 05/03/25 patient and his mother went to ER due to the hives. Patient was given Prednisone 20 mg BID x 5 days. Seen by PCP on 05/06/25 and hives are still present on B/L arms, legs, and on patients face.
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| 2839705 | 0.17 | M | NV | 05/06/2025 |
HEPA |
GLAXOSMITHKLINE BIOLOGICALS |
A3X2K |
Product administered to patient of inappropriate age
Product administered to patient of inappropriate age
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not due for vaccine
not due for vaccine
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| 2839706 | 54 | F | 05/06/2025 |
PNC20 VARZOS |
PFIZER\WYETH GLAXOSMITHKLINE BIOLOGICALS |
lx4482 ek225 |
Injection site rash, Pruritus, Rash erythematous; Injection site rash, Pruritus,...
Injection site rash, Pruritus, Rash erythematous; Injection site rash, Pruritus, Rash erythematous
More
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Patient had itching all over her body/mostly on the arm and a red rash around the site of injection.
Patient had itching all over her body/mostly on the arm and a red rash around the site of injection.
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| 2839707 | 53 | M | IN | 05/06/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
ek225 |
Pain, Pain in extremity
Pain, Pain in extremity
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The patient complained of a sore arm that has not fully healed since administration of the vaccine. ...
The patient complained of a sore arm that has not fully healed since administration of the vaccine. The patient says that the arm is tender to move and believes that he has SIRVA. The patient was instructed to use an NSAID along with icing to relieve pain.
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| 2839708 | 52 | F | IL | 05/06/2025 |
HEP MMR TDAP VARCEL |
DYNAVAX TECHNOLOGIES CORPORATION MERCK & CO. INC. GLAXOSMITHKLINE BIOLOGICALS MERCK & CO. INC. |
944914 Y009430 PG3RP Y013349 |
Injection site pain, Neck pain, Pain; Injection site pain, Neck pain, Pain; Inje...
Injection site pain, Neck pain, Pain; Injection site pain, Neck pain, Pain; Injection site pain, Neck pain, Pain; Injection site pain, Neck pain, Pain
More
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Patient reported on 5/5/25 pain that did not go away at the injection site of vaccines received in t...
Patient reported on 5/5/25 pain that did not go away at the injection site of vaccines received in the right arm, radiating up the shoulder and the neck starting 4/26/25. Patient's MD determined that it may be SIRVA (Shoulder Injury after Vaccine Administration) and prescribed a muscle relaxer and told patient to apply ice as directed. Patient was told by MD to call pharmacy to tell us to report the adverse event to VAERS.
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| 2839709 | 80 | F | KS | 05/06/2025 |
COVID19 |
PFIZER\BIONTECH |
MD3414 |
Injection site rash, Rash erythematous
Injection site rash, Rash erythematous
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Patient developed a red, circular rash around the injection site (approx. 3 inches in diameter) with...
Patient developed a red, circular rash around the injection site (approx. 3 inches in diameter) within 24 hours of the vaccine. The rash had completely cleared by 5/6/25 when the patient reported the reaction to the pharmacy.
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| 2839710 | 1.5 | F | MD | 05/06/2025 |
DTAP DTAPIPVHIB HEPA PNC20 VARCEL |
GLAXOSMITHKLINE BIOLOGICALS SANOFI PASTEUR GLAXOSMITHKLINE BIOLOGICALS PFIZER\WYETH MERCK & CO. INC. |
9R2D7 UK215AD A3X2K HL3889 Y015559 |
Wrong product administered; Wrong product administered; Wrong product administer...
Wrong product administered; Wrong product administered; Wrong product administered; Wrong product administered; Wrong product administered
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The patient received a dose of Pentacel instead of receiving the single antigen of Hib. Also, the pa...
The patient received a dose of Pentacel instead of receiving the single antigen of Hib. Also, the patient received a single antigen dose of DTap. No signs or symptoms noted in patient.
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| 2839711 | 35 | F | MI | 05/06/2025 |
PNC20 |
PFIZER\WYETH |
lx4484 |
Feeling abnormal, Injection site erythema, Injection site pruritus, Injection si...
Feeling abnormal, Injection site erythema, Injection site pruritus, Injection site warmth, Pyrexia
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Injection site was itchy, red, and warm to the touch. Also stated she had a fever and was feeling &q...
Injection site was itchy, red, and warm to the touch. Also stated she had a fever and was feeling "out of it".
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| 2839712 | 1.58 | F | NM | 05/06/2025 |
DTAPIPV HEPA MMRV PNC20 |
GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS MERCK & CO. INC. PFIZER\WYETH |
Y49BZ BM4R5 Y01464 MF0415 |
Product administered to patient of inappropriate age; Product administered to pa...
Product administered to patient of inappropriate age; Product administered to patient of inappropriate age; Product administered to patient of inappropriate age; Product administered to patient of inappropriate age
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The patient received a dose of Kinrix at too early of an age. She did not show any adverse symptoms...
The patient received a dose of Kinrix at too early of an age. She did not show any adverse symptoms or side effects after receiving the vaccine.
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| 2839713 | 83 | F | NY | 05/06/2025 |
COVID19 |
MODERNA |
3043838 |
Bursitis, Pain in extremity
Bursitis, Pain in extremity
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Patient complained of pain in her left arm that was not going away. she went to see her doctor who d...
Patient complained of pain in her left arm that was not going away. she went to see her doctor who diagnosed her with bursitis.
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| 2839714 | 90 | M | NV | 05/06/2025 |
COVID19 |
MODERNA |
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Asthenia, Vomiting
Asthenia, Vomiting
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vomiting, extreme weakness, would not eat or drink. About noon on 3/ 26/25 so terribly weak that h...
vomiting, extreme weakness, would not eat or drink. About noon on 3/ 26/25 so terribly weak that he fell to the floor. I had to call the paramedics to get him up and into a chair. By 6:30 pm he was able to walk by himself. This was very much like his condition when entering the hospital 11/8/22 with Covid pneumonia
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| 2839715 | 58 | F | MA | 05/06/2025 |
PNC21 |
MERCK & CO. INC. |
Y019157 |
Arthralgia, Myalgia, Rash
Arthralgia, Myalgia, Rash
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extreme arm soreness at injection site, muscle aches, rash on chest and back. Treated with Medrol 4m...
extreme arm soreness at injection site, muscle aches, rash on chest and back. Treated with Medrol 4mg
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| 2839716 | 46 | M | TN | 05/06/2025 |
VARCEL |
MERCK & CO. INC. |
y019319 |
Inappropriate schedule of product administration
Inappropriate schedule of product administration
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varicella given too soon
varicella given too soon
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| 2839717 | 80 | F | CA | 05/06/2025 |
COVID19 COVID19 |
MODERNA MODERNA |
3044069 3044069 |
Blood pressure increased, Chills, Constipation, Diarrhoea, Dizziness; Fatigue, M...
Blood pressure increased, Chills, Constipation, Diarrhoea, Dizziness; Fatigue, Muscle spasms, Musculoskeletal chest pain, Musculoskeletal stiffness, Pain in extremity
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dizziness, chills, muscle cramps and stiffness, very tired, sore left arm moving up to shoulder and ...
dizziness, chills, muscle cramps and stiffness, very tired, sore left arm moving up to shoulder and down to rib cage, increased blood pressure, constipation followed by diarrhea.
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| 2839718 | 60 | F | NM | 05/06/2025 |
RSV |
PFIZER\WYETH |
LN5490 |
CSF protein increased, Magnetic resonance imaging head, Magnetic resonance imagi...
CSF protein increased, Magnetic resonance imaging head, Magnetic resonance imaging spinal, Muscular weakness, Paraesthesia
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progressive muscle weakness, paresthesias of neck back, legs, arms, hands
progressive muscle weakness, paresthesias of neck back, legs, arms, hands
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| 2839719 | 46 | F | TN | 05/06/2025 |
VARCEL |
MERCK & CO. INC. |
y019319 |
Inappropriate schedule of product administration
Inappropriate schedule of product administration
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varicella given too soon
varicella given too soon
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| 2839720 | 51 | M | VA | 05/06/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
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Injection site cellulitis
Injection site cellulitis
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the second morning after the shot (shot Friday afternoon, adverse event Sunday morning) woke to cell...
the second morning after the shot (shot Friday afternoon, adverse event Sunday morning) woke to cellulitis infection 2 inches below injection site
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| 2839721 | 2 | M | MA | 05/06/2025 |
HEPA MMRV VARCEL |
MERCK & CO. INC. MERCK & CO. INC. MERCK & CO. INC. |
Y014585 Y017515 Y019318 |
Extra dose administered; Extra dose administered; Extra dose administered
Extra dose administered; Extra dose administered; Extra dose administered
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MMRV (proquad) and Varicella vaccines were both given on 5/2/25. Tried to call pt's parent x2, ...
MMRV (proquad) and Varicella vaccines were both given on 5/2/25. Tried to call pt's parent x2, messages left, no return call as of now.
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| 2839722 | 0.58 | F | TN | 05/06/2025 |
RV1 |
GLAXOSMITHKLINE BIOLOGICALS |
5N2AN |
No adverse event, Product administered to patient of inappropriate age
No adverse event, Product administered to patient of inappropriate age
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There was no adverse reaction. I gave the vaccine as the first dose and the infant was older than 1...
There was no adverse reaction. I gave the vaccine as the first dose and the infant was older than 15 weeks but younger than 8 months.
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| 2839723 | 31 | F | TX | 05/06/2025 |
MMR |
MERCK & CO. INC. |
Y014391 |
Pruritus, Pyrexia, Urticaria
Pruritus, Pyrexia, Urticaria
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Left arm itchy, then hives, took benadryl, Care Now clinic gave Prednisone, fever treated with Tylen...
Left arm itchy, then hives, took benadryl, Care Now clinic gave Prednisone, fever treated with Tylenol
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| 2839725 | 0.83 | F | NE | 05/06/2025 |
DTPPVHBHPB PNC20 |
MSP VACCINE COMPANY PFIZER\WYETH |
U83131AA LN2948 |
Depressed level of consciousness, Head lag abnormal, Hypotonia, Lethargy, Visual...
Depressed level of consciousness, Head lag abnormal, Hypotonia, Lethargy, Visual tracking test abnormal; Depressed level of consciousness, Head lag abnormal, Hypotonia, Lethargy, Visual tracking test abnormal
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10 month old patient was checked in at 11:17 AM for WCC. Patient was roomed at 11:54 AM. Initial set...
10 month old patient was checked in at 11:17 AM for WCC. Patient was roomed at 11:54 AM. Initial set of vitals: height 67.31cm, 5.812 kg, head circumference 38.61 cm, 98.9 temp, HR 140, RR32. Dr. assessed the patient and reported the patient as hypotonic, with some head control, alert, could look directly at provider but could not track. Patient could move arms and was interactive. Patient was lying supine but not able to roll at all. Mother reported to provider that patient cannot crawl, cannot sit up. Patient was behind on immunizations, only having a history Hep B at birth. Provider ordered Vaxelis and Prevnar. Administered vaccines. Provider reports patient appeared to be sleeping before to be sleeping before she gave the gave the IM injections. When provider gave shots, patient did not fuss in pain, but slightly opened her eyes. Provider did not notice any immediate adverse reaction and left the patient's room. Mother asked to have Dr. come back in the room because the baby's baseline changed. Dr. entered the room and noticed a change in alertness. She directed staff to call 911. Call was made at 1:38PM. Squad arrived at 1:46PM patient's O2 sat was 93%, HR 137, patient looked lethargic and was limp. Patient was given high dose oxygen with peds mask. EMS took patient at 1:58PM to hospital.
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| 2839726 | 79 | F | MO | 05/06/2025 |
UNK UNK |
UNKNOWN MANUFACTURER UNKNOWN MANUFACTURER |
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Amnesia, Arthralgia, Cardiac disorder, General physical health deterioration, La...
Amnesia, Arthralgia, Cardiac disorder, General physical health deterioration, Laboratory test; Polymyalgia rheumatica, Renal disorder
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Patient received her first Shingles vaccine prior to 2019 (Facility, Dr.). Then, patient took the fi...
Patient received her first Shingles vaccine prior to 2019 (Facility, Dr.). Then, patient took the first Shingrix shot on October 8, 2019. Patient had an adverse reaction to the first Shingrix vaccine (racing heart, high blood pressure). After the second Shingrix dose on August 25, 2023, Patient was diagnosed with Polymyalgia Rheumatica (PMR). She has experienced severe shoulder and hip pain. She spent two weeks in the hospital. She has taken Prednisone ever since the diagnosis. She is now trying to taper off of the Prednisone. She now has memory loss, heart and kidney problems and her health as significantly declined.
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| 2839727 | 75 | F | NM | 05/06/2025 |
VARZOS VARZOS |
GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS |
BP74J BP74J |
Feeling abnormal, Injection site erythema, Injection site pain, Injection site s...
Feeling abnormal, Injection site erythema, Injection site pain, Injection site swelling, Nausea; Pain
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Patient reports she woke up today "feeling terrible." Patient reports body ached all over...
Patient reports she woke up today "feeling terrible." Patient reports body ached all over, nausea, redness at the site, swelling at the injection site, and soreness at the injection site.
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