| ID | Age | Sex | State | Date โผ | Onset Days | Vaccine | Manufacturer | Lot # | Symptoms | Narrative | ๐ | ๐ฅ | ๐ | โฟ | โ ๏ธ |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2839460 | 5 | M | AR | 05/05/2025 |
DTAPIPV DTAPIPV DTAPIPV DTAPIPV DTAPIPV MMR MMR MMR MMR MMR VARCEL VARCEL VARCEL VARCEL VARCEL DTAPIPV DTAPIPV DTAPIPV DTAPIPV DTAPIPV |
GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS MERCK & CO. INC. MERCK & CO. INC. MERCK & CO. INC. MERCK & CO. INC. MERCK & CO. INC. GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS |
4L454 4L454 4L454 4L454 4L454 22J27 22J27 22J27 22J27 22J27 X023323 X023323 X023323 X023323 X023323 |
Injection site cellulitis, Injection site erythema, Injection site swelling; Bac...
Injection site cellulitis, Injection site erythema, Injection site swelling; Bacterial infection, Blood creatine phosphokinase, Blood culture, C-reactive protein, Crying; Differential white blood cell count, Full blood count, Gait disturbance, Injection site erythema, Injection site induration; Injection site pain, Injection site reaction, Injection site swelling, Pain, Procalcitonin; Screaming, Ultrasound scan; Injection site cellulitis, Injection site erythema, Injection site swelling; Bacterial infection, Blood creatine phosphokinase, Blood culture, C-reactive protein, Crying; Differential white blood cell count, Full blood count, Gait disturbance, Injection site erythema, Injection site induration; Injection site pain, Injection site reaction, Injection site swelling, Pain, Procalcitonin; Screaming, Ultrasound scan; Injection site cellulitis, Injection site erythema, Injection site swelling; Bacterial infection, Blood creatine phosphokinase, Blood culture, C-reactive protein, Crying; Differential white blood cell count, Full blood count, Gait disturbance, Injection site erythema, Injection site induration; Injection site pain, Injection site reaction, Injection site swelling, Pain, Procalcitonin; Screaming, Ultrasound scan; Injection site cellulitis, Injection site erythema, Injection site swelling; Bacterial infection, Blood creatine phosphokinase, Blood culture, C-reactive protein, Crying; Differential white blood cell count, Full blood count, Gait disturbance, Injection site erythema, Injection site induration; Injection site pain, Injection site reaction, Injection site swelling, Pain, Procalcitonin; Screaming, Ultrasound scan
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A few hours after receiving the vaccines the injection site started to swell and become red. Swelli...
A few hours after receiving the vaccines the injection site started to swell and become red. Swelling worsened over the next 24 hours, mom took patient to the ER on 5/4/25. Diagnosed with cellulitis and given clindymicin.
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| 2839461 | 37 | M | AZ | 05/05/2025 |
TDAP TDAP TDAP TDAP TDAP TDAP |
GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS UNKNOWN MANUFACTURER UNKNOWN MANUFACTURER UNKNOWN MANUFACTURER |
7kd5b 7kd5b 7kd5b 7kd5b 7kd5b 7kd5b |
Erythema, Muscle rigidity, Pain, Peripheral vascular disorder, Rash; Urticaria; ...
Erythema, Muscle rigidity, Pain, Peripheral vascular disorder, Rash; Urticaria; Pain, Paralysis, Urticaria; Erythema, Muscle rigidity, Pain, Peripheral vascular disorder, Rash; Urticaria; Pain, Paralysis, Urticaria
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Muscle rigidity, pain, redness in left leg then 1 week later - hive, rash, blood vessel issue on thi...
Muscle rigidity, pain, redness in left leg then 1 week later - hive, rash, blood vessel issue on thigh and calf
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| 2839462 | 1.25 | M | VA | 05/05/2025 |
MMR MMR MMR MMR MMR MMR MMR MMR MMR MMR UNK UNK UNK UNK UNK MMR MMR MMR MMR MMR |
MERCK & CO. INC. MERCK & CO. INC. MERCK & CO. INC. MERCK & CO. INC. MERCK & CO. INC. MERCK & CO. INC. MERCK & CO. INC. MERCK & CO. INC. MERCK & CO. INC. MERCK & CO. INC. UNKNOWN MANUFACTURER UNKNOWN MANUFACTURER UNKNOWN MANUFACTURER UNKNOWN MANUFACTURER UNKNOWN MANUFACTURER MERCK & CO. INC. MERCK & CO. INC. MERCK & CO. INC. MERCK & CO. INC. MERCK & CO. INC. |
Y015120 Y015120 Y015120 Y015120 Y015120 Y015995 Y015995 Y015995 Y015995 Y015995 UK113AB UK113AB UK113AB UK113AB UK113AB Y015995 Y015995 Y015995 Y015995 Y015995 |
Lacrimation increased, Ocular hyperaemia, Pyrexia, Rash, Rhinorrhoea; Enteroviru...
Lacrimation increased, Ocular hyperaemia, Pyrexia, Rash, Rhinorrhoea; Enterovirus infection, Herpangina, Morbillivirus test positive, Pyrexia, Rash morbilliform; Respiratory disorder; Conjunctivitis, Cough, Morbillivirus test positive, Pyrexia, Rash; Rash morbilliform, Respiratory viral panel, Rhinorrhoea; Lacrimation increased, Ocular hyperaemia, Pyrexia, Rash, Rhinorrhoea; Enterovirus infection, Herpangina, Morbillivirus test positive, Pyrexia, Rash morbilliform; Respiratory disorder; Conjunctivitis, Cough, Morbillivirus test positive, Pyrexia, Rash; Rash morbilliform, Respiratory viral panel, Rhinorrhoea; Lacrimation increased, Ocular hyperaemia, Pyrexia, Rash, Rhinorrhoea; Enterovirus infection, Herpangina, Morbillivirus test positive, Pyrexia, Rash morbilliform; Respiratory disorder; Conjunctivitis, Cough, Morbillivirus test positive, Pyrexia, Rash; Rash morbilliform, Respiratory viral panel, Rhinorrhoea; Lacrimation increased, Ocular hyperaemia, Pyrexia, Rash, Rhinorrhoea; Enterovirus infection, Herpangina, Morbillivirus test positive, Pyrexia, Rash morbilliform; Respiratory disorder; Conjunctivitis, Cough, Morbillivirus test positive, Pyrexia, Rash; Rash morbilliform, Respiratory viral panel, Rhinorrhoea
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PATIENT DEVELOPED A HEAD TO TOE RASH, HIGH FEVER, RED RUNNY EYES, RUNNY NOSE 9 DAYS AFTER GETTING VA...
PATIENT DEVELOPED A HEAD TO TOE RASH, HIGH FEVER, RED RUNNY EYES, RUNNY NOSE 9 DAYS AFTER GETTING VACCINE
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| 2839463 | 4 | M | MA | 05/05/2025 |
DTAPIPV |
GLAXOSMITHKLINE BIOLOGICALS |
|
Injection site erythema, Injection site swelling
Injection site erythema, Injection site swelling
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redness, swelling on vaccine site
redness, swelling on vaccine site
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| 2839464 | 78 | F | FL | 05/05/2025 |
PNC21 |
MERCK & CO. INC. |
y013009 |
Myalgia, X-ray
Myalgia, X-ray
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Muscle pain for more than usual amount of time.
Muscle pain for more than usual amount of time.
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| 2839465 | 50 | F | MD | 05/05/2025 |
UNK |
UNKNOWN MANUFACTURER |
RA5080224A |
No adverse event, Wrong product administered
No adverse event, Wrong product administered
|
There is no adverse reaction instead of rabies vaccine 2nd dose. Pt was instead given Rabies Immune ...
There is no adverse reaction instead of rabies vaccine 2nd dose. Pt was instead given Rabies Immune Globulin.
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| 2839466 | CO | 05/05/2025 |
COVID19 COVID19 FLU3 FLU3 |
MODERNA MODERNA SANOFI PASTEUR SANOFI PASTEUR |
3043838 3043838 UT8514JA UT8514JA |
Dizziness, Haemorrhage, Nausea, Pallor, Skin lesion; Syncope, Vomiting; Dizzines...
Dizziness, Haemorrhage, Nausea, Pallor, Skin lesion; Syncope, Vomiting; Dizziness, Haemorrhage, Nausea, Pallor, Skin lesion; Syncope, Vomiting
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AFTER RECEIVING BOTH VACCINATIONS, PT STOOD FOR ABOUT 15 SECONDS TO ALLOW ANOTHER PERSON TO TAKE THE...
AFTER RECEIVING BOTH VACCINATIONS, PT STOOD FOR ABOUT 15 SECONDS TO ALLOW ANOTHER PERSON TO TAKE THE VACCINATION SEAT, AND FAINTED TO FLOOR. THERE WAS SOME LIGHT BLEEDING FROM A FOREHEAD LESION, AND PT CAME TO IN ABOUT 5 SECONDS, AND WAS ABLE TO TAKE A NEARBY CHAIR. PT THEN EXPERIENCED VOMITING, NAUSEA, DIZZINESS, AND WAS VERY PALE. AFTER RESTING FOR A COUPLE OF MINUTES, THE PT REPORTED BEING WELL ENOUGH TO LEAVE THE PHARMACY.
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| 2839467 | 15 | M | CO | 05/05/2025 |
DTAPHEPBIP PNC20 |
GLAXOSMITHKLINE BIOLOGICALS PFIZER\WYETH |
D252F LG5574 |
Product preparation issue; Product preparation issue
Product preparation issue; Product preparation issue
|
Pt was receiving 2mth old vaccines including HIB. Verified vaccines and given to MA to administer. W...
Pt was receiving 2mth old vaccines including HIB. Verified vaccines and given to MA to administer. When MA returned from room, noted that HIB lyophilized antigen component vial was not reconstituted with Sterile Diluent. MA stated only administered syringe containing diluent but did not reconstitute. Upon verifying, syringe did not have any diluent and vial still noted with white powder. Dr. and DON made aware. Dr. advised can repeat HIB this visit. Parents decided to wait and return for a nurse visit for HIB vaccine since at this time pt had already received vaccines and was sleeping. HIB vaccines documented in chart as deferred and wasted. PM made aware
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| 2839468 | 1.5 | F | NJ | 05/05/2025 |
HIBV MMRV |
MERCK & CO. INC. MERCK & CO. INC. |
UJ887AA Y012074 |
Urticaria; Urticaria
Urticaria; Urticaria
|
urticaria - antihistamine, steriods
urticaria - antihistamine, steriods
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| 2839469 | 42 | F | UT | 05/05/2025 |
UNK |
UNKNOWN MANUFACTURER |
|
Injection site erythema, Injection site induration, Injection site mass, Injecti...
Injection site erythema, Injection site induration, Injection site mass, Injection site pain, Injection site swelling
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firm chestnut-sized swelling appeared on top of muscle below SQ injection site the day after injecti...
firm chestnut-sized swelling appeared on top of muscle below SQ injection site the day after injection. Site was swollen tender and erythematous x 1 week post-injection. The ?lump? persists 10 days post injection, redness and tenderness has resolved. No hx vaccine reactions in past.
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| 2839470 | F | CA | 05/05/2025 |
HPV9 |
MERCK & CO. INC. |
|
Circumstance or information capable of leading to medication error, No adverse e...
Circumstance or information capable of leading to medication error, No adverse event
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No additional AE/No PQC reported.; HCP called to report a female patient, who is currently 15 years...
No additional AE/No PQC reported.; HCP called to report a female patient, who is currently 15 years old, received her first dose of GARDASIL 9 on 01NOV2024 and will be receiving her second dose today on 01MAY2025. Caller was unable to provide patient name or age at time of first admi; This spontaneous report was received from a Pharmacist and refers to currently 15 years old female. The patient's medical history was not reported. The patient's concurrent conditions were not reported. Concomitant therapies were not reported. On 01-Nov-2024, the patient was vaccinated with the first dose of Human Papillomavirus 9-valent Vaccine, Recombinant (GARDASIL 9) (strength, dose, route, anatomical ocation, lot #, expiration date were not reported) for prophylaxis. It was mentioned that the patient would be receiving her second dose today on 01-MAY-2025. No symptoms reported. vide patient name or age at time of first admi. On an unknown date, the patient experienced No additional AE/No PQC reported.. At the reporting time, the outcome of HCP called to report a female patient, who is currently 15 years old, received her first dose of GARDASIL 9 on 01NOV2024 and will be receiving her second dose today on 01MAY2025. Caller was unable to provide patient name or age at time of first admi and No additional AE/No PQC reported. was unknown. The action taken with Human Papillomavirus 9-valent Vaccine, Recombinant was reported as not applicable.
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| 2839471 | 1 | F | WI | 05/05/2025 |
MMR |
MERCK & CO. INC. |
YO14391 |
Injection site erythema, Rash, Rash erythematous
Injection site erythema, Rash, Rash erythematous
|
233: Returned to room 10 minutes after injection-Site red on the side with MMR and varicella. PCP in...
233: Returned to room 10 minutes after injection-Site red on the side with MMR and varicella. PCP in to review. She stated ok to put an ice pack on and check back in 10 minutes 245 Upon recheck PCP asked to check as well. Area to injection site, less red. Red rash to the left shoulder. PCP wanted to give benadryl. Benadryl given without incident. Patient tolerated well. Area drawn around the site with a skin marker. Reassessed at 309 and redness decreased, rash less. Reviewed with PCP-ok to send home. Benadryl every 8 hours x 3 doses 12.5 mg. Next dose due at 1030 pm. Encouraged to call back if worsening or not improving.
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| 2839472 | 79 | M | 05/05/2025 |
PNC21 RSV |
MERCK & CO. INC. GLAXOSMITHKLINE BIOLOGICALS |
y013009 ey77C |
Arthralgia, Injection site pain, Joint stiffness, Joint swelling, Pain in extrem...
Arthralgia, Injection site pain, Joint stiffness, Joint swelling, Pain in extremity; Arthralgia, Injection site pain, Joint stiffness, Joint swelling, Pain in extremity
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patient first experienced pain in the upper left arm, the arm the Capvaxive was administered in. he...
patient first experienced pain in the upper left arm, the arm the Capvaxive was administered in. he stated the pain travelled further down that same arm and ended in the wrist area. patient's wrist was swollen and stiff. patient was told to use ice on the swollen area of that wrist and present to his physician for further medical advice if deemed necessary.
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| 2839473 | 1.5 | F | NY | 05/05/2025 |
HEPA |
MERCK & CO. INC. |
|
Aphasia, Rash, Sluggishness
Aphasia, Rash, Sluggishness
|
Patient did break out with a rash covering all of her back, legs, arm and chest. She did move arou...
Patient did break out with a rash covering all of her back, legs, arm and chest. She did move around sluggishly. She did speak less/'l
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| 2839474 | M | 05/05/2025 |
COVID19 COVID19 |
MODERNA MODERNA |
|
Apathy, Depressed mood, Dysgraphia, Hypogeusia, Hyposmia; Loss of personal indep...
Apathy, Depressed mood, Dysgraphia, Hypogeusia, Hyposmia; Loss of personal independence in daily activities
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pt says when someone had a positive comment for him he felt happy and good inside but since being va...
pt says when someone had a positive comment for him he felt happy and good inside but since being vaccinated when someone makes the same comments there is not feeling of being happy or feeling of anything anymore. He used to feel relaxed, a sense of enjoyment and at peace at the end of the day when listening to music or sports radio, but now he no longer has this feeling. Now he just feels numb. He hasn't had any sense of enjoyment for the most part but what he did have for the most part is gone since the vaccination. Post vaccine, he since has difficulty writing his signature, brushing his teeth, and is not as confident when to say thank you. Unmotivated to bathe and his sense of taste and smell has decreased. He has discussed this in the facility he was in with his therapist, social workers, and physiatrist.
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| 2839475 | 2 | F | AZ | 05/05/2025 |
DTAP MMR |
SANOFI PASTEUR MERCK & CO. INC. |
|
Injection site erythema, Injection site swelling, Rash, Rash macular; Injection ...
Injection site erythema, Injection site swelling, Rash, Rash macular; Injection site erythema, Injection site swelling, Rash, Rash macular
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Significant redness and swelling at vaccine site in r thigh the day after vaccine. Parent went to an...
Significant redness and swelling at vaccine site in r thigh the day after vaccine. Parent went to an UC, pt was given antibiotics. No documentation of this available to me as was an outside facility. Sounds like a large local reaction. Did see her in office 5/5/23 for diffuse full body macular rash developed 5/3/25. No fever or other symptoms.
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| 2839476 | 85 | M | CT | 05/05/2025 |
RSV |
PFIZER\WYETH |
LG9828 |
Extra dose administered
Extra dose administered
|
SECOND DOSE OF RSV VACCINE ADMINISTERED. NOT NEEDED UNDER CURRENT RECOMMENDATIONS. NO ADVERSE REACTI...
SECOND DOSE OF RSV VACCINE ADMINISTERED. NOT NEEDED UNDER CURRENT RECOMMENDATIONS. NO ADVERSE REACTION REPORTED.
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| 2839477 | 91 | F | CT | 05/05/2025 |
RSV |
PFIZER\WYETH |
LG9828 |
Extra dose administered
Extra dose administered
|
SECOND DOSE OF RSV VACCINE ADMINISTERED. NOT NEEDED UNDER CURRENT RECOMMENDATIONS. NO ADVERSE REACTI...
SECOND DOSE OF RSV VACCINE ADMINISTERED. NOT NEEDED UNDER CURRENT RECOMMENDATIONS. NO ADVERSE REACTION REPORTED.
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| 2839478 | 81 | F | OH | 05/05/2025 |
COVID19 |
PFIZER\BIONTECH |
md3414 |
Abdominal pain, Nausea, Vomiting
Abdominal pain, Nausea, Vomiting
|
Systemic: Abdominal Pain-Severe, Systemic: Nausea-Severe, Systemic: Vomiting-Severe, Additional Deta...
Systemic: Abdominal Pain-Severe, Systemic: Nausea-Severe, Systemic: Vomiting-Severe, Additional Details: Patient requested reporting of severe vomitting after covid vaccine administered 4/11/25. She was admitted to the hospital overnight for treatment.
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โ | |||||
| 2839479 | 62 | F | OH | 05/05/2025 |
RSV |
GLAXOSMITHKLINE BIOLOGICALS |
9SB34 |
Joint injury
Joint injury
|
Error: Shoulder Joint Injury (prolonged pain, tingling, etc.)-, Other Vaccines: VaccineTypeBrand: C...
Error: Shoulder Joint Injury (prolonged pain, tingling, etc.)-, Other Vaccines: VaccineTypeBrand: Capvaxive; Manufacturer: Merck; LotNumber: Y019158; Route: IM; BodySite: Right Arm; Dose: ; VaxDate: UNKNOWN
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| 2839480 | 93 | F | CA | 05/05/2025 |
VARZOS VARZOS VARZOS VARZOS VARZOS VARZOS VARZOS VARZOS VARZOS VARZOS VARZOS VARZOS VARZOS VARZOS VARZOS |
GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS |
93KK4 93KK4 93KK4 93KK4 93KK4 UNK UNK UNK UNK UNK |
Asthma, Cellulitis, Condition aggravated, Pruritus, Rash; Cellulitis, Condition ...
Asthma, Cellulitis, Condition aggravated, Pruritus, Rash; Cellulitis, Condition aggravated, Dyspnoea, Pain in extremity; Asthma, Cellulitis, Chronic obstructive pulmonary disease, Condition aggravated, Discomfort; Fatigue, Headache, Injection site pain, Pain in extremity, Sleep disorder; Tinnitus; Asthma, Cellulitis, Condition aggravated, Pruritus, Rash; Cellulitis, Condition aggravated, Dyspnoea, Pain in extremity; Asthma, Cellulitis, Chronic obstructive pulmonary disease, Condition aggravated, Discomfort; Fatigue, Headache, Injection site pain, Pain in extremity, Sleep disorder; Tinnitus; Asthma, Cellulitis, Condition aggravated, Pruritus, Rash; Cellulitis, Condition aggravated, Dyspnoea, Pain in extremity; Asthma, Cellulitis, Chronic obstructive pulmonary disease, Condition aggravated, Discomfort; Fatigue, Headache, Injection site pain, Pain in extremity, Sleep disorder; Tinnitus
More
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Systemic: Allergic: Itch Generalized-Mild, Systemic: Allergic: Rash (specify: facial area, extremeti...
Systemic: Allergic: Itch Generalized-Mild, Systemic: Allergic: Rash (specify: facial area, extremeties)-Mild, Systemic: Pt said vaccine exacerbated her asthma and flared cellulitis on akles, legs and arms-Mild
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| 2839481 | 74 | M | PA | 05/05/2025 |
COVID19 COVID19 |
MODERNA MODERNA |
3046731 3046731 |
Arthralgia, Confusional state, Dizziness, Fatigue, Injection site pain; Injectio...
Arthralgia, Confusional state, Dizziness, Fatigue, Injection site pain; Injection site swelling, Lethargy
More
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Site: Pain at Injection Site-Medium, Site: Swelling at Injection Site-Medium, Systemic: Confusion-Me...
Site: Pain at Injection Site-Medium, Site: Swelling at Injection Site-Medium, Systemic: Confusion-Medium, Systemic: Dizziness / Lightheadness-Medium, Systemic: Exhaustion / Lethargy-Medium, Systemic: Joint Pain-Medium, Additional Details: patient recieved 3 vaccines on the same day, Other Vaccines: VaccineTypeBrand: shingrix; Manufacturer: glaxosmithline; LotNumber: 55th4; Route: left deltoid; BodySite: arm; Dose: ; VaxDate: 04/14/2025, VaccineTypeBrand: bostrix tdap vaccine; Manufacturer: glaxosmithline; LotNumber: dy3k7; Route: left deltoid; BodySite: arm; Dose: ; VaxDate: 04/14/2025
More
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| 2839482 | 69 | M | AL | 05/05/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
x5t42 |
Chills, Malaise, Pain, Pyrexia
Chills, Malaise, Pain, Pyrexia
|
Systemic: Body Aches Generalized-Medium, Systemic: Chills-Medium, Systemic: Fever-Medium, Additional...
Systemic: Body Aches Generalized-Medium, Systemic: Chills-Medium, Systemic: Fever-Medium, Additional Details: daughter called saying dad got shot then was sick and feverish. i told her he might feel slightly ill for a few days and if not better to get scene.
More
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| 2839483 | 75 | F | NJ | 05/05/2025 |
PNC21 |
MERCK & CO. INC. |
Y019157 |
Injection site erythema, Injection site pain, Injection site pruritus, Injection...
Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling
More
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Site: Bruising at Injection Site-Mild, Site: Itching at Injection Site-Mild, Site: Pain at Injection...
Site: Bruising at Injection Site-Mild, Site: Itching at Injection Site-Mild, Site: Pain at Injection Site-Mild, Site: Redness at Injection Site-Mild, Site: Swelling at Injection Site-Mild, Other Vaccines: VaccineTypeBrand: Capvaxive; Manufacturer: Merck; LotNumber: y019157; Route: im; BodySite: left deltoid; Dose: 1; VaxDate: 04/19/2025
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| 2839484 | 62 | F | CA | 05/05/2025 |
COVID19 COVID19 |
MODERNA MODERNA |
3044069 3044069 |
Dizziness, Fatigue, Flushing, Hyperhidrosis, Lethargy; Nausea
Dizziness, Fatigue, Flushing, Hyperhidrosis, Lethargy; Nausea
|
Systemic: Dizziness / Lightheadness-Medium, Systemic: Exhaustion / Lethargy-Medium, Systemic: Flushe...
Systemic: Dizziness / Lightheadness-Medium, Systemic: Exhaustion / Lethargy-Medium, Systemic: Flushed / Sweating-Medium, Systemic: Nausea-Severe, Additional Details: Patient was having severe nausea and sweating and faigue... stay with us for min 20 min and we walked pt to the after 20, 25 min resting in the pharmacy, Other Vaccines: VaccineTypeBrand: Havrix; Manufacturer: Glaxosmithkline; LotNumber: 2345B; Route: intramuscular; BodySite: left upper arm; Dose: ; VaxDate: UNKNOWN
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| 2839485 | 54 | F | IN | 05/05/2025 |
PNC20 PNC20 |
PFIZER\WYETH PFIZER\WYETH |
LG5577 LG5577 |
Asthenia, Dizziness, Hypoaesthesia, Hypotension, Nausea; Syncope, Tinnitus
Asthenia, Dizziness, Hypoaesthesia, Hypotension, Nausea; Syncope, Tinnitus
|
Systemic: Dizziness / Lightheadness-Severe, Systemic: Collapse without loss of consciousness-Severe,...
Systemic: Dizziness / Lightheadness-Severe, Systemic: Collapse without loss of consciousness-Severe, Systemic: Hypotension-Medium, Systemic: Nausea-Medium, Systemic: Numbness (specify: facial area, extremities)-Medium, Systemic: Tinnitus-Medium, Systemic: Weakness-Severe, Additional Details: Possible vagal reactions vs vaccine reaction. No prior adverse events with vaccination. 1st time receiving Prevnar 20.
More
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| 2839487 | 82 | F | MA | 05/05/2025 |
COVID19 COVID19 |
PFIZER\BIONTECH PFIZER\BIONTECH |
md3414 md3414 |
Injection site bruising, Injection site erythema, Injection site pain, Injection...
Injection site bruising, Injection site erythema, Injection site pain, Injection site pruritus, Pruritus; Rash
More
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Site: Bruising at Injection Site-Mild, Site: Itching at Injection Site-Severe, Site: Pain at Injecti...
Site: Bruising at Injection Site-Mild, Site: Itching at Injection Site-Severe, Site: Pain at Injection Site-Mild, Site: Redness at Injection Site-Medium, Systemic: Allergic: Itch (specify: facial area, extremeties)-Severe, Systemic: Allergic: Rash (specify: facial area, extremeties)-Medium, Additional Details: little pain initially, then a lot of itching, area is red, a little bruised, possibly from scratching. Informed pt to take benadryl and ice the area for relief, she will follow up with md in the next day or 2 if it worsens or stays the same
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| 2839488 | 83 | M | CO | 05/05/2025 |
COVID19 |
MODERNA |
3044069 |
Injection site erythema, Injection site pain, Injection site swelling, Rash
Injection site erythema, Injection site pain, Injection site swelling, Rash
|
Site: Pain at Injection Site-Medium, Site: Redness at Injection Site-Medium, Site: Swelling at Injec...
Site: Pain at Injection Site-Medium, Site: Redness at Injection Site-Medium, Site: Swelling at Injection Site-Mild, Systemic: Allergic: Rash (specify: facial area, extremeties)-Medium
More
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| 2839489 | 11 | M | CO | 05/05/2025 |
HPV9 |
MERCK & CO. INC. |
y013712 |
Injection site erythema, Injection site swelling
Injection site erythema, Injection site swelling
|
Site: Redness at Injection Site-Medium, Site: Swelling at Injection Site-Medium, Systemic: Redness s...
Site: Redness at Injection Site-Medium, Site: Swelling at Injection Site-Medium, Systemic: Redness swelling further down away from injection site on left arm-Medium
More
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| 2839491 | 55 | M | MD | 05/05/2025 |
VARZOS VARZOS |
GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS |
33fd3 33fd3 |
Asthenia, Injection site erythema, Injection site pain, Injection site swelling,...
Asthenia, Injection site erythema, Injection site pain, Injection site swelling, Pain in extremity; Peripheral swelling, Pyrexia, Skin warm
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Site: Pain at Injection Site-Severe, Site: Redness at Injection Site-Severe, Site: Swelling at Injec...
Site: Pain at Injection Site-Severe, Site: Redness at Injection Site-Severe, Site: Swelling at Injection Site-Severe, Systemic: Fever-Severe, Systemic: Weakness-Severe, Additional Details: patient complaining arm is severely bothering him. It is swollowen, hot to touch and very painful. , Other Vaccines: VaccineTypeBrand: Prevnar 20; Manufacturer: Pfizer; LotNumber: lx4483; Route: Im; BodySite: left arm; Dose: ; VaxDate: UNKNOWN
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| 2839492 | 56 | F | MA | 05/05/2025 |
TDAP TDAP |
GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS |
7kd5b 7kd5b |
Asthenia, Flushing, Headache, Hyperhidrosis, Hypertension; Injection site pain, ...
Asthenia, Flushing, Headache, Hyperhidrosis, Hypertension; Injection site pain, Insomnia, Rash
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Site: Pain at Injection Site-Severe, Systemic: Allergic: Rash Generalized-Severe, Systemic: Flushed ...
Site: Pain at Injection Site-Severe, Systemic: Allergic: Rash Generalized-Severe, Systemic: Flushed / Sweating-Severe, Systemic: Headache-Severe, Systemic: Hypertension-Severe, Systemic: Unable to Sleep-Severe, Systemic: Weakness-Severe, Additional Details: Patient came to the pharmacy next day to report rash over body and arms but not at injection site., Other Vaccines: VaccineTypeBrand: shingrix (10-ok) kit; Manufacturer: glaxosmithkline; LotNumber: 55th4; Route: im; BodySite: left arm; Dose: ; VaxDate: UNKNOWN, VaccineTypeBrand: prevnar 20; Manufacturer: wyeth/pfizer; LotNumber: ln4927; Route: im; BodySite: righ arm; Dose: ; VaxDate: UNKNOWN
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| 2839493 | M | TN | 05/05/2025 |
MMR |
MERCK & CO. INC. |
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Measles antibody negative
Measles antibody negative
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autistic; has a measles titer that was "flat" and not responsive; This spontaneous report ...
autistic; has a measles titer that was "flat" and not responsive; This spontaneous report was received from a pharmacist and refers to a 20-year-old male patient. 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 pharmacist stated that the patient received the vaccine when he was an infant), the patient was vaccinated with Measles, Mumps, and Rubella (Wistar RA 27-3) Virus Vaccine, Live (M-M-R II), (strength, dose, frequency, route, lot # and expiration date were not reported) and sterile diluent (strength, dose, frequency, route, lot # and expiration date were not reported) for prophylaxis. On an unknown date, the pharmacist stated that the patient was an autistic male who had a measles titer that was "flat" and not responsive. The outcome and the causality of the events was not provided. Upon internal review, the event of autistic was determined to be medically significant.
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| 2839494 | 71 | F | TX | 05/05/2025 |
COVID19 |
MODERNA |
3043160 |
Fatigue, Lethargy, Pain
Fatigue, Lethargy, Pain
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Systemic: Body Aches Generalized-Mild, Systemic: Exhaustion / Lethargy-Mild, Additional Details: Pat...
Systemic: Body Aches Generalized-Mild, Systemic: Exhaustion / Lethargy-Mild, Additional Details: Patient refused to speak with Rph and this is the information given
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| 2839495 | 58 | F | CA | 05/05/2025 |
PNC21 |
MERCK & CO. INC. |
Y019158 |
Chills, Injection site pain, Injection site swelling, Loss of personal independe...
Chills, Injection site pain, Injection site swelling, Loss of personal independence in daily activities, Rash
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Site: Pain at Injection Site-Mild, Site: Redness at Injection Site-Mild, Site: Swelling at Injection...
Site: Pain at Injection Site-Mild, Site: Redness at Injection Site-Mild, Site: Swelling at Injection Site-Mild, Systemic: Allergic: Rash Generalized-Mild, Systemic: Chills-Mild, Additional Details: Patient reported developing a rash and swelling around site of injection. Rash and swelling is resolving with minimal effect on daily activity. Patient also reported having chills the day after injection which has gone away.
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| 2839496 | 59 | F | FL | 05/05/2025 |
PNC20 |
PFIZER\WYETH |
LJ5284 |
Asthenia, Injection site erythema, Injection site swelling, Pyrexia
Asthenia, Injection site erythema, Injection site swelling, Pyrexia
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Site: Redness at Injection Site-Medium, Site: Swelling at Injection Site-Medium, Systemic: Fever-Sev...
Site: Redness at Injection Site-Medium, Site: Swelling at Injection Site-Medium, Systemic: Fever-Severe, Systemic: Weakness-Medium, Other Vaccines: VaccineTypeBrand: Heplisav-B; Manufacturer: Dynavax; LotNumber: 945661; Route: IM; BodySite: Right Deltoid; Dose: ; VaxDate: UNKNOWN
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| 2839497 | 53 | F | MI | 05/05/2025 |
VARCEL VARCEL |
MERCK & CO. INC. MERCK & CO. INC. |
Y006524 Y006524 |
Chills, Headache, Injection site erythema, Injection site pruritus, Myalgia; Ras...
Chills, Headache, Injection site erythema, Injection site pruritus, Myalgia; Rash
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Site: Itching at Injection Site-Mild, Site: Redness at Injection Site-Mild, Systemic: Allergic: Rash...
Site: Itching at Injection Site-Mild, Site: Redness at Injection Site-Mild, Systemic: Allergic: Rash Generalized-Mild, Systemic: muscle aches and chills-Mild, Systemic: Headache-Mild, Additional Details: rash that started 3 days ago that got worse in the past 3 days
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| 2839498 | 60 | M | TX | 05/05/2025 |
COVID19-2 |
PFIZER\BIONTECH |
gk0923 |
Injection site pain, Injection site swelling
Injection site pain, Injection site swelling
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Site: Pain at Injection Site-Medium, Site: Swelling at Injection Site-Medium, Additional Details: pa...
Site: Pain at Injection Site-Medium, Site: Swelling at Injection Site-Medium, Additional Details: patient came 21 months later today 4/29/25 to report this, said very long needle was used which is not true as I am the administering immunizer pharmacist and used 1inch needle
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| 2839499 | 76 | F | FL | 05/05/2025 |
FLU4 |
SANOFI PASTEUR |
uT8470cA |
Chills, Tremor
Chills, Tremor
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Systemic: Chills-Mild, Systemic: Shakiness-Mild
Systemic: Chills-Mild, Systemic: Shakiness-Mild
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| 2839500 | 74 | F | CA | 05/05/2025 |
FLU4 |
SANOFI PASTEUR |
u8521aa |
Injected limb mobility decreased, Injection site pain, Sleep disorder
Injected limb mobility decreased, Injection site pain, Sleep disorder
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Site: Pain at Injection Site-Medium, Additional Details: pt has sore arm that she cannot sleep on an...
Site: Pain at Injection Site-Medium, Additional Details: pt has sore arm that she cannot sleep on and cannot fully raise her arm
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| 2839501 | 70 | F | CA | 05/05/2025 |
COVID19 |
MODERNA |
8080799 |
Headache, Influenza like illness, Pain
Headache, Influenza like illness, Pain
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Systemic: Body Aches Generalized-Medium, Systemic: Other flu-like symptoms-Medium, Systemic: Headach...
Systemic: Body Aches Generalized-Medium, Systemic: Other flu-like symptoms-Medium, Systemic: Headache-Medium
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| 2839502 | 75 | F | CA | 05/05/2025 |
COVID19 |
MODERNA |
8080799 |
Pyrexia
Pyrexia
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Systemic: Fever-Severe
Systemic: Fever-Severe
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| 2839503 | 61 | M | TN | 05/05/2025 |
VARZOS VARZOS |
GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS |
x5t42 x5t42 |
Arthralgia, Chills, Fatigue, Gait disturbance, Headache; Lethargy, Malaise, Pain
Arthralgia, Chills, Fatigue, Gait disturbance, Headache; Lethargy, Malaise, Pain
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Systemic: Body Aches Generalized-Severe, Systemic: Chills-Severe, Systemic: Exhaustion / Lethargy-Se...
Systemic: Body Aches Generalized-Severe, Systemic: Chills-Severe, Systemic: Exhaustion / Lethargy-Severe, Systemic: Headache-Severe, Systemic: Joint Pain-Severe, Additional Details: The patient received Arexvy and Shingrix vaccines at the same time. The patient's wife called us 7 days later to inform us that he had become severely ill with chills, headaches, lethargy, and joint pain so severe he had difficulty walking. They had gone to his doctor and the doctor assessed that this was a result of the 2 vaccines being given together. Patient has still not recovered after 7 days., Other Vaccines: VaccineTypeBrand: Arexvy (RSV); Manufacturer: GSK; LotNumber: 9SB34; Route: IM; BodySite: Right Deltoid; Dose: 1; VaxDate: 04/23/2025
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| 2839504 | 59 | F | CA | 05/05/2025 |
PNC21 |
MERCK & CO. INC. |
y019158 |
Injection site erythema, Injection site swelling, Pruritus
Injection site erythema, Injection site swelling, Pruritus
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Site: Itching at Injection Site-Medium, Site: Redness at Injection Site-Medium, Site: Swelling at In...
Site: Itching at Injection Site-Medium, Site: Redness at Injection Site-Medium, Site: Swelling at Injection Site-Medium
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| 2839505 | 67 | F | OH | 05/05/2025 |
COVID19 |
MODERNA |
3042439 |
Asthenia, Fatigue, Headache, Lethargy, Pain
Asthenia, Fatigue, Headache, Lethargy, Pain
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Systemic: Body Aches Generalized-Medium, Systemic: Exhaustion / Lethargy-Medium, Systemic: Headache-...
Systemic: Body Aches Generalized-Medium, Systemic: Exhaustion / Lethargy-Medium, Systemic: Headache-Medium, Systemic: Weakness-Medium
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| 2839506 | 64 | F | TX | 05/05/2025 |
COVID19 |
MODERNA |
3042914 |
Injection site pain
Injection site pain
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Site: Pain at Injection Site-Mild, Additional Details: Patient reports that she experiences injectio...
Site: Pain at Injection Site-Mild, Additional Details: Patient reports that she experiences injection site pain every time she gets a vaccine. The pain feels as though she over worked her arm and it lasts about a week.
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| 2839507 | 80 | F | MD | 05/05/2025 |
PNC21 PNC21 |
MERCK & CO. INC. MERCK & CO. INC. |
z002626 z002626 |
Injection site erythema, Injection site pain, Injection site pruritus, Injection...
Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling, Injection site warmth; Limb discomfort, Pruritus, Rash
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Site: Itching at Injection Site-Mild, Site: Pain at Injection Site-Mild, Site: Redness at Injection ...
Site: Itching at Injection Site-Mild, Site: Pain at Injection Site-Mild, Site: Redness at Injection Site-Mild, Site: Swelling at Injection Site-Mild, Systemic: Allergic: Itch Generalized-Mild, Systemic: Allergic: Rash Generalized-Mild, Additional Details: Patient reported to pharmacy on Wednesday morning, April 30 and showed current RPh on duty arm; the right arm was red and felt warm per patient and swelling; did not notice any issues with left arm. Patient states some mild discomfort and swelling/ itching. Will let MD know at their current cardiology appointment later that day., Other Vaccines: VaccineTypeBrand: Shingrix; Manufacturer: GLAXOSMITHKLINE; LotNumber: 33FD3; Route: IM; BodySite: RIGHT DELTOID; Dose: 1; VaxDate: 04/23/2025
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| 2839508 | 72 | F | IL | 05/05/2025 |
COVID19 COVID19 |
MODERNA MODERNA |
3042439 3042439 |
Depressed mood, Hypersomnia, Influenza like illness, Injection site pain, Nausea...
Depressed mood, Hypersomnia, Influenza like illness, Injection site pain, Nausea; Pain in extremity
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Site: Pain at Injection Site-Mild, Systemic: Nausea-Mild, Additional Details: Patient reports feelin...
Site: Pain at Injection Site-Mild, Systemic: Nausea-Mild, Additional Details: Patient reports feeling down after receiving the vaccine. She was sleeping around the clock, has flu like symptoms, nausea(couldn't eat), and her arm was sore.
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| 2839509 | 20 | F | MA | 05/05/2025 |
HEP |
DYNAVAX TECHNOLOGIES CORPORATION |
946888 |
Injection site erythema, Injection site pain, Paraesthesia
Injection site erythema, Injection site pain, Paraesthesia
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Site: Pain at Injection Site-Medium, Site: Redness at Injection Site-Medium, Systemic: Tingling (spe...
Site: Pain at Injection Site-Medium, Site: Redness at Injection Site-Medium, Systemic: Tingling (specify: facial area, extemities)-Medium
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| 2839510 | 71 | F | TN | 05/05/2025 |
COVID19 |
MODERNA |
3042560 |
Chills, Injection site pain, Pyrexia
Chills, Injection site pain, Pyrexia
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Site: Pain at Injection Site-Mild, Systemic: Chills-Mild, Systemic: Fever-Mild
Site: Pain at Injection Site-Mild, Systemic: Chills-Mild, Systemic: Fever-Mild
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| 2839511 | 76 | F | IN | 05/05/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
5y4TL |
Injection site erythema, Injection site pruritus, Injection site swelling, Pruri...
Injection site erythema, Injection site pruritus, Injection site swelling, Pruritus
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Site: Itching at Injection Site-Mild, Site: Redness at Injection Site-Mild, Site: Swelling at Inject...
Site: Itching at Injection Site-Mild, Site: Redness at Injection Site-Mild, Site: Swelling at Injection Site-Mild, Systemic: Allergic: Itch Generalized-Mild, Additional Details: sewlling/redness around the injection site
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