| ID | Age | Sex | State | Date โผ | Onset Days | Vaccine | Manufacturer | Lot # | Symptoms | Narrative | ๐ | ๐ฅ | ๐ | โฟ | โ ๏ธ |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2837083 | 1.25 | F | MI | 04/21/2025 |
DTAPIPVHIB |
SANOFI PASTEUR |
UK303AB |
Wrong product administered
Wrong product administered
|
Incorrect vaccine was administered to pt. Pt received Pentacel vaccine instead of the intended DTaP ...
Incorrect vaccine was administered to pt. Pt received Pentacel vaccine instead of the intended DTaP vaccine. Health department was contacted and they had no major health concerns for the pt, with the only concerns being slightly increased chance of fever and localized reaction. Pt was then notified of the error and what to do if any of the symptoms occurred.
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| 2837084 | 24 | M | NJ | 04/21/2025 |
HEP YF |
MERCK & CO. INC. SANOFI PASTEUR |
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Blood glucose increased, Insulin C-peptide abnormal, Type 1 diabetes mellitus; B...
Blood glucose increased, Insulin C-peptide abnormal, Type 1 diabetes mellitus; Blood glucose increased, Insulin C-peptide abnormal, Type 1 diabetes mellitus
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I become a type 1 diabetic
I become a type 1 diabetic
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โ | |||||
| 2837085 | 76 | M | WI | 04/21/2025 |
PNC21 VARZOS |
MERCK & CO. INC. GLAXOSMITHKLINE BIOLOGICALS |
y019158 ek225 |
Loss of control of legs, Mobility decreased, Urinary retention; Loss of control ...
Loss of control of legs, Mobility decreased, Urinary retention; Loss of control of legs, Mobility decreased, Urinary retention
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pt reports losing ability to move/control legs or go to bathroom for about 6-8 hours, starting the d...
pt reports losing ability to move/control legs or go to bathroom for about 6-8 hours, starting the day after vaccines
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| 2837086 | 62 | F | MI | 04/21/2025 |
PNC20 |
PFIZER\WYETH |
lx4483 |
Injection site rash, Injection site swelling, Injection site warmth
Injection site rash, Injection site swelling, Injection site warmth
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Rash at inject site. Warm to touch and raised
Rash at inject site. Warm to touch and raised
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| 2837087 | 30 | M | TN | 04/21/2025 |
MMR |
MERCK & CO. INC. |
|
Expired product administered, No adverse event
Expired product administered, No adverse event
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Pt here for MMR vaccine. Pt given vaccine that expired 04/19/2025 (2 days prior to administration d...
Pt here for MMR vaccine. Pt given vaccine that expired 04/19/2025 (2 days prior to administration date) No reaction from patient, did not notice until pt was already gone from building.
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| 2837088 | 53 | F | FL | 04/21/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
4M472 |
Abdominal pain lower
Abdominal pain lower
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Patient felt bilateral ovarian cramping within 24 hours of receiving vaccine and lasted for approxim...
Patient felt bilateral ovarian cramping within 24 hours of receiving vaccine and lasted for approximately one week. Patient reduced progesterone dose to 100mg daily for a few days to try to help, but when it didn't resolve she continued regular 200mg therapy. She did not seek additional medical help and the cramping resolved after about one week.
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| 2837089 | 13 | F | 04/21/2025 |
MMRV |
MERCK & CO. INC. |
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Product administered to patient of inappropriate age
Product administered to patient of inappropriate age
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Pt out of age range for MMRV but was given on 4/21/25.
Pt out of age range for MMRV but was given on 4/21/25.
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| 2837090 | 4 | F | FL | 04/21/2025 |
DTAP DTAP DTAP DTAP DTAP IPV IPV IPV IPV IPV |
SANOFI PASTEUR SANOFI PASTEUR SANOFI PASTEUR SANOFI PASTEUR SANOFI PASTEUR SANOFI PASTEUR SANOFI PASTEUR SANOFI PASTEUR SANOFI PASTEUR SANOFI PASTEUR |
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Abnormal behaviour, Crying, Decreased appetite, Diarrhoea, Discomfort; Fatigue, ...
Abnormal behaviour, Crying, Decreased appetite, Diarrhoea, Discomfort; Fatigue, Feeling of body temperature change, Gait disturbance, Headache, Immediate post-injection reaction; Influenza virus test negative, Injection site bruising, Injection site pain, Injection site swelling, Irritability; Lethargy, Pharyngeal inflammation, Pharyngitis, Photophobia, Pyrexia; SARS-CoV-2 test negative, Screaming, Skin warm, Streptococcus test negative, Vomiting; Abnormal behaviour, Crying, Decreased appetite, Diarrhoea, Discomfort; Fatigue, Feeling of body temperature change, Gait disturbance, Headache, Immediate post-injection reaction; Influenza virus test negative, Injection site bruising, Injection site pain, Injection site swelling, Irritability; Lethargy, Pharyngeal inflammation, Pharyngitis, Photophobia, Pyrexia; SARS-CoV-2 test negative, Screaming, Skin warm, Streptococcus test negative, Vomiting
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On Wednesday morning, The DTAP vaccine was administered on the left thigh and that IPV Polio vaccine...
On Wednesday morning, The DTAP vaccine was administered on the left thigh and that IPV Polio vaccine was administered on the left thigh. She immediately complained that the left thigh hurt, and it started to swell almost immediately. Her left thigh was swollen, and she said it hurt and didn?t want to walk at that moment. We applied ice compresses that afternoon hoping it would subside. By Thursday, there was a noticeable bruise at the injection site which we assumed was normal, but her twin sister did not have any swelling or bruising. Patient was extremely irritable and uncomfortable. She was crying and not acting like herself. By Friday, the crying was incessant, and the swelling started to go down; however, she developed a low-grade fever (100.4). We monitored the fever and administered Children?s Tylenol that evening as it was not going down. She kept saying she was hot then she was cold and vice versa. Saturday morning, she woke up crying that she was in pain and was still tired even after sleeping ten (10) hours straight. Her fever had subsided, but she said she had a headache on the top of her head that went from the left side to the right side and that it hurt a lot. She wanted to stay in bed and complained that the lights and the sun bothered her. She had a blanket over her face and would scream if any light was visible. By lunchtime, she vomited once and then the fever returned. She did not want to eat much and was lethargic and irritable. Children?s Tylenol was administered that evening when the fever peaked at 102.1. She was crying most of the day and in an irritable state, not like her at all. She would whine over everything. On Sunday she was irritable and crying incessantly, she only wanted to be laying down and tried to sleep most of the day. Her fever would come and go all day. She kept saying she was hot and then cold again and wanted to be wrapped in a blanket (likely due to the fever) but we did not allow her as we wanted to regulate her temperature. When I undressed her, her body was scorching hot and the fever reached 103 overnight. Monday morning there was no fever, just irritability and lots of whining. We took her to the pediatrician that afternoon. She had a low-grade fever at that time and Ibuprofen was administered. She had a full meltdown at the pediatrician?s office just kicking and screaming (something she had never down before). Her pediatrician said her throat was inflamed and she probably had a throat infection. The tests for strep throat, Covid19 and flu all came back negative. Monday evening, she had diarrhea and her fever came back. Her fever finally subsided by Wednesday night, however the diarrhea lasted for 2 days. It has been 2 weeks and she is still extremely irritable and crying over everything. Her attitude and demeaner has changed drastically and I am concerned.
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| 2837091 | 2 | F | AR | 04/21/2025 |
DTAPIPV |
GLAXOSMITHKLINE BIOLOGICALS |
42Y93 |
No adverse event, Product administered to patient of inappropriate age
No adverse event, Product administered to patient of inappropriate age
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No adverse reactions that I am aware of at this time.
No adverse reactions that I am aware of at this time.
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| 2837092 | 1.25 | M | NC | 04/21/2025 |
MMRV MMRV MMRV MMRV MMRV MMRV |
MERCK & CO. INC. MERCK & CO. INC. MERCK & CO. INC. MERCK & CO. INC. MERCK & CO. INC. MERCK & CO. INC. |
Y017513 Y017513 Y017513 |
Inappropriate schedule of product administration, No adverse event, Product admi...
Inappropriate schedule of product administration, No adverse event, Product administered to patient of inappropriate age; Inappropriate schedule of product administration, Injection site reaction, Rash, Rash erythematous, Rash papular; Wrong product administered; Inappropriate schedule of product administration, No adverse event, Product administered to patient of inappropriate age; Inappropriate schedule of product administration, Injection site reaction, Rash, Rash erythematous, Rash papular; Wrong product administered
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No current adverse reaction, vaccine given prior to typical routine vaccination regimen as initial d...
No current adverse reaction, vaccine given prior to typical routine vaccination regimen as initial doses of separate MMR and Varicella vaccines were given on 1/13/25; MMRV given prior to recommended age of 4 years and older.
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| 2837093 | 17 | M | NM | 04/21/2025 |
MENB |
NOVARTIS VACCINES AND DIAGNOSTICS |
FH443 |
Erythema, Peripheral swelling, Pruritus
Erythema, Peripheral swelling, Pruritus
|
Pt felt fine after injection, this was his second dose, last one given 4/1/2024. This morning, he to...
Pt felt fine after injection, this was his second dose, last one given 4/1/2024. This morning, he told his grandma that his right arm was red, swollen and itchy for the last couple of days. The area of erythema is about 2 inches x 4 inches without central pustule and no red streaks from area. No fevers, no shortness of breath, no rash, no nausea or vomiting.
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| 2837094 | 4 | M | PA | 04/21/2025 |
DTAPIPV |
GLAXOSMITHKLINE BIOLOGICALS |
|
Injection site erythema, Injection site pain, Injection site swelling, Ultrasoun...
Injection site erythema, Injection site pain, Injection site swelling, Ultrasound scan normal
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Patient was seen for 4y WCC on 4/14, mom then called after hours on 4/16 with concerns for left thig...
Patient was seen for 4y WCC on 4/14, mom then called after hours on 4/16 with concerns for left thigh redness/swelling/pain. Took child to Walk-in Clinic on 4/16 for assessment and was started on Keflex. Redness continued to spread, so advised to take to ED. Patient seen in ED 4/17, US ruled out any pocket of infection and antibiotic was switched to Bactrim. Seeing PCP today 4/18 for close follow up. Suggest placing VAERS report for DTAP/IPV injection site.
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| 2837095 | 18 | M | WA | 04/21/2025 |
HEP |
GLAXOSMITHKLINE BIOLOGICALS |
T5D73 |
Incorrect dose administered
Incorrect dose administered
|
I accidentally administered the adult, recombinant Engerix-B for adults 20 years and older. The pati...
I accidentally administered the adult, recombinant Engerix-B for adults 20 years and older. The patient is 18 years old at the time of vaccination.
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| 2837096 | 52 | F | MD | 04/21/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
29Y9K |
Injection site erythema, Injection site pain, Injection site swelling
Injection site erythema, Injection site pain, Injection site swelling
|
Developed erythema to injection site, progressive enlargement over 3 days. Tender to palpation. Init...
Developed erythema to injection site, progressive enlargement over 3 days. Tender to palpation. Initiated Doycycline and topical Triamcinolone
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| 2837097 | 74 | M | NC | 04/21/2025 |
TDAP TDAP |
SANOFI PASTEUR SANOFI PASTEUR |
3CA34C1 3CA34C1 |
Arthralgia, Chills, Neck pain, Pain, Pain in extremity; Pyrexia
Arthralgia, Chills, Neck pain, Pain, Pain in extremity; Pyrexia
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Fever (100 degree F), body aches and chills, injection was in right deltoid, started having pain in ...
Fever (100 degree F), body aches and chills, injection was in right deltoid, started having pain in left shoulder/arm then into neck and then right arm. Reports painful and now with body soreness
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| 2837098 | 1.25 | F | MA | 04/21/2025 |
DTAPIPVHIB VARCEL |
SANOFI PASTEUR MERCK & CO. INC. |
UK216AB Y015101 |
Rash macular; Rash macular
Rash macular; Rash macular
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Mom noticed a rash on 4/15/25 , sent a picture to the office. We scheduled pt for visit. At the time...
Mom noticed a rash on 4/15/25 , sent a picture to the office. We scheduled pt for visit. At the time pt arrived she was given 2.5mL of Benadryl for rash. rash; coalescing macular rash with areas of central clearing; no vesicles, no ulcerations. Pt was given referral to the allergist
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| 2837099 | 70 | F | MN | 04/21/2025 |
UNK |
UNKNOWN MANUFACTURER |
|
Chills, Computerised tomogram, Headache, Pain, Pulmonary embolism
Chills, Computerised tomogram, Headache, Pain, Pulmonary embolism
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1st symptom - aches, chills, massive headache 3 months later 3 pulmonary embolisms one in each lung ...
1st symptom - aches, chills, massive headache 3 months later 3 pulmonary embolisms one in each lung artery
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โ | โ | ||||
| 2837100 | 64 | M | MT | 04/21/2025 |
MMR |
MERCK & CO. INC. |
X011430 |
Expired product administered, No adverse event
Expired product administered, No adverse event
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Vaccine administered on 4/21/2025 expired 4/19/2025. The patient has not experienced any signs, symp...
Vaccine administered on 4/21/2025 expired 4/19/2025. The patient has not experienced any signs, symptoms or adverse reactions.
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| 2837101 | 73 | F | TX | 04/21/2025 |
UNK |
UNKNOWN MANUFACTURER |
md3414 |
Vaccination site pruritus, Vaccination site swelling
Vaccination site pruritus, Vaccination site swelling
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Patient had local vaccination site swelling and itchiness. Itchiness did not go away when swelling w...
Patient had local vaccination site swelling and itchiness. Itchiness did not go away when swelling went down.
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| 2837102 | 22 | M | MI | 04/21/2025 |
TDAP TDAP |
GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS |
ak334 ak334 |
Confusional state, Malaise, Nausea, Posture abnormal, Syncope; Unresponsive to s...
Confusional state, Malaise, Nausea, Posture abnormal, Syncope; Unresponsive to stimuli, Vomiting
More
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Systemic: Confusion-Mild, Systemic: Fainting / Unresponsive-Medium, Systemic: Nausea-Mild, Systemic:...
Systemic: Confusion-Mild, Systemic: Fainting / Unresponsive-Medium, Systemic: Nausea-Mild, Systemic: Vomiting-Mild, Additional Details: Patient made us aware beforehand that he has had faiting reactions to vaccines. After receiving the 3 vaccines, informed he wasn't feeling well and fainted. She kept him steady and called for my help. He was unresponsvive for maybe 30 seconds and then was able to talk and verify his name and said he was OK, but he couldn't keep his eyes open and remained slumped in the chair. I had someone call 911 at that point. He vomited a small amount after drinking some Gatorade. EMTs arrived after, Other Vaccines: VaccineTypeBrand: Trumemba; Manufacturer: ; LotNumber: ; Route: ; BodySite: ; Dose: ; VaxDate: UNKNOWN, VaccineTypeBrand: Menveo; Manufacturer: ; LotNumber: ; Route: ; BodySite: ; Dose: ; VaxDate: UNKNOWN
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| 2837103 | 45 | M | WV | 04/21/2025 |
TDAP |
GLAXOSMITHKLINE BIOLOGICALS |
dy3k7 |
Allergy to vaccine, Injection site erythema, Injection site swelling
Allergy to vaccine, Injection site erythema, Injection site swelling
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Site: Redness at Injection Site-Mild, Site: Swelling at Injection Site-Mild, Additional Details: add...
Site: Redness at Injection Site-Mild, Site: Swelling at Injection Site-Mild, Additional Details: added allergy to profile
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| 2837104 | 65 | F | NY | 04/21/2025 |
FLUA4 |
SEQIRUS, INC. |
388498 |
Injection site pain, Pain
Injection site pain, Pain
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Site: Pain at Injection Site-Medium, Additional Details: Patient states that she has chronic pain in...
Site: Pain at Injection Site-Medium, Additional Details: Patient states that she has chronic pain in her upper left arm (patient pointed to area about 4-5 inches below shoulder.) She states that she has pain when lifting her arm to her head or above head level. She has gone to her medical doctor with no clear diagnosis and is treating with otc pain medications. Patient was not able to state exactly where the injecion was given in the left arm.
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| 2837105 | 67 | F | AZ | 04/21/2025 |
COVID19-2 COVID19-2 |
MODERNA MODERNA |
3044069 3044069 |
Contusion, Dermatitis allergic, Injection site bruising, Injection site pain, In...
Contusion, Dermatitis allergic, Injection site bruising, Injection site pain, Insomnia; Visual impairment
More
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Site: Bruising at Injection Site-Severe, Site: Pain at Injection Site-Severe, Systemic: Allergic: Ra...
Site: Bruising at Injection Site-Severe, Site: Pain at Injection Site-Severe, Systemic: Allergic: Rash (specify: facial area, extremeties)-Severe, Systemic: major brusing under her arm near lymphnodes and they were painful-Severe, Systemic: Unable to Sleep-Severe, Systemic: Visual Changes/Disturbances-Severe, Other Vaccines: VaccineTypeBrand: covid spikevax; Manufacturer: moderna; LotNumber: 3044069; Route: im; BodySite: left arm; Dose: ; VaxDate: UNKNOWN
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| 2837106 | 58 | F | NY | 04/21/2025 |
PNC20 |
PFIZER\WYETH |
lK6655 |
Injection site pain, Injection site swelling, Product administered at inappropri...
Injection site pain, Injection site swelling, Product administered at inappropriate site, Rotator cuff syndrome
More
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Site: Pain at Injection Site-Severe, Site: Swelling at Injection Site-Severe, Additional Details: pa...
Site: Pain at Injection Site-Severe, Site: Swelling at Injection Site-Severe, Additional Details: patient appears to be suffering from shoulder impingement due to vaccine administed too high on arm
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| 2837107 | 27 | M | FL | 04/21/2025 |
TDAP TDAP |
GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS |
PG3RP PG3RP |
Anxiety, Dizziness, Loss of consciousness, Pallor, Syncope; Unresponsive to stim...
Anxiety, Dizziness, Loss of consciousness, Pallor, Syncope; Unresponsive to stimuli
More
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Systemic: Dizziness / Lightheadness-Mild, Systemic: Fainting / Unresponsive-Mild, Additional Details...
Systemic: Dizziness / Lightheadness-Mild, Systemic: Fainting / Unresponsive-Mild, Additional Details: pt states he had anxiety after watch wife get her immunization. Walked away and passed out briefly,turned pale. Was able to walk, sat in pharmacy area for about 15 minutes and was fine.
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| 2837108 | 21 | F | MO | 04/21/2025 |
HEPAB |
GLAXOSMITHKLINE BIOLOGICALS |
h7rf2 |
Injection site pain, Pain
Injection site pain, Pain
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Site: Pain at Injection Site-Medium, Additional Details: she has stated that she can not raise her a...
Site: Pain at Injection Site-Medium, Additional Details: she has stated that she can not raise her arm without pain and is having trouble putting on shirts.
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| 2837109 | 19 | M | TX | 04/21/2025 |
MNQ |
SANOFI PASTEUR |
u8375AA |
Back injury, Dizziness, Fall, Syncope, Unresponsive to stimuli
Back injury, Dizziness, Fall, Syncope, Unresponsive to stimuli
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Systemic: Fainting / Unresponsive-Mild, Systemic: fell on his back(fainted) , complained about light...
Systemic: Fainting / Unresponsive-Mild, Systemic: fell on his back(fainted) , complained about light headidness 3-5 minutes after the shot, Protocol followed and EMS arrived within another 5- 10 minutes,patient had normal breath and was resposnsive-Mild
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| 2837110 | 69 | M | AZ | 04/21/2025 |
COVID19 |
PFIZER\BIONTECH |
lp1780 |
Arthralgia, Injected limb mobility decreased, Injection site inflammation, Injec...
Arthralgia, Injected limb mobility decreased, Injection site inflammation, Injection site pain
More
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Site: Pain at Injection Site-Medium, Systemic: Joint Pain-Medium, Additional Details: Pt presented w...
Site: Pain at Injection Site-Medium, Systemic: Joint Pain-Medium, Additional Details: Pt presented with pain in right deltoid ~1 week or less from administration date. talked with pt and showed me where injection was given and did not appear too high in my judgment of his explanation. he is having pain at site and had complaint of shoulder mobility issues with inflammation from what he described. Advised to have pt seek medical attention to assess shoulder.
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| 2837111 | 68 | F | CA | 04/21/2025 |
RSV |
PFIZER\WYETH |
LG9829 |
Injection site pain
Injection site pain
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Site: Pain at Injection Site-Mild, Additional Details: Per patient, she had a normal pain at the inj...
Site: Pain at Injection Site-Mild, Additional Details: Per patient, she had a normal pain at the injection site for about 2-3 days after receiving the vaccine. Then 6 weeks later, the pain at the injection site came back and has been in the pain for about 2 weeks now. She's taking tylenol occassionally at night and massages the area. She denies of any shoulder/joint immobility. She still has full range of motion.
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| 2837112 | 67 | F | RI | 04/21/2025 |
VARZOS VARZOS VARZOS VARZOS VARZOS VARZOS |
GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS |
55TH4 55TH4 55TH4 55TH4 55TH4 55TH4 |
Injection site cellulitis, Injection site erythema, Injection site infection, In...
Injection site cellulitis, Injection site erythema, Injection site infection, Injection site pain, Injection site pruritus; Injection site swelling, Injection site warmth; Joint injury; Injection site cellulitis, Injection site erythema, Injection site infection, Injection site pain, Injection site pruritus; Injection site swelling, Injection site warmth; Joint injury
More
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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, Additional Details: Patient came in on Friday 4/11/25 and showed pharmacist on duty her arm. Arm was red, hot to the touch, painful, itchy and there was a bump where the vaccine was administered. On 4/12/25 patient went to an urgent care/doctors office for reaction and was prescribed cephalexin. MD said area was infected (likely cellulitis). Will be giving patient antibiotic for free considering this is an adverse reaction from vaccine in our store. This was approved by pharmacy manager.
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| 2837114 | 88 | F | GA | 04/21/2025 |
FLU4 |
SANOFI PASTEUR |
u8527aa |
Injection site erythema, Injection site pain, Injection site swelling
Injection site erythema, Injection site pain, Injection site swelling
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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, Additional Details: Patient called and said she has had shoulder problems since flu shot, she has been to dr and was diagnosed of problem from injection
More
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| 2837115 | 79 | F | LA | 04/21/2025 |
RSV |
GLAXOSMITHKLINE BIOLOGICALS |
A4P5G |
Injection site erythema, Injection site pain, Injection site swelling
Injection site erythema, Injection site pain, Injection site swelling
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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-Medium, Other Vaccines: VaccineTypeBrand: Boostrix; Manufacturer: GLAXOSMITHKLINE; LotNumber: PG3RP; Route: INTRAMUSCULAR; BodySite: LEFT DELTOID; Dose: 1; VaxDate: 04/11/2025
More
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| 2837116 | 85 | F | CA | 04/21/2025 |
VARZOS VARZOS |
GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS |
3334y 3334y |
Arthralgia, Injected limb mobility decreased, Injection site pain, Orthosis user...
Arthralgia, Injected limb mobility decreased, Injection site pain, Orthosis user, Pain in extremity; Skin discolouration
More
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Site: Pain at Injection Site-Severe, Systemic: left arm and hand pain/ limited range in motion-Sever...
Site: Pain at Injection Site-Severe, Systemic: left arm and hand pain/ limited range in motion-Severe, Systemic: Joint Pain-Severe, Additional Details: Pt states her whole left arm and hand is affected with severe pain and limited range of motions. states her little finger is discolored and black but the prescriber says this will pass with time. Pt had a doctor visit on april 10th, and states provider suggests this may be vaccine related and injection may have been given too high. prescribers has provided pt with topicals, exercises, and will be using an arm brace.
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| 2837117 | 70 | F | IL | 04/21/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
ts525 |
Injection site erythema, Rash
Injection site erythema, Rash
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Site: Redness at Injection Site-Severe, Systemic: Allergic: Rash Generalized-Severe, Additional Deta...
Site: Redness at Injection Site-Severe, Systemic: Allergic: Rash Generalized-Severe, Additional Details: Pt reached out to doctor (via tele-health), full body rash, pt was given medrol dose pak to resolve, started taking steroid 04/14/25
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| 2837118 | 57 | F | OK | 04/21/2025 |
MMR |
GLAXOSMITHKLINE BIOLOGICALS |
xx9n4 |
Injection site erythema, Injection site pain, Injection site swelling
Injection site erythema, Injection site pain, Injection site swelling
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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-Medium
More
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| 2837119 | 73 | F | TX | 04/21/2025 |
MMR MMR |
GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS |
955E2 955E2 |
Asthenia, Dyspnoea, Hypertension, Injection site bruising, Injection site erythe...
Asthenia, Dyspnoea, Hypertension, Injection site bruising, Injection site erythema; Injection site pain, Injection site pruritus, Injection site swelling, Palpitations, Tachycardia
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, Systemic: Allergic: Difficulty Breathing-Severe, Systemic: Hypertension-Severe, Systemic: Tachycardia-Severe, Systemic: Weakness-Severe, Additional Details: Pt complained a few minutes later her heart was racing. Checked her BP read 179/92 & HR 105, 2nd reading was 188/91 & HR 112. Pt was breathing heavy and trying to catch her breath throughout the event & holding her chest. HEr child was helping her breath. PT told me that she is RPh and both her children confirmed that information. Pt insisted on Epipen, then I administered Epipen 0.3mg IM on her outer right thigh while her daughter called 911. EMS arrived appr 10 min, and was taken to Hospital. , Other Vaccines: VaccineTypeBrand: Priorix; Manufacturer: Glaxosmithkline; LotNumber: 955E2; Route: SQ; BodySite: Right arm; Dose: ; VaxDate: UNKNOWN
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| 2837120 | 70 | F | FL | 04/21/2025 |
COVID19 |
MODERNA |
8081260 |
Chills, Injection site erythema, Injection site pain, Injection site swelling
Chills, Injection site erythema, Injection site pain, Injection site swelling
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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: Chills-Mild
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| 2837121 | 67 | F | NV | 04/21/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
93kk4 |
Injection site bruising, Injection site swelling
Injection site bruising, Injection site swelling
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Site: Bruising at Injection Site-Medium, Site: Swelling at Injection Site-Medium, Additional Details...
Site: Bruising at Injection Site-Medium, Site: Swelling at Injection Site-Medium, Additional Details: Black localized brusing will see PCP.
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| 2837122 | 61 | F | TX | 04/21/2025 |
MMR |
GLAXOSMITHKLINE BIOLOGICALS |
xx9n4 |
Injection site pain
Injection site pain
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Site: Pain at Injection Site-Medium
Site: Pain at Injection Site-Medium
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| 2837123 | 38 | M | TX | 04/21/2025 |
MMR |
GLAXOSMITHKLINE BIOLOGICALS |
xx9n4 |
Injection site pain
Injection site pain
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Site: Pain at Injection Site-Medium
Site: Pain at Injection Site-Medium
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| 2837124 | 81 | F | NM | 04/21/2025 |
FLU4 |
SANOFI PASTEUR |
U8519EA |
Fungal infection, Fungal test positive, Injection site pain, Injection site swel...
Fungal infection, Fungal test positive, Injection site pain, Injection site swelling
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Site: Swelling at Injection Site-Medium, Additional Details: As per letter that was provided by the ...
Site: Swelling at Injection Site-Medium, Additional Details: As per letter that was provided by the patient's spouse on 4/15/25, the patient at the time, back in December, reported serious pain at the site where the vaccine was given. Patient went to the local emergency department on 12/22/24, according to the letter provided to us, and that the swelling and pain is ongoing. Also according to the letter, recent aspiration and lab test revealed "yeast/fungus infection" and is "under treatment for the fungal infection."
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| 2837125 | 69 | F | CA | 04/21/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
75D3A |
Dizziness, Visual impairment, Vomiting
Dizziness, Visual impairment, Vomiting
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Systemic: Dizziness / Lightheadness-Mild, Systemic: Visual Changes/Disturbances-Mild, Systemic: Vomi...
Systemic: Dizziness / Lightheadness-Mild, Systemic: Visual Changes/Disturbances-Mild, Systemic: Vomiting-Medium, Additional Details: pt upon feeing ligh headedness was placed to ground with fee elevated. she vomited on the side clear spit/fluid. paramadics then arrived. , Other Vaccines: VaccineTypeBrand: Boostrix; Manufacturer: GlaxoSmithKline; LotNumber: KR75D; Route: Im; BodySite: left arm; Dose: 1; VaxDate: 04/15/2025
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| 2837126 | 52 | F | CA | 04/21/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
75g27 |
Injection site bruising, Injection site erythema, Injection site swelling
Injection site bruising, Injection site erythema, Injection site swelling
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Site: Bruising at Injection Site-Medium, Site: Redness at Injection Site-Medium, Site: Swelling at I...
Site: Bruising at Injection Site-Medium, Site: Redness at Injection Site-Medium, Site: Swelling at Injection Site-Medium
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| 2837127 | 50 | M | AL | 04/21/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
55th4 |
COVID-19, Injection site pain, Pyrexia
COVID-19, Injection site pain, Pyrexia
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Site: Pain at Injection Site-Severe, Additional Details: his caregiver called back after a week stat...
Site: Pain at Injection Site-Severe, Additional Details: his caregiver called back after a week stating his arm was hurting and he has a fever but it was discovered that he did in fact have covid. the fever did break. I have been calling back weekly to check on him or either she would call the pharmacy to speak with me and he would say it still hurts but it was not as bad as initially. it has been almost a month from the injection and he did get 3 shots on 3-18 but that is why i made sure to put that one specifically in the right arm so he would kn
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| 2837128 | 73 | F | OH | 04/21/2025 |
COVID19 COVID19 COVID19 |
NOVAVAX NOVAVAX NOVAVAX |
6024mf016a 6024mf016a 6024mf016a |
Abdominal pain, Asthenia, Dizziness, Fatigue, Headache; Injection site swelling,...
Abdominal pain, Asthenia, Dizziness, Fatigue, Headache; Injection site swelling, Lethargy, Pain, Post-acute COVID-19 syndrome, Tremor; Vomiting
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Site: Swelling at Injection Site-Mild, Systemic: Abdominal Pain-Medium, Systemic: Body Aches General...
Site: Swelling at Injection Site-Mild, Systemic: Abdominal Pain-Medium, Systemic: Body Aches Generalized-Medium, Systemic: Dizziness / Lightheadness-Severe, Systemic: Exhaustion / Lethargy-Severe, Systemic: Headache-Medium, Systemic: Shakiness-Medium, Systemic: Vomiting-Medium, Systemic: Weakness-Severe, Additional Details: has been suffering from long covid before and after vaccine
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| 2837129 | 53 | M | CA | 04/21/2025 |
PNC21 PNC21 |
MERCK & CO. INC. MERCK & CO. INC. |
y019158 y019158 |
Asthenia, Chills, Fatigue, Injection site erythema, Injection site pain; Injecti...
Asthenia, Chills, Fatigue, Injection site erythema, Injection site pain; Injection site swelling, Lethargy, Pain, Pyrexia
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Site: Pain at Injection Site-Mild, Site: Redness at Injection Site-Severe, Site: Swelling at Injecti...
Site: Pain at Injection Site-Mild, Site: Redness at Injection Site-Severe, Site: Swelling at Injection Site-Severe, Systemic: Body Aches Generalized-Medium, Systemic: Chills-Mild, Systemic: Exhaustion / Lethargy-Mild, Systemic: Fever-Mild, Systemic: Weakness-Mild
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| 2837130 | 31 | TN | 04/21/2025 |
TDAP |
GLAXOSMITHKLINE BIOLOGICALS |
EB499 |
Joint injury
Joint injury
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Error: Shoulder Joint Injury (prolonged pain, tingling, etc.)-
Error: Shoulder Joint Injury (prolonged pain, tingling, etc.)-
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| 2837131 | 71 | F | VA | 04/21/2025 |
RSV |
GLAXOSMITHKLINE BIOLOGICALS |
9SB34 |
Injection site erythema, Injection site pain
Injection site erythema, Injection site pain
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Site: Pain at Injection Site-Medium, Site: Redness at Injection Site-Medium
Site: Pain at Injection Site-Medium, Site: Redness at Injection Site-Medium
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| 2837132 | 67 | F | HI | 04/21/2025 |
PNC20 PNC20 |
PFIZER\WYETH PFIZER\WYETH |
LX4483 LX4483 |
Injection site bruising, Injection site erythema, Injection site pain, Injection...
Injection site bruising, Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling; Injection site warmth, Pruritus
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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, Systemic: Allergic: Itch Generalized-Mild, Additional Details: Patient began brusing at injection site the evening of getting the vaccine. The next day, bruise was darker and bigger. On the 3rd day, part of her arm under the injection site began to swell, turn pink and felt hot. She put a ice pack to help. One week later (day she came in to report adverse effect), she still has a bruise the size of the bottom of a soda can and it has been a little itchy for a few days. Slight muscle pain when she pushes on area. No reaction to vaccines in the past.
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| 2837133 | 25 | F | NC | 04/21/2025 |
TDAP |
GLAXOSMITHKLINE BIOLOGICALS |
eb499 |
Adverse reaction, Extra dose administered, Injection site pain, Wrong product ad...
Adverse reaction, Extra dose administered, Injection site pain, Wrong product administered
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Site: Pain at Injection Site-Severe, Additional Details: Patient requesting 2 vaccines from a list s...
Site: Pain at Injection Site-Severe, Additional Details: Patient requesting 2 vaccines from a list she had from the doctor. Patient needed Hep B vaccine but was given Tdap. Patient had already received Tdap at the doctor's office so this was a second administration of the vaccine. Patient was given refund and did not have any side effects of vaccine while in store. Patient later reported vaccine error and reported going to the ER due to bad reaction.
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