| ID | Age | Sex | State | Date โผ | Onset Days | Vaccine | Manufacturer | Lot # | Symptoms | Narrative | ๐ | ๐ฅ | ๐ | โฟ | โ ๏ธ |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2836656 | 15 | F | DC | 04/17/2025 |
COVID19 |
MODERNA |
B0002 |
No adverse event, Product storage error
No adverse event, Product storage error
|
no adverse events- patient tolerated vaccine well. This report is being written due to a discovery t...
no adverse events- patient tolerated vaccine well. This report is being written due to a discovery that the vaccines given may have been improperly stored in the fridge at some point. The freezer at the facility began malfunctioning for short periods of time in December 20214 and January 2025. The temperature excursions were discovered and vaccines were moved to the fridge while repairs were being made in February. Vaccines were administered between January and March. However, upon inquiry with the manufacturers, vaccines were deemed viable at the time of administration because Moderna vaccines can be used within 60 days if stored in the fridge. We were asked to submit this report by the DOH after the fact.
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| 2836657 | 12 | F | 04/17/2025 |
COVID19 |
MODERNA |
B0002 |
No adverse event, Product storage error
No adverse event, Product storage error
|
none- patient tolerated vaccine well. This report is being written due to a discovery that the vacci...
none- patient tolerated vaccine well. This report is being written due to a discovery that the vaccines given may have been improperly stored in the fridge at some point. The freezer at the facility began malfunctioning for short periods of time in December 20214 and January 2025. The temperature excursions were discovered and vaccines were moved to the fridge while repairs were being made in February. Vaccines were administered between January and march. Upon inquiry with the manufacturers, vaccines were deemed viable at the time of administration because Moderna vaccines can be used within 60 days if stored in the fridge. We were asked to submit this report by the DOH after the fact
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| 2836658 | 60 | M | AL | 04/17/2025 |
COVID19 COVID19 COVID19 COVID19 COVID19 COVID19 COVID19 COVID19 |
PFIZER\BIONTECH PFIZER\BIONTECH PFIZER\BIONTECH PFIZER\BIONTECH PFIZER\BIONTECH PFIZER\BIONTECH PFIZER\BIONTECH PFIZER\BIONTECH |
Unknown Unknown Unknown Unknown lm2223 lm2223 lm2223 lm2223 |
Amnesia, Blood test, Brain fog, Computerised tomogram, Diarrhoea; Disturbance in...
Amnesia, Blood test, Brain fog, Computerised tomogram, Diarrhoea; Disturbance in attention, Dyspnoea, Fatigue, Heart rate increased, Impaired work ability; Migraine, Mobility decreased, Scan with contrast; Cardiac disorder, Hypertension, Injection site pain, Post-acute COVID-19 syndrome, Venous injury; Amnesia, Blood test, Brain fog, Computerised tomogram, Diarrhoea; Disturbance in attention, Dyspnoea, Fatigue, Heart rate increased, Impaired work ability; Migraine, Mobility decreased, Scan with contrast; Cardiac disorder, Hypertension, Injection site pain, Post-acute COVID-19 syndrome, Venous injury
More
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Migraine like headaches lasting three to four days each, extreme fatigue that kept me in bed for day...
Migraine like headaches lasting three to four days each, extreme fatigue that kept me in bed for days and weeks at a time, brain fog that did not allow me to concentrate or make decisions,memory loss, diarrhea, shortness of breath and accelerated heart heart after any activity. These began near the end of October and gradually got worse until I was unable to work after January 13. It took until late March to obtain a diagnosis and several more weeks to develop a treatment plan. This plan started 4/14/2024. I?m not recovered yet.
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โ | |||||
| 2836659 | 19 | F | NC | 04/17/2025 |
HEPAB IPV MNQ TDAP VARCEL |
GLAXOSMITHKLINE BIOLOGICALS SANOFI PASTEUR SANOFI PASTEUR SANOFI PASTEUR MERCK & CO. INC. |
2PG39 W1C741M U8193AA U8122AA Y010374 |
Dizziness, Loss of consciousness, Pallor; Dizziness, Loss of consciousness, Pall...
Dizziness, Loss of consciousness, Pallor; Dizziness, Loss of consciousness, Pallor; Dizziness, Loss of consciousness, Pallor; Dizziness, Loss of consciousness, Pallor; Dizziness, Loss of consciousness, Pallor
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After 4 of the 5 vaccines were given, patient stated she felt a little dizzy and began to turn pale,...
After 4 of the 5 vaccines were given, patient stated she felt a little dizzy and began to turn pale, she passed out for about 15 seconds, and was aroused by calling her name, once she came back too, we provided her with juice X2, a pack of crackers and a bottle of water. Monitored her for 30 mins. Her blood pressure was 107/67 with a HR of 47. Patient was feeling back to self upon departure.
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| 2836660 | 34 | M | PA | 04/17/2025 |
COVID19 COVID19 |
PFIZER\BIONTECH PFIZER\BIONTECH |
EL8982 EL8982 |
Atrial fibrillation, Cardiac stress test, Cardiovascular symptom, Cardioversion,...
Atrial fibrillation, Cardiac stress test, Cardiovascular symptom, Cardioversion, Chest discomfort; Dyspnoea, Echocardiogram, Electrocardiogram abnormal, Electrocardiogram ambulatory abnormal, Tachycardia
More
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Felt classic myocarditis symptoms the next day, 01/24/21. Chest felt tight. Short of breath. Felt li...
Felt classic myocarditis symptoms the next day, 01/24/21. Chest felt tight. Short of breath. Felt like my lungs are inflated and I was unable to take deep breaths. These symptoms subsided after around 4 days. On 01/28/21 my Apple Watch started alerting me that my heart was in Atrial Fibrillation. I've never experienced myocarditis, nor Atrial Fibrillation before previous until then. Between 01/30/2021 and 02/04/2021, my Apple Watch reported 4 more episodes of Afib. From 02/04/2021 to 02/12/2021, I did not experience any episodes of Afib. On 02/13/2021 I received my 2nd Pfizer/BioNTech covid vaccine. On 02/13/2021, after receiving the second shot I went into Afib again on 4 separate occasions, all on 02/13. On 02/14, I went into Afib on 3 occasions. It was constant, every day from that day going forward.
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โ | |||||
| 2836661 | 55 | F | FL | 04/17/2025 |
PNC21 PNC21 VARZOS VARZOS |
MERCK & CO. INC. MERCK & CO. INC. GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS |
Y013009 Y013009 MG5S9 MG5S9 |
Cellulitis, Chills, Injection site erythema, Malaise, Pain; Pyrexia; Cellulitis,...
Cellulitis, Chills, Injection site erythema, Malaise, Pain; Pyrexia; Cellulitis, Chills, Injection site erythema, Malaise, Pain; Pyrexia
More
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Patient experienced malaise, fever, chills, and body ache the evening after receiving vaccine. Repo...
Patient experienced malaise, fever, chills, and body ache the evening after receiving vaccine. Reported injection site Erythema on Tuesday 4/15/25 and went to emergency department on Wednesday 4/16/25, treated for cellulitis with Keflex
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| 2836662 | 2 | F | 04/17/2025 |
DTAPIPV |
GLAXOSMITHKLINE BIOLOGICALS |
3RT93 |
No adverse event, Product administered to patient of inappropriate age
No adverse event, Product administered to patient of inappropriate age
|
no symptoms reported
no symptoms reported
|
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| 2836663 | 65 | F | MN | 04/17/2025 |
VARZOS VARZOS |
GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS |
5A4H7 5A4H7 |
Immediate post-injection reaction, Injected limb mobility decreased, Injection s...
Immediate post-injection reaction, Injected limb mobility decreased, Injection site erythema, Injection site pain, Injection site swelling; Magnetic resonance imaging joint, Pain, Sleep disorder
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Pt reports initial soreness immediately after the injection that lasted a few days with associated s...
Pt reports initial soreness immediately after the injection that lasted a few days with associated swelling/erythema extending down the deltoid muscle. This improved over the course of 2 weeks , but then developed a throbbing pain extending from the deltoid muscle into the elbow and down the dorsum of her left hand. Pain can range from 0-5/10 and is worst at rest, slightly better with raising arm above head. Difficulty with sleeping secondary to the pain.
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| 2836664 | 67 | F | PA | 04/17/2025 |
PNC21 |
MERCK & CO. INC. |
Y019158 |
Pain in extremity
Pain in extremity
|
Sore arm
Sore arm
|
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| 2836665 | 66 | M | CA | 04/17/2025 |
COVID19 |
MODERNA |
SPIKEVAX3042573 |
Arthralgia, Bursitis, Magnetic resonance imaging joint, Pain, Pain in extremity
Arthralgia, Bursitis, Magnetic resonance imaging joint, Pain, Pain in extremity
|
I received my 7th Covid vaccine at the same pharmacy where I had previously had 6 Covid injections. ...
I received my 7th Covid vaccine at the same pharmacy where I had previously had 6 Covid injections. For the other six injections, my left arm was sore for 3-4 days and that was it. For this 7th injection, my left shoulder/arm has been sore and in pain for 7 months. For the first 5 months, it was uncomfortable to move my arm certain ways but I pretty much had full range of motion. In the past 2 months, the pain has gotten worse and range of motion has been affected. I wake up every morning with a sore shoulder and certain movements cause instense pain. My orthopecic surgeon told me that it is inflammation/bursitis and getting a cortisone shot is an option. However, given my pain is from an injection in my shoulder, I'm a little hesitant to get another injection in my shoulder that will also cause pain for a few days.
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| 2836666 | 1 | F | NV | 04/17/2025 |
HEPA MMRV PNC13 |
GLAXOSMITHKLINE BIOLOGICALS MERCK & CO. INC. PFIZER\WYETH |
Y014446 Y019464 Z003633 |
Injection site erythema, Lip swelling, Swollen tongue; Injection site erythema, ...
Injection site erythema, Lip swelling, Swollen tongue; Injection site erythema, Lip swelling, Swollen tongue; Injection site erythema, Lip swelling, Swollen tongue
More
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Pt had lip and tongue swelling at 8pm after receiving vaccination at 9:30am. Ambulance was called. B...
Pt had lip and tongue swelling at 8pm after receiving vaccination at 9:30am. Ambulance was called. Benadryl was given and symptoms resolved. Mild redness to site of vaccination.
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| 2836667 | 57 | M | WV | 04/17/2025 |
HEPA |
GLAXOSMITHKLINE BIOLOGICALS |
2345B |
Inappropriate schedule of product administration
Inappropriate schedule of product administration
|
Second dose was given too soon.
Second dose was given too soon.
|
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| 2836668 | 73 | F | MA | 04/17/2025 |
COVID19 |
MODERNA |
|
Chills, Headache, Nausea, Pain, Pyrexia
Chills, Headache, Nausea, Pain, Pyrexia
|
Nausea, headache, chills, low fever, body aches, started about 1 hour after receiving the covid boos...
Nausea, headache, chills, low fever, body aches, started about 1 hour after receiving the covid booster
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| 2836669 | 17 | F | TX | 04/17/2025 |
HEP HPV9 MENB MNQ |
GLAXOSMITHKLINE BIOLOGICALS MERCK & CO. INC. NOVARTIS VACCINES AND DIAGNOSTICS NOVARTIS VACCINES AND DIAGNOSTICS |
47XP4 Y008119 ES49H U8375AB |
Dizziness, Nausea, Pallor; Dizziness, Nausea, Pallor; Dizziness, Nausea, Pallor;...
Dizziness, Nausea, Pallor; Dizziness, Nausea, Pallor; Dizziness, Nausea, Pallor; Dizziness, Nausea, Pallor
More
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Nausea/ dizziness ...
Nausea/ dizziness At approximately 0908, I began administering vaccines to a 17-year-old female patient. Prior to administration, I asked if the patient had eaten. Mother stated she had not. I offered the patient a snack prior to preparing the vaccines. A total of four vaccines were administered. Following the final dose (MenB), the patient became quiet and was unable to speak for approximately four seconds. I remained with the patient and instructed the mother to notify another nurse. I stood in front of the patient and observed pallor. The patient then verbalized feeling dizzy and nauseated. An emesis bag was provided; no emesis occurred. RN arrived with the emergency bag. Initial vitals obtained at 0915 were: T 98.5๏ฟฝF, HR 54?64, SpO2 99% on RA, BP 108/47. Vitals were monitored every five minutes with improvement noted. Final set of vitals: T 98.5๏ฟฝF, HR 62, SpO2 98%, BP 111/74. The patient was offered juice and stated she felt better. She reported experiencing cold sweats and nervousness following the MenB dose. RNs remained with the patient and provided education to the mother. Patient stated she felt well enough to go home. Recommended that patient remain home for the remainder of the day and continue to monitor for any further adverse effects. Injection sites were assessed post-vaccination. No signs of adverse reaction noted at this time. Will follow up with patient.
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| 2836670 | 1.08 | M | OH | 04/17/2025 |
DTAPIPV |
GLAXOSMITHKLINE BIOLOGICALS |
42Y93 |
No adverse event, Product administered to patient of inappropriate age
No adverse event, Product administered to patient of inappropriate age
|
No adverse event reported by patient's parent
No adverse event reported by patient's parent
|
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| 2836671 | 61 | F | MI | 04/17/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
PC5Y3 |
Extra dose administered, No adverse event
Extra dose administered, No adverse event
|
Patient was not having any symptoms. the first dose was over looked and she given her 2nd dose which...
Patient was not having any symptoms. the first dose was over looked and she given her 2nd dose which was actually her 3rd.
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| 2836672 | 48 | F | CA | 04/17/2025 |
PNC20 |
PFIZER\WYETH |
HH4722 |
Injection site erythema, Injection site pain, Injection site swelling
Injection site erythema, Injection site pain, Injection site swelling
|
Received a triage call from patient regarding side effects. Per pt she began to have pain, swelling,...
Received a triage call from patient regarding side effects. Per pt she began to have pain, swelling, and redness at the injection site the same day injection was given. The redness and swelling worsened on Sunday 04/13/2025. Per pt, the pain is currently mild at a 5/10 pain. She stated that she only feels the pain at the injection site, denies radiation, says that the swelling is going down and improving. However, she states that she continues to have swelling and mild pain on the right arm where the injection site is after more than a week of receiving the vaccine. Pt will be seeing her provider in the clinic to be assessed in person on 04/18/2025.
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| 2836673 | 58 | F | VA | 04/17/2025 |
PNC21 |
MERCK & CO. INC. |
Y019158 |
Erythema, Malaise, Pain in extremity
Erythema, Malaise, Pain in extremity
|
Patient had soreness from elbow to shoulder and redness in arm face neck and ear and general not fee...
Patient had soreness from elbow to shoulder and redness in arm face neck and ear and general not feeling great. Patients symptoms subsided after 2 days and the redness was down to a small area on arm on 4/16/25
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| 2836674 | 0.5 | F | OR | 04/17/2025 |
DTPPVHBHPB |
MSP VACCINE COMPANY |
U8265AA |
Rash papular
Rash papular
|
papular rash consistent with Gianotti-Crosti Syndrome
papular rash consistent with Gianotti-Crosti Syndrome
|
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| 2836675 | 4 | F | DE | 04/17/2025 |
HPV9 |
MERCK & CO. INC. |
Y010656 |
Irritability
Irritability
|
Mom reports irratibility
Mom reports irratibility
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| 2836676 | 60 | M | VA | 04/17/2025 |
COVID19 |
PFIZER\BIONTECH |
|
Cardiac disorder, Loss of personal independence in daily activities, Myocardial ...
Cardiac disorder, Loss of personal independence in daily activities, Myocardial infarction
More
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Had heart attack on 01/20/2023. Had no other signs or heart issues prior to the shot.
Had heart attack on 01/20/2023. Had no other signs or heart issues prior to the shot.
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โ | |||||
| 2836677 | 16 | F | MA | 04/17/2025 |
MENB MNQ |
PFIZER\WYETH SANOFI PASTEUR |
|
Peripheral swelling, Rash, Rash pruritic; Peripheral swelling, Rash, Rash prurit...
Peripheral swelling, Rash, Rash pruritic; Peripheral swelling, Rash, Rash pruritic
More
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Swelling of the hands with pruritic rash within 24 hours of vaccination
Swelling of the hands with pruritic rash within 24 hours of vaccination
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| 2836678 | 62 | M | NY | 04/17/2025 |
PNC20 |
PFIZER\WYETH |
LK6550 |
Injection site erythema, Injection site inflammation, Injection site oedema, Inj...
Injection site erythema, Injection site inflammation, Injection site oedema, Injection site warmth
More
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Left arm inflammation - erythema, edema, warmth, TTP distal to injection site; seemed to be local re...
Left arm inflammation - erythema, edema, warmth, TTP distal to injection site; seemed to be local reaction, however was treated empirically for cellulitis; upon follow up the clinical course continues to be most consistent with local reaction, and the process is nearly resolved as of today (4/17/25)
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| 2836679 | 14 | M | PA | 04/17/2025 |
VARCEL |
MERCK & CO. INC. |
X010523 |
Expired product administered
Expired product administered
|
Expired Vaccination Received. Vaccine Expired on 4/11/2025
Expired Vaccination Received. Vaccine Expired on 4/11/2025
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| 2836680 | 2 | F | NV | 04/17/2025 |
IPV MMR VARCEL |
SANOFI PASTEUR MERCK & CO. INC. MERCK & CO. INC. |
x1c891m x028353 y014511 |
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
More
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MA Gave 4y/o siblings vaccines to this PT .
MA Gave 4y/o siblings vaccines to this PT .
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| 2836681 | 5 | M | OH | 04/17/2025 |
DTAP |
SANOFI PASTEUR |
47Y5M |
Injection site erythema, Injection site swelling
Injection site erythema, Injection site swelling
|
PATIENTS ARM WAS RED AND SWOLLEN AT THE INJECTION SITE.
PATIENTS ARM WAS RED AND SWOLLEN AT THE INJECTION SITE.
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| 2836682 | 24 | M | CA | 04/17/2025 |
HEP |
DYNAVAX TECHNOLOGIES CORPORATION |
|
Extra dose administered, No adverse event
Extra dose administered, No adverse event
|
Second dose of Vaccine given in error. No adverse reaction noted.
Second dose of Vaccine given in error. No adverse reaction noted.
|
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| 2836683 | 11 | M | IN | 04/17/2025 |
MNQ TDAP |
SANOFI PASTEUR SANOFI PASTEUR |
U8369BA 3CA22C1 |
Injection site pain, Injection site swelling; Injection site pain, Injection sit...
Injection site pain, Injection site swelling; Injection site pain, Injection site swelling
More
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The patient presented 4 days after the vaccines with swelling below the injection site in the right ...
The patient presented 4 days after the vaccines with swelling below the injection site in the right deltoid and extending towards the axilla. Additionally, there was bruising around the injection site. He denies experiencing any fevers, redness, or drainage.
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| 2836684 | 0.17 | M | MI | 04/17/2025 |
DTAPHEPBIP DTAPHEPBIP HIBV HIBV PNC20 PNC20 RV1 RV1 |
GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS SANOFI PASTEUR SANOFI PASTEUR PFIZER\WYETH PFIZER\WYETH GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS |
B532G B532G Y006393 Y006393 LC5484 LC5484 HP495 HP495 |
Computerised tomogram normal, Infant irritability, Lumbar puncture normal, Magne...
Computerised tomogram normal, Infant irritability, Lumbar puncture normal, Magnetic resonance imaging normal, Muscle twitching; Seizure like phenomena; Computerised tomogram normal, Infant irritability, Lumbar puncture normal, Magnetic resonance imaging normal, Muscle twitching; Seizure like phenomena; Computerised tomogram normal, Infant irritability, Lumbar puncture normal, Magnetic resonance imaging normal, Muscle twitching; Seizure like phenomena; Computerised tomogram normal, Infant irritability, Lumbar puncture normal, Magnetic resonance imaging normal, Muscle twitching; Seizure like phenomena
More
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Irritable 2 hours after vaccines. Seizure like activity,twitching at 0200. to ER on 2/27/25, admitte...
Irritable 2 hours after vaccines. Seizure like activity,twitching at 0200. to ER on 2/27/25, admitted.
More
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โ | |||||
| 2836685 | 16 | M | KS | 04/17/2025 |
HPV9 MMR TDAP |
MERCK & CO. INC. MERCK & CO. INC. GLAXOSMITHKLINE BIOLOGICALS |
Y010466 Y009430 F4T5L |
Headache, Pyrexia, Rash; Headache, Pyrexia, Rash; Headache, Pyrexia, Rash
Headache, Pyrexia, Rash; Headache, Pyrexia, Rash; Headache, Pyrexia, Rash
|
Had fever yesterday (10 days after vaccine) and rash. Rash is on trunk and face but no where else. F...
Had fever yesterday (10 days after vaccine) and rash. Rash is on trunk and face but no where else. Fever has been 101 or lower. Patient has had headache but no other symptoms. Patient has not travelled outside the county for several months and has had no sick contacts.
More
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| 2836687 | 91 | F | PA | 04/17/2025 |
COVID19 |
JANSSEN |
|
Coma, Death, Guillain-Barre syndrome, Paraplegia, Syncope
Coma, Death, Guillain-Barre syndrome, Paraplegia, Syncope
|
My mother, received her covid vaccine injection on 7/21/2021. On 7/24/2021, while we were visiting ...
My mother, received her covid vaccine injection on 7/21/2021. On 7/24/2021, while we were visiting a relative in (redacted), she went to stand up and she collapsed on the floor. She transported to Hospital in (redacted), where she was diagnosed suffering from Guillain-Barre syndrome due to the covid vaccine (the ER doctor told us that they had seen a sharp uptick in GBS cases from the vaccine, especially in the elderly). Her GBS left her paralyzed from the waist down. One week later she was transferred to a nearby nursing care facility. The GBS paralysis spread up her torso over the next 4 weeks when she went into a coma, and passed away on 8/22/2021.
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โ | โ | โ | |||
| 2836688 | 23 | M | VA | 04/17/2025 |
COVID19 |
MODERNA |
066H21A |
Asthma, Mechanical urticaria, Urticaria
Asthma, Mechanical urticaria, Urticaria
|
Delayed allergic reaction occuring (2 weeks) after injection. Dermatographia, hives, and asthma last...
Delayed allergic reaction occuring (2 weeks) after injection. Dermatographia, hives, and asthma lasting for two years after injection. Treated symptoms with antihistamines, and steroids.
More
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| 2836689 | 74 | M | DE | 04/17/2025 |
TDAP |
SANOFI PASTEUR |
u8115aa |
Abdominal discomfort, Asthenia, Balance disorder, Dizziness
Abdominal discomfort, Asthenia, Balance disorder, Dizziness
|
Patient called on 04/11/2025 reported feeling Weak, loosing balance (dizziness), upset stomach.
Patient called on 04/11/2025 reported feeling Weak, loosing balance (dizziness), upset stomach.
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| 2836691 | 1.92 | M | NH | 04/17/2025 |
DTAP MMRV |
GLAXOSMITHKLINE BIOLOGICALS MERCK & CO. INC. |
H545A y019175 |
Wrong product administered; Wrong product administered
Wrong product administered; Wrong product administered
|
Patient was administered MMR-V instead of MMR in left leg. PC was made aware and patient's par...
Patient was administered MMR-V instead of MMR in left leg. PC was made aware and patient's parents were informed.
More
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| 2836692 | 50 | F | TX | 04/17/2025 |
PNC21 |
MERCK & CO. INC. |
Z004301 |
Erythema, Pain in extremity, Skin warm
Erythema, Pain in extremity, Skin warm
|
I had a patient that received a pneumonia vaccine on Saturday. She came today and said her arm is re...
I had a patient that received a pneumonia vaccine on Saturday. She came today and said her arm is red, warm and painful. She said she had been doing ice packs and taking ibuprofen and Tylenol it does not help. I told her the reactions are normal, however, if she is concerned about it then she can visit the doctor. I told her continue with ice packs and take tylenol and ibuprofen as needed for the pain.
More
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| 2836693 | 59 | F | FL | 04/17/2025 |
PNC21 |
MERCK & CO. INC. |
Y019158 |
Erythema, Immediate post-injection reaction, Pain, Pruritus, Swelling
Erythema, Immediate post-injection reaction, Pain, Pruritus, Swelling
|
Immediate pain followed by 5?x3? red raised warm itchy patch
Immediate pain followed by 5?x3? red raised warm itchy patch
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| 2836694 | 65 | F | IA | 04/17/2025 |
PNC21 |
MERCK & CO. INC. |
PCV21 |
Injection site pain
Injection site pain
|
Extreme pain in my upper left arm from the shoulder to the elbow. It started the next day. I figured...
Extreme pain in my upper left arm from the shoulder to the elbow. It started the next day. I figured it was just from the shot. It got worse and has continued for two weeks now.
More
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| 2836695 | 83 | M | FL | 04/17/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
93kk4 |
Cerebrovascular accident, Condition aggravated
Cerebrovascular accident, Condition aggravated
|
pt wife reported husband had a stroke the next day, they are not sure of cause. Pt does have A. fib ...
pt wife reported husband had a stroke the next day, they are not sure of cause. Pt does have A. fib hx. They are consulting neurologist before taking second dose.
More
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โ | |||||
| 2836696 | 50 | M | FL | 04/17/2025 |
COVID19 COVID19 |
PFIZER\BIONTECH PFIZER\BIONTECH |
FD8448/FF8839 FD8448/FF8839 |
Arthropathy, Autoimmune disorder, Brain fog, Magnetic resonance imaging, Rash; T...
Arthropathy, Autoimmune disorder, Brain fog, Magnetic resonance imaging, Rash; Tinnitus
More
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TINNITUS very bad,Left shoulder is crumbling apart,skin rashes,brain fog, autoimmune disfunction
TINNITUS very bad,Left shoulder is crumbling apart,skin rashes,brain fog, autoimmune disfunction
|
โ | |||||
| 2836697 | 10 | F | CA | 04/17/2025 |
FLU3 FLU3 HPV9 HPV9 |
SANOFI PASTEUR SANOFI PASTEUR MERCK & CO. INC. MERCK & CO. INC. |
UT8468LA UT8468LA Y008119 Y008119 |
Aspartate aminotransferase, Full blood count normal, Henoch-Schonlein purpura, I...
Aspartate aminotransferase, Full blood count normal, Henoch-Schonlein purpura, Influenza virus test negative, Mononucleosis heterophile test negative; Rash, Streptococcus test negative, Upper respiratory tract infection; Aspartate aminotransferase, Full blood count normal, Henoch-Schonlein purpura, Influenza virus test negative, Mononucleosis heterophile test negative; Rash, Streptococcus test negative, Upper respiratory tract infection
More
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Developed Henoch Schonlein Purpura about 12 hours after vacciantion, was RSV+ and had had cold sx 2-...
Developed Henoch Schonlein Purpura about 12 hours after vacciantion, was RSV+ and had had cold sx 2-3weeks prior.
More
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| 2836698 | 73 | M | GA | 04/17/2025 |
VARZOS VARZOS VARZOS VARZOS |
GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS |
9L944 9L944 |
Arthralgia, Joint swelling, Product administered at inappropriate site; Arthralg...
Arthralgia, Joint swelling, Product administered at inappropriate site; Arthralgia, Pain in extremity; Arthralgia, Joint swelling, Product administered at inappropriate site; Arthralgia, Pain in extremity
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pt states after getting the second dose of the shingles vaccine he started having severe pain in his...
pt states after getting the second dose of the shingles vaccine he started having severe pain in his left shoulder at the injection site. His entire shoulder is very sore and swollen but is not discolored and there is no rash. He saw his doctor today and she told him that she didn't like the way it looked or the location of the injection. She told him to go back to the pharmacy where he had the vaccine to have it documented. He contacted the pharmacy and they told him to report with us.
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| 2836699 | 15 | F | CO | 04/17/2025 |
MMR VARCEL |
MERCK & CO. INC. MERCK & CO. INC. |
Y000225 Y015100 |
Extra dose administered; Extra dose administered
Extra dose administered; Extra dose administered
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There were 2 MMR vaccines and 2 Varicella vaccines pulled for the pt and her sister. Patient may hav...
There were 2 MMR vaccines and 2 Varicella vaccines pulled for the pt and her sister. Patient may have received two MMRII vaccines in the same visit because the MMR vaccine changed from a yellow color to a clear color and was with the varicella vaccine that was a clear color. Medical Assistant is unsure if they gave a Varicella vaccine or an MMR vaccine.
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| 2836700 | 20 | F | 04/17/2025 |
MENB MNQ |
NOVARTIS VACCINES AND DIAGNOSTICS SANOFI PASTEUR |
52N4S U8438AA |
No adverse event, Product administered at inappropriate site; No adverse event, ...
No adverse event, Product administered at inappropriate site; No adverse event, Product administered at inappropriate site
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patient a Men B (Bexsero) vaccine in the same deltoid as a MCV4 (Menquadfi) at 11:30am on 4/15 patie...
patient a Men B (Bexsero) vaccine in the same deltoid as a MCV4 (Menquadfi) at 11:30am on 4/15 patient had no adverse effects. later in the day I realized I had given both in the same site and knew this was an error so after speaking with provider and immunization program coordinator called and informed patient about adverse effects. I discussed the incident with the Primary Care Immunization Program Coordinator regarding rationale for administering in separate injection sites and have a plan to prevent future incidents.
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| 2836701 | 53 | M | MI | 04/17/2025 |
VARCEL |
MERCK & CO. INC. |
Y00652 |
No adverse event, Wrong product administered
No adverse event, Wrong product administered
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No adverse side effects. Client here to get a shingrix and given a varicella vaccine instead on acci...
No adverse side effects. Client here to get a shingrix and given a varicella vaccine instead on accident.
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| 2836702 | 54 | F | NV | 04/17/2025 |
PNC20 |
PFIZER\WYETH |
LG5576 |
Injection site rash, Rash
Injection site rash, Rash
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Pt develop rash on upper arm around injection site on 4/13/2025. Rash has spread further down upper ...
Pt develop rash on upper arm around injection site on 4/13/2025. Rash has spread further down upper arm. Rash is 9-10cm in length, darker red noted in the center with raised area, lighter red on the edges. Rash was noted where Band-Aids were placed on both arms. Pt endorsed improvement in rash. Pt was given montelukast 1 in the evening, acetaminophen and fexoffenadine (prior medication) 1BID . Pt was informed to return to clinic/ED if symptoms continue or worsen.
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| 2836703 | 53 | F | MI | 04/17/2025 |
VARCEL |
MERCK & CO. INC. |
Y00652 |
No adverse event, Wrong product administered
No adverse event, Wrong product administered
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No adverse effects, Patient given varicella instead of Shingrix on accident
No adverse effects, Patient given varicella instead of Shingrix on accident
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| 2836704 | 70 | F | 04/17/2025 |
COVID19 |
MODERNA |
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Malaise, Neurological symptom
Malaise, Neurological symptom
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PT WENT TO URGENT CARE WITH SYMPTOMS OF STROKE AND FEELING GENERALLY UNWELL
PT WENT TO URGENT CARE WITH SYMPTOMS OF STROKE AND FEELING GENERALLY UNWELL
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| 2836705 | 66 | M | IL | 04/17/2025 |
PNC20 |
PFIZER\WYETH |
LG5577 |
Arthralgia, Injected limb mobility decreased, Paraesthesia
Arthralgia, Injected limb mobility decreased, Paraesthesia
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"normal" shoulder pain relative to other vaccinations the patient received, per patient. D...
"normal" shoulder pain relative to other vaccinations the patient received, per patient. Day after immunization, pain worsened, struggles to lift his arm above ~30degrees (increasing pain) and unable to lift arm above 45degrees, both laterally and anteriorly lifting. starting day 7 (4/17/25) reports tingling sensation in wrist and fingers.
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| 2836706 | 50 | F | CO | 04/17/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
74NC9 |
Erythema, Musculoskeletal stiffness, Swelling
Erythema, Musculoskeletal stiffness, Swelling
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Swelling, redness, stiff arm for 1 month post-vaccination
Swelling, redness, stiff arm for 1 month post-vaccination
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| 2836707 | 1.25 | F | TX | 04/17/2025 |
HIBV |
SANOFI PASTEUR |
uk148aa |
Product preparation issue
Product preparation issue
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Pt possibly received the diluent only instead of the mixed vaccine. It was discovered an extra powde...
Pt possibly received the diluent only instead of the mixed vaccine. It was discovered an extra powder vial in the box.
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