| ID | Age | Sex | State | Date โผ | Onset Days | Vaccine | Manufacturer | Lot # | Symptoms | Narrative | ๐ | ๐ฅ | ๐ | โฟ | โ ๏ธ |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2835951 | 69 | F | WA | 04/14/2025 |
COVID19 |
PFIZER\BIONTECH |
md3414 |
Chills, Fatigue, Lethargy, Pyrexia, Rash
Chills, Fatigue, Lethargy, Pyrexia, Rash
|
Systemic: Allergic: Rash Generalized-Mild, Systemic: Chills-Mild, Systemic: Exhaustion / Lethargy-Mi...
Systemic: Allergic: Rash Generalized-Mild, Systemic: Chills-Mild, Systemic: Exhaustion / Lethargy-Mild, Systemic: Fever-Mild, Additional Details: Patient developed rash on body 5 days after vaccine. Other symptoms subsided. still has rash. not itchy. calling dermatologist this week
More
|
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| 2835952 | 72 | F | MD | 04/14/2025 |
FLU4 |
SANOFI PASTEUR |
u8507da |
Joint injury
Joint injury
|
Error: Shoulder Joint Injury (prolonged pain, tingling, etc.)-
Error: Shoulder Joint Injury (prolonged pain, tingling, etc.)-
|
||||||
| 2835953 | 45 | F | WI | 04/14/2025 |
TDAP |
GLAXOSMITHKLINE BIOLOGICALS |
L5229 |
Hypoaesthesia, Injection site erythema, Injection site pain, Neuralgia
Hypoaesthesia, Injection site erythema, Injection site pain, Neuralgia
|
Site: Pain at Injection Site-Severe, Site: Redness at Injection Site-Severe, Additional Details: PT ...
Site: Pain at Injection Site-Severe, Site: Redness at Injection Site-Severe, Additional Details: PT CALLED AND STATED THAT SHE IS EXPERIENCING ADVERSE REACTIONS FROM TEH TDAP RECEIVED ON 3/1/2025 - NUMBNESS IN THMB & ARM. NERVE PAIN OR ARM (LEFT SIEDE).
More
|
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| 2835954 | 59 | F | LA | 04/14/2025 |
VARZOS VARZOS VARZOS VARZOS |
GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS |
ts525 ts525 ts525 ts525 |
Asthenia, Chills, Eye swelling, Fatigue, Flushing; Headache, Hyperhidrosis, Inso...
Asthenia, Chills, Eye swelling, Fatigue, Flushing; Headache, Hyperhidrosis, Insomnia, Lethargy, Mouth swelling; Nausea, Pain, Pruritus, Pyrexia, Swelling face; Swollen tongue
More
|
Systemic: Allergic: Itch (specify: facial area, extremeties)-Medium, Systemic: Allergic: Swelling of...
Systemic: Allergic: Itch (specify: facial area, extremeties)-Medium, Systemic: Allergic: Swelling of Face / Eyes / Mouth / Tongue-Medium, Systemic: Body Aches Generalized-Severe, Systemic: Chills-Medium, Systemic: Exhaustion / Lethargy-Medium, Systemic: Fever-Medium, Systemic: Flushed / Sweating-Medium, Systemic: Headache-Medium, Systemic: Nausea-Medium, Systemic: Unable to Sleep-Medium, Systemic: Weakness-Medium
More
|
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| 2835955 | 60 | F | MD | 04/14/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
55th4 |
Injection site erythema, Injection site pain, Injection site pruritus, Injection...
Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling
More
|
Site: Itching at Injection Site-Medium, Site: Pain at Injection Site-Medium, Site: Redness at Inject...
Site: Itching at Injection Site-Medium, Site: Pain at Injection Site-Medium, Site: Redness at Injection Site-Medium, Site: Swelling at Injection Site-Medium, Additional Details: Itchness swelling and pain at site of injection about 3 to 4 in diameter
More
|
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| 2835956 | 46 | F | CA | 04/14/2025 |
MMR |
GLAXOSMITHKLINE BIOLOGICALS |
4n222 |
Rash
Rash
|
Systemic: Allergic: Rash Generalized-Mild, Additional Details: full body rash, not limiting activity...
Systemic: Allergic: Rash Generalized-Mild, Additional Details: full body rash, not limiting activity. no issue at injection site
More
|
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| 2835957 | 70 | F | CA | 04/14/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
ts525 |
Injection site erythema, Injection site pruritus, Pruritus, Rash
Injection site erythema, Injection site pruritus, Pruritus, Rash
|
Site: Itching at Injection Site-Mild, Site: Redness at Injection Site-Mild, Systemic: Allergic: Itch...
Site: Itching at Injection Site-Mild, Site: Redness at Injection Site-Mild, Systemic: Allergic: Itch (specify: facial area, extremeties)-Medium, Systemic: Allergic: Itch Generalized-Medium, Systemic: Allergic: Rash (specify: facial area, extremeties)-Medium, Systemic: Allergic: Rash Generalized-Medium
More
|
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| 2835958 | 72 | F | FL | 04/14/2025 |
COVID19-2 |
PFIZER\BIONTECH |
md3414 |
Eye swelling, Injection site swelling, Mouth swelling, Swelling face, Swollen to...
Eye swelling, Injection site swelling, Mouth swelling, Swelling face, Swollen tongue
More
|
Site: Swelling at Injection Site-Medium, Systemic: Allergic: Swelling of Face / Eyes / Mouth / Tongu...
Site: Swelling at Injection Site-Medium, Systemic: Allergic: Swelling of Face / Eyes / Mouth / Tongue-Severe
More
|
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| 2835959 | 49 | F | NV | 04/14/2025 |
TDAP |
GLAXOSMITHKLINE BIOLOGICALS |
7KD5B |
Joint injury
Joint injury
|
Error: Shoulder Joint Injury (prolonged pain, tingling, etc.)-
Error: Shoulder Joint Injury (prolonged pain, tingling, etc.)-
|
||||||
| 2835960 | 62 | M | VA | 04/14/2025 |
PNC21 PNC21 PNC21 |
MERCK & CO. INC. MERCK & CO. INC. MERCK & CO. INC. |
y013009 y013009 y013009 |
Arthralgia, Asthenia, Blood pressure fluctuation, Guillain-Barre syndrome, Hyper...
Arthralgia, Asthenia, Blood pressure fluctuation, Guillain-Barre syndrome, Hypertension; Hypoaesthesia, Hypotension, Immunoglobulin therapy, Lumbar puncture abnormal, Magnetic resonance imaging abnormal; Nervous system disorder, Pain, Restless legs syndrome
More
|
Systemic: Body Aches Generalized-Severe, Systemic: Hypertension-Severe, Systemic: Hypotension-Severe...
Systemic: Body Aches Generalized-Severe, Systemic: Hypertension-Severe, Systemic: Hypotension-Severe, Systemic: Joint Pain-Severe, Systemic: Neurological Disorder (diagnosed by MD)-Severe, Systemic: Numbness (specify: facial area, extremities)-Severe, Systemic: Weakness-Severe, Additional Details: was diagnosed with guillam barre syndrom by medical center, nuerology team, had mri, spinal tap to confirm, has had fluctuating bp, restless leg syndrom, numbness of extremities, joint pain, has had immunotherapy and continues with physical therapy
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|
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| 2835961 | 81 | F | FL | 04/14/2025 |
RSV |
GLAXOSMITHKLINE BIOLOGICALS |
9sb34 |
Arthralgia, Injection site pain, Pain in extremity, Paraesthesia
Arthralgia, Injection site pain, Pain in extremity, Paraesthesia
|
Site: Pain at Injection Site-Medium, Additional Details: Shoulder and arm pain/tingling that is not ...
Site: Pain at Injection Site-Medium, Additional Details: Shoulder and arm pain/tingling that is not well relieved by tylenol, ibuprofen, voltaren gel, or salonpas cream use over the counter that was recommneded by her primary care provider. She states the symptoms began approximately 4 days after receiving the vaccine.
More
|
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| 2835962 | 67 | F | PA | 04/14/2025 |
MMR |
GLAXOSMITHKLINE BIOLOGICALS |
A2B72 |
Injection site erythema, Injection site pain, Injection site swelling
Injection site erythema, Injection site pain, Injection site swelling
|
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
More
|
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| 2835963 | 69 | F | CA | 04/14/2025 |
PNC21 |
MERCK & CO. INC. |
Y019157 |
Injection site pruritus
Injection site pruritus
|
Site: Itching at Injection Site-Medium
Site: Itching at Injection Site-Medium
|
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| 2835964 | 77 | F | OH | 04/14/2025 |
COVID19-2 |
MODERNA |
8081260 |
Fatigue, Injection site erythema, Injection site pain, Injection site swelling, ...
Fatigue, Injection site erythema, Injection site pain, Injection site swelling, Lethargy
More
|
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, Systemic: Exhaustion / Lethargy-Medium
More
|
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| 2835965 | 72 | F | CA | 04/14/2025 |
RSV |
GLAXOSMITHKLINE BIOLOGICALS |
5J959 |
Arthralgia, Pain in extremity
Arthralgia, Pain in extremity
|
Systemic: Joint Pain-Medium, Additional Details: Per patient, first 7 days she experienced left knee...
Systemic: Joint Pain-Medium, Additional Details: Per patient, first 7 days she experienced left knee joint pain, then she had pain in her left toe for about 2 weeks. After 2 weeks she felt pain in her right toe for about 2 weeks
More
|
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| 2835966 | 76 | F | VA | 04/14/2025 |
COVID19 |
PFIZER\BIONTECH |
LN0591 |
Joint injury
Joint injury
|
Error: Shoulder Joint Injury (prolonged pain, tingling, etc.)-
Error: Shoulder Joint Injury (prolonged pain, tingling, etc.)-
|
||||||
| 2835967 | 93 | M | CA | 04/14/2025 |
COVID19-2 |
MODERNA |
3043391 |
Injected limb mobility decreased, Injection site pain, Pain in extremity
Injected limb mobility decreased, Injection site pain, Pain in extremity
|
Site: Pain at Injection Site-Severe, Systemic: unable to move his arm-Severe, Additional Details: pa...
Site: Pain at Injection Site-Severe, Systemic: unable to move his arm-Severe, Additional Details: patient complained of abnormal pain in his arm and that the pain didnt improve with time. i advised to wait another few days and i would call him back and if pain persists or becomes severe to call his doctor or got to the Uurgent care or ER
More
|
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| 2835968 | 60 | F | ME | 04/14/2025 |
PNC21 PNC21 |
MERCK & CO. INC. MERCK & CO. INC. |
Y019158 Y019158 |
Chills, Erythema, Injection site erythema, Injection site pain, Injection site s...
Chills, Erythema, Injection site erythema, Injection site pain, Injection site swelling; Malaise, Pain in extremity, Peripheral swelling, Skin warm
More
|
Site: Pain at Injection Site-Medium, Site: Redness at Injection Site-Mild, Site: Swelling at Injecti...
Site: Pain at Injection Site-Medium, Site: Redness at Injection Site-Mild, Site: Swelling at Injection Site-Medium, Systemic: Chills-Medium, Additional Details: patient went to ER because she had the chills and didnt feel good, ER told her just reaction from shot, today arm got red and started swelling, warm to touch slightly painful, Other Vaccines: VaccineTypeBrand: tetanus (boostrix); Manufacturer: GSK; LotNumber: dy3k7; Route: intramuscular; BodySite: left arm; Dose: ; VaxDate: UNKNOWN
More
|
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| 2835969 | 60 | F | WV | 04/14/2025 |
PNC21 |
MERCK & CO. INC. |
yo19158 |
Injection site warmth
Injection site warmth
|
The arm at the injection site was warm, raised and tender. It lasted about 1 week. Patient reports ...
The arm at the injection site was warm, raised and tender. It lasted about 1 week. Patient reports currently gone and feels fine.
More
|
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| 2835970 | 0.17 | F | NC | 04/14/2025 |
DTAPIPVHIB HEP PNC20 RV5 |
SANOFI PASTEUR MERCK & CO. INC. PFIZER\WYETH MERCK & CO. INC. |
UK216AB Y009551 LK6653 Y015019 |
Rash, Rash macular; Rash, Rash macular; Rash, Rash macular; Rash, Rash macular
Rash, Rash macular; Rash, Rash macular; Rash, Rash macular; Rash, Rash macular
|
Developed a splotchy rash on her head and trunk in the office after her immunization. Her breathing ...
Developed a splotchy rash on her head and trunk in the office after her immunization. Her breathing remained normal. The rash faded quickly and cleared by about 30 minutes after the immunizations were given. She looked fine and her lungs were clear before leaving the office
More
|
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| 2835971 | 4 | F | MI | 04/14/2025 |
DTAPIPV MMRV |
GLAXOSMITHKLINE BIOLOGICALS MERCK & CO. INC. |
5G23D Y013578 |
Injection site cellulitis, Injection site erythema, Injection site swelling, Inj...
Injection site cellulitis, Injection site erythema, Injection site swelling, Injection site warmth; Injection site cellulitis, Injection site erythema, Injection site swelling, Injection site warmth
More
|
On 03/20/2025 Mother of patient noted left leg swelling, redness, and hot to the touch. Mother gave ...
On 03/20/2025 Mother of patient noted left leg swelling, redness, and hot to the touch. Mother gave child Motrin and Benadryl then brought child to our office on 03/21/2025 at 0148. Patient was diagnosed with Cellulitis of left lower limb. and treated with Cephalexin suspension, reconstituted, oral 250 mg/ 5 mL taken 8.5 mL by mouth twice a day for 7 days. Mother also told to continue Motrin and Benadryl as needed.
More
|
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| 2835972 | 4 | M | VA | 04/14/2025 |
DTAP |
SANOFI PASTEUR |
3CA20C1 |
Erythema, Injection site swelling, Pain in extremity, Skin warm
Erythema, Injection site swelling, Pain in extremity, Skin warm
|
Dad paged on call provider regarding arm pain, redness, swelling at injection site. Noted PT receive...
Dad paged on call provider regarding arm pain, redness, swelling at injection site. Noted PT received 5 yr old vaccines yesterday (Friday) and R arm is now red, warm to touch, swollen and painful to PT. Discussed side effects of vaccines with dad and also that PT may have tensed up during administration of the vaccine causing a reaction. Encouraged to give ibuprofen and a warm compress as well as Benadryl at bedtime. PT is using R arm but favoring L one.
More
|
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| 2835973 | 50 | F | IA | 04/14/2025 |
PNC21 |
MERCK & CO. INC. |
Z002626 |
Peripheral swelling
Peripheral swelling
|
Patient received Pneumonia 21 vaccine on 4/11/25. Starting having swelling in and under right arm on...
Patient received Pneumonia 21 vaccine on 4/11/25. Starting having swelling in and under right arm on 4/12/25. Was seen in our office on 4/14/25 for right arm swelling. Was recommended to start Benadryl.
More
|
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| 2835974 | 1.58 | F | GA | 04/14/2025 |
DTAP HEPA MMR PNC20 VARCEL |
GLAXOSMITHKLINE BIOLOGICALS MERCK & CO. INC. MERCK & CO. INC. PFIZER\WYETH MERCK & CO. INC. |
SKB47Y5M MSDY013120 MSDY004114 PFRHN5980 MSDY014181 |
Erythema, Swelling; Erythema, Swelling; Erythema, Swelling; Erythema, Swelling; ...
Erythema, Swelling; Erythema, Swelling; Erythema, Swelling; Erythema, Swelling; Erythema, Swelling
More
|
Phone call from mother on 4/11/2025 stating that approximately two and a half hours after child rece...
Phone call from mother on 4/11/2025 stating that approximately two and a half hours after child received vaccines (state supplied) at health department mother noticed redness and swelling to neck going up to right side of face. Mom stated that child's behavior was normal and no change in breathing. She called 911 and child was transported to ER. Mom states child was given IV fluids, Ibuprofen, and discharged in approximately 45 minutes. Hospital instructed mom to monitor child. Mom states today, 4/11/2025, child's behavior is normal with minor swelling, but decrease in swelling from yesterday.
More
|
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| 2835975 | 17 | M | KS | 04/14/2025 |
COVID19 |
MODERNA |
3044211 |
Product administered to patient of inappropriate age
Product administered to patient of inappropriate age
|
6 mo thru age 11yo formulation administered to this pt.
6 mo thru age 11yo formulation administered to this pt.
|
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| 2835976 | 13 | F | SC | 04/14/2025 |
HPV9 HPV9 HPV9 HPV9 |
MERCK & CO. INC. MERCK & CO. INC. MERCK & CO. INC. MERCK & CO. INC. |
Y018389 Y018389 |
Syncope; Loss of consciousness, Syncope; Syncope; Loss of consciousness, Syncope
Syncope; Loss of consciousness, Syncope; Syncope; Loss of consciousness, Syncope
|
Pt had episode of vasovagal syncope following HPV injection. Face pallor followed by about 30-60 sec...
Pt had episode of vasovagal syncope following HPV injection. Face pallor followed by about 30-60 sec of unconsciousness. VSS following awakening, strong radial pulse. HR 92, pulse ox 97%, BP 130/84. Gave cheese stick and water (patient did not eat breakfast) and patient recovered well.
More
|
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| 2835977 | 18 | M | KS | 04/14/2025 |
COVID19 |
MODERNA |
3044211 |
No adverse event
No adverse event
|
None reported at this time
None reported at this time
|
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| 2835978 | 4 | F | VA | 04/14/2025 |
DTAP |
SANOFI PASTEUR |
3CA20C1 |
Erythema, Swelling, Tenderness
Erythema, Swelling, Tenderness
|
Thigh red and swollen, tender. Started 1 day after vaccination. Patient came in clinic to see provid...
Thigh red and swollen, tender. Started 1 day after vaccination. Patient came in clinic to see provider today.
More
|
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| 2835979 | 65 | M | FL | 04/14/2025 |
PNC20 |
PFIZER\WYETH |
lk6651 |
Extra dose administered
Extra dose administered
|
Patient was given Prevnar 20 in December of 2023 and again in April of 2025.
Patient was given Prevnar 20 in December of 2023 and again in April of 2025.
|
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| 2835980 | 7 | M | UT | 04/14/2025 |
VARCEL |
MERCK & CO. INC. |
Y014181 |
Contusion, Injection site bruising, Injection site erythema, Injection site pain...
Contusion, Injection site bruising, Injection site erythema, Injection site pain, Injection site pruritus
More
|
Pain at the side of the injection during the day itchiness, next day he started showing redness m...
Pain at the side of the injection during the day itchiness, next day he started showing redness more itchiness forming a bruise firs in the left arm then continue into the right arm , child continue having less itchiness
More
|
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| 2835981 | 60 | M | PA | 04/14/2025 |
COVID19 COVID19 |
MODERNA MODERNA |
043B21A 043B21A |
Acoustic stimulation tests normal, Influenza like illness, Injection site erythe...
Acoustic stimulation tests normal, Influenza like illness, Injection site erythema, Injection site swelling, Magnetic resonance imaging normal; Tinnitus
More
|
1st Vac had prolonged flu like symptoms 2nd Vac caused redness and swelling of the injection site a...
1st Vac had prolonged flu like symptoms 2nd Vac caused redness and swelling of the injection site and Tinnitus started minimally but has now become very bad.Loud ringing is constant.
More
|
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| 2835982 | 77 | F | OH | 04/14/2025 |
UNK |
UNKNOWN MANUFACTURER |
|
Peripheral swelling, Pruritus, Respiratory disorder
Peripheral swelling, Pruritus, Respiratory disorder
|
Her arm swelled up bad, and was itchy and about a week later she was having issues breathing and i t...
Her arm swelled up bad, and was itchy and about a week later she was having issues breathing and i took her to the family doctor who referred her to the ER, Medical Hospital on 04/07/2025-04/08/2025, she is still having issues with swelling in the arm and still having issues breathing, She did get treatment for it at the hospital for breathing and we doing it also at home. At i looked it up on internet allergic reaction to RSV and that's what is sounding like is going on.
More
|
โ | |||||
| 2835983 | 44 | F | WA | 04/14/2025 |
MMR VARCEL |
MERCK & CO. INC. MERCK & CO. INC. |
Y009430 Y010184 |
Antibody test, Injection site bruising, Injection site erythema, Injection site ...
Antibody test, Injection site bruising, Injection site erythema, Injection site induration, Injection site swelling; Antibody test, Injection site bruising, Injection site erythema, Injection site induration, Injection site swelling
More
|
Patient reported firm, red, swollen area on back of left arm (where Varicella was given) following v...
Patient reported firm, red, swollen area on back of left arm (where Varicella was given) following vaccination. Was seen by provider the following day who identified it as possible infection or vaccine reaction. Patient reported that swelling and bruising travelled past the elbow on that side. No reaction to side where MMR was given.
More
|
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| 2835984 | 80 | F | OR | 04/14/2025 |
RSV RSV |
GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS |
5J959 5J959 |
Headache, Injection site erythema, Injection site pain, Injection site swelling,...
Headache, Injection site erythema, Injection site pain, Injection site swelling, Tremor; Vomiting
More
|
Headach, vomiting for 12 hours, tremors for 2 days, red , swollen, and sore at site of injection (b...
Headach, vomiting for 12 hours, tremors for 2 days, red , swollen, and sore at site of injection (began 4/11, eased up 4/14)
More
|
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| 2835985 | 52 | F | TX | 04/14/2025 |
UNK |
UNKNOWN MANUFACTURER |
9L944 |
Dizziness, Injection site erythema, Injection site haemorrhage, Injection site p...
Dizziness, Injection site erythema, Injection site haemorrhage, Injection site pain, Nausea
More
|
Felt like fainting and throwing up , bleeding at site burning and redness. No info on treatment.
Felt like fainting and throwing up , bleeding at site burning and redness. No info on treatment.
|
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| 2835986 | 5 | F | NJ | 04/14/2025 |
DTAPIPV MMR |
SANOFI PASTEUR MERCK & CO. INC. |
U7656AA X026222 |
Expired product administered; Expired product administered
Expired product administered; Expired product administered
|
Quadracel dose given on 4/3/25 had expired on 3/8/25.
Quadracel dose given on 4/3/25 had expired on 3/8/25.
|
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| 2835987 | 1.75 | M | NM | 04/14/2025 |
DTAPIPV HIBV PNC20 |
GLAXOSMITHKLINE BIOLOGICALS MERCK & CO. INC. PFIZER\WYETH |
42Y93 y005248 LG5574 |
No adverse event, Wrong product administered; No adverse event, Wrong product ad...
No adverse event, Wrong product administered; No adverse event, Wrong product administered; No adverse event, Wrong product administered
More
|
Administration error: Patient was mistakenly given DTap + IPV, when only DTap was intended. Patient ...
Administration error: Patient was mistakenly given DTap + IPV, when only DTap was intended. Patient was monitored for adverse reaction, but no reaction occurred.
More
|
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| 2835988 | 81 | M | IA | 04/14/2025 |
COVID19 |
MODERNA |
3044202 |
Death
Death
|
Passed away
Passed away
|
โ | |||||
| 2835989 | 81 | F | WI | 04/14/2025 |
COVID19 COVID19 |
PFIZER\BIONTECH PFIZER\BIONTECH |
EJ1685 EL1284 |
Lichen planus, Pathology test; Lichen planus, Pathology test
Lichen planus, Pathology test; Lichen planus, Pathology test
|
Lichen Planus of perineum and labia
Lichen Planus of perineum and labia
|
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| 2835990 | 65 | F | 04/14/2025 |
PNC20 PNC20 |
PFIZER\WYETH PFIZER\WYETH |
|
Chills, Erythema, Hyperhidrosis, Injection site swelling, Injection site warmth;...
Chills, Erythema, Hyperhidrosis, Injection site swelling, Injection site warmth; Pyrexia
More
|
fever, chills, sweats, redness, warmth and swelling to injection site.
fever, chills, sweats, redness, warmth and swelling to injection site.
|
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| 2835991 | 50 | F | NE | 04/14/2025 |
VARZOS VARZOS |
GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS |
58160-0823-11 58160-0823-11 |
Erythema, Full blood count normal, Pain, Rash, Rash erythematous; Swelling, Thro...
Erythema, Full blood count normal, Pain, Rash, Rash erythematous; Swelling, Throat tightness
More
|
First two days were the usual vaccination response of soreness, redness and swelling. 3rd day at 5:3...
First two days were the usual vaccination response of soreness, redness and swelling. 3rd day at 5:30am I woke up with a red, painful rash going down from the base of my neck to under my breasts. Throat felt tight so I went to ER.
More
|
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| 2835992 | 55 | F | ME | 04/14/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
594g2 |
Injection site cellulitis
Injection site cellulitis
|
Patient reports that she went to urgent care and was diagnosed with cellulitis at injection site.
Patient reports that she went to urgent care and was diagnosed with cellulitis at injection site.
|
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| 2835993 | 74 | M | PA | 04/14/2025 |
PNC20 |
PFIZER\WYETH |
LX4482 |
Extra dose administered
Extra dose administered
|
Patient was mistakenly given 2 doses of Prevnar vaccine. The first dose was given on 3/6 and the sec...
Patient was mistakenly given 2 doses of Prevnar vaccine. The first dose was given on 3/6 and the second dose was given on 4/2.
More
|
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| 2835994 | 69 | M | MO | 04/14/2025 |
COVID19 |
PFIZER\BIONTECH |
LM2222 |
Expired product administered
Expired product administered
|
Moments after giving the vaccine, it was discovered that the vaccine was expired 3/24/2025. The pati...
Moments after giving the vaccine, it was discovered that the vaccine was expired 3/24/2025. The patient was made aware.
More
|
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| 2835995 | 51 | F | RI | 04/14/2025 |
UNK VARZOS |
UNKNOWN MANUFACTURER GLAXOSMITHKLINE BIOLOGICALS |
Lx2497 9l944 |
Erythema, Injection site swelling, Pruritus, Swelling face; Erythema, Injection ...
Erythema, Injection site swelling, Pruritus, Swelling face; Erythema, Injection site swelling, Pruritus, Swelling face
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Patient reported to pharmacy on 4/14/25 that she had an adverse reaction to vaccines administered on...
Patient reported to pharmacy on 4/14/25 that she had an adverse reaction to vaccines administered on 4/10/25. Patient had reported overall body itching, redness all over body, injection site swelling, and swelling of the face. Patient immediately went to emergency room where she was given a dose of Benadryl. Her symptoms quickly resolved afterwards and she was able to go back home that night.
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| 2835996 | 72 | M | VA | 04/14/2025 |
COVID19 |
PFIZER\BIONTECH |
LN0591 |
No adverse event
No adverse event
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No adverse events occurred
No adverse events occurred
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| 2835997 | 39 | M | 04/14/2025 |
VARCEL |
MERCK & CO. INC. |
y010373 |
Circumstance or information capable of leading to medication error
Circumstance or information capable of leading to medication error
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Patient given varicella but did not tell staff he recently had yellow fever vaccine until after give...
Patient given varicella but did not tell staff he recently had yellow fever vaccine until after given. Did not tell staff or put on his vaccination form.
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| 2835998 | 1 | F | GA | 04/14/2025 |
HEPA MMR PNC20 VARCEL |
GLAXOSMITHKLINE BIOLOGICALS MERCK & CO. INC. PFIZER\WYETH MERCK & CO. INC. |
X2233 Y005808 LC5484 Y013346 |
Blood glucose, Cardiac arrest, Death, Pyrexia; Blood glucose, Cardiac arrest, De...
Blood glucose, Cardiac arrest, Death, Pyrexia; Blood glucose, Cardiac arrest, Death, Pyrexia; Blood glucose, Cardiac arrest, Death, Pyrexia; Blood glucose, Cardiac arrest, Death, Pyrexia
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The patient passed away on 04/07/2027 due to cardiac arrest at Hospital, five days prior to receivin...
The patient passed away on 04/07/2027 due to cardiac arrest at Hospital, five days prior to receiving the vaccines. According to the patient's parents, the night before her death, she had a fever and was acting normally. Unknown of occurred during the hours before 8am on 4/7/2025. EMS stated a possible case of SIDS (sudden infant death syndrome).
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| 2835999 | 80 | M | FL | 04/14/2025 |
COVID19 PNC20 VARZOS |
MODERNA PFIZER\WYETH GLAXOSMITHKLINE BIOLOGICALS |
006M21A FJ2604 95G27 |
Amnesia, Fall; Amnesia, Fall; Amnesia, Fall
Amnesia, Fall; Amnesia, Fall; Amnesia, Fall
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The following day, patient was doing yard work and rolled on the ground outside. Wife came by and h...
The following day, patient was doing yard work and rolled on the ground outside. Wife came by and he could not recognized her. He asked who she was. He was hospitalized for 1 day. He is ok now.
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| 2836000 | 14 | F | IN | 04/14/2025 |
HPV9 |
MERCK & CO. INC. |
Y007322 |
Loss of consciousness
Loss of consciousness
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Patient passed out after injection was administered in office.
Patient passed out after injection was administered in office.
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