| ID | Age | Sex | State | Date โผ | Onset Days | Vaccine | Manufacturer | Lot # | Symptoms | Narrative | ๐ | ๐ฅ | ๐ | โฟ | โ ๏ธ |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2836001 | 69 | F | AZ | 04/14/2025 |
COVID19 |
PFIZER\BIONTECH |
LN0590 |
Arthralgia, Musculoskeletal stiffness
Arthralgia, Musculoskeletal stiffness
|
Patient reported severe right shoulder pain and stiffness from the evening of vaccination and contin...
Patient reported severe right shoulder pain and stiffness from the evening of vaccination and continuing for 2 days.
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| 2836002 | 65 | F | NC | 04/14/2025 |
TDAP |
SANOFI PASTEUR |
U8015AA |
Arthralgia, Mobility decreased, X-ray limb
Arthralgia, Mobility decreased, X-ray limb
|
R shoulder pain and decreased ROM since a few days afterwards. Obtained R shoulder XR due to pain an...
R shoulder pain and decreased ROM since a few days afterwards. Obtained R shoulder XR due to pain and difficulty w/ ROM. Impression above (no acute findings). I will refer her to PT to help with her pain and ROM improvement.
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| 2836003 | 17 | M | NV | 04/14/2025 |
JEV1 YF |
INTERCELL AG SANOFI PASTEUR |
JEV23K07E UK134AA |
Dizziness, Nausea, Pallor; Dizziness, Nausea, Pallor
Dizziness, Nausea, Pallor; Dizziness, Nausea, Pallor
|
After administration client complained of lightheadedness. Became very pale and complained of nausea...
After administration client complained of lightheadedness. Became very pale and complained of nausea. Elevated feet, ice pack to back of neck, water and lollipop. BP 79/40, pulse 56, O2 98%. Symptoms resolved in a couple of minutes. No vomiting. Skin tone returned to normal. BP 101/65 and pulse 55. No LOC
More
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| 2836004 | 54 | F | PR | 04/14/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
MG5S9 |
Injection site erythema, Injection site swelling, Pruritus
Injection site erythema, Injection site swelling, Pruritus
|
Patients refers left arm is red and swollen at the vaccination administration site. Doctor prescribe...
Patients refers left arm is red and swollen at the vaccination administration site. Doctor prescribes antibiotic and for pruritus
More
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| 2836005 | 16 | F | TN | 04/14/2025 |
FLU3 |
SANOFI PASTEUR |
UT8488KA |
Extra dose administered
Extra dose administered
|
PATIENT HAD BEEN A FLU VACCINE FOR THIS FLU SEASON 12/2024
PATIENT HAD BEEN A FLU VACCINE FOR THIS FLU SEASON 12/2024
|
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| 2836006 | 13 | M | 04/14/2025 |
COVID19 |
PFIZER\BIONTECH |
|
Pyrexia
Pyrexia
|
low grade fever
low grade fever
|
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| 2836007 | 72 | M | MN | 04/14/2025 |
COVID19 COVID19 COVID19 COVID19 COVID19 COVID19 COVID19 COVID19 COVID19 COVID19 |
MODERNA MODERNA MODERNA MODERNA PFIZER\BIONTECH PFIZER\BIONTECH PFIZER\BIONTECH PFIZER\BIONTECH PFIZER\BIONTECH PFIZER\BIONTECH |
032M20A 032M20A 027B21A 027B21A FL3209 FL3209 GH9697 GH9697 HF9300 HF9300 |
Cough, Decreased appetite, Diarrhoea, Nasal congestion, Upper respiratory tract ...
Cough, Decreased appetite, Diarrhoea, Nasal congestion, Upper respiratory tract congestion; Viral test; Cough, Decreased appetite, Diarrhoea, Nasal congestion, Upper respiratory tract congestion; Viral test; Cough, Decreased appetite, Diarrhoea, Nasal congestion, Upper respiratory tract congestion; Viral test; Cough, Decreased appetite, Diarrhoea, Nasal congestion, Upper respiratory tract congestion; Viral test; Cough, Decreased appetite, Diarrhoea, Nasal congestion, Upper respiratory tract congestion; Viral test
More
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Upper respiratory congestion, nasal congestion, cough, loose stools, loss of appetite
Upper respiratory congestion, nasal congestion, cough, loose stools, loss of appetite
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| 2836008 | 60 | M | VA | 04/14/2025 |
PNC20 |
PFIZER\WYETH |
lx4484 |
Extra dose administered
Extra dose administered
|
Patient forgot he got the prevnar shot and was given a second one in the same day
Patient forgot he got the prevnar shot and was given a second one in the same day
|
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| 2836009 | 0.25 | M | NJ | 04/14/2025 |
FLU3 |
GLAXOSMITHKLINE BIOLOGICALS |
2H2S9 |
Incorrect dose administered
Incorrect dose administered
|
Vaccine given too soon. Pt is only 3 months old. Vaccine is for 6 months and up
Vaccine given too soon. Pt is only 3 months old. Vaccine is for 6 months and up
|
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| 2836011 | 75 | F | PA | 04/14/2025 |
COVID19 |
MODERNA |
3043335 |
Limb mass, Peripheral swelling
Limb mass, Peripheral swelling
|
swelling from elbow to shoulder occurred day following vaccine and continued until the next saturday...
swelling from elbow to shoulder occurred day following vaccine and continued until the next saturday. Small lump remains on arm
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| 2836012 | 28 | F | MN | 04/14/2025 |
COVID19 |
JANSSEN |
203A21A |
Dizziness, Fatigue, Pain, Respiratory tract congestion, Viral test
Dizziness, Fatigue, Pain, Respiratory tract congestion, Viral test
|
Body aches, exhaustion, dizzy, congestion
Body aches, exhaustion, dizzy, congestion
|
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| 2836013 | 59 | F | NY | 04/14/2025 |
MMR |
MERCK & CO. INC. |
|
Flushing, Hyperhidrosis, Palpitations, Pruritus, Throat irritation
Flushing, Hyperhidrosis, Palpitations, Pruritus, Throat irritation
|
I got flushed, face got sweaty, heart raced, body and throat got itchy.
I got flushed, face got sweaty, heart raced, body and throat got itchy.
|
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| 2836014 | 1 | F | WI | 04/14/2025 |
MMRV VARCEL |
MERCK & CO. INC. MERCK & CO. INC. |
Y013572 Y010045 |
Extra dose administered, Pyrexia; Extra dose administered, Pyrexia
Extra dose administered, Pyrexia; Extra dose administered, Pyrexia
|
Orders for patient vaccination were to receive MMR II vaccine. Medical Assistant prepared and admini...
Orders for patient vaccination were to receive MMR II vaccine. Medical Assistant prepared and administered Proquad. Patient also received a separate varicella (Varivax) vaccine. Patient reported fever following vaccination with no other symptoms.
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| 2836015 | 68 | M | TX | 04/14/2025 |
PNC20 PNC20 |
PFIZER\WYETH PFIZER\WYETH |
HK6938 HK6938 |
Biopsy skin, Biopsy skin abnormal, Injection site pruritus, Injection site react...
Biopsy skin, Biopsy skin abnormal, Injection site pruritus, Injection site reaction, Injection site swelling; Micrographic skin surgery, Skin lesion, Squamous cell carcinoma
More
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After the vaccine, pt had an itchy raised bump at the site of injection. He followed up to the clini...
After the vaccine, pt had an itchy raised bump at the site of injection. He followed up to the clinic one month later, on 10-29-2024. He was treated for possible infection of injection site and was treated with Bactrim DS 800 mg-160 mg tablet 1 tablet every 12 hours for 7 days. Lesion did not heal/resolve so he was referred to dermatologist. Biopsy was taken of the raised lesion and came back positive for squamous cell carcinoma at the injection site.
More
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| 2836016 | 18 | F | OH | 04/14/2025 |
MENB |
NOVARTIS VACCINES AND DIAGNOSTICS |
DD72H |
Injection site swelling, Neck pain, Oedema peripheral, Pain in extremity
Injection site swelling, Neck pain, Oedema peripheral, Pain in extremity
|
arm was sore all day, before bed started Edema of left upper arm Pt noted to have mild dema of L upp...
arm was sore all day, before bed started Edema of left upper arm Pt noted to have mild dema of L upper extremity after Bexsero dose #2. Advised pt she has completed this series, no further doses are needed. Pt with swelling of L upper bicep area. Pt with pain/soreness in L arm and myalgias going into L side of neck.
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| 2836017 | 24 | F | ID | 04/14/2025 |
MMRV |
MERCK & CO. INC. |
Y018161 |
No adverse event, Underdose
No adverse event, Underdose
|
Patient was given a children's MMR vaccination. No adverse reactions occurred. Patient informed...
Patient was given a children's MMR vaccination. No adverse reactions occurred. Patient informed of error.
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| 2836018 | 8 | M | UT | 04/14/2025 |
DTAPIPV |
GLAXOSMITHKLINE BIOLOGICALS |
34MF9 |
Extra dose administered, Injection site erythema, Injection site swelling, Produ...
Extra dose administered, Injection site erythema, Injection site swelling, Product administered to patient of inappropriate age
More
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Pt came in for an MA visit for vaccines and brought the pt's vaccination record. The vaccinatio...
Pt came in for an MA visit for vaccines and brought the pt's vaccination record. The vaccination and database was reviewed by both me and another MA. My vaccine preparation was double checked by another MA. We administered the Kinrix vaccine. Pt tolerated it without complaint. I later realized that the pt had already received 4 doses of the polio vaccine and both me and the other MA missed it when reviewing the vaccination record. The state was notified and their response was "The child should not have received Kinrix as it is only licensed through 6 years of age. However, the Dtap can be considered valid so revaccination does not need to occur. The extra IPV dose should not harm the patient but it should be reported to VAERS as an administration error. " I notified the pt's mother of the vaccine error, additional polio vaccine, the pt's mother said "thank you for letting me know" she spoke in a calm voice, expressed no concerns about the extra polio dose. She did say the pt's arm, at the vaccine site, did have swelling and redness, she reported that she "put potatoes on it" and the pt's arm "went back to normal on" 4/13/25. After that, pt's mother had no further questions
More
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| 2836019 | 21 | M | VA | 04/14/2025 |
COVID19 |
PFIZER\BIONTECH |
md3414 |
Rash
Rash
|
patient started having rash on hands and arm near injection site about 5 minutes after vaccination ....
patient started having rash on hands and arm near injection site about 5 minutes after vaccination . Patient was given 2 tablets of benadryl and improved about 5-10 minutes (patient stayed in pharmacy extra 30 minutes)
More
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| 2836020 | 24 | M | 04/14/2025 |
HEP HPV9 |
GLAXOSMITHKLINE BIOLOGICALS MERCK & CO. INC. |
MD9SL Y013712 |
Erythema, Injection site pain; Erythema, Injection site pain
Erythema, Injection site pain; Erythema, Injection site pain
|
Localized redness at right arm, pain in right deltoid.
Localized redness at right arm, pain in right deltoid.
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| 2836021 | 5 | F | IA | 04/14/2025 |
DTAPIPV |
GLAXOSMITHKLINE BIOLOGICALS |
34MF9 |
Erythema, Muscle swelling, Skin warm
Erythema, Muscle swelling, Skin warm
|
Redness, swelling, warmth of deltoid muscle aprox. within 24 hours of vaccine. Conservative treatmen...
Redness, swelling, warmth of deltoid muscle aprox. within 24 hours of vaccine. Conservative treatment with cold packs and tylenol
More
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| 2836022 | 25 | F | SC | 04/14/2025 |
MMR |
MERCK & CO. INC. |
y014096 |
Product preparation error
Product preparation error
|
Vaccine diluted with MedQuadfi (Sanofi) instead of Sterile Diluent.
Vaccine diluted with MedQuadfi (Sanofi) instead of Sterile Diluent.
|
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| 2836023 | 55 | F | FL | 04/14/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
mg5s9 |
Injection site swelling, Pyrexia
Injection site swelling, Pyrexia
|
pt called stating her arm injection site was swollen and fever on Sat 4/12, but it is getting better...
pt called stating her arm injection site was swollen and fever on Sat 4/12, but it is getting better.
More
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| 2836024 | 85 | F | FL | 04/14/2025 |
PNC20 |
PFIZER\WYETH |
LJ5281 |
Extra dose administered, No adverse event
Extra dose administered, No adverse event
|
Gave unneeded duplicate Prevnar 20 on this date. Patient came into Pharmacy with a MD note to get it...
Gave unneeded duplicate Prevnar 20 on this date. Patient came into Pharmacy with a MD note to get it done. However, she did not mention that she had already gotten it last year. No adverse effects noted by patient due to this vaccine.
More
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| 2836025 | 19 | F | SC | 04/14/2025 |
MMR |
MERCK & CO. INC. |
y014096 |
Product preparation error
Product preparation error
|
MMRII accidentally diluted with MenQuadfi (Sanofi) instead of actual diluent.
MMRII accidentally diluted with MenQuadfi (Sanofi) instead of actual diluent.
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| 2836026 | 44 | M | OR | 04/14/2025 |
COVID19 FLU3 PNC20 |
MODERNA SANOFI PASTEUR PFIZER\WYETH |
B0005 LG5574 |
No adverse event, Product storage error; No adverse event, Product storage error...
No adverse event, Product storage error; No adverse event, Product storage error; No adverse event, Product storage error
More
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No adverse event reported. Reporting per Moderna after a temperature excursion, vaccine remained vi...
No adverse event reported. Reporting per Moderna after a temperature excursion, vaccine remained viable after the excursion per Moderna.
More
|
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| 2836027 | 53 | F | OR | 04/14/2025 |
COVID19 |
MODERNA |
B0005 |
No adverse event, Product storage error
No adverse event, Product storage error
|
No adverse event reported. Reporting per Moderna after a temperature excursion, vaccine remained vi...
No adverse event reported. Reporting per Moderna after a temperature excursion, vaccine remained viable after the excursion per Moderna.
More
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| 2836028 | 63 | F | CO | 04/14/2025 |
TDAP |
GLAXOSMITHKLINE BIOLOGICALS |
AK334 |
Dry throat, Feeling jittery, Palpitations, Skin warm
Dry throat, Feeling jittery, Palpitations, Skin warm
|
Pt triaged for reaction reporting hot face, palpitations, resting heart rate of 101 lasting 20 minut...
Pt triaged for reaction reporting hot face, palpitations, resting heart rate of 101 lasting 20 minutes, jittery feeling, throat feeling dry. Pt reports symptoms are completely resolved now.
More
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| 2836029 | 1 | F | IL | 04/14/2025 |
HIBV MMRV PNC20 VARCEL |
MERCK & CO. INC. MERCK & CO. INC. PFIZER\WYETH MERCK & CO. INC. |
Y006393 Y017206 LG5574 Y015101 |
Extra dose administered; Extra dose administered; Extra dose administered; Extra...
Extra dose administered; Extra dose administered; Extra dose administered; Extra dose administered
More
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Patient received both Proquad and Varivax vaccine during 12 month well child exam visit on 3/18/2025...
Patient received both Proquad and Varivax vaccine during 12 month well child exam visit on 3/18/2025. Multiple attempts have been made to contact parents to follow-up on child's health status and ensure child had not developed any adverse effects post vaccinations. Clinical team was unsuccessful in contacting the parents despite making several attempts. Child has a scheduled appointment on June 26, 2025 for a 15 month old well child exam and team will ensure to obtain correct contact information as well as confirm if child had any adverse effects.
More
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| 2836030 | 14 | F | KY | 04/14/2025 |
HEPA MENB MNQ |
GLAXOSMITHKLINE BIOLOGICALS NOVARTIS VACCINES AND DIAGNOSTICS SANOFI PASTEUR |
TF27T A2JX7 U8271AC |
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
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On 12/16/2024, Pt was to receive Meningococcal conjugate quadrivalent (MenACWY-TT) as part of routin...
On 12/16/2024, Pt was to receive Meningococcal conjugate quadrivalent (MenACWY-TT) as part of routine vaccinations. However, Meningococcal B (Bexsero) vaccine was given in place of MenACWY-TT vaccine in error. Upon realizing error, clinic nurse informed nurse supervisor. Pt's guardian/parent was informed of the error and need to administer correct Meningococcal vaccine (MenACWY-TT) discussed. Pt's mother verbalized understanding. Pt was then given correct Meningococcal (MenACWY-TT) vaccine. Pt had no adverse reaction to vaccines given, VAERS report being completed due to recommendation from CDC regarding immunization error.
More
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| 2836031 | 30 | F | IL | 04/14/2025 |
HPV9 |
MERCK & CO. INC. |
Y000206 |
Extra dose administered, No adverse event
Extra dose administered, No adverse event
|
Client was administered two doses of newest formulation of Gardasil 9 vaccine despite having a full ...
Client was administered two doses of newest formulation of Gardasil 9 vaccine despite having a full series of the quadrivalent formula completed with 3 doses. Quadrivalent series was administered on 04/25/2007, 07/30/2007 and 08/24/2011. Client did not and has not reported any adverse events following the two recent doses administered on 02/07/2025 and 03/12/2025. Client will not have any additional doses administered any longer as current ACIP and CDC guidelines do not advise on this.
More
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| 2836032 | 55 | F | OR | 04/14/2025 |
COVID19 |
MODERNA |
B0005 |
No adverse event, Product storage error
No adverse event, Product storage error
|
No adverse event reported. Reporting per Moderna after a temperature excursion, vaccine remained vi...
No adverse event reported. Reporting per Moderna after a temperature excursion, vaccine remained viable after the excursion per Moderna.
More
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| 2836033 | 34 | M | OR | 04/14/2025 |
COVID19 FLU3 PNC20 |
MODERNA SEQIRUS, INC. PFIZER\WYETH |
B0005 391417 LG5574 |
No adverse event, Product storage error; No adverse event, Product storage error...
No adverse event, Product storage error; No adverse event, Product storage error; No adverse event, Product storage error
More
|
No adverse event reported. Reporting per Moderna after a temperature excursion, vaccine remained vi...
No adverse event reported. Reporting per Moderna after a temperature excursion, vaccine remained viable after the excursion per Moderna.
More
|
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| 2836034 | 41 | M | OR | 04/14/2025 |
COVID19 PNC20 |
MODERNA PFIZER\WYETH |
B0005 LG5574 |
No adverse event, Product storage error; No adverse event, Product storage error
No adverse event, Product storage error; No adverse event, Product storage error
|
No adverse event reported. Reporting per Moderna after a temperature excursion, vaccine remained vi...
No adverse event reported. Reporting per Moderna after a temperature excursion, vaccine remained viable after the excursion per Moderna.
More
|
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| 2836035 | 50 | F | OR | 04/14/2025 |
COVID19 FLU3 |
MODERNA SEQIRUS, INC. |
B0005 391417 |
No adverse event, Product storage error; No adverse event, Product storage error
No adverse event, Product storage error; No adverse event, Product storage error
|
No adverse event reported. Reporting per Moderna after a temperature excursion, vaccine remained vi...
No adverse event reported. Reporting per Moderna after a temperature excursion, vaccine remained viable after the excursion per Moderna.
More
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| 2836036 | 51 | F | SC | 04/14/2025 |
HEPAB PNC21 TDAP |
GLAXOSMITHKLINE BIOLOGICALS MERCK & CO. INC. GLAXOSMITHKLINE BIOLOGICALS |
M4834 Y019158 7KD58 |
Blood pressure decreased, Palpitations; Blood pressure decreased, Palpitations; ...
Blood pressure decreased, Palpitations; Blood pressure decreased, Palpitations; Blood pressure decreased, Palpitations
More
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Soon after vaccination but already at home blood pressure went down and the heart started racing
Soon after vaccination but already at home blood pressure went down and the heart started racing
|
โ | |||||
| 2836037 | 52 | F | OH | 04/14/2025 |
PNC21 VARZOS |
MERCK & CO. INC. GLAXOSMITHKLINE BIOLOGICALS |
Y019157 47N3Y |
Injection site erythema, Injection site rash, Injection site warmth, Pain in ext...
Injection site erythema, Injection site rash, Injection site warmth, Pain in extremity, Pyrexia; Injection site erythema, Injection site rash, Injection site warmth, Pain in extremity, Pyrexia
More
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Arm soreness and fever of 101๏ฟฝF began a few hours after injection and continued for about 48 hours...
Arm soreness and fever of 101๏ฟฝF began a few hours after injection and continued for about 48 hours. Then a 2 inch x 5 inch red, warm "rash" about 4 inches below injection site appeared about 48 hours after injection. This "rash" does remain painful and when it gets warm begins to itch--five days post injection. "Rash" does not appear to be spreading.
More
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| 2836038 | 70 | F | WA | 04/14/2025 |
COVID19 |
PFIZER\BIONTECH |
LM2221 |
Blood test normal, Urticaria
Blood test normal, Urticaria
|
I received the Covid 19 Shot around 11: 00 AM on 10-31-24 and by 3:PM the same day I had large blotc...
I received the Covid 19 Shot around 11: 00 AM on 10-31-24 and by 3:PM the same day I had large blotchy hives all over my torso front and back. I have continuously had the same hives since then. Sometimes they are on my legs and arms. Most recently they have been on my legs and torso. I have never had hives before and never had a reaction to Pfizer Covid shots until this one.
More
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| 2836039 | 31 | F | CA | 04/14/2025 |
HEP HEP HEP MMR MMR MMR TDAP TDAP TDAP |
GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS MERCK & CO. INC. MERCK & CO. INC. MERCK & CO. INC. GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS |
TP2F9 TP2F9 TP2F9 X027903 X027903 X027903 4799G 4799G 4799G |
Cluster headache, Dyspnoea, Dyspnoea exertional, Fatigue, Insomnia; Nausea, Nigh...
Cluster headache, Dyspnoea, Dyspnoea exertional, Fatigue, Insomnia; Nausea, Night sweats, Rash, Rash erythematous, Rash papular; Rash pruritic, Rash vesicular, Tachycardia, Tenderness; Cluster headache, Dyspnoea, Dyspnoea exertional, Fatigue, Insomnia; Nausea, Night sweats, Rash, Rash erythematous, Rash papular; Rash pruritic, Rash vesicular, Tachycardia, Tenderness; Cluster headache, Dyspnoea, Dyspnoea exertional, Fatigue, Insomnia; Nausea, Night sweats, Rash, Rash erythematous, Rash papular; Rash pruritic, Rash vesicular, Tachycardia, Tenderness
More
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Onset of cluster headache, night sweats, nausea, fatigue, and insomnia approximately 1 week followin...
Onset of cluster headache, night sweats, nausea, fatigue, and insomnia approximately 1 week following vaccine and lasting about 1 month total. Felt harder to breathe for a few weeks, different from usual asthma symptoms. Some tachycardia and dyspnea with exertion. Onset of rash on right hand - swollen red itchy bumps over dorsal hand first 3 digits from 2 weeks post vaccine lasting 2 weeks. Some partially vesicular in appearance and painful to touch. Widespread but milder rash over face, trunk, and arms starting 10 days after vaccines and lasting about 2 days. Not itchy.
More
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| 2836040 | 16 | M | KY | 04/14/2025 |
MENB |
NOVARTIS VACCINES AND DIAGNOSTICS |
52N4S |
Injection site erythema, Injection site pain, Injection site warmth, Joint swell...
Injection site erythema, Injection site pain, Injection site warmth, Joint swelling
More
|
Developed redness and swelling at injection site on the evening after. Has still been painful, swoll...
Developed redness and swelling at injection site on the evening after. Has still been painful, swollen. Parent has noticed increasing redness on surface of skin, and area is warm to touch.
More
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| 2836043 | 41 | F | CA | 04/14/2025 |
FLU3 VARCEL |
SEQIRUS, INC. MERCK & CO. INC. |
946615 Y014511 |
Disorientation, Injection site erythema, Injection site pruritus; Disorientation...
Disorientation, Injection site erythema, Injection site pruritus; Disorientation, Injection site erythema, Injection site pruritus
More
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Redness and itchiness, right arm, where Varicella was given a day after. Pt reports feeling disorien...
Redness and itchiness, right arm, where Varicella was given a day after. Pt reports feeling disoriented 3 days after administration of vaccine.
More
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| 2835912 | 81 | M | TN | 04/13/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
47N3Y |
Bell's palsy
Bell's palsy
|
Patient was diagnosed and given treatment for Bell's palsy on 4/13/2025. Valtrex 1 gram, t ta...
Patient was diagnosed and given treatment for Bell's palsy on 4/13/2025. Valtrex 1 gram, t tablet TID for 7 days; prednisone 20 mg 3 tablets QD for 7 days
More
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| 2835913 | 71 | M | FL | 04/13/2025 |
PNC20 |
PFIZER\WYETH |
LX4482 |
No adverse event
No adverse event
|
pt did not have any symptoms since he got the vaccine
pt did not have any symptoms since he got the vaccine
|
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| 2835914 | 18 | F | FL | 04/13/2025 |
HEPA MNQ |
GLAXOSMITHKLINE BIOLOGICALS SANOFI PASTEUR |
3j9g4 u8437aa |
Immediate post-injection reaction, Seizure; Immediate post-injection reaction, S...
Immediate post-injection reaction, Seizure; Immediate post-injection reaction, Seizure
More
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Patient received Havrix vaccine first, in the left arm, then Menquadfi second in the right arm. Imme...
Patient received Havrix vaccine first, in the left arm, then Menquadfi second in the right arm. Immediately after the Menquadfi vaccine was administered, patient started having a seizure. Seizure lasted less than a few minutes, 911 was called, fire department arrived first. Vitals were 86/53 bp and heart rate 60. Patient was taken by ambulance to ER. Patient was alert and able to answer questions. No physical trauma noted.
More
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| 2835915 | 74 | M | CA | 04/13/2025 |
COVID19 COVID19 COVID19 COVID19 COVID19 COVID19 |
MODERNA MODERNA MODERNA MODERNA MODERNA MODERNA |
088D21A 088D21A 030M20A 030M20A 029620A 029620A |
Cancer surgery, Condition aggravated, Immediate post-injection reaction, Influen...
Cancer surgery, Condition aggravated, Immediate post-injection reaction, Influenza like illness, Radiotherapy; Recurrent cancer; Cancer surgery, Condition aggravated, Immediate post-injection reaction, Influenza like illness, Radiotherapy; Recurrent cancer; Cancer surgery, Condition aggravated, Immediate post-injection reaction, Influenza like illness, Radiotherapy; Recurrent cancer
More
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Flu- like symptoms immediately following injections, RECURRENT CANCER at the same site that was trea...
Flu- like symptoms immediately following injections, RECURRENT CANCER at the same site that was treated with radiation in 1995. TURBO CANCER after 26 years of remission.
More
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โ | โ | ||||
| 2835916 | 59 | F | WA | 04/13/2025 |
COVID19 COVID19 |
JANSSEN JANSSEN |
203A21A 203A21A |
Computerised tomogram, Condition aggravated, Echocardiogram, Electrocardiogram, ...
Computerised tomogram, Condition aggravated, Echocardiogram, Electrocardiogram, Herpes simplex; Pericarditis
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Pericarditis, recurring starting in November 2021 went ER. Again in 2022, unsure of month, ER tr...
Pericarditis, recurring starting in November 2021 went ER. Again in 2022, unsure of month, ER treatment. In November of 2023 ER treatment and hospitalization for 4 days. Other adverse effects include severe worsening of herpes simplex 2 symptoms in frequency, duration and severity. 3 hours after vaccine taken herpes symptoms broke out did not go away for one month additionally since taking the vaccine in 2021 I have had 10 herpes breakouts whereas I had only had 11 instances of herpes breakouts since I first contracted it in 1987.
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| 2835917 | 69 | F | MA | 04/13/2025 |
COVID19 COVID19 COVID19 |
PFIZER\BIONTECH PFIZER\BIONTECH PFIZER\BIONTECH |
PFIZERFF2590 PFIZERFF2590 PFIZERFF2590 |
Abdominal pain, Abdominal pain upper, Antinuclear antibody positive, Biopsy skin...
Abdominal pain, Abdominal pain upper, Antinuclear antibody positive, Biopsy skin, Blood test; Computerised tomogram abdomen, Constipation, Dehydration, General physical health deterioration, Large intestinal obstruction; Neurolysis, Pain, Small fibre neuropathy, Ultrasound abdomen, Weight decreased
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I never felt OK after the PFIZER Booster. My condition deteriorated weekly, monthly, now 3.5 years a...
I never felt OK after the PFIZER Booster. My condition deteriorated weekly, monthly, now 3.5 years after the shot. Pain all over turned out to be small fiber neuropathy. My stomach started hurting and I've seen many doctors as recently as April 5, 2025; another CT scan. I can't eat with out horrible pain and I'm 111 lbs, down from 140 prior to she booster. I'm a different woman since that booster at pharmacy. I an always dehydrated. Constipation and now the report says my Colon is collapsed. I'll be seeing a GI doctor.
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| 2835918 | 39 | F | CO | 04/13/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
47n3y |
Wrong product administered
Wrong product administered
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Patient received the wrong vaccine. Patient was to receive the MMR vaccine, instead she received Shi...
Patient received the wrong vaccine. Patient was to receive the MMR vaccine, instead she received Shingrix.
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| 2835919 | 23 | M | NY | 04/13/2025 |
COVID19 COVID19 COVID19 |
PFIZER\BIONTECH PFIZER\BIONTECH PFIZER\BIONTECH |
FJ6369 FJ6369 FJ6369 |
Back pain, Chemotherapy, Coma, Constipation, Death; Impaired work ability, Magne...
Back pain, Chemotherapy, Coma, Constipation, Death; Impaired work ability, Magnetic resonance imaging spinal abnormal, Malignant neoplasm of spinal cord, Metastases to central nervous system, Mobility decreased; Peroneal nerve palsy, Radiotherapy, Seizure, Tumour excision, Urinary retention
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Injection received February 2022. Patient had extreme back pain through December 2022, leaving emplo...
Injection received February 2022. Patient had extreme back pain through December 2022, leaving employment 1/5/2023. Suffered Drop Foot and limited mobility 1/18/2023. Sent to emergency room due to lack of ability to urinate or have bowel movements 1/23/2023. Resulting MRI revealed tumor of the spine. Surgery to remove tumor took place 1/31/2023. Standard of care chemotherapy and radiation took place, followed by inpatient acute rehabilitation. A clinical trial for trial medication ONC201 was started to assist in stopping the cancer. Seizures began 8/31/2024, resulting in Coma for about 5 days. Patient passed away from metastasis to brain 10/15/2024.
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| 2835920 | 75 | M | TX | 04/13/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
99Y4J |
Brain fog, Fatigue, Pain in extremity
Brain fog, Fatigue, Pain in extremity
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Patient stated he became disoriented with fog brain and very fatigued, arm was sore for 2 weeks
Patient stated he became disoriented with fog brain and very fatigued, arm was sore for 2 weeks
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| 2835921 | 49 | F | NY | 04/13/2025 |
COVID19 COVID19 |
PFIZER\BIONTECH PFIZER\BIONTECH |
FJ6369 FJ6369 |
Asthenia, Back pain, Epstein-Barr virus infection, Epstein-Barr virus test posit...
Asthenia, Back pain, Epstein-Barr virus infection, Epstein-Barr virus test positive, Fatigue; Malaise, Migraine, Pyrexia, Syncope, Throat irritation
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Received booster vaccination 2/10/2022. Didn't feel well with migraine headaches, overall weakn...
Received booster vaccination 2/10/2022. Didn't feel well with migraine headaches, overall weakness and fatigue since injection. Back pain, feverish feeling and throat irritation resulted in urgent care visit June 2023. Bloodwork confirmed reactivation of Epstein-Barr Virus with high serology levels. Suffered syncope with collapse 7/13/2023, with no known cause. Symptoms from EBV persist to date of this report.
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