| ID | Age | Sex | State | Date โผ | Onset Days | Vaccine | Manufacturer | Lot # | Symptoms | Narrative | ๐ | ๐ฅ | ๐ | โฟ | โ ๏ธ |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2834506 | 50 | F | OH | 04/07/2025 |
VARZOS VARZOS |
GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS |
33FD3 33FD3 |
Angina pectoris, Cellulitis, Chills, Fatigue, Injection site reaction; Paraesthe...
Angina pectoris, Cellulitis, Chills, Fatigue, Injection site reaction; Paraesthesia, Rash, Urticaria
More
|
Patient developed left sided chest pain and tingling that developed day of administration. She also...
Patient developed left sided chest pain and tingling that developed day of administration. She also developed a welt at the site of administration the next day. She took benadryl daily for the rash however it continued to enlarge. She developed fatigue and chills. She presented to my office 4/7/25 and was found to have a cellulitis on the left arm for which she was prescribed antibiotics.
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| 2834507 | 80 | M | ME | 04/07/2025 |
COVID19 |
MODERNA |
3043333 |
Expired product administered, No adverse event
Expired product administered, No adverse event
|
Vaccine administered after expiration date. No adverse reaction reported.
Vaccine administered after expiration date. No adverse reaction reported.
|
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| 2834508 | 81 | M | ME | 04/07/2025 |
COVID19 |
MODERNA |
3043333 |
Expired product administered, No adverse event
Expired product administered, No adverse event
|
Vaccine administered after expiration date at room temperature of 60 days receiving vaccine on 12/31...
Vaccine administered after expiration date at room temperature of 60 days receiving vaccine on 12/31/2024, no adverse reaction reported.
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| 2834509 | 65 | M | ME | 04/07/2025 |
COVID19 |
MODERNA |
3043333 |
Expired product administered, No adverse event
Expired product administered, No adverse event
|
Vaccine administered after expiration date at room temperature of 60 days receiving vaccine on 12/31...
Vaccine administered after expiration date at room temperature of 60 days receiving vaccine on 12/31/2024, no adverse reaction reported.
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| 2834510 | 77 | M | ME | 04/07/2025 |
COVID19 |
MODERNA |
3043333 |
Expired product administered, No adverse event
Expired product administered, No adverse event
|
Vaccine administered after expiration date at room temperature of 60 days receiving vaccine on 12/31...
Vaccine administered after expiration date at room temperature of 60 days receiving vaccine on 12/31/2024, no adverse reaction reported.
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| 2834511 | 48 | M | AL | 04/07/2025 |
COVID19 COVID19 |
MODERNA MODERNA |
|
Antinuclear antibody increased, Rash; Antinuclear antibody increased, Rash
Antinuclear antibody increased, Rash; Antinuclear antibody increased, Rash
|
Post-Moderna vaccination (doses 1 and 2), I developed an elevated ANA and a groin area skin rash.
Post-Moderna vaccination (doses 1 and 2), I developed an elevated ANA and a groin area skin rash.
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| 2834512 | 51 | F | KS | 04/07/2025 |
VARZOS VARZOS |
GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS |
|
Arthralgia, Diarrhoea, Fatigue, Muscle spasms, Oropharyngeal pain; Pyrexia, Swel...
Arthralgia, Diarrhoea, Fatigue, Muscle spasms, Oropharyngeal pain; Pyrexia, Swelling
More
|
I had the same symptoms with the first and second shot. With the first shot I did not know it was th...
I had the same symptoms with the first and second shot. With the first shot I did not know it was the vaccine until it happened again with the second shot. Flu like symptoms with sore throat, extreme muscle cramping and joint pain and swelling, slight fever, fatigue, explosive foul smelling diarrhea.
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| 2834513 | 1.25 | M | OR | 04/07/2025 |
HEPA |
GLAXOSMITHKLINE BIOLOGICALS |
DN273 |
No adverse event
No adverse event
|
parent reports no adverse reaction
parent reports no adverse reaction
|
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| 2834514 | 60 | F | TN | 04/07/2025 |
PNC21 |
MERCK & CO. INC. |
|
Bell's palsy
Bell's palsy
|
Bell's Palsy, stable
Bell's Palsy, stable
|
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| 2834515 | 16 | F | KY | 04/07/2025 |
MENB MENB |
PFIZER\WYETH PFIZER\WYETH |
|
Abdominal pain upper, Asthma, Dyspepsia, Injected limb mobility decreased, Injec...
Abdominal pain upper, Asthma, Dyspepsia, Injected limb mobility decreased, Injection site pain; Laboratory test, Nausea
More
|
Severe stomach pain (burning/cramping), nausea, prolonged pain at injection site as well as not bein...
Severe stomach pain (burning/cramping), nausea, prolonged pain at injection site as well as not being able to move left arm weeks after injection, asthma suspected. Treatment/test for GI issues was out of state at another hospital.
More
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โ | |||||
| 2834516 | 37 | M | NY | 04/07/2025 |
SMALL SMALL SMALL |
EMERGENT BIOSOLUTIONS EMERGENT BIOSOLUTIONS EMERGENT BIOSOLUTIONS |
ER8730 ER8730 ER8730 |
Borrelia test negative, Brain fog, Chronic sinusitis, Disorientation, Disturbanc...
Borrelia test negative, Brain fog, Chronic sinusitis, Disorientation, Disturbance in attention; Dizziness, Ear discomfort, Head discomfort, Magnetic resonance imaging head normal, Metabolic function test normal; Nausea, Paranasal sinus discomfort, Sleep disorder, Vertigo
More
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Symptom 1: Brain Fog / disorientation. Started day after vaccine and lasted for approximately 2 year...
Symptom 1: Brain Fog / disorientation. Started day after vaccine and lasted for approximately 2 years. Symptoms improved immediately upon self administering white pine needle tea. Symptom 2: Vertigo / chronic sinusitis. Symptoms started day after vaccine and included extreme vertigo. Verito symptoms lessoned over the course of approximately 6 months but persisted / did not clear 100%. Initially I described it as a feeling of dizziness and pressure between the eyes that would come in waves and at its worse roll through to the back of the head inducing nausea. Conducted several tests including comprehensive metabolic panel (8/5/2021), ENT checkup (date unknown ~8/21), MRI brain scan (1/19/2022), and Lyme disease test (1/21/2022) all of which were normal / negative. The feeling of water in the ear has persisted and still present. Self diagnosis includes chronic sinusitis although this was not acknowledged by (or suggest to) healthcare providers at the time of investigation (21-22). Symptoms improve with manually assisted sinus draining. Persistent symptoms include sinus pressure (forehead between eyes) and the feeling of vertigo although appears to be related to sinus pressure rather than other causes of vertigo. Symptoms started the day after the vaccine and have improved, but not 100%. Symptoms impact sleep as they worsen while laying down. Ability to focus is reduced due to distraction from sinus pressure. Treatments tried include long term additional water intake and administration of flonase (neither helped).
More
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โ | |||||
| 2834517 | 53 | F | CA | 04/07/2025 |
COVID19 |
MODERNA |
|
Laboratory test, Pain, Rheumatoid arthritis
Laboratory test, Pain, Rheumatoid arthritis
|
After getting the vaccine i have been in constant pain and flare-up, no medication works and I am i...
After getting the vaccine i have been in constant pain and flare-up, no medication works and I am in pain i was prescribed prednisone and that increased ICT and I needed to be on Diamox so I would go blind.
More
|
โ | โ | ||||
| 2834518 | 16 | F | PR | 04/07/2025 |
FLU3 MNP |
SANOFI PASTEUR PFIZER\WYETH |
UT8459NA LJ0077 |
Dizziness, Dyskinesia, Loss of consciousness, Memory impairment; Dizziness, Dysk...
Dizziness, Dyskinesia, Loss of consciousness, Memory impairment; Dizziness, Dyskinesia, Loss of consciousness, Memory impairment
More
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Patient became dizzy after receiving the vaccine, made involuntary movements such as jumping, does n...
Patient became dizzy after receiving the vaccine, made involuntary movements such as jumping, does not remember the event when it occurred, regained consciousness a few seconds later
More
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| 2834519 | 75 | M | MS | 04/07/2025 |
HEP |
DYNAVAX TECHNOLOGIES CORPORATION |
945661 |
Blood pressure decreased, Chest pain, Dyspnoea, Pruritus
Blood pressure decreased, Chest pain, Dyspnoea, Pruritus
|
within minutes of administration patients blood pressure dropped and pt complained of itchy palms, d...
within minutes of administration patients blood pressure dropped and pt complained of itchy palms, denies shortness of breath or chest pain. patient was given benadryl 25mg by mouth and patient reported improvement after approximately 20 minutes after benadryl administration.
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| 2834520 | 18 | F | WA | 04/07/2025 |
HEPA HPV9 TDAP |
GLAXOSMITHKLINE BIOLOGICALS MERCK & CO. INC. GLAXOSMITHKLINE BIOLOGICALS |
DN273 Y017907 y3z9p |
Dizziness, Electric shock sensation, Respiratory rate decreased, Syncope; Dizzin...
Dizziness, Electric shock sensation, Respiratory rate decreased, Syncope; Dizziness, Electric shock sensation, Respiratory rate decreased, Syncope; Dizziness, Electric shock sensation, Respiratory rate decreased, Syncope
More
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Patient experience syncope symptoms (slowed breathing, felt dizzy and light headed, almost fainted) ...
Patient experience syncope symptoms (slowed breathing, felt dizzy and light headed, almost fainted) patient was instructed to stay seated and focus on breathing. 911 called and EMS arrived and patient received full evaluation.
More
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| 2834521 | 4 | F | MO | 04/07/2025 |
TDAP |
GLAXOSMITHKLINE BIOLOGICALS |
9YB4G |
No adverse event, Product administered to patient of inappropriate age
No adverse event, Product administered to patient of inappropriate age
|
No adverse events reports at this time
No adverse events reports at this time
|
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| 2834522 | 71 | F | SD | 04/07/2025 |
PNC20 VARZOS |
PFIZER\WYETH GLAXOSMITHKLINE BIOLOGICALS |
LX2497 bp74j |
Contusion, Mobility decreased, Pain, Product administered at inappropriate site,...
Contusion, Mobility decreased, Pain, Product administered at inappropriate site, X-ray; Contusion, Mobility decreased, Pain, Product administered at inappropriate site, X-ray
More
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Patient states vaccine was given quite low. Had severe pain, bruising, and immobility.
Patient states vaccine was given quite low. Had severe pain, bruising, and immobility.
|
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| 2834523 | 19 | F | FL | 04/07/2025 |
FLU3 FLU3 FLU3 FLU3 HEP HEP HEP HEP |
SANOFI PASTEUR SANOFI PASTEUR SANOFI PASTEUR SANOFI PASTEUR GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS |
UT8485LA UT8485LA UT8485LA UT8485LA CT3Z7 CT3Z7 CT3Z7 CT3Z7 |
Anti-cyclic citrullinated peptide antibody positive, Antinuclear antibody positi...
Anti-cyclic citrullinated peptide antibody positive, Antinuclear antibody positive, Arthralgia, Blood potassium increased, Eosinophil count increased; Eye pruritus, Feeling hot, Flushing, Full blood count, Joint stiffness; Musculoskeletal stiffness, Paraesthesia, Peripheral swelling, Rash, Rash erythematous; Rash macular, Rash pruritic, Serum sickness; Anti-cyclic citrullinated peptide antibody positive, Antinuclear antibody positive, Arthralgia, Blood potassium increased, Eosinophil count increased; Eye pruritus, Feeling hot, Flushing, Full blood count, Joint stiffness; Musculoskeletal stiffness, Paraesthesia, Peripheral swelling, Rash, Rash erythematous; Rash macular, Rash pruritic, Serum sickness
More
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Reaction /Symptoms began around 11/29/24 with rash red splotchy rash on hands, up arm, legs with itc...
Reaction /Symptoms began around 11/29/24 with rash red splotchy rash on hands, up arm, legs with itching that felt like was beneath my skin and paresthesia. Visited Student Health Services first week of December 2024 because rash and itching did not go away. Prescribed antihistamine and steroid, Symptoms did not resolve and progressed to all over joint pain (hands, fingers, ankles, knees, wrists, elbows so returned to clinic 12/12/24 and saw Dr, Chief Medical Officer and she said it sounded like serum like sickness from the vaccine and to not continue series. Referred to allergist and told to continue Aleve. 12/19/24 visit to Internal Medicine. Symptoms had somewhat subsided. Dr wrote a waiver to not receive 2nd dose of Hepatitis B vaccine and ordered a complete blood panel and ANA Screen IFA for autoimmune disease. Eosinophils and potassium came back high , ANA panel was normal. Beginning of January 2025 , symptoms returned and continue to this date. Wake up with swollen hands and fingers that remain that way for hours some days. Itching, paresthesia, red splotchy rash on hands, wrists, and sometimes knees, comes and goes. Stiff feeling in hands fingers and ankles. Itchy eyes and flushed hot feeling and face has also occurred. Established with Dr on 1/15/25. Dr ordered complete blood panel and repeat of ANA Screen and scheduled appointment with rheumatologist on 5/9/24. ANA screen done on 2/14/25 came back abnormal.
More
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| 2834524 | 0.33 | M | AK | 04/07/2025 |
UNK UNK UNK |
UNKNOWN MANUFACTURER UNKNOWN MANUFACTURER UNKNOWN MANUFACTURER |
U8515DA Y002643 2032349 |
No adverse event; No adverse event; No adverse event
No adverse event; No adverse event; No adverse event
|
None noted.- RN
None noted.- RN
|
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| 2834525 | 74 | F | FL | 04/07/2025 |
RSV |
PFIZER\WYETH |
LG9827 |
Adverse reaction
Adverse reaction
|
OTHER THAN THE NORMAL SYMPTOMS AFTER RECIEVING THE VACCINE PREVIOUSLY, PT CLAIMS THERE IS NO NEW SYM...
OTHER THAN THE NORMAL SYMPTOMS AFTER RECIEVING THE VACCINE PREVIOUSLY, PT CLAIMS THERE IS NO NEW SYMPTOMS
More
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| 2834526 | 24 | F | AL | 04/07/2025 |
HEP |
GLAXOSMITHKLINE BIOLOGICALS |
47XP4 |
Underdose
Underdose
|
Patient was administered the pediatric dose instead of the adult dose. The age range does not appea...
Patient was administered the pediatric dose instead of the adult dose. The age range does not appear on the syringe only the box on ENGERIX-B.
More
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| 2834527 | 6 | M | CA | 04/07/2025 |
HEP |
GLAXOSMITHKLINE BIOLOGICALS |
7nx57 |
Extra dose administered
Extra dose administered
|
Child was seen in another clinic on March 25, 2025 and was given the DTaP-Hep B-IPV vaccination. T...
Child was seen in another clinic on March 25, 2025 and was given the DTaP-Hep B-IPV vaccination. The Hep B was missed when checking vaccines needed. There are 4 children in the family. Two were given Hep B at the appointment and two were not. Child was given a Hep B vaccine 8 days after the first one.
More
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| 2834528 | 71 | F | CA | 04/07/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
|
Dysphagia, Induration, Peripheral swelling, Vomiting
Dysphagia, Induration, Peripheral swelling, Vomiting
|
The day after having vaccine, she started vomiting. leg swollen and hard, difficulty swallowing. wen...
The day after having vaccine, she started vomiting. leg swollen and hard, difficulty swallowing. went to the dr., was give a diuretic. She has been diagnosed with lung cancer before having the vaccine. Still having difficulty swallowing. Taking Xalkori 250mg
More
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| 2834529 | 60 | F | VA | 04/07/2025 |
VARZOS VARZOS |
GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS |
|
Abdominal pain upper, Back pain, Erythema, Headache, Nausea; Pain, Swelling
Abdominal pain upper, Back pain, Erythema, Headache, Nausea; Pain, Swelling
|
Around 9 or 10 o'clock I had pain redness, swelling, stomach pain, headache, nauseous, pain in ...
Around 9 or 10 o'clock I had pain redness, swelling, stomach pain, headache, nauseous, pain in back, i felt like my cycle was coming back
More
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| 2834530 | 86 | F | NJ | 04/07/2025 |
RSV |
GLAXOSMITHKLINE BIOLOGICALS |
9sb34 |
Injection site bruising, Injection site pain
Injection site bruising, Injection site pain
|
Site: Bruising at Injection Site-Medium, Site: Pain at Injection Site-Mild, Other Vaccines: Vaccine...
Site: Bruising at Injection Site-Medium, Site: Pain at Injection Site-Mild, Other Vaccines: VaccineTypeBrand: arexvy; Manufacturer: gsk; LotNumber: 9sb34; Route: intramuscular; BodySite: right arm; Dose: ; VaxDate: UNKNOWN
More
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| 2834531 | 82 | F | MA | 04/07/2025 |
COVID19 COVID19 COVID19 COVID19 |
MODERNA MODERNA MODERNA MODERNA |
8081260 8081260 8081260 8081260 |
Joint injury; Injection site pain; Joint injury; Injection site pain
Joint injury; Injection site pain; Joint injury; Injection site pain
|
Error: Shoulder Joint Injury (prolonged pain, tingling, etc.)-
Error: Shoulder Joint Injury (prolonged pain, tingling, etc.)-
|
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| 2834532 | 50 | F | TX | 04/07/2025 |
PNC21 PNC21 PNC21 PNC21 |
MERCK & CO. INC. MERCK & CO. INC. MERCK & CO. INC. MERCK & CO. INC. |
y011819 y011819 y011819 y011819 |
Arthralgia, Asthenia, Back pain, Dizziness, Injection site bruising; Injection s...
Arthralgia, Asthenia, Back pain, Dizziness, Injection site bruising; Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling, Neck pain; Pain, Pain in extremity, Paraesthesia, Peripheral swelling, Pyrexia; Swelling
More
|
Site: Bruising at Injection Site-Severe, Site: Itching at Injection Site-Severe, Site: Pain at Injec...
Site: Bruising at Injection Site-Severe, Site: Itching at Injection Site-Severe, Site: Pain at Injection Site-Severe, Site: Redness at Injection Site-Severe, Site: Swelling at Injection Site-Severe, Systemic: Body Aches Generalized-Severe, Systemic: Dizziness / Lightheadness-Medium, Systemic: Fever-Severe, Systemic: Joint Pain-Severe, Systemic: Tingling (specify: facial area, extemities)-Severe, Systemic: Weakness-Severe, Additional Details: Patient has pain and swelling in the arm and down her back. Described as shooting pain down arm, neck, and back. Going for Xray. Patient went to PCP and has a referral for a neurologist from PCP. Pain is progressing and getting worse.
More
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| 2834533 | 39 | F | DC | 04/07/2025 |
TDAP |
GLAXOSMITHKLINE BIOLOGICALS |
2a755 |
Injection site pain, Injection site paraesthesia
Injection site pain, Injection site paraesthesia
|
Site: Pain at Injection Site-Mild, Additional Details: Patient mentioned she feels tingling on her i...
Site: Pain at Injection Site-Mild, Additional Details: Patient mentioned she feels tingling on her injection site.
More
|
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| 2834534 | 65 | F | NY | 04/07/2025 |
COVID19 |
PFIZER\BIONTECH |
md3414 |
Dizziness, Nausea
Dizziness, Nausea
|
Systemic: Dizziness / Lightheadness-Severe, Systemic: Nausea-Severe
Systemic: Dizziness / Lightheadness-Severe, Systemic: Nausea-Severe
|
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| 2834535 | 50 | F | CO | 04/07/2025 |
VARZOS VARZOS |
GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS |
A5T73 A5T73 |
Eye swelling, Fatigue, Lethargy, Malaise, Mouth swelling; Pain, Swelling face, S...
Eye swelling, Fatigue, Lethargy, Malaise, Mouth swelling; Pain, Swelling face, Swollen tongue
More
|
Systemic: Allergic: Swelling of Face / Eyes / Mouth / Tongue-Severe, Systemic: Body Aches Generalize...
Systemic: Allergic: Swelling of Face / Eyes / Mouth / Tongue-Severe, Systemic: Body Aches Generalized-Severe, Systemic: Exhaustion / Lethargy-Severe, Additional Details: Six to eight hours after immunixation patient felt sick. Woke up next day slightly swollen in face. Monday 4/1/25 it kept getting worse and they instructed her to take benadryl. Took benadryl Monday and Tuesday. Swelling went down a little bit on Tuesday 4/2/25. Patient is going to the doctor due to the fact she is still swollen and can't smile fully as of 4/2/25.
More
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| 2834536 | 67 | M | CT | 04/07/2025 |
COVID19 |
MODERNA |
3042388 |
Injection site joint pain, Injection site pain
Injection site joint pain, Injection site pain
|
Site: Pain at Injection Site-Severe, Additional Details: patient reported seeking treatment for ongo...
Site: Pain at Injection Site-Severe, Additional Details: patient reported seeking treatment for ongoing joint pain at injection site after receiving injection on 9/14/2024. , Other Vaccines: VaccineTypeBrand: fluzone; Manufacturer: ; LotNumber: u8499ca; Route: im; BodySite: la; Dose: ; VaxDate: UNKNOWN
More
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| 2834537 | 52 | F | FL | 04/07/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
ts525 |
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-Medium
More
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| 2834538 | 25 | M | TX | 04/07/2025 |
MMR MMR |
GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS |
4n222 4n222 |
Dizziness, Fall, Fatigue, Feeling abnormal, Lethargy; Pallor, Syncope, Unrespons...
Dizziness, Fall, Fatigue, Feeling abnormal, Lethargy; Pallor, Syncope, Unresponsive to stimuli
More
|
Systemic: Dizziness / Lightheadness-Medium, Systemic: Exhaustion / Lethargy-Medium, Systemic: Fainti...
Systemic: Dizziness / Lightheadness-Medium, Systemic: Exhaustion / Lethargy-Medium, Systemic: Fainting / Unresponsive-Medium, Additional Details: Patient had a reaction about 5 minutes after injection was given. Patient says he is not feeling good and fainted, patient fell down to the floor. I had the patient lay down with legs elevated for about 5 minutes, then he felt good enough to sit up which he was given water and orange juice. BP taken measured 88/62 mmhg. After about 10-15 minutes, bp measured at 102/64 with colors returning to the lips. Patient then said he felt good enough to leave which I agreed.
More
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| 2834539 | 36 | M | MA | 04/07/2025 |
HPV9 |
MERCK & CO. INC. |
y014059 |
Joint injury
Joint injury
|
Error: Shoulder Joint Injury (prolonged pain, tingling, etc.)-
Error: Shoulder Joint Injury (prolonged pain, tingling, etc.)-
|
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| 2834540 | 59 | F | UT | 04/07/2025 |
PNC21 |
MERCK & CO. INC. |
Y019158 |
Cellulitis, Injection site erythema, Injection site swelling
Cellulitis, Injection site erythema, Injection site swelling
|
Site: Redness at Injection Site-Medium, Site: Swelling at Injection Site-Medium, Systemic: cellulitu...
Site: Redness at Injection Site-Medium, Site: Swelling at Injection Site-Medium, Systemic: cellulitus-Medium, Additional Details: 3 days post vaccination went to dr and diagnosed with cellulitis - took antibiotics that cleared it up within 3-4 days
More
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| 2834541 | 1 | M | WA | 04/07/2025 |
HIBV |
SANOFI PASTEUR |
UK042AA |
Expired product administered, No adverse event
Expired product administered, No adverse event
|
Vaccine was administered one day past "exp", no reaction or harm to patient observed. MD &...
Vaccine was administered one day past "exp", no reaction or harm to patient observed. MD & clinic manager notified, safety event reported on orgs Safety Event reporting system.
More
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| 2834542 | 60 | M | NJ | 04/07/2025 |
PNC20 |
PFIZER\WYETH |
LC5485 |
Back pain, Headache, Musculoskeletal chest pain, Pain in extremity
Back pain, Headache, Musculoskeletal chest pain, Pain in extremity
|
Patient described having a headache for a couple of days starting the day after vaccination, sore ar...
Patient described having a headache for a couple of days starting the day after vaccination, sore arm starting during the day of vaccination, and starting 2 days after vaccination, having a sharp pain in back and ribs. He tried taking OTC Tylenol and/or aspirin with some relief, but pain continues. He requested and his doctor prescribed him a muscle relaxant.
More
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| 2834549 | 57 | M | OR | 04/07/2025 |
HEPAB |
GLAXOSMITHKLINE BIOLOGICALS |
m4b34 |
Condition aggravated, Deafness unilateral, Ear pain
Condition aggravated, Deafness unilateral, Ear pain
|
Patient had ear ached the morning of vaccination, saw prescriber that gave him prescription medicati...
Patient had ear ached the morning of vaccination, saw prescriber that gave him prescription medications. Ear ache got worse 4/3/2025 and eventually lose hearing in ear.
More
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โ | |||||
| 2834550 | 61 | M | MI | 04/07/2025 |
COVID19 COVID19 |
MODERNA MODERNA |
|
Autopsy, Blood glucose, Cardiac death, Cardiomegaly, Death; Feeling abnormal, Hy...
Autopsy, Blood glucose, Cardiac death, Cardiomegaly, Death; Feeling abnormal, Hyperhidrosis
More
|
Patient began experiencing sweating and stated he felt "weird". Checked blood sugar and co...
Patient began experiencing sweating and stated he felt "weird". Checked blood sugar and contacted clinic. Stated that it was just the body making antibodies. On 9/29/22, patient was found deceased. Autopsy showed enlarged heart which was not previously detected prior to vaccine on 9/2/22 (patient was due to have elective surgery on 10/6 and had been cleared with all pre-op testing).
More
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โ | |||||
| 2834551 | 75 | F | FL | 04/07/2025 |
TDAP |
GLAXOSMITHKLINE BIOLOGICALS |
L5229 |
Limb discomfort, Musculoskeletal discomfort, Product administered at inappropria...
Limb discomfort, Musculoskeletal discomfort, Product administered at inappropriate site
More
|
This Vaccine was administered higher than the recommended zone for vaccination. It was closer to the...
This Vaccine was administered higher than the recommended zone for vaccination. It was closer to the shoulder than it should have been. The patient is now having shoulder/arm discomfort.
More
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| 2834552 | 66 | F | OR | 04/07/2025 |
TDAP |
GLAXOSMITHKLINE BIOLOGICALS |
4799G |
Fatigue, Rash, Urticaria
Fatigue, Rash, Urticaria
|
Extreme exhaustion started 2 hours after dose, laid down and slept for 2 hours. Awoke and realized ...
Extreme exhaustion started 2 hours after dose, laid down and slept for 2 hours. Awoke and realized a rash had started. The following day it progressed to hives all over neck, chest and trunk. Hives continue through today. Patient has not taken anything to help decrease the reaction. I counselled that she could take allergy medication or see a provider for a course of steroids. She said she was going to continue to ride this out without medications.
More
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| 2834553 | 5 | F | OR | 04/07/2025 |
COVID19 DTAPIPV MMRV |
MODERNA SANOFI PASTEUR MERCK & CO. INC. |
8080803 U7838AA Y012594 |
Unevaluable event; Unevaluable event; Unevaluable event
Unevaluable event; Unevaluable event; Unevaluable event
|
None
None
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| 2834554 | CA | 04/07/2025 |
COVID19 |
MODERNA |
031M20A |
Fatigue
Fatigue
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fatigue
fatigue
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| 2834555 | 1.58 | M | WA | 04/07/2025 |
HIBV |
SANOFI PASTEUR |
UK042AA (VFC - |
No adverse event
No adverse event
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There are no current adverse events.
There are no current adverse events.
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| 2834556 | 69 | F | 04/07/2025 |
COVID19 |
PFIZER\BIONTECH |
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Eye inflammation
Eye inflammation
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I have inflamed blood vessels in my eyes. My doctor said people he has seen with this all had recei...
I have inflamed blood vessels in my eyes. My doctor said people he has seen with this all had received COVID shots.
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| 2834569 | 0.33 | F | AK | 04/07/2025 |
DTPPVHBHPB HPV9 RV5 |
MSP VACCINE COMPANY MERCK & CO. INC. MERCK & CO. INC. |
U7921AA X024560 2051974 |
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
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Patient received HPV9 instead of PCV20 as was intended. Dr. made aware by Medical Assistant. Dr. d...
Patient received HPV9 instead of PCV20 as was intended. Dr. made aware by Medical Assistant. Dr. discussed with the mother immediately. No none adverse events were reported to our office.
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| 2834570 | M | CA | 04/07/2025 |
PNC15 PNC15 |
MERCK & CO. INC. MERCK & CO. INC. |
Y005465 Y005465 |
Fatigue, Hypersomnia, Hypopnoea, Hypotonia, Mobility decreased; Posture abnormal...
Fatigue, Hypersomnia, Hypopnoea, Hypotonia, Mobility decreased; Posture abnormal, Somnolence
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After third pneumococcal vaccine Vaxneuvance given 9/17/24 at 11 months old at office (first time se...
After third pneumococcal vaccine Vaxneuvance given 9/17/24 at 11 months old at office (first time seen by our group): slept a very long time and difficult to awaken. It was like he was unconscious and wouldn't wake up for an hour though pinching him, yelling his name and shaking him. Wouldn't even move and limp when picked up. Breathing very shallow. Had to hold head as falling backwards. Considered taking to ED, but then after an hour woke up with yelling at him, but still was groggy and fell back asleep. Went back to sleep but breathing back to normal. Acted fatigued for another day.
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| 2834571 | 89 | M | FL | 04/07/2025 |
PNC20 |
PFIZER\WYETH |
lx4482 |
Extra dose administered, Pain in extremity
Extra dose administered, Pain in extremity
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the patient has experienced no adverse effects, however this was a duplicate dose. Patient also rece...
the patient has experienced no adverse effects, however this was a duplicate dose. Patient also received a Prevnar 20 shot in January. After speaking with the patient, he said he is not experiencing any adverse effects other than the normal sore arm
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| 2834572 | 65 | F | NM | 04/07/2025 |
FLU3 |
SANOFI PASTEUR |
UT8473AA |
Immediate post-injection reaction, Loss of personal independence in daily activi...
Immediate post-injection reaction, Loss of personal independence in daily activities, Migraine, Musculoskeletal disorder, Shoulder injury related to vaccine administration
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Patient has called multiple times in regards to having a bad reaction to a vaccine. There are multip...
Patient has called multiple times in regards to having a bad reaction to a vaccine. There are multiple rx notes on file for the patient from multiple pharmacists that have talked to the patient in the past. I called personally and spoke to the patient the evening of 4/3/2025. She reiterated everything that we have on file. She only wanted a regular flu shot, but stated she was pressured or told that she couldn't and in her words, forced to get a high dose flu shot by the pharmacist on file for this complaint. She then stated immediately after the vaccine that she began to have migraines and that her left arm began to lose function and that her daily life wasn't the same anymore. She could no longer do activities that she enjoyed or basic daily activities such as getting ready. She now stated that she went to a orthopedic surgeon and they diagnosed her with SIRVA.
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| 2834585 | 43 | F | TX | 04/07/2025 |
HEP HEP |
GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS |
9JG23 J3952 |
Expired product administered; Expired product administered
Expired product administered; Expired product administered
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1st dose Help B given to patient at 11:15 - Pt left and as soon as I went to plug all info in comput...
1st dose Help B given to patient at 11:15 - Pt left and as soon as I went to plug all info in computer, I realized it was expired. Exp 2/10/25- Med room notified, Doctor notified, manufacturer was called. Advised to give again ASAP. Pt came back at 1300 for another one. Charted in safety net and (redacted) notified. As soon as I realized it was expired, I went to the med room and I notified (redacted) who then notified (redacted). She advised to speak with Doctor. Doctor was notified ASAP, (redacted) then notified and Manufacturer called as well. They recommended giving it again ASAP. Pt was called and I explained what happened. She came back here and got it again at 1300. VAERS form filled out, (redacted) notified and charted incident in safety net (redacted) also emailed pt information so that patient isn't billed for today's incident involving the 1st one given. Pt tolerated both injections well.
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