| ID | Age | Sex | State | Date โผ | Onset Days | Vaccine | Manufacturer | Lot # | Symptoms | Narrative | ๐ | ๐ฅ | ๐ | โฟ | โ ๏ธ |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2834313 | 79 | M | FL | 04/04/2025 |
RSV TDAP |
PFIZER\WYETH GLAXOSMITHKLINE BIOLOGICALS |
LG9827 L5229 |
Blood culture negative, Musculoskeletal stiffness, Neck pain, Pain in extremity,...
Blood culture negative, Musculoskeletal stiffness, Neck pain, Pain in extremity, White blood cell count increased; Blood culture negative, Musculoskeletal stiffness, Neck pain, Pain in extremity, White blood cell count increased
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The patient experienced stiffness and pain in the neck and both arms. He went to the ER and was pre...
The patient experienced stiffness and pain in the neck and both arms. He went to the ER and was prescribed a medrol dose pack. He improved over the next few days but 2 days after finishing the medrol dose pack extreme neck and arm pain returned. He went back to the ER and was admitted into the hospital for 4 days. He was prescribed antibiotics and steroids, and meningitis was ruled out. The patient states he gained 15 lb. due to steroids, which he has since lost, and he feels he is now about 90% recovered. Patient felt strongly that Abrysvo was the cause of the incident because although he also received Boostrix on the same day he has had several tdap vaccinations before without a problem.
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โ | โ | ||||
| 2834314 | 54 | M | TX | 04/04/2025 |
COVID19 COVID19 COVID19 COVID19 COVID19 COVID19 COVID19 COVID19 COVID19 COVID19 COVID19 COVID19 COVID19 COVID19 COVID19 COVID19 COVID19 COVID19 COVID19 COVID19 COVID19 |
PFIZER\BIONTECH PFIZER\BIONTECH PFIZER\BIONTECH PFIZER\BIONTECH PFIZER\BIONTECH PFIZER\BIONTECH PFIZER\BIONTECH PFIZER\BIONTECH PFIZER\BIONTECH PFIZER\BIONTECH PFIZER\BIONTECH PFIZER\BIONTECH PFIZER\BIONTECH PFIZER\BIONTECH PFIZER\BIONTECH PFIZER\BIONTECH PFIZER\BIONTECH PFIZER\BIONTECH PFIZER\BIONTECH PFIZER\BIONTECH PFIZER\BIONTECH |
en6205 en6205 en6205 en6205 en6205 en6205 en6205 ep6955 ep6955 ep6955 ep6955 ep6955 ep6955 ep6955 FH8020 FH8020 FH8020 FH8020 FH8020 FH8020 FH8020 |
Antibody test, Anxiety, Arthralgia, B-lymphocyte count abnormal, Blood test; Bra...
Antibody test, Anxiety, Arthralgia, B-lymphocyte count abnormal, Blood test; Brain fog, Computerised tomogram, Dyspnoea, Fatigue, Gallbladder disorder; Heart rate decreased, Hepatobiliary scan abnormal, Hepatomegaly, Hyperthyroidism, Hypoaesthesia; Kidney enlargement, Light chain analysis, Magnetic resonance imaging, Myocarditis, Nerve conduction studies; Neuropathy peripheral, Pain in extremity, Palpitations, Paraesthesia, Postural orthostatic tachycardia syndrome; Pulmonary mass, SARS-CoV-2 antibody test negative, Scan abnormal, Sinonasal obstruction, Smooth muscle antibody positive; Splenectomy, Thyroidectomy, Ventilation/perfusion scan; Antibody test, Anxiety, Arthralgia, B-lymphocyte count abnormal, Blood test; Brain fog, Computerised tomogram, Dyspnoea, Fatigue, Gallbladder disorder; Heart rate decreased, Hepatobiliary scan abnormal, Hepatomegaly, Hyperthyroidism, Hypoaesthesia; Kidney enlargement, Light chain analysis, Magnetic resonance imaging, Myocarditis, Nerve conduction studies; Neuropathy peripheral, Pain in extremity, Palpitations, Paraesthesia, Postural orthostatic tachycardia syndrome; Pulmonary mass, SARS-CoV-2 antibody test negative, Scan abnormal, Sinonasal obstruction, Smooth muscle antibody positive; Splenectomy, Thyroidectomy, Ventilation/perfusion scan; Antibody test, Anxiety, Arthralgia, B-lymphocyte count abnormal, Blood test; Brain fog, Computerised tomogram, Dyspnoea, Fatigue, Gallbladder disorder; Heart rate decreased, Hepatobiliary scan abnormal, Hepatomegaly, Hyperthyroidism, Hypoaesthesia; Kidney enlargement, Light chain analysis, Magnetic resonance imaging, Myocarditis, Nerve conduction studies; Neuropathy peripheral, Pain in extremity, Palpitations, Paraesthesia, Postural orthostatic tachycardia syndrome; Pulmonary mass, SARS-CoV-2 antibody test negative, Scan abnormal, Sinonasal obstruction, Smooth muscle antibody positive; Splenectomy, Thyroidectomy, Ventilation/perfusion scan
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Thyroid had to be removed after 3rd covid shot. Meds wouldn't bring it out of hyper stage. Si...
Thyroid had to be removed after 3rd covid shot. Meds wouldn't bring it out of hyper stage. Sinuses then closed up and had to be drilled out so I could breathe. Sinus closed up again got on nasal rinse steroids. Shortly after starting having pain numbness tingling in right led numbness on foot, stated working its way into left leg. Neuropathy related. Brain fog fatigue joint pain hit very hard. Went to ER and 3 times with racing heart around 165 bpm diagnosed with Myocarditis. Then the pulse went down to 44 bpm was told it was POTS. Diagnosed with spleglatomy, swollen kidney and liver. New scans found spots in my gallbladder and in my right lung. Massive fatigue and anxiousness. B cells. Kappas, Titer and Smooth Muscle Titer all off in bloodwork possible blood or bone marrow disorder. Antibodies Covid levels were finally tested and came back over 17,000u/gl. Normal with someone like me with no covid in 3 years would have been in the 100 range
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โ | โ | ||||
| 2834315 | 18 | F | OH | 04/04/2025 |
MENB |
NOVARTIS VACCINES AND DIAGNOSTICS |
52N4S |
Arthralgia, Immediate post-injection reaction, Injected limb mobility decreased
Arthralgia, Immediate post-injection reaction, Injected limb mobility decreased
|
Pt started having pain immediately after injection and decreased mobility of arm that has continued ...
Pt started having pain immediately after injection and decreased mobility of arm that has continued now for 6 days after vaccine administration
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|
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| 2834316 | 62 | F | TX | 04/04/2025 |
MNQ MNQ |
SANOFI PASTEUR SANOFI PASTEUR |
|
Blood test, Cellulitis, Erythema, Headache, Pain in extremity; Pyrexia
Blood test, Cellulitis, Erythema, Headache, Pain in extremity; Pyrexia
|
On 3-17-25 Received Pneumococal Vaccine On 3-21-25 Went to 24-Hour Emergency Room. After the vaccin...
On 3-17-25 Received Pneumococal Vaccine On 3-21-25 Went to 24-Hour Emergency Room. After the vaccine, I had fever, headache, soreness, redness on vaccination arm. I wasn't concerned until I woke up Friday morning and saw that the redness and soreness was traveling down on my arm,. Prescribed /cephalexin (Keflex) for Cellulitis
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| 2834317 | 56 | F | FL | 04/04/2025 |
PNC20 VARZOS |
PFIZER\WYETH GLAXOSMITHKLINE BIOLOGICALS |
lx4482 7zm55 |
Hypoaesthesia, Pain in extremity, Paraesthesia; Hypoaesthesia, Pain in extremity...
Hypoaesthesia, Pain in extremity, Paraesthesia; Hypoaesthesia, Pain in extremity, Paraesthesia
More
|
patient stated that she started experiencing tingling and numbness down same arm as vaccines were gi...
patient stated that she started experiencing tingling and numbness down same arm as vaccines were given and pain down into her fore arm, she is reaching out to dr concerning symptoms
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| 2834318 | 32 | F | 04/04/2025 |
PNC20 PNC20 |
PFIZER\WYETH PFIZER\WYETH |
|
Abdominal pain, Abdominal pain upper, Blood test, Diarrhoea, Dizziness; Impaired...
Abdominal pain, Abdominal pain upper, Blood test, Diarrhoea, Dizziness; Impaired work ability, Pain, Vomiting
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severe stomach pain and cramping, vommitting, dizziness, body aches. Diarrhea within 12 hours. IV re...
severe stomach pain and cramping, vommitting, dizziness, body aches. Diarrhea within 12 hours. IV required as could not keep fluids down. 5 days later, Stomach pain and cramping. Missed week of work due to symptoms
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| 2834319 | M | TX | 04/04/2025 |
MMRV MMRV MMRV MMRV VARCEL VARCEL |
MERCK & CO. INC. MERCK & CO. INC. MERCK & CO. INC. MERCK & CO. INC. MERCK & CO. INC. MERCK & CO. INC. |
yo12076 yo12076 Y012076 Y012076 Y007176 Y007176 |
Extra dose administered, Wrong product administered; Inappropriate schedule of p...
Extra dose administered, Wrong product administered; Inappropriate schedule of product administration, No adverse event; Extra dose administered, Wrong product administered; Inappropriate schedule of product administration, No adverse event; Extra dose administered, Wrong product administered; Inappropriate schedule of product administration, No adverse event
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Patient got ProQuad and Varicella vaccine at 19 months patient was supposed to get MMR VACCINE and V...
Patient got ProQuad and Varicella vaccine at 19 months patient was supposed to get MMR VACCINE and VARICELLA separately . patient now has an extra varicella vaccine
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| 2834320 | 18 | F | OH | 04/04/2025 |
MENB |
PFIZER\WYETH |
LF530 |
Computerised tomogram head normal, Computerised tomogram neck, Headache
Computerised tomogram head normal, Computerised tomogram neck, Headache
|
Mother reports over phone call client quickly developed an intractable headache after immunization. ...
Mother reports over phone call client quickly developed an intractable headache after immunization. Patient went to the ER and was treated at released. Mother reports no history of headaches, she was in a car accident a week before this. She was given fluids, medications of : fentanyl, Benadryl, and Zofran, and had negative CT of the head and neck. Symptoms did not improve till 3/15/2025.
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| 2834321 | 83 | F | NJ | 04/04/2025 |
PNC21 |
MERCK & CO. INC. |
Y019158 |
Fatigue, Rash pruritic, Skin warm, Swelling
Fatigue, Rash pruritic, Skin warm, Swelling
|
ITCHY RASH, SWOLLEN, TIREDNESS, AREA IS HOT WHEN TOUCHING
ITCHY RASH, SWOLLEN, TIREDNESS, AREA IS HOT WHEN TOUCHING
|
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| 2834322 | 0.17 | F | KS | 04/04/2025 |
DTPPVHBHPB RV5 UNK |
MSP VACCINE COMPANY MERCK & CO. INC. UNKNOWN MANUFACTURER |
U7907AA 2032353 Y011819 |
Wrong product administered; Wrong product administered; Wrong product administer...
Wrong product administered; Wrong product administered; Wrong product administered
More
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Pt was administered the incorrect PCV vaccination
Pt was administered the incorrect PCV vaccination
|
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| 2834323 | 0.5 | M | GA | 04/04/2025 |
DTAPHEPBIP DTAPHEPBIP PNC15 PNC15 |
GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS MERCK & CO. INC. MERCK & CO. INC. |
9D25P 9D25P Z003633 Z003633 |
Infant irritability, Lethargy, Pallor, Posture abnormal, Pyrexia; Vomiting; Infa...
Infant irritability, Lethargy, Pallor, Posture abnormal, Pyrexia; Vomiting; Infant irritability, Lethargy, Pallor, Posture abnormal, Pyrexia; Vomiting
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Per dad, patient was unusually fussy after vaccination, and low grade fever 99.8F. Parents gave hi...
Per dad, patient was unusually fussy after vaccination, and low grade fever 99.8F. Parents gave him Tylenol around 6Pm, then after about 10 min he vomited then became pale from head to toe, lethargic and could not hold his head up and sit up. Parents called 911. EMS came and evaluated him. at that time, he was slowly improving. The EMS took him to hospital. on the way there he continues to improve, patient was observed in hospital for few hours and discharged home, to be follow up by neurology. Doctor in ER informed parents that it was most probably reaction to vaccination
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| 2834324 | 19 | F | WI | 04/04/2025 |
TDAP |
GLAXOSMITHKLINE BIOLOGICALS |
F5L5E |
Exposure during pregnancy, Inappropriate schedule of product administration
Exposure during pregnancy, Inappropriate schedule of product administration
|
Boostrix was given in error. Pregnant patient, estimated due date 9/9/25. No symptoms or complicati...
Boostrix was given in error. Pregnant patient, estimated due date 9/9/25. No symptoms or complications. No additional treatment. Patient is diabetic.
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| 2834325 | 52 | M | AR | 04/04/2025 |
COVID19 |
MODERNA |
042B21A |
COVID-19
COVID-19
|
hospitalized with covid infection after vaccination
hospitalized with covid infection after vaccination
|
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| 2834326 | 79 | M | AR | 04/04/2025 |
COVID19 |
MODERNA |
060F22A |
COVID-19
COVID-19
|
covid infection with hospitalization after vaccination
covid infection with hospitalization after vaccination
|
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| 2834327 | 68 | F | AR | 04/04/2025 |
COVID19 |
PFIZER\BIONTECH |
FK9729 |
COVID-19
COVID-19
|
covid infection with hospitalization after vaccination
covid infection with hospitalization after vaccination
|
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| 2834328 | 79 | F | AR | 04/04/2025 |
COVID19 |
MODERNA |
060F22A |
COVID-19
COVID-19
|
covid infection with hospitalization after vaccination
covid infection with hospitalization after vaccination
|
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| 2834329 | 15 | F | CA | 04/04/2025 |
HPV9 |
MERCK & CO. INC. |
Y018398 |
Electrocardiogram, Loss of consciousness, Presyncope
Electrocardiogram, Loss of consciousness, Presyncope
|
Pt passed out after injection. 911 called and pt evaluated, pulse and B/P checked three times. Pt po...
Pt passed out after injection. 911 called and pt evaluated, pulse and B/P checked three times. Pt positioned to Trendelenberg. Pt evaluated by doctor. Diagn: vasal/vagal and not allergic reaction. Pt passed out second time. Pt cleared by ER team and rec; ER evaluation. Mother declined.
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| 2834330 | 51 | F | 04/04/2025 |
COVID19 FLU3 PNC20 RSV |
MODERNA GLAXOSMITHKLINE BIOLOGICALS PFIZER\WYETH PFIZER\WYETH |
3043152 9ch4p lk6655 ln5489 |
Wrong product administered; Wrong product administered; Wrong product administer...
Wrong product administered; Wrong product administered; Wrong product administered; Wrong product administered
More
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Patient was administered RSV instead of Shingrix vaccine
Patient was administered RSV instead of Shingrix vaccine
|
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| 2834331 | 72 | F | FL | 04/04/2025 |
HEPAB |
GLAXOSMITHKLINE BIOLOGICALS |
m4b34 |
Inappropriate schedule of product administration, No adverse event
Inappropriate schedule of product administration, No adverse event
|
Administration error: Patient came in for accelerated dosing for Twinrix due to out of country trip ...
Administration error: Patient came in for accelerated dosing for Twinrix due to out of country trip coming up. Patient received day 21 to day 30 dose by mistake on day 15. Then came in by mistake on day 21 again. All in all, patient received 4 doses instead of 3. Patient was called via telephone. Patient has no chief complaints and/or adverse effects. Not even a sore arm. Patient was not upset at all / very pleasant and thanked us for getting her immunized for her out of country trip.
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| 2834332 | 0.42 | M | AZ | 04/04/2025 |
HIBV |
SANOFI PASTEUR |
uk042aa |
Product preparation issue
Product preparation issue
|
Only diluent was administered not vaccine.
Only diluent was administered not vaccine.
|
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| 2834333 | 78 | F | KS | 04/04/2025 |
FLU3 |
SANOFI PASTEUR |
ut8409ca |
Inflammation, Pain
Inflammation, Pain
|
inflammation, soreness, patient mentioned seeking treatment but uncertain to what
inflammation, soreness, patient mentioned seeking treatment but uncertain to what
|
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| 2834334 | 17 | F | MI | 04/04/2025 |
MENB MNQ |
NOVARTIS VACCINES AND DIAGNOSTICS NOVARTIS VACCINES AND DIAGNOSTICS |
dd72h 9m2r7 |
Circumstance or information capable of leading to medication error, Extra dose a...
Circumstance or information capable of leading to medication error, Extra dose administered; Circumstance or information capable of leading to medication error, Extra dose administered
More
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Wrong patient MICR was printed, gave patient Bexsero and Menveo. When the correct MICR was printe...
Wrong patient MICR was printed, gave patient Bexsero and Menveo. When the correct MICR was printed I noticed patient wasn't due for Menveo, when extra Menveo was already given.
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| 2834335 | 46 | M | MI | 04/04/2025 |
MMRV |
MERCK & CO. INC. |
|
No adverse event, Wrong product administered
No adverse event, Wrong product administered
|
NO ADVERSE REACTIONS NOTED. PROVIDER CONTACTED PATIENT THAT SAME DAY TO NOTIFY HIM OF THE WRONG VACC...
NO ADVERSE REACTIONS NOTED. PROVIDER CONTACTED PATIENT THAT SAME DAY TO NOTIFY HIM OF THE WRONG VACCINE BEING GIVEN.
More
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| 2834336 | 15 | M | VA | 04/04/2025 |
TD |
SANOFI PASTEUR |
U7679AA |
Expired product administered
Expired product administered
|
Vaccine was expired as of 3/21/25.
Vaccine was expired as of 3/21/25.
|
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| 2834337 | 1 | F | TX | 04/04/2025 |
VARCEL |
MERCK & CO. INC. |
Y015559 |
Rash, Rash papular
Rash, Rash papular
|
Localized papular rash
Localized papular rash
|
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| 2834338 | 42 | F | TN | 04/04/2025 |
VARCEL |
MERCK & CO. INC. |
|
Extra dose administered
Extra dose administered
|
Given to Pt that had already had 2 dose series
Given to Pt that had already had 2 dose series
|
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| 2834339 | 17 | M | VA | 04/04/2025 |
TD |
SANOFI PASTEUR |
U7679AA |
Expired product administered, No adverse event
Expired product administered, No adverse event
|
Vaccine expired 3/21/25. No adverse effects to resident.
Vaccine expired 3/21/25. No adverse effects to resident.
|
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| 2834340 | 53 | M | MI | 04/04/2025 |
TDAP |
GLAXOSMITHKLINE BIOLOGICALS |
L5229 |
Diarrhoea, Injection site pain, Muscle spasms
Diarrhoea, Injection site pain, Muscle spasms
|
employee received Boostrix at 0740 due to reported contaminated needlestick at about 0400 4/4/25. EE...
employee received Boostrix at 0740 due to reported contaminated needlestick at about 0400 4/4/25. EE called back to employee health office at 14:35 to complain of diarrhea and cramping, with a sore left deltoid. No fever, no rash, no itching, no hives present. No trouble breathing , no tongue swelling, no wheezing. EE admits it could be food poisoning, also suggested possible viral infection.
More
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| 2834341 | 1.25 | M | NE | 04/04/2025 |
MMR VARCEL |
MERCK & CO. INC. MERCK & CO. INC. |
Y011709 Y015558 |
Irritability, Pain, Pyrexia; Irritability, Pain, Pyrexia
Irritability, Pain, Pyrexia; Irritability, Pain, Pyrexia
|
Fever, pain, severe fussiness starting the morning after receiving vaccines. Fever progressed throug...
Fever, pain, severe fussiness starting the morning after receiving vaccines. Fever progressed through the day up to 102.3 before administering ibuprofen
More
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| 2834342 | 70 | M | OH | 04/04/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
KB2YT |
Extra dose administered, No adverse event
Extra dose administered, No adverse event
|
PATIENT WAS GIVEN A DOSE IN DECEMBER 2024 WHEN HE STATED HE NEVER RECEIVED. CAME BACK TODAY FOR 2ND ...
PATIENT WAS GIVEN A DOSE IN DECEMBER 2024 WHEN HE STATED HE NEVER RECEIVED. CAME BACK TODAY FOR 2ND DOSE AND WE DISCOVERED ON REPORT THAT HE COMPLETED THE SERIES IN 2020. NO ADVERSE EVENTS REPORTED FROM RECEIVING EXTRA DOSE.
More
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| 2834343 | 4 | F | TX | 04/04/2025 |
MMR |
MERCK & CO. INC. |
Y008592 |
Injection site erythema, Injection site pain, Injection site swelling
Injection site erythema, Injection site pain, Injection site swelling
|
Patient has redness, swelling and pain to Injection site
Patient has redness, swelling and pain to Injection site
|
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| 2834344 | 1.92 | M | LA | 04/04/2025 |
DTAP HEP HEPA PNC20 |
SANOFI PASTEUR GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS PFIZER\WYETH |
|
Wrong product administered; Wrong product administered; Wrong product administer...
Wrong product administered; Wrong product administered; Wrong product administered; Wrong product administered
More
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HIB vaccine was ordered and the Hep B vaccine was given.
HIB vaccine was ordered and the Hep B vaccine was given.
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| 2834345 | 66 | F | OH | 04/04/2025 |
RSV |
GLAXOSMITHKLINE BIOLOGICALS |
c4794 |
Wrong product administered
Wrong product administered
|
Vaccine reconstituted with incorrect diluent
Vaccine reconstituted with incorrect diluent
|
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| 2834346 | 84 | M | OH | 04/04/2025 |
RSV |
GLAXOSMITHKLINE BIOLOGICALS |
c4794 |
Product preparation error
Product preparation error
|
Vaccine mixed with incorrect diluent
Vaccine mixed with incorrect diluent
|
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| 2834347 | 18 | M | WA | 04/04/2025 |
MMR VARCEL |
MERCK & CO. INC. MERCK & CO. INC. |
Y000223 Y014182 |
Nausea, Syncope, Vomiting; Nausea, Syncope, Vomiting
Nausea, Syncope, Vomiting; Nausea, Syncope, Vomiting
|
Patient received 2 vaccinations, Varivax and MMR-II. Varivax was given first, then MMR-II. Few minut...
Patient received 2 vaccinations, Varivax and MMR-II. Varivax was given first, then MMR-II. Few minutes after giving MMR-II, patient complained that he was nauseous. Patient vomited and collapsed thereafter (vasovagal syncope). Patient became conscious after few minutes and was still nauseated. Patient was stabilized and observed for another 20 minutes in the pharmacy. Advised parent and patient to seek medical help if things worsen.
More
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| 2834348 | 56 | M | TX | 04/04/2025 |
UNK |
UNKNOWN MANUFACTURER |
7349L |
Extra dose administered, Pain, Pain in extremity
Extra dose administered, Pain, Pain in extremity
|
The patient did not have unusual adverse reactions. The patient received a 3rd dose in error. The si...
The patient did not have unusual adverse reactions. The patient received a 3rd dose in error. The side effects were the normal arm soreness and body ache.
More
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| 2834349 | 63 | F | IA | 04/04/2025 |
RSV VARZOS |
GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS |
|
Dizziness, Feeling hot, Hyperhidrosis; Dizziness, Feeling hot, Hyperhidrosis
Dizziness, Feeling hot, Hyperhidrosis; Dizziness, Feeling hot, Hyperhidrosis
|
Patient got dizzy, sweaty, and hot within 1 minutes of both vaccines....vaccine room was quite warm...
Patient got dizzy, sweaty, and hot within 1 minutes of both vaccines....vaccine room was quite warm. She drank water and ate some grapes as she hadn't eaten anything yet today.
More
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| 2834350 | 1.5 | F | AK | 04/04/2025 |
DTPPVHBHPB HPV9 |
MSP VACCINE COMPANY MERCK & CO. INC. |
U7921AA Y008119 |
No adverse event, Product administered to patient of inappropriate age; No adver...
No adverse event, Product administered to patient of inappropriate age; No adverse event, Product administered to patient of inappropriate age
More
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No adverse event reported
No adverse event reported
|
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| 2834351 | 6 | M | IL | 04/04/2025 |
DTAPHEPBIP MMRV PNC20 VARCEL |
GLAXOSMITHKLINE BIOLOGICALS MERCK & CO. INC. PFIZER\WYETH MERCK & CO. INC. |
77J49 Y017206 L05484 Y017206 |
Wrong product administered; Wrong product administered; Wrong product administer...
Wrong product administered; Wrong product administered; Wrong product administered; Wrong product administered
More
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Proquad given instead of MMR. Order by MD was for MMR but Medical Assistant administered Proquad. Va...
Proquad given instead of MMR. Order by MD was for MMR but Medical Assistant administered Proquad. Varivax also given on 3/06/25. RN discovered error and reached out to VFC. VFC responded both vaccines are valid and patient should receive subsequent doses in the series on schedule. RN called parents and discussed error.
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| 2834352 | 4 | F | AZ | 04/04/2025 |
DTAPIPV |
GLAXOSMITHKLINE BIOLOGICALS |
34MF5 |
Injection site erythema, Injection site swelling
Injection site erythema, Injection site swelling
|
Swelling and redness at injection site
Swelling and redness at injection site
|
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| 2834353 | 69 | F | WA | 04/04/2025 |
COVID19 PNC20 VARZOS |
PFIZER\BIONTECH PFIZER\WYETH GLAXOSMITHKLINE BIOLOGICALS |
LM7786 HR3650 5A4H7 |
Injected limb mobility decreased, Pain in extremity; Injected limb mobility decr...
Injected limb mobility decreased, Pain in extremity; Injected limb mobility decreased, Pain in extremity; Injected limb mobility decreased, Pain in extremity
More
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Patient called pharmacist on 3/31 reporting that her left arm was very sore and she could not lift i...
Patient called pharmacist on 3/31 reporting that her left arm was very sore and she could not lift it up. Patient reported taking tylenol, using cold packs but no relief. Patient was advised to seek medical help at an urgent care/prompt care. Patient was then taken to urgent care and was prescribed Medrol Dose Pack. Patient had to cancel flight going back to home country due to this medical incident.
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| 2834354 | 42 | F | NY | 04/04/2025 |
PNC21 |
MERCK & CO. INC. |
|
Erythema, Skin irritation, Skin mass
Erythema, Skin irritation, Skin mass
|
redness and irritation and bump about the size of a quarter
redness and irritation and bump about the size of a quarter
|
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| 2834355 | 75 | F | CO | 04/04/2025 |
COVID19 COVID19 FLU3 FLU3 PNC20 PNC20 RSV RSV |
PFIZER\BIONTECH PFIZER\BIONTECH SANOFI PASTEUR SANOFI PASTEUR PFIZER\WYETH PFIZER\WYETH GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS |
|
Dysgeusia, Dyspnoea, Gait disturbance, Hot flush, Palpitations; Sensory disturba...
Dysgeusia, Dyspnoea, Gait disturbance, Hot flush, Palpitations; Sensory disturbance; Dysgeusia, Dyspnoea, Gait disturbance, Hot flush, Palpitations; Sensory disturbance; Dysgeusia, Dyspnoea, Gait disturbance, Hot flush, Palpitations; Sensory disturbance; Dysgeusia, Dyspnoea, Gait disturbance, Hot flush, Palpitations; Sensory disturbance
More
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Patient called about 1:15pm and said about 3 minutes after receiving the vaccines, she started exper...
Patient called about 1:15pm and said about 3 minutes after receiving the vaccines, she started experiencing heart racing, trouble breathing, hot flashes, a funny taste in her mouth, her legs felt weird and walking was difficult. She sat in her car for about 20 minutes waiting for these to subside. At 1:15pm, she said the only thing left she was experiencing was a little shortness of breath.
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| 2834356 | 54 | F | CO | 04/04/2025 |
COVID19 |
PFIZER\BIONTECH |
lm2211 |
Cellulitis
Cellulitis
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pt has cellulitis
pt has cellulitis
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| 2834357 | 5 | F | MT | 04/04/2025 |
COVID19 |
PFIZER\BIONTECH |
LM2045 |
No adverse event, Product preparation issue
No adverse event, Product preparation issue
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Error occurred when dilution of vaccine for ages 5-11 years with 1.1mL of Sodium Chloride 0.9%. Inj...
Error occurred when dilution of vaccine for ages 5-11 years with 1.1mL of Sodium Chloride 0.9%. Injected patient with 0.3 mL of solution. Injection was the second covid immunization after recieving first dose of covid vaccine 5 week and 5 days prior when patient was of 4 years of age. No adverse reaction.
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| 2834358 | 65 | F | IL | 04/04/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
3334y |
Injection site erythema, Injection site pain, Injection site swelling, Injection...
Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth, Pain in extremity
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Patient reports having sore arm the day of vaccination; however the following day patient reported a...
Patient reports having sore arm the day of vaccination; however the following day patient reported a red, raised ring supporting the vaccine site that was warm and painful. Ring continued to be present and not change in size from day of vaccination to 3 days later. Patient reports full range of motion of arm still although sore the day of. Patient had not tried any treatments , but was recommended to contact MD and to use ice packs to mitigate the pain.
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| 2834359 | 0.33 | F | CA | 04/04/2025 |
RV1 |
GLAXOSMITHKLINE BIOLOGICALS |
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Barium enema abnormal, Intussusception, Ultrasound abdomen abnormal
Barium enema abnormal, Intussusception, Ultrasound abdomen abnormal
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Intussusception
Intussusception
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โ | โ | ||||
| 2834360 | 62 | F | AZ | 04/04/2025 |
PNC20 |
PFIZER\WYETH |
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Headache, Injection site erythema, Injection site swelling, Limb mass
Headache, Injection site erythema, Injection site swelling, Limb mass
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Noticed raised lump on RT arm at 9pm, severe headache started at that time, took NSAID without relie...
Noticed raised lump on RT arm at 9pm, severe headache started at that time, took NSAID without relief, arm pain continued through night, 48 hours after injection RT are redness about 4 inches with large, raised area in the middle. Head ached continues, but less intense.
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| 2834361 | 60 | F | WA | 04/04/2025 |
PNC20 |
PFIZER\WYETH |
HR3650 |
Cellulitis, Skin warm, Tenderness
Cellulitis, Skin warm, Tenderness
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Resident received vaccination to right upper arm via IM injection on 3/31, and redness assessed on 4...
Resident received vaccination to right upper arm via IM injection on 3/31, and redness assessed on 4/2/25 with tenderness and warmth upon palpation. Redness demarcated with alert charting initiated. On 4/3/25 redness had spread beyond demarcation line and increase in pain and warmth reported by patient.
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| 2834362 | 2 | M | IN | 04/04/2025 |
MMR |
MERCK & CO. INC. |
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Diarrhoea
Diarrhoea
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Two weeks of diarrhea
Two weeks of diarrhea
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