| ID | Age | Sex | State | Date โผ | Onset Days | Vaccine | Manufacturer | Lot # | Symptoms | Narrative | ๐ | ๐ฅ | ๐ | โฟ | โ ๏ธ |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2834115 | 25 | F | IN | 04/03/2025 |
TDAP |
GLAXOSMITHKLINE BIOLOGICALS |
433ne |
Dizziness, Syncope, Unresponsive to stimuli
Dizziness, Syncope, Unresponsive to stimuli
|
Systemic: Dizziness / Lightheadness-Mild, Systemic: Fainting / Unresponsive-Mild
Systemic: Dizziness / Lightheadness-Mild, Systemic: Fainting / Unresponsive-Mild
|
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| 2834116 | 60 | M | GA | 04/03/2025 |
COVID19 |
PFIZER\BIONTECH |
LN0591 |
Chills, Cough, Injection site pain, Pyrexia
Chills, Cough, Injection site pain, Pyrexia
|
Site: Pain at Injection Site-Medium, Systemic: Chills-Medium, Systemic: Fever-Medium, Systemic: COUG...
Site: Pain at Injection Site-Medium, Systemic: Chills-Medium, Systemic: Fever-Medium, Systemic: COUGH-Medium, Additional Details: Patient was not checked at Dr's office if he actually have a viral infection, Other Vaccines: VaccineTypeBrand: pneumovax 23; Manufacturer: merck sharp and D; LotNumber: Y016291; Route: INTRAMUSCULAR; BodySite: LEFT ARM; Dose: 1; VaxDate: 02/16/2025
More
|
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| 2834117 | 44 | F | MI | 04/03/2025 |
HPV9 |
MERCK & CO. INC. |
y013469 |
Injection site cellulitis, Injection site erythema, Injection site pain, Injecti...
Injection site cellulitis, Injection site erythema, Injection site pain, Injection site swelling
More
|
Site: Pain at Injection Site-Severe, Site: Redness at Injection Site-Severe, Site: Swelling at Injec...
Site: Pain at Injection Site-Severe, Site: Redness at Injection Site-Severe, Site: Swelling at Injection Site-Severe, Additional Details: patient reported that she developed cellulitis at the site/arm of injection and needed an urgent care visit and antibiotics treatment
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|
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| 2834118 | 11 | M | NV | 04/03/2025 |
TDAP |
GLAXOSMITHKLINE BIOLOGICALS |
L5229 |
Confusional state, Dizziness, Fatigue, Lethargy, Visual impairment
Confusional state, Dizziness, Fatigue, Lethargy, Visual impairment
|
Systemic: Confusion-Mild, Systemic: Dizziness / Lightheadness-Medium, Systemic: Exhaustion / Letharg...
Systemic: Confusion-Mild, Systemic: Dizziness / Lightheadness-Medium, Systemic: Exhaustion / Lethargy-Mild, Systemic: visual disturbances, vibrating vision-Medium, Other Vaccines: VaccineTypeBrand: Menveo; Manufacturer: glaxosmithkline; LotNumber: LN75D; Route: IM; BodySite: right deltoid; Dose: 1; VaxDate: 02/22/2025
More
|
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| 2834119 | 51 | F | WA | 04/03/2025 |
FLUC4 FLUC4 |
SEQIRUS, INC. SEQIRUS, INC. |
946638 946638 |
Arthralgia, Hypoaesthesia, Injection site erythema, Injection site swelling, Pai...
Arthralgia, Hypoaesthesia, Injection site erythema, Injection site swelling, Pain in extremity; Paraesthesia
More
|
Site: Pain at Injection Site-Severe, Site: Redness at Injection Site-Severe, Site: Swelling at Injec...
Site: Pain at Injection Site-Severe, Site: Redness at Injection Site-Severe, Site: Swelling at Injection Site-Severe, Additional Details: Pain, tingling and numbness in left arm that has not subsided. patient was referred to a neurologist by ER
More
|
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| 2834120 | 59 | F | NJ | 04/03/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
33FD3 |
Injection site erythema, Injection site pain, Injection site swelling, Pain, Pyr...
Injection site erythema, Injection site pain, Injection site swelling, Pain, Pyrexia
More
|
Site: Pain at Injection Site-Medium, Site: Redness at Injection Site-Medium, Site: Swelling at Injec...
Site: Pain at Injection Site-Medium, Site: Redness at Injection Site-Medium, Site: Swelling at Injection Site-Medium, Systemic: Body Aches Generalized-Medium, Systemic: Fever-Medium
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|
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| 2834121 | 78 | F | PA | 04/03/2025 |
COVID19 |
NOVAVAX |
6024mf021 |
Joint injury
Joint injury
|
Error: Shoulder Joint Injury (prolonged pain, tingling, etc.)-
Error: Shoulder Joint Injury (prolonged pain, tingling, etc.)-
|
โ | |||||
| 2834122 | 65 | F | GA | 04/03/2025 |
COVID19 |
PFIZER\BIONTECH |
LP1780 |
Syncope, Unresponsive to stimuli
Syncope, Unresponsive to stimuli
|
Systemic: Fainting / Unresponsive-Mild, Additional Details: PATIENT SAID SHE FAINTED BRIEFLY; NO OTH...
Systemic: Fainting / Unresponsive-Mild, Additional Details: PATIENT SAID SHE FAINTED BRIEFLY; NO OTHER SYMPTOM, , Other Vaccines: VaccineTypeBrand: fluzone; Manufacturer: sanofi; LotNumber: UT8463BA; Route: INTRAMUSCULAR; BodySite: LEFT ARM; Dose: ; VaxDate: UNKNOWN, VaccineTypeBrand: PREVNAR 20; Manufacturer: PFIZER; LotNumber: LJ5281; Route: INTRAMUSCULAR; BodySite: LEFT ARM; Dose: ; VaxDate: UNKNOWN
More
|
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| 2834124 | 65 | F | FL | 04/03/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
ts525 |
Injection site erythema, Pruritus, Rash
Injection site erythema, Pruritus, Rash
|
Site: Redness at Injection Site-Medium, Systemic: Allergic: Itch (specify: facial area, extremeties)...
Site: Redness at Injection Site-Medium, Systemic: Allergic: Itch (specify: facial area, extremeties)-Medium, Systemic: Allergic: Rash (specify: facial area, extremeties)-Medium
More
|
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| 2834126 | 19 | F | MA | 04/03/2025 |
FLUC4 |
SEQIRUS, INC. |
946636 |
Injection site erythema, Injection site swelling
Injection site erythema, Injection site swelling
|
Site: Redness at Injection Site-Medium, Site: Swelling at Injection Site-Medium, Systemic: Infection...
Site: Redness at Injection Site-Medium, Site: Swelling at Injection Site-Medium, Systemic: Infection-Medium, Additional Details: Patient developed arm swelling at injection sight. 2 to 3 inches in size. Dr prescribed cephalexin to treat possible infection. Unknown cause as site of injection was wiped with alcohol and sterile needle was used on sealed prefilled syringe.
More
|
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| 2834127 | 80 | F | FL | 04/03/2025 |
VARZOS VARZOS |
GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS |
bp74j bp74j |
Asthenia, Dizziness, Injection site erythema, Injection site rash, Injection sit...
Asthenia, Dizziness, Injection site erythema, Injection site rash, Injection site swelling; Rash, Tremor
More
|
Site: Redness at Injection Site-Medium, Site: Swelling at Injection Site-Mild, Systemic: Allergic: R...
Site: Redness at Injection Site-Medium, Site: Swelling at Injection Site-Mild, Systemic: Allergic: Rash (specify: facial area, extremeties)-Mild, Systemic: Dizziness / Lightheadness-Mild, Systemic: Shakiness-Mild, Systemic: Weakness-Mild, Additional Details: Patient presented with redness/rash on arm 3 inches below injection site.
More
|
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| 2834128 | 66 | F | CA | 04/03/2025 |
VARZOS VARZOS |
GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS |
5y9ca 5y9ca |
Dizziness, Fatigue, Hypertension, Lethargy, Nausea; Tinnitus
Dizziness, Fatigue, Hypertension, Lethargy, Nausea; Tinnitus
|
Systemic: Dizziness / Lightheadness-Mild, Systemic: Exhaustion / Lethargy-Mild, Systemic: Hypertensi...
Systemic: Dizziness / Lightheadness-Mild, Systemic: Exhaustion / Lethargy-Mild, Systemic: Hypertension-Mild, Systemic: Nausea-Mild, Additional Details: note of pulsating in ear after administration. symptoms occurred within minutes of administration.
More
|
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| 2834129 | 76 | M | CA | 04/03/2025 |
RSV |
PFIZER\WYETH |
LG9829 |
Device connection issue, Needle issue, Soft tissue foreign body, Syringe issue
Device connection issue, Needle issue, Soft tissue foreign body, Syringe issue
|
Syringe mal function, when injecting vaccine an unknow amount of RSV substance was injected into pat...
Syringe mal function, when injecting vaccine an unknow amount of RSV substance was injected into patient left arm, and an unknow amount fell out of syringe, when retrieving syringe from patient arm the needle came apart from syringe and had to remove needle by hand from patient arm. Patient, Dr., and and RN lead were notified incident. Patient was stable and was informed of receiving information in a few days of what should be the next steps in this incident. Patient verbalized understanding.
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| 2834130 | 10 | F | CA | 04/03/2025 |
HPV9 |
MERCK & CO. INC. |
Y007197 |
Erythema, Headache, Nausea, Skin warm
Erythema, Headache, Nausea, Skin warm
|
Transient redness to face with headache and nausea and warmth of left arm. NO fever reported. Lasted...
Transient redness to face with headache and nausea and warmth of left arm. NO fever reported. Lasted 2 hours and self resolved.
More
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| 2834131 | 14 | F | AL | 04/03/2025 |
MMRV |
MERCK & CO. INC. |
YO12077 |
No adverse event, Product administered to patient of inappropriate age
No adverse event, Product administered to patient of inappropriate age
|
On 03/27/2025, Patient presented to clinic requesting to get vaccinations that are now due. Pt was ...
On 03/27/2025, Patient presented to clinic requesting to get vaccinations that are now due. Pt was to get in total 8 vaccines - Tdap, Hep A, Hep B, Gardasil 9, MMR, Varicella, Meningococcal, Polio. This writer in an attempt to reduce the number of injections, offered a combination vaccine of Proquad with education. However, this writer failed to follow Protocol and confirm patient's eligibility for the Proquad. No adverse reaction reported by patient or Parent.
More
|
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| 2834132 | 1 | F | OR | 04/03/2025 |
HEPA MMRV VARCEL |
MERCK & CO. INC. MERCK & CO. INC. MERCK & CO. INC. |
Hep A MMRV Varicella |
Extra dose administered; Extra dose administered; Extra dose administered
Extra dose administered; Extra dose administered; Extra dose administered
|
Doctor ordered MMR, Varicella and Hap A, But pulled MMRV, Varicella and Hep A
Doctor ordered MMR, Varicella and Hap A, But pulled MMRV, Varicella and Hep A
|
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| 2834133 | 27 | F | NM | 04/03/2025 |
COVID19 COVID19 FLU3 FLU3 COVID19 COVID19 FLU3 FLU3 |
MODERNA MODERNA GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS MODERNA MODERNA GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS |
B0005 B0005 37AK2 37AK2 B0005 B0005 37AK2 37AK2 |
Swelling face; Swelling face, Toothache; Swelling face; Swelling face, Toothache...
Swelling face; Swelling face, Toothache; Swelling face; Swelling face, Toothache; Swelling face; Swelling face, Toothache; Swelling face; Swelling face, Toothache
More
|
Swelling on left side of face/jaw
Swelling on left side of face/jaw
|
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| 2834134 | 77 | M | PA | 04/03/2025 |
PNC20 |
PFIZER\WYETH |
lx2497 |
Dysphonia, Fatigue, Oropharyngeal pain
Dysphonia, Fatigue, Oropharyngeal pain
|
pt says day after shot he's been extremely tired and has had sore throat with raspy voice that ...
pt says day after shot he's been extremely tired and has had sore throat with raspy voice that won't go away.
More
|
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| 2834135 | 1 | M | NY | 04/03/2025 |
DTAPHEPBIP HEPA HIBV HIBV MMR PNC20 VARCEL |
GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS SANOFI PASTEUR MERCK & CO. INC. PFIZER\WYETH MERCK & CO. INC. |
|
Cardiac arrest, Death, Inappropriate schedule of product administration, Seizure...
Cardiac arrest, Death, Inappropriate schedule of product administration, Seizure, Skin warm; Cardiac arrest, Death, Inappropriate schedule of product administration, Seizure, Skin warm; Cardiac arrest, Death, Inappropriate schedule of product administration, Seizure, Skin warm; Cardiac arrest, Death, Inappropriate schedule of product administration, Seizure, Skin warm; Cardiac arrest, Death, Inappropriate schedule of product administration, Seizure, Skin warm; Cardiac arrest, Death, Inappropriate schedule of product administration, Seizure, Skin warm; Cardiac arrest, Death, Inappropriate schedule of product administration, Seizure, Skin warm
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Infant went in for a well baby check up on 3/26/25. She missed her 6 month vaccines per mom. Infant ...
Infant went in for a well baby check up on 3/26/25. She missed her 6 month vaccines per mom. Infant was a well baby with just a mild cold and runny nose. Even with this mild cold infant was always healthy and active. Nurse informed mom baby needed 6 vaccines. Mom questioned if this was too many in one visit and nurse told her they were necessary to give. 3 shots were administered in each thigh. A little after 3 in the morning on 3/27/25 mom was driving to another state to visit family. She stopped at a gas station to change her diaper. She was hot and having seizures. 911 was called and taken to HOSPITAL where she later died of cardiac arrest.
More
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โ | โ | ||||
| 2834136 | 58 | F | TN | 04/03/2025 |
PNC20 |
PFIZER\WYETH |
lk6651 |
Pain in extremity, Peripheral swelling
Pain in extremity, Peripheral swelling
|
Patient came to the pharmacy on 4/3/2025 stating that she thought she was having a reaction to a vac...
Patient came to the pharmacy on 4/3/2025 stating that she thought she was having a reaction to a vaccine she received last week. Her arm was very swollen and painful and has increasingly gotten worse since she received the shot. She was advised to go to doctor to be fully evaluated.
More
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| 2834137 | 65 | M | TX | 04/03/2025 |
COVID19 |
PFIZER\BIONTECH |
|
Death, Hypertension, Hypotension, Myocardial infarction
Death, Hypertension, Hypotension, Myocardial infarction
|
High and low blood pressure. Heart attack resulting in death.
High and low blood pressure. Heart attack resulting in death.
|
โ | โ | ||||
| 2834138 | 38 | F | MI | 04/03/2025 |
COVID19 COVID19 COVID19 COVID19 COVID19 COVID19 COVID19 COVID19 |
PFIZER\BIONTECH PFIZER\BIONTECH PFIZER\BIONTECH PFIZER\BIONTECH PFIZER\BIONTECH PFIZER\BIONTECH PFIZER\BIONTECH PFIZER\BIONTECH |
LM2219 LM2219 LM2219 LM2219 LM2219 LM2219 LM2219 LM2219 |
Anti-GAD antibody positive, Asthenia, Brain fog, Chest X-ray, Confusional state;...
Anti-GAD antibody positive, Asthenia, Brain fog, Chest X-ray, Confusional state; Constipation, Coordination abnormal, Cytogenetic analysis, Diplopia, Disorientation; Dysphagia, Dyspnoea, Electromyogram, Fatigue, Feeling abnormal; Gait inability, Glycosylated haemoglobin decreased, Heart rate increased, Immunoglobulin therapy, Impaired work ability; Magnetic resonance imaging spinal, Memory impairment, Muscular weakness, Myalgia, Plasmapheresis; Pneumonia, Pulmonary function test, Pyrexia, Red blood cell macrocytes present, Sensory loss; Sexual dysfunction, Speech disorder, Swallow study, Syncope, Thrombosis; Thyroid hormones decreased, Ultrasound thyroid, Vision blurred, White blood cell count increased
More
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Fever, then on 10/9/24collapsed to floor unable to move, blurry/double vision, unable to speak, str...
Fever, then on 10/9/24collapsed to floor unable to move, blurry/double vision, unable to speak, struggling to swallow, struggling to breathe, rushed to ER and then flight for life to a larger hospital?s Neuro unit. Hospitalized for 10 days, discharged. And readmitted in November 2024 for 5 days because still in crisis. Several months of severe symptoms. Still not recovered. Transitioning from short term disability to long term disability.
More
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โ | โ | โ | |||
| 2834139 | 1.67 | F | VT | 04/03/2025 |
COVID19 |
MODERNA |
3044143 |
Expired product administered, No adverse event
Expired product administered, No adverse event
|
Patient received dose of Moderna COVID 24-25 vaccine that had gone past it's approved Beyond Us...
Patient received dose of Moderna COVID 24-25 vaccine that had gone past it's approved Beyond Use Date. Beyond Use Date for this vaccine was 3/22/2025, but dose was given on 3/27/2025. Patient's family made aware, provider within office made aware. No reports of adverse effects to present.
More
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| 2834140 | 6 | F | MI | 04/03/2025 |
MMR |
MERCK & CO. INC. |
Y013172 |
Rash
Rash
|
Rash on arms and legs
Rash on arms and legs
|
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| 2834141 | 59 | F | FL | 04/03/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
27LR2 |
Hypoaesthesia, Injection site pain
Hypoaesthesia, Injection site pain
|
patient presented with on going pain at injection site and also complained of her hand (on the arm t...
patient presented with on going pain at injection site and also complained of her hand (on the arm that received the injections) falling asleep at night.
More
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| 2834168 | 54 | F | CT | 04/03/2025 |
FLUR4 |
PROTEIN SCIENCES CORPORATION |
QFAA2237 |
Hypoaesthesia, Injection site pain, Injection site swelling, Joint injury, Parae...
Hypoaesthesia, Injection site pain, Injection site swelling, Joint injury, Paraesthesia
More
|
Site: Pain at Injection Site-Mild, Site: Swelling at Injection Site-Mild, Systemic: Numbness (specif...
Site: Pain at Injection Site-Mild, Site: Swelling at Injection Site-Mild, Systemic: Numbness (specify: facial area, extremities)-Severe, Systemic: Tingling (specify: facial area, extemities)-Severe, Error: Shoulder Joint Injury (prolonged pain, tingling, etc.)-, Additional Details: Patient has developed numbness and tingling to extremity which continues to persist.
More
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โ | |||||
| 2834181 | 58 | F | OK | 04/03/2025 |
VARZOS VARZOS |
GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS |
5l3hb 5l3hb |
Arthralgia, Injected limb mobility decreased, Injection site pain, Joint injury,...
Arthralgia, Injected limb mobility decreased, Injection site pain, Joint injury, Muscular weakness; Product administered at inappropriate site
More
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Site: Pain at Injection Site-Medium, Systemic: Joint Pain-Severe, Error: Shoulder Joint Injury (prol...
Site: Pain at Injection Site-Medium, Systemic: Joint Pain-Severe, Error: Shoulder Joint Injury (prolonged pain, tingling, etc.)-, Additional Details: Patient received initial dose of Shingrix vaccine, noticed at the time that the injection was given high on the shoulder near the joint, and within a few days was still having pain and couldn't use her left arm much at all. She discussed with her Dr within a couple weeks of vaccination and Dr wrote it off to side effects from vaccine. When she arrived to pharmacy on 6/13/23 she mentioned she was still have shoulder pain and limited mobility/range of motion including weakness
More
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โ | |||||
| 2834212 | 42 | M | CA | 04/03/2025 |
HPV9 |
MERCK & CO. INC. |
w013845 |
Injection site pain, Joint injury
Injection site pain, Joint injury
|
Site: Pain at Injection Site-Severe, Error: Shoulder Joint Injury (prolonged pain, tingling, etc.)-
Site: Pain at Injection Site-Severe, Error: Shoulder Joint Injury (prolonged pain, tingling, etc.)-
|
โ | |||||
| 2834221 | 54 | F | NY | 04/03/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
B79KE |
Arthralgia, Injected limb mobility decreased, Injection site pain, Joint injury,...
Arthralgia, Injected limb mobility decreased, Injection site pain, Joint injury, Product administered at inappropriate site
More
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Site: Pain at Injection Site-Severe, Systemic: Joint Pain-Severe, Error: Shoulder Joint Injury (prol...
Site: Pain at Injection Site-Severe, Systemic: Joint Pain-Severe, Error: Shoulder Joint Injury (prolonged pain, tingling, etc.)-, Additional Details: Dr. called the pharmacy and stated that the patient received Shingrix (1st dose) on 4/8/24, and has permanent damage from the shot being given too high on the shoulder and on the posterior side of the arm. Per the doctor, she is having mobility issues, cannot raise her left arm, and is on disability
More
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โ | |||||
| 2834235 | 67 | F | FL | 04/03/2025 |
FLU4 FLU4 |
SANOFI PASTEUR SANOFI PASTEUR |
xxxxxxxxxx xxxxxxxxxx |
Injection site bruising, Injection site erythema, Injection site pain, Injection...
Injection site bruising, Injection site erythema, Injection site pain, Injection site swelling, Joint injury; Product administered at inappropriate site
More
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Site: Bruising at Injection Site-Medium, Site: Pain at Injection Site-Severe, Site: Redness at Injec...
Site: Bruising at Injection Site-Medium, Site: Pain at Injection Site-Severe, Site: Redness at Injection Site-Medium, Site: Swelling at Injection Site-Medium, Error: Shoulder Joint Injury (prolonged pain, tingling, etc.)-, Additional Details: I could see when administering the Arexvy vaccine today on 9/27/24 that the patient still had a bruise on their arm from the vaccine given on 9/13/24. From the location of the bruise, I could tell that the vaccine was given way to high on the arm and when questioned further the patient told me about how much pain they were in for almost 7 days after receiving the vaccine.
More
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| 2834236 | 77 | M | FL | 04/03/2025 |
FLU4 FLU4 |
SANOFI PASTEUR SANOFI PASTEUR |
xxxxxx xxxxxx |
Injection site bruising, Injection site erythema, Injection site pain, Injection...
Injection site bruising, Injection site erythema, Injection site pain, Injection site swelling, Joint injury; Pain, Product administered at inappropriate site
More
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Site: Bruising at Injection Site-Medium, Site: Pain at Injection Site-Severe, Site: Redness at Injec...
Site: Bruising at Injection Site-Medium, Site: Pain at Injection Site-Severe, Site: Redness at Injection Site-Medium, Site: Swelling at Injection Site-Medium, Error: Shoulder Joint Injury (prolonged pain, tingling, etc.)-, Additional Details: Patient has a bruise from a vaccine administered 2 weeks ago and some slight pain when lifting the arm. I was able to see the bruise when giving the Arevxy vaccine to them today on 09/27/24 and when asked, they said the location of the bruise was where the shot was given and it is way too high on the arm to be correct. The patient also said it was extremely painful for close to the full week to lift the arm at all.
More
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| 2834264 | 23 | F | AZ | 04/03/2025 |
MMR MMR |
GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS |
kh2bd kh2bd |
Asthenia, Fall, Hypotension, Injury, Syncope; Unresponsive to stimuli
Asthenia, Fall, Hypotension, Injury, Syncope; Unresponsive to stimuli
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Systemic: Fainting / Unresponsive-Medium, Systemic: Hypotension-Medium, Systemic: Weakness-Mild, Add...
Systemic: Fainting / Unresponsive-Medium, Systemic: Hypotension-Medium, Systemic: Weakness-Mild, Additional Details: patient fall down while she was leaving vaccine area and got injured, Other Vaccines: VaccineTypeBrand: priorix; Manufacturer: gsk; LotNumber: kh2bd; Route: sq; BodySite: ; Dose: ; VaxDate: UNKNOWN
More
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| 2834265 | 57 | F | CO | 04/03/2025 |
MMR |
GLAXOSMITHKLINE BIOLOGICALS |
4n222 |
Injection site erythema, Injection site pain, Injection site swelling
Injection site erythema, Injection site pain, Injection site swelling
|
Site: Pain at Injection Site-Mild, Site: Redness at Injection Site-Mild, Site: Swelling at Injection...
Site: Pain at Injection Site-Mild, Site: Redness at Injection Site-Mild, Site: Swelling at Injection Site-Mild
More
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| 2834266 | 69 | F | MA | 04/03/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
4H79Y |
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, Additional Details: Signficant Red Swelling
More
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| 2834267 | 54 | F | SC | 04/03/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
X5T42 |
Injection site erythema, Injection site swelling
Injection site erythema, Injection site swelling
|
Site: Redness at Injection Site-Mild, Site: Swelling at Injection Site-Mild
Site: Redness at Injection Site-Mild, Site: Swelling at Injection Site-Mild
|
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| 2834268 | 86 | F | CA | 04/03/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
33FD3 |
Injection site erythema, Injection site infection, Injection site pain
Injection site erythema, Injection site infection, Injection site pain
|
Site: Pain at Injection Site-Severe, Site: Redness at Injection Site-Medium, Systemic: infection at ...
Site: Pain at Injection Site-Severe, Site: Redness at Injection Site-Medium, Systemic: infection at injection site several weeks later due to vaccine per pt-Medium, Additional Details: several weeks after receiving the vaccines, pt states she developed an injection and was prescribed mupirocin 2% ointment, Other Vaccines: VaccineTypeBrand: Boostrix; Manufacturer: GSK; LotNumber: XN575; Route: IM; BodySite: left arm; Dose: ; VaxDate: UNKNOWN
More
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| 2834269 | 58 | M | CA | 04/03/2025 |
TDAP |
GLAXOSMITHKLINE BIOLOGICALS |
39lb7 |
Lymph node pain, Lymphadenopathy
Lymph node pain, Lymphadenopathy
|
Systemic: Lymph Node Swelling-Medium, Additional Details: lymp nodes swelling and pain in the armpi...
Systemic: Lymph Node Swelling-Medium, Additional Details: lymp nodes swelling and pain in the armpit areas 4 days after the shot, Other Vaccines: VaccineTypeBrand: prevnar 20; Manufacturer: ; LotNumber: lk6655; Route: im; BodySite: left arm; Dose: ; VaxDate: UNKNOWN
More
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| 2834270 | 34 | F | PA | 04/03/2025 |
TDAP TDAP |
GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS |
pg3rp pg3rp |
Dizziness, Flushing, Hyperhidrosis, Injection site erythema, Injection site indu...
Dizziness, Flushing, Hyperhidrosis, Injection site erythema, Injection site induration; Injection site pain, Injection site swelling, Loss of personal independence in daily activities, Pyrexia, Rash
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Site: Pain at Injection Site-Medium, Site: Redness at Injection Site-Medium, Site: Swelling at Injec...
Site: Pain at Injection Site-Medium, Site: Redness at Injection Site-Medium, Site: Swelling at Injection Site-Medium, Systemic: Allergic: Rash (specify: facial area, extremeties)-Medium, Systemic: Allergic: Rash Generalized-Medium, Systemic: Dizziness / Lightheadness-Medium, Systemic: Fever-Medium, Systemic: Flushed / Sweating-Medium, Additional Details: patient came in the pharmacy on 3/30 and i saw her left armat the injection site was red and swollen. patient reported the site being hard to touch and severe pain at the site. she seemed flushed and reported some difficulty in daily activities. recommended patient to go to an urgent care and patient was going after leaving the pharmacy
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| 2834271 | 64 | F | MD | 04/03/2025 |
COVID19 |
PFIZER\BIONTECH |
010030069243 |
Injection site pain, Limb injury, Mobility decreased, Product administered at in...
Injection site pain, Limb injury, Mobility decreased, Product administered at inappropriate site, Shoulder injury related to vaccine administration
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Site: Pain at Injection Site-Medium, Error: Shoulder Joint Injury (prolonged pain, tingling, etc.)-,...
Site: Pain at Injection Site-Medium, Error: Shoulder Joint Injury (prolonged pain, tingling, etc.)-, Additional Details: Pt unable to lift arm fully and has shoulder pain s/p 5 months following covid vaccine. She visited doctor who said vaccine must have been given too high. He ordered physical therapy for her. Pt says dr did not examine her, Doctor said he has seen many patients with similar adverse effect from covid vaccine. He advised patient to get all future vaccines in glute. Dr diagosed as SIRVA.
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| 2834272 | 80 | F | SC | 04/03/2025 |
RSV |
GLAXOSMITHKLINE BIOLOGICALS |
9sb34 |
Injection site erythema, Injection site pain, Injection site pruritus, Pruritus,...
Injection site erythema, Injection site pain, Injection site pruritus, Pruritus, Rash
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Site: Itching at Injection Site-Medium, Site: Pain at Injection Site-Medium, Site: Redness at Inject...
Site: Itching at Injection Site-Medium, Site: Pain at Injection Site-Medium, Site: Redness at Injection Site-Medium, Systemic: Allergic: Itch (specify: facial area, extremeties)-Medium, Systemic: Allergic: Rash (specify: facial area, extremeties)-Medium, Additional Details: Pt received both Shingrix and Arexvy in left arm at same time. Reported back to pharmacy 3 days later complaining of moderate itching and pain. Pt's upper left arm had a red area approx 4x6 inches. Advised pt to keep watch and report to PCP if symptoms worsen., Other Vaccines: VaccineTypeBrand: Shingrix; Manufacturer: GSK; LotNumber: 47n3y; Route: Intramuscular; BodySite: Left arm; Dose: 1; VaxDate: 03/27/2025
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| 2834273 | 64 | F | NJ | 04/03/2025 |
PNC21 |
MERCK & CO. INC. |
Y019158 |
Arthralgia, Injection site pain
Arthralgia, Injection site pain
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Site: Pain at Injection Site-Medium, Systemic: Joint Pain-Medium
Site: Pain at Injection Site-Medium, Systemic: Joint Pain-Medium
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| 2834274 | 55 | M | MI | 04/03/2025 |
COVID19-2 |
PFIZER\BIONTECH |
ln0591 |
Injection site erythema, Injection site infection, Injection site swelling, Prod...
Injection site erythema, Injection site infection, Injection site swelling, Product administered at inappropriate site
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Site: Redness at Injection Site-Medium, Site: Swelling at Injection Site-Medium, Additional Details:...
Site: Redness at Injection Site-Medium, Site: Swelling at Injection Site-Medium, Additional Details: He said the Dr told him the injection site was infected and the injection was too low, but it looked to me like a normal reaction not an infection and the red/swollen are had lowered on the arm due to gravity. Advised to use ice and ibuprofen (he was also geiven an antibiotic)
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| 2834275 | 68 | M | FL | 04/03/2025 |
RSV |
GLAXOSMITHKLINE BIOLOGICALS |
j9493 |
Injection site pain
Injection site pain
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Site: Pain at Injection Site-Medium
Site: Pain at Injection Site-Medium
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| 2834277 | 52 | M | IN | 04/03/2025 |
MMR |
MERCK & CO. INC. |
Y008592 |
Injection site pain, Injection site pruritus, Injection site rash
Injection site pain, Injection site pruritus, Injection site rash
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04/03/25 ? Patient called to report pain and itching at the injection site. Immunization was adminis...
04/03/25 ? Patient called to report pain and itching at the injection site. Immunization was administered on 02/26/25, with symptoms first appearing on 03/23/25. Patient reports noticing two injection sites on the posterior aspect of the arm. After consultation with RN, it was confirmed that only one vaccine was administered. Patient states symptoms were severe enough to seek care at the ER on 03/30/25, where he received IV Rocephin and an intramuscular injection of Toradol. A prescription for Keflex was also provided. The rash was outlined at the ER on 03/30/25 for monitoring. However, the rash extended beyond the outline, prompting a return visit to the ER on 04/01/25. Patient reports that the ER physician was dismissive and advised him to complete the Keflex course. After speaking with the patient, this RN reassured him that only one vaccine had been administered and informed him that a VAERS report would be submitted. Patient reports rash is now subsiding, with minimal pain and itching remaining.
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| 2834278 | 56 | F | WV | 04/03/2025 |
PNC20 VARZOS |
PFIZER\WYETH GLAXOSMITHKLINE BIOLOGICALS |
LJ5283 3x97j |
Erythema, Muscle spasms, Pain, Swelling, Vomiting; Erythema, Muscle spasms, Pain...
Erythema, Muscle spasms, Pain, Swelling, Vomiting; Erythema, Muscle spasms, Pain, Swelling, Vomiting
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Patient reports redness, swelling, extreme pain, muscle spasms, vomiting, and an MS flare up. Patien...
Patient reports redness, swelling, extreme pain, muscle spasms, vomiting, and an MS flare up. Patient told me about a suspicion of MS her doctor's once had that they later explained away as related to her thyroid or parathyroid endocrine disorder.
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| 2834279 | 15 | F | VA | 04/03/2025 |
HEP IPV TDAP VARCEL |
GLAXOSMITHKLINE BIOLOGICALS SANOFI PASTEUR GLAXOSMITHKLINE BIOLOGICALS MERCK & CO. INC. |
42D7A X1C891M 5YB5G YO15100 |
Dizziness, Fatigue, Swelling face, Syncope, White blood cell count increased; Di...
Dizziness, Fatigue, Swelling face, Syncope, White blood cell count increased; Dizziness, Fatigue, Swelling face, Syncope, White blood cell count increased; Dizziness, Fatigue, Swelling face, Syncope, White blood cell count increased; Dizziness, Fatigue, Swelling face, Syncope, White blood cell count increased
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Brother called to report swollen jaw, fainting, WBC elevated, dizziness, fatigue on 4/3/25. Reports ...
Brother called to report swollen jaw, fainting, WBC elevated, dizziness, fatigue on 4/3/25. Reports started day after vax given 3/20/25. Reports seen at urgent care x2. First visit only given Tylenol no dx given, second visit few days later, no better, WBC elevated from 1200-1400, given antibx for infection, and advised to f/u with hematology.
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| 2834280 | 52 | M | WA | 04/03/2025 |
PNC20 |
PFIZER\WYETH |
LK6655 |
Arthralgia
Arthralgia
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Patient experiencing right shoulder pain. Patient was instructed to engage in gentle range of motio...
Patient experiencing right shoulder pain. Patient was instructed to engage in gentle range of motion exercises using a 3-5-pound weight, as bending over and allowing the weighted arm to dangle beneath him and make small circles with the weight clockwise and counterclockwise.
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| 2834281 | 4 | F | MI | 04/03/2025 |
COVID19 |
MODERNA |
946595FVC |
Product administered to patient of inappropriate age
Product administered to patient of inappropriate age
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Vaccine administered was indicated for patients aged 12 years and older.
Vaccine administered was indicated for patients aged 12 years and older.
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| 2834282 | 23 | M | IN | 04/03/2025 |
ADEN_4_7 ADEN_4_7 ANTH ANTH DTAP DTAP |
TEVA PHARMACEUTICALS TEVA PHARMACEUTICALS EMERGENT BIOSOLUTIONS EMERGENT BIOSOLUTIONS SANOFI PASTEUR SANOFI PASTEUR |
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Abdominal pain upper, Dairy intolerance, Dyspepsia, Faecaloma, Faeces hard; Food...
Abdominal pain upper, Dairy intolerance, Dyspepsia, Faecaloma, Faeces hard; Food intolerance, Gastrointestinal hypomotility, Intestinal obstruction, Muscle spasms; Abdominal pain upper, Dairy intolerance, Dyspepsia, Faecaloma, Faeces hard; Food intolerance, Gastrointestinal hypomotility, Intestinal obstruction, Muscle spasms; Abdominal pain upper, Dairy intolerance, Dyspepsia, Faecaloma, Faeces hard; Food intolerance, Gastrointestinal hypomotility, Intestinal obstruction, Muscle spasms
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The first event was a severe stomach pain and back spasms that initiated about 5 months after my ent...
The first event was a severe stomach pain and back spasms that initiated about 5 months after my entry to active duty. The list of current symptoms are severe stomach pain, back spasms, slowed gut motility, and trouble digesting dairy and grains. These issues were never a problem prior to receiving vaccines. I ate dairy and grains and never had an issue previously. My specific issue comes from blockages at the ileocecal valve and an autonomic change that generates hard and impacted stools from dairy and grains. I dealt with this issue for 8.5 years of active-duty service and I sought treatment while in the service and now after leaving with little to no therapeutic benefits. The only way to avoid this issue is to completely eliminate dairy and grains from my diet. I supplement with fiber to increase motility.
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| 2834283 | 23 | F | ID | 04/03/2025 |
ANTH |
EMERGENT BIOSOLUTIONS |
300211A |
Injection site swelling
Injection site swelling
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Noticable Bump developed at injection site, gradually shrunk over 3 weeks but still there as of toda...
Noticable Bump developed at injection site, gradually shrunk over 3 weeks but still there as of today.
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