| ID | Age | Sex | State | Date โผ | Onset Days | Vaccine | Manufacturer | Lot # | Symptoms | Narrative | ๐ | ๐ฅ | ๐ | โฟ | โ ๏ธ |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2834026 | 40 | F | FL | 04/02/2025 |
COVID19 COVID19 |
PFIZER\BIONTECH PFIZER\BIONTECH |
EW0181 EW0181 |
Inflammation, Injected limb mobility decreased, Injection site reaction, Insomni...
Inflammation, Injected limb mobility decreased, Injection site reaction, Insomnia, Muscle spasms; Vaccination site pain
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Few days after the second Covid vaccine I started with occasional cramping pain on the vaccine site...
Few days after the second Covid vaccine I started with occasional cramping pain on the vaccine site but I didn?t really pay much attention to it because it will come and go. Also because I had suffer from pain due to the degenerative disc disease and why I didn?t go to see my doctor sooner however, this was a different kind of pain and in a rare area for me but thought it would go away. As the months , years have gone on the pain is now always there. I have range of motion issues , and can?t sleep, raise, or move the left arm as I used to. I went to my doctor for unbearable pain since is just getting worst . She found inflammation and range of motion issues but dismissed my concern and timeframe given since the first episode.
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โ | |||||
| 2834027 | 0.17 | M | WA | 04/02/2025 |
IPV PNC20 RV5 |
SANOFI PASTEUR PFIZER\WYETH MERCK & CO. INC. |
W1C751M HN5980 2032347 |
Product storage error; Product storage error; Product storage error
Product storage error; Product storage error; Product storage error
|
Patient was administered a polio vaccine that had been in a excursion and should have been disposed ...
Patient was administered a polio vaccine that had been in a excursion and should have been disposed of. This vaccine is not as effective, and patient will need a extra polio. Patient mother was advised and stated understanding.
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| 2834028 | 77 | M | 04/02/2025 |
CHIK CHIK JEV1 JEV1 TYP TYP |
VALNEVA USA, INC. VALNEVA USA, INC. INTERCELL AG INTERCELL AG SANOFI PASTEUR SANOFI PASTEUR |
24B011 24B011 JEV23K07E JEV23K07E W1A991M W1A991M |
Abdominal pain upper, Blood test normal, Dizziness, Electrocardiogram normal, Ni...
Abdominal pain upper, Blood test normal, Dizziness, Electrocardiogram normal, Night sweats; Pyrexia, SARS-CoV-2 test negative, Syncope, X-ray normal; Abdominal pain upper, Blood test normal, Dizziness, Electrocardiogram normal, Night sweats; Pyrexia, SARS-CoV-2 test negative, Syncope, X-ray normal; Abdominal pain upper, Blood test normal, Dizziness, Electrocardiogram normal, Night sweats; Pyrexia, SARS-CoV-2 test negative, Syncope, X-ray normal
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Client has hx of vocal cord cancer but has been in remission for 8 years now. Stated that he had no ...
Client has hx of vocal cord cancer but has been in remission for 8 years now. Stated that he had no concerns during the appointment. Timeline: 3/18 -- received Typhim, Ixiaro and Ixchiq 3/20 to 3/24 -- client experienced stomach cramps 3/28 -- client felt feverish (did not take temperature) and experienced night sweats 3/29 -- Client was out walking, felt dizzy and fainted around 4am. Client continued feeling dizzy by 7am. Consulted with PCP who recommended that the client go to ER. Wife took husband to the ER by 10am. EKG, blood work and xrays were done -- all tests were WNL. All symptoms resolved since then. Note: Covid tests all came back negative.
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| 2834029 | 72 | M | KS | 04/02/2025 |
RSV |
GLAXOSMITHKLINE BIOLOGICALS |
|
Respiratory syncytial virus infection
Respiratory syncytial virus infection
|
Became ill with RSV
Became ill with RSV
|
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| 2834030 | 5 | F | OH | 04/02/2025 |
DTAP IPV MMRV |
GLAXOSMITHKLINE BIOLOGICALS SANOFI PASTEUR MERCK & CO. INC. |
9KB9G W1C831M Y012341 |
Hyperhidrosis, Pallor; Hyperhidrosis, Pallor; Hyperhidrosis, Pallor
Hyperhidrosis, Pallor; Hyperhidrosis, Pallor; Hyperhidrosis, Pallor
|
Patient stayed in facility x 10 minutes after vaccinations given, became pale and diaphoretic. Alert...
Patient stayed in facility x 10 minutes after vaccinations given, became pale and diaphoretic. Alert and oriented. Patient talking and making eye contact. Juice given. Refused cool cloth and crackers. Guardians state patient did not eat breakfast, "she had a couple cookies." Instructed guardians to have patient eat breakfast after leaving facility, and seek medical attention if needed. Guardians verbalized understanding of all information provided. Patient stayed another 10 minutes and skin w/d/pale pink. Alert and oriented, making eye contact, talking and smiling. Ambulated out of facility with guardians and a steady gait. Called for follow up approximately 1 hour and 20 minutes later and spoke to guardian, who states that patient is doing well. states that patient ate breakfast and is currently laying down watching cartoons. denies any further issues/concerns with patient. Instructed to seek medical attention if needed and she verbalized understanding of all information provided.
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| 2834031 | 65 | F | WI | 04/02/2025 |
COVID19 RSV |
PFIZER\BIONTECH PFIZER\WYETH |
|
Rash, Skin warm, Swelling; Rash, Skin warm, Swelling
Rash, Skin warm, Swelling; Rash, Skin warm, Swelling
|
Swollen, painful expanding rash, hot to the touch.
Swollen, painful expanding rash, hot to the touch.
|
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| 2834032 | 25 | F | TX | 04/02/2025 |
COVID19 HEP VARCEL |
MODERNA DYNAVAX TECHNOLOGIES CORPORATION MERCK & CO. INC. |
8081596 945660 y013348 |
Dizziness, Nausea; Dizziness, Nausea; Dizziness, Nausea
Dizziness, Nausea; Dizziness, Nausea; Dizziness, Nausea
|
Dizziness, lightheadedness, nausea,
Dizziness, lightheadedness, nausea,
|
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| 2834033 | 23 | F | OK | 04/02/2025 |
COVID19 |
MODERNA |
|
Anaphylactic reaction
Anaphylactic reaction
|
Anaphylaxis
Anaphylaxis
|
โ | |||||
| 2834034 | 64 | M | WV | 04/02/2025 |
FLU3 |
SEQIRUS, INC. |
388490 |
No adverse event, Product administered to patient of inappropriate age
No adverse event, Product administered to patient of inappropriate age
|
Pt was given Fluad, he was 64 years and 10 month at the time. It is indicated for age 65 and up. T...
Pt was given Fluad, he was 64 years and 10 month at the time. It is indicated for age 65 and up. There was no clinical adverse reaction.
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| 2834035 | 3 | M | CA | 04/02/2025 |
DTAPHEPBIP MMRV |
GLAXOSMITHKLINE BIOLOGICALS MERCK & CO. INC. |
9D25P Y015991 |
Pyrexia, Rash; Pyrexia, Rash
Pyrexia, Rash; Pyrexia, Rash
|
Rah and Fever
Rah and Fever
|
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| 2834037 | 1.67 | M | UT | 04/02/2025 |
DTAP HEPA HIBV VARCEL |
SANOFI PASTEUR GLAXOSMITHKLINE BIOLOGICALS SANOFI PASTEUR MERCK & CO. INC. |
3CA03C3 C24B9 UK170AB Y013073 |
No adverse event, Product preparation issue; No adverse event, Product preparati...
No adverse event, Product preparation issue; No adverse event, Product preparation issue; No adverse event, Product preparation issue; No adverse event, Product preparation issue
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Injection was given of diluent without the Hib vaccination mixed in, no adverse effects noted, patie...
Injection was given of diluent without the Hib vaccination mixed in, no adverse effects noted, patient rescheduled for Hib vaccination
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| 2834038 | 50 | F | FL | 04/02/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
47n3y |
Injection site erythema, Injection site pain, Injection site swelling
Injection site erythema, Injection site pain, Injection site swelling
|
Patient present with injection reaction symptoms including pain at injection site, redness, pain and...
Patient present with injection reaction symptoms including pain at injection site, redness, pain and swelling only around injection site. Patient was advised to get Benadryl, apply compression stockings and ice the area; waiting on resolution of symptoms
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| 2834039 | 52 | F | PA | 04/02/2025 |
PNC21 |
MERCK & CO. INC. |
Y011819 |
Injection site erythema, Injection site pruritus, Injection site swelling
Injection site erythema, Injection site pruritus, Injection site swelling
|
PATIENT EXPERIENCED REDNESS, SWELLING, AND ITCHING JUST BELOW INJECTION SITE. TREATING WITH COLD COM...
PATIENT EXPERIENCED REDNESS, SWELLING, AND ITCHING JUST BELOW INJECTION SITE. TREATING WITH COLD COMPRESS, IBUPROFEN, BENADRYL
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| 2834040 | 64 | M | MN | 04/02/2025 |
COVID19 COVID19 COVID19 COVID19 COVID19 |
MODERNA MODERNA MODERNA MODERNA MODERNA |
031A21A 041B21A 033F21A 014H22A 3043335 |
Death; Death; Death; Death; Death
Death; Death; Death; Death; Death
|
Patient expired on 3/31/2025.
Patient expired on 3/31/2025.
|
โ | |||||
| 2834041 | 73 | F | MI | 04/02/2025 |
MMRV |
MERCK & CO. INC. |
Y012076 |
Wrong product administered
Wrong product administered
|
was inadvertently given MMRV (Proquad) versus MMR.
was inadvertently given MMRV (Proquad) versus MMR.
|
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| 2834042 | 70 | M | MI | 04/02/2025 |
MMRV |
MERCK & CO. INC. |
Y012076 |
Wrong product administered
Wrong product administered
|
was inadvertently given MMRV (Proquad) versus MMR.
was inadvertently given MMRV (Proquad) versus MMR.
|
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| 2834043 | 60 | F | MT | 04/02/2025 |
DTAP |
SANOFI PASTEUR |
47Y5M |
No adverse event, Product administered to patient of inappropriate age
No adverse event, Product administered to patient of inappropriate age
|
No adverse symptoms stated by patient.
No adverse symptoms stated by patient.
|
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| 2834044 | 77 | M | IA | 04/02/2025 |
COVID19 |
MODERNA |
8081260 |
Fatigue, Flushing, Parosmia, Somnolence
Fatigue, Flushing, Parosmia, Somnolence
|
Lingering Bad smell, Fatigue, Increased Sleeping, Flushed Face
Lingering Bad smell, Fatigue, Increased Sleeping, Flushed Face
|
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| 2834045 | 57 | F | NY | 04/02/2025 |
PNC20 |
PFIZER\WYETH |
LJ5280 |
Rash
Rash
|
RASH STARTED 03/27/2027, 2X5 INCHES . SPOKE TO DOCTOR 04/02/2025 PATIENT IS USING TYLENOL 500MG Q4H,...
RASH STARTED 03/27/2027, 2X5 INCHES . SPOKE TO DOCTOR 04/02/2025 PATIENT IS USING TYLENOL 500MG Q4H, AQUAPHOR, HYDROCORTISIONE CREAM AND BENADRYL.
More
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| 2834046 | 64 | F | FL | 04/02/2025 |
PNC20 |
PFIZER\WYETH |
L6651 |
Extra dose administered, No adverse event
Extra dose administered, No adverse event
|
Patient had no sign or symptoms of any adverse event. However, patient got the Prevnar 20 vaccine Ja...
Patient had no sign or symptoms of any adverse event. However, patient got the Prevnar 20 vaccine January 29 2024 and then got a second dose, which is not in the guidelines, on 4-1-25
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| 2834047 | 61 | M | MA | 04/02/2025 |
PNC21 |
MERCK & CO. INC. |
Y019158 |
Injection site cellulitis
Injection site cellulitis
|
cellulitis of injection site
cellulitis of injection site
|
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| 2834048 | 50 | M | MN | 04/02/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
MG5S9 |
Product preparation error
Product preparation error
|
mixed with Merck diluent 0006-4175-89
mixed with Merck diluent 0006-4175-89
|
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| 2834049 | 86 | F | NY | 04/02/2025 |
PNC21 |
MERCK & CO. INC. |
Y019157 |
Dizziness, Injection site erythema, Injection site swelling, Pain in extremity, ...
Dizziness, Injection site erythema, Injection site swelling, Pain in extremity, Pruritus
More
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Redness, minor swelling at injection site, itchiness, lightheadedness. All side effects manifested ...
Redness, minor swelling at injection site, itchiness, lightheadedness. All side effects manifested 4 days after vaccine administration, only side effect following administration was minor sore arm which subsided after a day.
More
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| 2834050 | 62 | F | CA | 04/02/2025 |
PNC20 |
PFIZER\WYETH |
LK665 |
Erythema, Local reaction, Pruritus, Skin swelling
Erythema, Local reaction, Pruritus, Skin swelling
|
Localized skin reaction with redness, mild swelling, itching
Localized skin reaction with redness, mild swelling, itching
|
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| 2834051 | 1.5 | F | NC | 04/02/2025 |
IPV |
SANOFI PASTEUR |
|
Blood test, Culture, Pyrexia, Respiratory pathogen panel
Blood test, Culture, Pyrexia, Respiratory pathogen panel
|
Fever started within 24 hours. Fever of 105 persisted for 5 days leading to 2 emergency room visits ...
Fever started within 24 hours. Fever of 105 persisted for 5 days leading to 2 emergency room visits and one pediatrician visit.
More
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| 2834052 | 29 | F | AK | 04/02/2025 |
ANTH ANTH ANTH |
EMERGENT BIOSOLUTIONS EMERGENT BIOSOLUTIONS EMERGENT BIOSOLUTIONS |
300215A 300215A 300215A |
Arthralgia, Decreased appetite, Fatigue, Headache, Hypersomnia; Immediate post-i...
Arthralgia, Decreased appetite, Fatigue, Headache, Hypersomnia; Immediate post-injection reaction, Impaired work ability, Injection site pain, Nausea, Pain in extremity; Rhinorrhoea
More
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Pain at the injection site started immediately and lasted four days. Pain approximately 6 inches bel...
Pain at the injection site started immediately and lasted four days. Pain approximately 6 inches below the injection site started approximately 30 minutes after injection and lasted 3 days. Pain in right forearm and wrist started 30 minutes after injection and lasted three days. Extreme fatigue started the evening of 7Mar, approximately 8 hours after injection, and lasted 3 days. On the fourth day, fatigue improved to moderate and lasted an additional 10 days. Headache started the day after injection and lasted two days. On day three after injection, patient started experiencing very mild symptoms of infection, such as increased nasal discharge. On day 13, patient experience sudden onset nausea. Patient thought she was going to throw up multiple times and ended up having to leave work mid-morning. On day 14, the nausea had improved to mild, and patient was able to return to work. For all mild symptoms, patient just endured and did her best to keep working. For all moderate-to-severe symptoms, patient slept a lot. During the first few days after injection, patient was sleeping 9+ hours each night, taking 4+ hours naps each day, and still felt exhausted. During nausea episode, patient went home and slept for 5-6 hours, felt too nauseous to eat anything, and went to bed early that night.
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| 2834053 | 3 | M | OK | 04/02/2025 |
DTAP |
SANOFI PASTEUR |
3CA25C1 |
Poor quality sleep, Pruritus, Rash, Skin warm, Streptococcus test negative
Poor quality sleep, Pruritus, Rash, Skin warm, Streptococcus test negative
|
Mother took patient to ED on 3/31/2025 and reported rash with onset 3/29/2025 in evening. Rash bega...
Mother took patient to ED on 3/31/2025 and reported rash with onset 3/29/2025 in evening. Rash began on face and spread. Mother reports patient felt warm, and was itchy and not sleeping well. No rash to injection site. Mother did not treat with any topical or oral meds. No history of similar episodes. Per ED record "SLAPPED CHEEK APPEARANCE NO RASH ON PALMS OR SOLES BLANCHES TO PRESSURE MORBILLIFORM APPEARANCE NO MACULOPAPULAR RASH APPEARANCE"
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| 2834054 | 18 | M | MA | 04/02/2025 |
MENB |
NOVARTIS VACCINES AND DIAGNOSTICS |
|
Chills, Headache, Nausea, Pain in extremity, Vomiting
Chills, Headache, Nausea, Pain in extremity, Vomiting
|
C/o arm soreness. This morning, he had a slight headache. He went to school. Headache/ chills. N...
C/o arm soreness. This morning, he had a slight headache. He went to school. Headache/ chills. Normal lunch. Rested all afternoon. Still have headache. Chills went away. No temp. Up at 5 pm, ate a pear cup. 15-20 minutes later, vomited twice. Still nauseated. No sore throat.
More
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| 2834055 | 58 | F | MO | 04/02/2025 |
PNC20 |
PFIZER\WYETH |
LX2497 |
Injection site pain, Injection site swelling
Injection site pain, Injection site swelling
|
Day after vaccination, patient reported pain and swelling at left deltoid (injection site) up to col...
Day after vaccination, patient reported pain and swelling at left deltoid (injection site) up to collarbone/neck.
More
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| 2834056 | 77 | M | AK | 04/02/2025 |
COVID19 COVID19 COVID19 |
PFIZER\BIONTECH PFIZER\BIONTECH PFIZER\BIONTECH |
8081260 8081260 8081260 |
Anisocytosis, Blood disorder, Neutropenia, Neutrophil count decreased, Platelet ...
Anisocytosis, Blood disorder, Neutropenia, Neutrophil count decreased, Platelet count decreased; Poikilocytosis, Pyrexia, Red blood cell acanthocytes present, Red blood cell schistocytes, Red blood cell spherocytes; Red blood cell target cells present, Thrombocytopenia
More
|
fever up to 101.5 F that night x 48 hrs;
fever up to 101.5 F that night x 48 hrs;
|
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| 2834057 | 22 | M | FL | 04/02/2025 |
MMR |
GLAXOSMITHKLINE BIOLOGICALS |
4N222 |
Incorrect route of product administration
Incorrect route of product administration
|
pt was given the vaccine IM instead of subQ (no issues reported yet but wanted to document wrong adm...
pt was given the vaccine IM instead of subQ (no issues reported yet but wanted to document wrong administration)
More
|
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| 2834058 | 17 | F | LA | 04/02/2025 |
MENB |
NOVARTIS VACCINES AND DIAGNOSTICS |
B4J4B |
Injection site erythema, Injection site pain, Injection site warmth
Injection site erythema, Injection site pain, Injection site warmth
|
3 inch area of erythema at injection site. Red, warm and tender.
3 inch area of erythema at injection site. Red, warm and tender.
|
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| 2834059 | 79 | F | TN | 04/02/2025 |
PNC21 |
MERCK & CO. INC. |
Y011819 |
Injection site bruising, Injection site erythema, Injection site swelling
Injection site bruising, Injection site erythema, Injection site swelling
|
Adverse Event: redness, swelling, and bruising of the upper right arm, Treatment: antibiotic course ...
Adverse Event: redness, swelling, and bruising of the upper right arm, Treatment: antibiotic course given by provider, Outcome: patient to have follow up with provider next week to determine outcome
More
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| 2834060 | 18 | F | OR | 04/02/2025 |
HEP |
GLAXOSMITHKLINE BIOLOGICALS |
MD9SL |
Product administered to patient of inappropriate age
Product administered to patient of inappropriate age
|
None. He received Adult formulation instead of pediatric formulation
None. He received Adult formulation instead of pediatric formulation
|
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| 2834061 | 32 | F | NJ | 04/02/2025 |
COVID19 COVID19 COVID19 |
PFIZER\BIONTECH PFIZER\BIONTECH PFIZER\BIONTECH |
ER8736 ER8736 ER8736 |
Amnesia, Autoimmune disorder, Blood test, Brain fog, Computerised tomogram; Cyst...
Amnesia, Autoimmune disorder, Blood test, Brain fog, Computerised tomogram; Cystitis noninfective, Electroencephalogram, Epilepsy, Inflammation, Magnetic resonance imaging; Orthostatic hypotension, Pain, Seizure, X-ray limb
More
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I was diagnosed with seizures after struggling with brain fog and memory loss, I recieved an eeg. I ...
I was diagnosed with seizures after struggling with brain fog and memory loss, I recieved an eeg. I have been having countless symptoms so I started getting tested looking for different things and eventually found I have an auto immune disease I am currently undergoing testing. I have also been struggling with inflammation throughout my body, fingers, toes, bladder. I am in pain daily from this issue. I am undergoing testing to specifically diagnosed this as well I had an xray today 4/2/25 of my hands at hospital. I am waiting for the results. I am currently seeking medical help from mostly doctors, I see a urologist, endocrinologist, rheumatologist and am beginning PT next week. I am doing what I can to manage my symptoms. I also take medication for the seizures, orthostatic hypo tension, and inflammation.
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โ | โ | ||||
| 2834062 | 12 | F | CA | 04/02/2025 |
HPV9 |
MERCK & CO. INC. |
z002580 |
Dizziness
Dizziness
|
Patient went to the parking lot after vaccine administration at 334p and felt faint and lightheaded,...
Patient went to the parking lot after vaccine administration at 334p and felt faint and lightheaded, Patient sat down on bench, brought up to pediatrics in wheel chair at 343p. Patient states feeling better with juice and crackers. Vitals taken. Dr. checked patient, patient in stable condition. Dr. gave the ok to discharge.
More
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| 2834063 | 67 | F | TX | 04/02/2025 |
HEP PNC21 TDAP |
DYNAVAX TECHNOLOGIES CORPORATION MERCK & CO. INC. GLAXOSMITHKLINE BIOLOGICALS |
944942 Y013009 L5229 |
Injection site erythema, Injection site warmth; Injection site erythema, Injecti...
Injection site erythema, Injection site warmth; Injection site erythema, Injection site warmth; Injection site erythema, Injection site warmth
More
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Patient started getting redness on the left arm at the site of injection on Saturday 3/29/25, 2 days...
Patient started getting redness on the left arm at the site of injection on Saturday 3/29/25, 2 days after injection. Patient then started getting warmth at the site of the localized redness at site of injection starting on Tuesday 4/1/25, 5 days after injection. Patient did not take anything for self treatment. Patient reported to the pharmacy on Wednesday 4/2/25 and was counseled to apply cold compress, take an antihistamine, and anti-inflammatory over the counter and monitor for improvement. If symptoms getting worse and not better, patient was counseled to contact VAERS, the pharmacy, and/or seek urgent care treatment.
More
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| 2834064 | 16 | M | AL | 04/02/2025 |
FLU3 |
SEQIRUS, INC. |
946623 |
Asthenia, Chest discomfort, Dizziness
Asthenia, Chest discomfort, Dizziness
|
About 10 minutes after vaccination, the patient felt faint and was helped to the floor by mother. He...
About 10 minutes after vaccination, the patient felt faint and was helped to the floor by mother. He was responsive but felt weak. Mentioned having a tight feeling in chest but no problems breathing or swallowing. I was about to administer an Epi-Pen when he mentioned that he was feeling better and I helped him sit up and wait for the EMT's to arrive. They checked him out and his mother said he was feeling back to normal.
More
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| 2834065 | 18 | F | PA | 04/02/2025 |
MENB |
PFIZER\WYETH |
FN5547 |
Crying, Headache, Pain in extremity, Sleep disorder
Crying, Headache, Pain in extremity, Sleep disorder
|
Approximately 15-30 minutes after the shot, unberable pain in arm, and thunderclap headache that was...
Approximately 15-30 minutes after the shot, unberable pain in arm, and thunderclap headache that was excruciatingly painful, couldn't get off the floor or stop sobbing. Ended up with a sore arms for moths and was unable to apply pressure on sleep on the side due to arm pain.
More
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| 2834066 | 52 | F | CA | 04/02/2025 |
VARZOS VARZOS VARZOS VARZOS |
GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS |
5y4tl 5y4tl 5Y4TL 5Y4TL |
Lacrimation increased, Lip pruritus, Oral discomfort; Oral mucosal blistering, O...
Lacrimation increased, Lip pruritus, Oral discomfort; Oral mucosal blistering, Oral pain, Oral pruritus; Lacrimation increased, Lip pruritus, Oral discomfort; Oral mucosal blistering, Oral pain, Oral pruritus
More
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pt claims symptoms started several days after administration. "itchy and burning upper lip and...
pt claims symptoms started several days after administration. "itchy and burning upper lip and watery eyes sever for first week". pt also states that these symptoms have been continuous til present 04/02/2025, albeit less severe.
More
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| 2834071 | 0.5 | M | ID | 04/02/2025 |
DTAPHEPBIP DTAPIPV PNC20 RV5 |
GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS PFIZER\WYETH MERCK & CO. INC. |
5YB7L Y49B2 LC5484 Y005877 |
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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Kinrix vaccine inadvertently given at 6 mo. visit. Family was notified. The flu vaccine was intended...
Kinrix vaccine inadvertently given at 6 mo. visit. Family was notified. The flu vaccine was intended, Kinrix and flu vaccine have the same color band & were stored in close proximity to one another.
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| 2833898 | 29 | M | NY | 04/01/2025 |
FLU3 FLU3 |
SEQIRUS, INC. SEQIRUS, INC. |
|
Allergy test negative, Choking, Quality of life decreased, Skin test negative, S...
Allergy test negative, Choking, Quality of life decreased, Skin test negative, Sleep disorder; Sleep study normal, Stress, Suffocation feeling, Throat clearing, Throat tightness
More
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I don?t have the exact flu shot on hand, it?s in my work record. Just not accessible at this time. C...
I don?t have the exact flu shot on hand, it?s in my work record. Just not accessible at this time. Can provide at later date.Within one week of receiving the influenza vaccine, I began experiencing sudden episodes of choking and a sensation of throat constriction, particularly at night while lying on my back. The feeling is intense and causes me to forcibly swallow and reposition my throat to regain normal breathing. These symptoms have persisted for over 8 years and have significantly affected my sleep, stress levels, and quality of life. Multiple ENT evaluations, allergy tests (both skin and blood), and sleep studies have failed to identify a mechanical cause. No nasal polyps or sleep apnea were found. Sinus surgery was suggested without confidence of resolution. No other changes in lifestyle, medication, or exposure occurred around the time of the vaccine. This event remains unexplained by conventional testing and has not resolved since onset.
More
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| 2833899 | 1.08 | F | KY | 04/01/2025 |
MMRV |
MERCK & CO. INC. |
Y004115 |
Pyrexia, Rash papular, Rhinorrhoea
Pyrexia, Rash papular, Rhinorrhoea
|
Fever, runny nose, and raised rash. Child experienced symptoms over the course of a week.
Fever, runny nose, and raised rash. Child experienced symptoms over the course of a week.
|
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| 2833902 | 68 | F | DC | 04/01/2025 |
FLU3 |
SANOFI PASTEUR |
UT8470DA |
Lip swelling
Lip swelling
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Reported Symptoms: 10024570:LIP SWELLING; Narrative: A 69 yo female whose PMH included sleep apnea, ...
Reported Symptoms: 10024570:LIP SWELLING; Narrative: A 69 yo female whose PMH included sleep apnea, lipoma, chronic headache, memory impairment, chronic PTSD, DM, Chronic back pain, HTN, OA of knee, IBS, exposure to potentially hazardous substance, venous insufficiency of leg and asthma. On December 3, 2024, PCC physician reported the patient had a historical ADR of trivalent PF Influenza vaccine induced lower lip swelling for which she sought a non facility Emergency Room visit and received IV BENADRYL, famotidine and solumedrol treatment. No swelling of tongue and patient oropharynx with no difficulty breathing were documented per Dec 3, record summary. The patient was discharged with three days supply of oral prednisone, famotidine and benadryl. Other Relevant HX: Other: LIP SWELLING
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| 2833903 | 74 | M | FL | 04/01/2025 |
COVID19 |
PFIZER\BIONTECH |
LM7786 |
Chills, Dyspnoea, Hypersensitivity, Malaise, Tremor
Chills, Dyspnoea, Hypersensitivity, Malaise, Tremor
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Reported Symptoms: 10008531:CHILLS; 10013963:DYSPNEA; 10025482:MALAISE; Narrative: Per ADR entry: &q...
Reported Symptoms: 10008531:CHILLS; 10013963:DYSPNEA; 10025482:MALAISE; Narrative: Per ADR entry: "Patient reports an allergic reaction to COVID-vaccine. Shaky slightly short of breath malaise and felt better after taking Benadryl and meloxicam." Patient reached out via secure messaging as noted 1/24/2025, "I had some kind of allergic reaction to the covid shot. it didn't happen until around 4am, so a 12 hour delay...I say allergic reaction because after about an hour and a half of this I took one Loratadine pill. it seemed to make it all go away." Other Relevant HX: Other chills, malaise, dyspnea
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| 2833904 | 63 | M | KY | 04/01/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
75GZ7 |
Extra dose administered, No adverse event
Extra dose administered, No adverse event
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Reported Symptoms: 10027091:MEDICATION ERROR; 10064366: EXTRA DOSE ADMINISTERED; Narrative: No adver...
Reported Symptoms: 10027091:MEDICATION ERROR; 10064366: EXTRA DOSE ADMINISTERED; Narrative: No adverse event occurred from patient receiving an extra vaccine of Shingrix in error. Patient was fully vaccinated (had received 2 doses of vaccine previously). Reporting to VAERS for information. Other Relevant HX: Other: EXTRA DOSE GIVEN IN ERROR
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| 2833905 | 23 | F | IL | 04/01/2025 |
COVID19 COVID19 |
MODERNA MODERNA |
3042648 3042648 |
Injection site erythema, Injection site mass, Injection site pruritus, Injection...
Injection site erythema, Injection site mass, Injection site pruritus, Injection site rash, Injection site swelling; Injection site warmth, Pyrexia
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Reported Symptoms: 10016558:Fever; 10037844:RASH; Narrative: Pt is a 24 female with PMH of anxiety ...
Reported Symptoms: 10016558:Fever; 10037844:RASH; Narrative: Pt is a 24 female with PMH of anxiety disorder, ovarian cysts, and vitamin b12 deficiency. Pt received both a Covid and influenza vaccine on 11/01/2024. Pt developed a rash and a fever that same night. Her right arm (where she received the Covid vaccine) was red, swollen, and warm to the touch. After four days of worsening symptoms, the patient went to the ER on 11/5/24 after a new lump developed at the sight and the sight was now itching. Patient received clindamycin for 5 days and the rash resolved. Other Relevant HX: Pt is a 24 yo female with PMH of anxiety disorder, ovarian cysts, and vitamin b12 deficiency. Pt received both a Covid vaccine and influenza vaccine on 11/01/24. Pt developed a rash and a fever that same night. Her right arm (where she received the Covid vaccine) was red, swollen, and warm to the touch. After four days of worsening symptoms, the patient wen to the ER on 11/5/24 after a new lump developed at the sight and the sight was now itching. Patient received clindamycin for 5 days and the rash resolved. Other: RASH; FEVER
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| 2833906 | 67 | M | IL | 04/01/2025 |
COVID19 |
MODERNA |
3042648 |
Headache, Somnolence
Headache, Somnolence
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Reported Symptoms: 10013649:DROWSINESS; 10019211:HEADACHE; 10039897:SEDATION; Narrative: Patient is ...
Reported Symptoms: 10013649:DROWSINESS; 10019211:HEADACHE; 10039897:SEDATION; Narrative: Patient is 67 YOM w/ PMH of bladder cancer, tobacco use, DM, and OSA received covid booster. Reported drowsiness and headache after vaccination that eventually subsided. Other Relevant HX: N/a Other: DROWSY; HEADACHE
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| 2833907 | M | DC | 04/01/2025 |
COVID19 |
PFIZER\BIONTECH |
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Eczema
Eczema
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Reported Symptoms: 10014184:ECZEMA; Narrative: A 44yo male with PMH which included Obesity, TBI, Ten...
Reported Symptoms: 10014184:ECZEMA; Narrative: A 44yo male with PMH which included Obesity, TBI, Tendonitis, PTSD, Lumbago, Herpes, Cervicalgia, Abnormal Liver Function test and Exposure to potentially hazardous substance. Per January 24, 2025, Nursing note, the patient presented alert and oriented x 3 for his annual appointment. During the visit the patient refused COVID-19 (MODERNA), MRNA, LNP-S, PF, 50 MCG/0.5ml, (Ages 12+ years). The patient refused all immunization(s) in the Covid-19 group due to hx of Covid-19 vaccine induced allergic reaction of Eczema on hands. Other Relevant HX: Other: ECZEMA.
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| 2833908 | F | CA | 04/01/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
5RK5T |
Rash
Rash
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Reported Symptoms: 10037844:RASH; Narrative: Other Relevant HX: The patient was newly started on esc...
Reported Symptoms: 10037844:RASH; Narrative: Other Relevant HX: The patient was newly started on escitalopram the day after the vaccine. When the rash occurred, the patient was told to stop the escitalopram. However, she later reported she never stopped escitalopram, and the rash went away. Thus she thinks the rash was due to the vaccine. Other:
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