| ID | Age | Sex | State | Date ▼ | Onset Days | Vaccine | Manufacturer | Lot # | Symptoms | Narrative | 💀 | 🏥 | 🚑 | ♿ | ⚠️ |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2833283 | F | 03/26/2025 |
COVID19 COVID19 |
PFIZER\BIONTECH PFIZER\BIONTECH |
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Allergic reaction to excipient, Arthralgia, Erythema, Pain in extremity, Swellin...
Allergic reaction to excipient, Arthralgia, Erythema, Pain in extremity, Swelling; Thyroid mass
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thyroid nodules; an allergic reaction (swelling, redness) / allergy to ingredient in COVID-19 vaccin...
thyroid nodules; an allergic reaction (swelling, redness) / allergy to ingredient in COVID-19 vaccine; an allergic reaction (swelling, redness); an allergic reaction (swelling, redness); pain in both arms and legs/ pain from left arm to leg, right arm to leg; pain in shoulder; This is a spontaneous report received from a Consumer or other non HCP from medical information team. A female patient received BNT162b2 omicron (kp.2) (COMIRNATY (2024-2025 FORMULA)), as dose 1, single (Batch/Lot number: unknown) for covid-19 immunisation. The patient's relevant medical history and concomitant medications were not reported. Past drug history included: Miralax, reaction(s): "drug allergy". Vaccination history included: Bnt162b2 (DOSE 1, SINGLE), for Covid-19 immunization, reaction(s): "allergic reaction (swelling, redness)", "pain in shoulder", "allergic reaction (swelling, redness)", "pain in both arms and legs", "allergic reaction (swelling, redness)". The following information was reported: THYROID MASS (non-serious), outcome "unknown", described as "thyroid nodules"; ALLERGIC REACTION TO EXCIPIENT (non-serious), outcome "unknown", described as "an allergic reaction (swelling, redness) / allergy to ingredient in COVID-19 vaccine"; SWELLING (non-serious), ERYTHEMA (non-serious), outcome "unknown" and all described as "an allergic reaction (swelling, redness)"; PAIN IN EXTREMITY (non-serious), outcome "unknown", described as "pain in both arms and legs/ pain from left arm to leg, right arm to leg"; ARTHRALGIA (non-serious), outcome "unknown", described as "pain in shoulder". The event "thyroid nodules" required physician office visit. Therapeutic measures were not taken as a result of thyroid mass. Additional information: Caller (patient) received 2 doses of the COVID-19 vaccine and her son received 3 doses. She developed thyroid nodules, and her son developed Grave's disease. After administering the dose of the vaccine, they noticed symptoms she identifies as an allergic reaction (swelling, redness) as well as pain in both arms and legs. No family history of thyroid problems. It was further reported that both caller (patient) and caller's son have an allergy to ingredient in COVID-19 vaccine, clarified a PEG, 3350 or something, allergy, an allergy to Miralax. Said the ingredient in Miralax is also in the vaccine. Caller has something that feels like pain from left arm to leg, right arm to leg, shoulder, sometimes swollen and red like an allergic reaction. Caller and caller's son both have allergy to Miralax. Caller has thyroid nodule. Wants to report this kind of problem, checked website, said 25.1 people have Grave's disease, and the size of the thyroid. This occurred after vaccine. Did not have thyroid problem before. Was after caller's 2nd dose that caller had thyroid nodule. Wants to ask how do people treat this from the vaccine since caused the problem? Caller saw endocrinologist, did not do anything, told caller to observe. Family does not have any thyroid problems. Occurred after got the vaccine, thinks not the only one case, other people have. Wants to check therapies, wants suggestion from doctor, wants to know how to treat, what do people do since was because of vaccine? Wants to know what treatment can be given.; Sender's Comments: Linked Report(s) : US-PFIZER INC-202500063398 same reporter/patient, different vaccine dose/event (DOSE 1);
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| 2833284 | M | 03/26/2025 |
COVID19 |
PFIZER\BIONTECH |
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Allergy to vaccine
Allergy to vaccine
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they noticed symptoms/have an allergy to ingredient in COVID-19 vaccine; This is a spontaneous repor...
they noticed symptoms/have an allergy to ingredient in COVID-19 vaccine; This is a spontaneous report received from a Consumer or other non HCP from medical information team. A male patient received BNT162b2 omicron (kp.2) (COMIRNATY (2024-2025 FORMULA)), as dose 1, single (Batch/Lot number: unknown) for covid-19 immunisation. The patient's relevant medical history and concomitant medications were not reported. Past drug history included: Peg 3350, reaction(s): "Allergy: PEG 3350", notes: PEG, 3350 or something; Miralax, reaction(s): "allergy to Miralax". The following information was reported: ALLERGY TO VACCINE (non-serious), outcome "unknown", described as "they noticed symptoms/have an allergy to ingredient in COVID-19 vaccine". Additional information: The patient received 3 doses. The patient had an allergy to ingredient in COVID-19 vaccine, clarified a PEG 3350 or something allergy, an allergy to MiraLAX (said the ingredient in Miralax was also in the vaccine). No follow-up attempts are possible. Batch/lot number is not provided, and it cannot be obtained.; Sender's Comments: Linked Report(s) : US-PFIZER INC-202500063102 Same patient, product, different dose number and event;US-PFIZER INC-202500063399 Same patient, product, different dose number and event;
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| 2833285 | 83 | F | FL | 03/26/2025 |
PNC20 |
PFIZER\WYETH |
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Arthralgia, Gait inability
Arthralgia, Gait inability
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she had severe joint pain in her back/pain; I cannot walk; This is a spontaneous report received fro...
she had severe joint pain in her back/pain; I cannot walk; This is a spontaneous report received from a Consumer or other non HCP from medical information team. An 83-year-old female patient received pneumococcal 20-valent conjugate vaccine (diphtheria crm197 protein) (PREVNAR 20), on 18Mar2025 as dose number unknown, single (Batch/Lot number: unknown) at the age of 83 years, in right arm for immunisation. The patient's relevant medical history included: "very long time diabetic" (unspecified if ongoing), notes: well controlled; "sciatic" (unspecified if ongoing). Concomitant medication(s) included: ELIQUIS. The patient also took other concomitant therapy. The following information was reported: GAIT INABILITY (non-serious) with onset Mar2025, outcome "unknown", described as "I cannot walk"; ARTHRALGIA (non-serious) with onset 18Mar2025, outcome "unknown", described as "she had severe joint pain in her back/pain". Therapeutic measures were taken as a result of arthralgia. Additional information: The patient stated she was a very long time diabetic and on a few medications, but generally in pretty good health and her diabetes was well controlled. She had the pneumococcal 20 vaccine in the afternoon on Tuesday 18Mar2025. When she got home, she was fine and then in the evening, she had pain/severe joint pain in her back and the bottom of her back on the right side. She stated she thought it was possibly a sciatic which she had before and she just kind of ignored it. The next day, she was in extreme pain and she had never had the pain like that. She took a couple of TYLENOL which started to ease it. Caller states by Thursday the pain started on the left side which she had never had before and it has continually gotten worse. She took quite a few TYLENOL in the beginning which she shouldn't because she was on ELIQUIS (so she was very concerned about taking the Tylenol), but she took it anyway because the pain was so severe and now she was taking them sporadically and she was in terrific pain and it was not helping. She took from Wednesday to Thursday (19Mar2025 to 20Mar2025) about five TYLENOL. On Thursday afternoon, Thursday night it went to the other side from the right side to the left side which she never had before and now, she took some more TYLENOL, and she stopped taking them on Friday (21Mar2025), because she did not want to take anymore. On Sunday 23Mar2025, it was so bad that she had to start taking another TYLENOL at 6pm and she had to have another one in the morning (24Mar2025). The pain was so terrible that she cannot walk, and was in severe pain. She stated this all went on over the weekend. Other than the injection she had no idea why she was in such pain, but she looked at the website and saw that the side effect was joint pain. She was perfectly fine before the vaccination. The information on the batch/lot number for pneumococcal 20-valent conjugate vaccine (diphtheria crm197 protein) will be requested and submitted if and when received.
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| 2833286 | F | 03/26/2025 |
PNC20 |
PFIZER\WYETH |
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Extra dose administered, Feeling abnormal, Pain in extremity
Extra dose administered, Feeling abnormal, Pain in extremity
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Sore arm/achy the next day or two/sore arm, feeling kind of spacey and a little funny the first day ...
Sore arm/achy the next day or two/sore arm, feeling kind of spacey and a little funny the first day or two, like achy; accidentally got Prevnar 20 shot twice in a year; This is a spontaneous report received from a Consumer or other non HCP from medical information team. A 69-year-old female patient received pneumococcal 20-val conj vac (dipht CRM197 protein) (PREVNAR 20), in Mar2025 as dose 2, single (Batch/Lot number: unknown). The patient's relevant medical history and concomitant medications were not reported. Vaccination history included: Prevnar 20 (dose 1), administration date: 2024, for immunisation. The following information was reported: PAIN IN EXTREMITY (non-serious) with onset Mar2025, outcome "unknown", described as "Sore arm/achy the next day or two/sore arm, feeling kind of spacey and a little funny the first day or two, like achy "; INCORRECT DOSE ADMINISTERED (non-serious) with onset Mar2025, outcome "unknown", described as "accidentally got Prevnar 20 shot twice in a year". Additional information: The patient got Prevnar 20 last summer and then got the same one in Mar2025 (a week before 24Mar2025). Forgot already got it. The patient had normal reaction that she had with all the vaccine she got in. Sore arm and kind of achy the next day or two and the patient was feeling normal no other concerning side effects. And also reported as the patient was just fine, had normal side effects, sore arm, feeling kind of spacey and a little funny the first day or two, like achy and just nothing serious at all. No follow-up attempts are possible. Batch/lot number is not provided, and it cannot be obtained.
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| 2833287 | M | AZ | 03/26/2025 |
COVID19 |
PFIZER\BIONTECH |
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COVID-19, Drug ineffective
COVID-19, Drug ineffective
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Covid after Vaccine; Covid after Vaccine; This is a spontaneous report received from a Consumer or o...
Covid after Vaccine; Covid after Vaccine; This is a spontaneous report received from a Consumer or other non HCP, Program ID. A 69-year-old male patient received BNT162b2 omicron (kp.2) (COMIRNATY (2024-2025 FORMULA)), as dose 1, single (Batch/Lot number: unknown) for covid-19 immunisation. The patient's relevant medical history and concomitant medications were not reported. The following information was reported: DRUG INEFFECTIVE (medically significant), COVID-19 (medically significant), outcome "unknown" and all described as "Covid after Vaccine". Additional information: The caller stated "I'm speaking with my local doctor here, in the next little while, possibly by tomorrow morning, you know, so I'll have the full written prescription from him". When discussing the process of online enrollment, the caller stated "I feel like I have a really bad cold. I've never had Covid before, this is the first time. I dodged all of this and then I go see my grandson and they both have snotty noses and sure enough. He's 6 months old. He got Covid. We all got Covid God, I never get sick, it's so weird" After the manual FPL check was done, the caller mentioned they were going to enroll their wife and stated "I think she is speaking with her endocrinologist, cause she wanted to verify kidney function or something". After obtaining the voucher processing details, the caller stated "It's crazy, like I said when you don't get sick, you just go what the heck is going on It's been such a weird thing that you know, how are we supposed to feel or not feel. I've had all my vaccinations, so" While the caller was enrolling their spouse online, they stated " I'm half delirious as it is". The information on the batch/lot number for BNT162b2 omicron (kp.2) will be requested and submitted if and when received.
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| 2833288 | F | FL | 03/26/2025 |
COVID19 |
PFIZER\BIONTECH |
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Therapeutic response unexpected
Therapeutic response unexpected
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for 24 hours after the shot I had no pain and the following week I had very little pain, that's...
for 24 hours after the shot I had no pain and the following week I had very little pain, that's happened every time I've taken the Pfizer vaccine or the boosters; This is a spontaneous report received from a Consumer or other non HCP, Program ID. An 80-year-old female patient received BNT162b2 (BNT162B2 NOS), as dose number unknown, single (Batch/Lot number: unknown) for covid-19 immunisation. The patient's relevant medical history included: "horribly allergic to a lot of things" (unspecified if ongoing); "Constant pain" (unspecified if ongoing). The patient's concomitant medications were not reported. The following information was reported: THERAPEUTIC RESPONSE UNEXPECTED (non-serious), outcome "unknown", described as "for 24 hours after the shot I had no pain and the following week I had very little pain, that's happened every time I've taken the Pfizer vaccine or the boosters". Additional information: She had a mild case of Covid at the time and so she didn't take the medicine because of the listed side effects. She was horribly allergic to a lot of things and so she wasn't going to chance it, and it was a very mild case because she had had all the boosters and the vaccines. She was the only person that she knows that the next 24 hours after the Pfizer vaccine, she had absolutely no pain in her body. She was 80 years old now and she lived with constant pain, so for 24 hours after the shot she had no pain. The following week, she had very little pain and that's happened every time she had taken the Pfizer vaccine or the boosters. She didn't know what's in the Pfizer thing, but it worked for her. On 10Jan2024, she was diagnosed as positive with the Covid. She went to the ER on 08Jan with COVID but was negative on the Tuesday (09Jan2024). On Wednesday, the 10Jan2024, she was already positive, but it was a very mild case just like a little cold. She got the Paxlovid, but she ended up not using it because of side effects. She decided she was not doing any kind of drugs except for her normal regimen just because she doesn't want to end up in the ER. She had a list of 20 do not give her medicines including Benadryl. She stays away as much as possible from drugs of any kind. She was on 3 blood thinners at this point so there were two of them that were blood thinners still. Many of these drugs come with a fear of that. Batch/lot number is not provided, and it cannot be obtained.; Sender's Comments: Linked Report(s) : US-PFIZER INC-PV202500035385 same patient/drug, different event/dose;
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| 2833289 | 4 | M | VI | 03/26/2025 |
UNK |
UNKNOWN MANUFACTURER |
LG5574 |
Cellulitis, Erythema, Peripheral swelling
Cellulitis, Erythema, Peripheral swelling
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On 3/11, arm became red. On 3/12, arm became swollen. Pt seen in ED on 3/14 and given benadryl. P...
On 3/11, arm became red. On 3/12, arm became swollen. Pt seen in ED on 3/14 and given benadryl. Pt seen again 3/17 in clinic, diagnosed with cellulitis and started on Augmentin. Also had vaccines on 3/3/2025: dtap/IPV-Sanofi-2CA54C3 right arm MMRV-Merck-Y018163- left arm Hep A-Merck-Y013274-left arm
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| 2833290 | 39 | F | PR | 03/26/2025 |
ANTH ANTH ANTH ANTH |
EMERGENT BIOSOLUTIONS EMERGENT BIOSOLUTIONS EMERGENT BIOSOLUTIONS EMERGENT BIOSOLUTIONS |
300215A 300215A 300215A 300215A |
Blood glucose normal, Burning sensation, Chest X-ray, Dizziness, Heart sounds ab...
Blood glucose normal, Burning sensation, Chest X-ray, Dizziness, Heart sounds abnormal; Hypertension, Hypoaesthesia, Hypoaesthesia oral, Laboratory test, Muscular weakness; Musculoskeletal pain, Nausea, Pallor, Paraesthesia, Peripheral coldness; Speech disorder, Tachycardia, Tremor
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after member received the vaccine the following started: nausea, dizziness, pain in the shoulder bla...
after member received the vaccine the following started: nausea, dizziness, pain in the shoulder blade, tingle in the fingers, cold extremities, paleness, tachycardia, high blood pressure, extremities weakness, body tremors, numb tongue, speech difficulty. at first doctors taught it was a diabetic emergency but blood sugars were normal range, Emergency Doctor auscultate mu heart and found the S2 delayed. After the event patient still has the following symptoms. Numbness of the arms and neck, tingle of the fingers, burning sensation on the shoulder blade.
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✓ | |||||
| 2833291 | 1.25 | F | MA | 03/26/2025 |
DTAP DTAP HIBV HIBV PNC20 PNC20 |
GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS SANOFI PASTEUR SANOFI PASTEUR PFIZER\WYETH PFIZER\WYETH |
Y97N7 Y97N7 UK201AC UK201AC L65574 L65574 |
Abdominal wall mass, Computerised tomogram abnormal, Culture negative, Drain pla...
Abdominal wall mass, Computerised tomogram abnormal, Culture negative, Drain placement, Leukocytosis; Psoas abscess, Shift to the left, Swelling, Ultrasound scan abnormal, White blood cell count increased; Abdominal wall mass, Computerised tomogram abnormal, Culture negative, Drain placement, Leukocytosis; Psoas abscess, Shift to the left, Swelling, Ultrasound scan abnormal, White blood cell count increased; Abdominal wall mass, Computerised tomogram abnormal, Culture negative, Drain placement, Leukocytosis; Psoas abscess, Shift to the left, Swelling, Ultrasound scan abnormal, White blood cell count increased
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is a 15 m.o. female who presents to the office with her parents. A couple of hours ago parents noti...
is a 15 m.o. female who presents to the office with her parents. A couple of hours ago parents noticed a lump on LL abdomen and walking and fine and some times standing with left knee bent. Had her 15 month WCC yesterday and had vaccines in both legs and 2 vaccines in the left thigh and one in the right thigh. Had Dtap Hib and Prevnar. The lump is on the left side in the diaper area Parent concern since pt on January 19, 2025 admitted for Bilateral inguinal node abscesses and admitted for 3 days. I and D IV clindamycin MSSA. On 01/20/25. D/C to home for 14 day course of Keflex. On 01/28/25 need I and D on the right side. Consulted with Dr and then called ER as call to expect the pt. Parents drove directly to pediatric ER.
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✓ | |||||
| 2833292 | 52 | M | TX | 03/26/2025 |
RAB |
NOVARTIS VACCINES AND DIAGNOSTICS |
FDP00613 |
Rash erythematous, Scab
Rash erythematous, Scab
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DONOR PRESENTS WITH RED BUMPS WITH SCABS TO THE LEFT FOREARM AND BICEP. DENIES ANY ITHCINESS AT THIS...
DONOR PRESENTS WITH RED BUMPS WITH SCABS TO THE LEFT FOREARM AND BICEP. DENIES ANY ITHCINESS AT THIS TIME.
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| 2833293 | 0.17 | M | 03/26/2025 |
PNC15 |
MERCK & CO. INC. |
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Tremor
Tremor
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one week after receiving vaccine infant began having tremor like hand movements that have continued ...
one week after receiving vaccine infant began having tremor like hand movements that have continued for two months
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| 2833294 | 70 | F | NY | 03/26/2025 |
MMR |
GLAXOSMITHKLINE BIOLOGICALS |
2JX7Y |
Incorrect route of product administration, No adverse event
Incorrect route of product administration, No adverse event
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Patient inadvertently given PRIORIX IM. No adverse event noted or reported
Patient inadvertently given PRIORIX IM. No adverse event noted or reported
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| 2833295 | 42 | F | GA | 03/26/2025 |
IPV |
SANOFI PASTEUR |
X1D141M |
Dysgeusia, Paraesthesia, Sensory disturbance
Dysgeusia, Paraesthesia, Sensory disturbance
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Immediately after Polio vaccine, patient reported feeling a "weird" feeling in her arm, st...
Immediately after Polio vaccine, patient reported feeling a "weird" feeling in her arm, stomach then a "weird" taste in mouth. Then a tingly feeling in arm. No respiratory issues reported by patient. Patient was observed for 15-20 mins, she said the "weird" feeling and taste was gone.
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| 2833296 | 28 | M | CO | 03/26/2025 |
FLU3 FLU3 FLU3 |
SEQIRUS, INC. SEQIRUS, INC. SEQIRUS, INC. |
944467 944467 944467 |
Alcohol use, Arthralgia, Dizziness, Fatigue, Lymph node pain; Myalgia, Odynophag...
Alcohol use, Arthralgia, Dizziness, Fatigue, Lymph node pain; Myalgia, Odynophagia, Oropharyngeal pain, Pyrexia, SARS-CoV-2 test negative; Sleep disorder, Streptococcus test negative
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I worked here and this was my former employer. 24 hours later I began to feel really faint and tire...
I worked here and this was my former employer. 24 hours later I began to feel really faint and tired. I believe that I asked to go home. That evening, I developed a severe throat and swallowing pain around my neck lymph nodes that persisted for the next five days. I also had general internal infection-like reactions of a mild fever and aching joints and muscles that could be somewhat alleviated by alternating 800 mg doses of ibuprofen and 1000 mg doses of Tylenol every four hours. I got a test done at the doctor's office, and I had neither strep nor Covid-19, yet was not tested for the flu. I was woken every night for those five nights in immense pain as the either previous dose of ibuprofen or Tylenol wore off. After being wretchedly sick for five days, I decided that I was not going to miss a planned weekend trip in the golden leaf-changing trees, and so I went and took even more ibuprofen and Tylenol and still drank plenty of whiskey talking with friends old and new around the fire before passing out in the trunk of my friend's car camper for the night. I believe I shocked my system back to normalcy, because the next morning I awoke feeling wonderful and had no further problems.
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| 2833297 | 71 | F | FL | 03/26/2025 |
COVID19 |
MODERNA |
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Arthralgia, Inflammation
Arthralgia, Inflammation
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Inflammation and pain on inside of left wrist. Same arm as injection
Inflammation and pain on inside of left wrist. Same arm as injection
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| 2833298 | 52 | F | IL | 03/26/2025 |
VARZOS VARZOS |
GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS |
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Dyspnoea, Feeling jittery, Gait inability, Influenza like illness, Loss of consc...
Dyspnoea, Feeling jittery, Gait inability, Influenza like illness, Loss of consciousness; Musculoskeletal stiffness, Nausea, Respiratory arrest, Sleep disorder
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During the night following the vaccine, I started feeling flu like symptoms and was unable to sleep....
During the night following the vaccine, I started feeling flu like symptoms and was unable to sleep. I was also very jittery. When I started to feel as if I was going to vomit or pass out, I tried to get to the bathroom but was unable to walk once I got from the bedroom to the hallway. I fell to the floor and called to my husband. He rushed to my side, and I blacked out, went stiff, started breathing very heavily, then was not breathing. This lasted approximately 10 seconds.
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| 2833299 | 45 | F | WA | 03/26/2025 |
HEPA |
MERCK & CO. INC. |
Y017625 |
Disturbance in attention, Dizziness, Tremor
Disturbance in attention, Dizziness, Tremor
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Body trimmers, 100 degree fever, dizzy, unable to focus
Body trimmers, 100 degree fever, dizzy, unable to focus
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| 2833300 | 2 | F | OR | 03/26/2025 |
DTAPIPV |
GLAXOSMITHKLINE BIOLOGICALS |
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Product administered to patient of inappropriate age
Product administered to patient of inappropriate age
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patient did not report a vaccine reaction. the age of the patient was the concern as the age requir...
patient did not report a vaccine reaction. the age of the patient was the concern as the age requirement was not met.
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| 2833301 | 48 | F | VA | 03/26/2025 |
COVID19 COVID19 |
MODERNA MODERNA |
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Alopecia, Blood test, Burning sensation, Computerised tomogram, Crying; Hypoaest...
Alopecia, Blood test, Burning sensation, Computerised tomogram, Crying; Hypoaesthesia, Muscle atrophy, Pain
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Body aches, burning sensations, numbness in face and back of neck, hair is GONE from all her skin, m...
Body aches, burning sensations, numbness in face and back of neck, hair is GONE from all her skin, muscle loss, looks like she is a skeleton, pain all the time. Dr does nothing for her , we are trying a new DR
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✓ | ✓ | ||||
| 2833302 | 27 | M | MO | 03/26/2025 |
MNQ TYP |
NOVARTIS VACCINES AND DIAGNOSTICS SANOFI PASTEUR |
AMVB030A W1A361M |
Arthralgia, Hypoaesthesia, Muscular weakness, Pain, Paraesthesia; Arthralgia, Hy...
Arthralgia, Hypoaesthesia, Muscular weakness, Pain, Paraesthesia; Arthralgia, Hypoaesthesia, Muscular weakness, Pain, Paraesthesia
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The member stated he first observed the symptoms on the same day the vaccination was given. At first...
The member stated he first observed the symptoms on the same day the vaccination was given. At first the symptom was tingling, especially down his right arm, from the tricep down to fingertips. The week of March 17 he started feeling pain in his elbow and wrist, infrequent and mostly not bad, I'd rate it a 4 out of 10 , but could be a 8/10 in rare occasions. The pain happens when his arm or wrist is at a different angle than normal and when it happens the pain is very fast and doesn't normally linger. That same week the feeling of being numb, especially in his ring and pinky fingers up to the right side of his upper forearm was and is happening more consistently. His grip strength and arm strength feels weaker than normal. The treatment plan is for the member to receive bilateral upper extremity nerve conduction and an electromyography study done ASAP as of 3/25/2025.
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| 2833303 | 36 | F | FL | 03/26/2025 |
MMR MMR MMR |
MERCK & CO. INC. MERCK & CO. INC. MERCK & CO. INC. |
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Blood ethanol, Brain natriuretic peptide, Creatinine renal clearance, Fibrin D d...
Blood ethanol, Brain natriuretic peptide, Creatinine renal clearance, Fibrin D dimer, Full blood count; International normalised ratio, Loss of consciousness, Malaise, Metabolic function test, Prothrombin time; Toxicologic test, Troponin, Urine analysis
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MMR was given and approximately 30 minutes after receiving the vaccine, employee felt 'sick...
MMR was given and approximately 30 minutes after receiving the vaccine, employee felt 'sick'. Sat on toilet to move bowels and passed out. Brough to ER where she was treated with IVF's and monitored for other symptoms.
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| 2833304 | 78 | F | GA | 03/26/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
47N3Y |
Injection site erythema
Injection site erythema
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PT CAME IN FOLLOWING DAY (3/26/25) COMPLAINING OF REDNESS AT THE INJECTION SITE. I ENCOURAGED HER T...
PT CAME IN FOLLOWING DAY (3/26/25) COMPLAINING OF REDNESS AT THE INJECTION SITE. I ENCOURAGED HER TO KEEP A COOL COMPRESS AND APPLY TOPICAL TO TREAT ITCHING
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| 2833305 | 69 | M | ID | 03/26/2025 |
COVID19 |
PFIZER\BIONTECH |
33130134 |
Blood test, Computerised tomogram, Death, Haematological malignancy
Blood test, Computerised tomogram, Death, Haematological malignancy
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no immediate reaction. 3 years later rare aggressive blood cancer fatal in one week.
no immediate reaction. 3 years later rare aggressive blood cancer fatal in one week.
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✓ | ✓ | ✓ | |||
| 2833306 | 10 | F | MA | 03/26/2025 |
HPV9 |
MERCK & CO. INC. |
Y012865 |
Syncope
Syncope
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The patient arrived to the clinic this morning for their well child check. The patient's PCP or...
The patient arrived to the clinic this morning for their well child check. The patient's PCP ordered a Gardasil (HPV) vaccine at the visit and this nurse went to administer at the end of the appointment. Mom chose to not wait the recommended 15 minute observation time. The patient was walking out of the clinic and experienced a syncopal event. This nurse caught her by placing this nurse hands/arms under the patient's armpits. and was lowered in to a chair to prevent a fall to the floor. The patient was still not responsive but slowly came to a few seconds later. The patient vomited x 2 and was pale and sweaty. This nurse assessed patient's blood pressure and it was a low result. The patient rested for about 5-10 minutes and then was able to have some crackers and water. The patient's blood pressure was checked again about 15 minutes later and was then stable. The pcp came in and assessed the patient and it was determined that the patient was safe to leave the clinic.
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| 2833307 | 67 | F | ID | 03/26/2025 |
COVID19 |
PFIZER\BIONTECH |
33130134 |
Blood test, Polymyalgia rheumatica
Blood test, Polymyalgia rheumatica
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4 years later diagnosed with Polymyalgia Rheumatica
4 years later diagnosed with Polymyalgia Rheumatica
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| 2833308 | 83 | F | NC | 03/26/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
9L944 |
Injection site erythema, Injection site swelling
Injection site erythema, Injection site swelling
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THE EVENING AFTER RECEIVING THE VACCINE, THE PATIENT EXPERIENCED SIGNIFICANT SWELLING AND REDNESS AT...
THE EVENING AFTER RECEIVING THE VACCINE, THE PATIENT EXPERIENCED SIGNIFICANT SWELLING AND REDNESS AT THE INJECTION SITE. SUGGESTED COOL COMPRESS OR ICE TO THE AREA AND SEE THE DOCTOR IF NO IMPROVEMENT IN 1 WEEK. SUGGESTED IBUPROFEN ALSO BUT PATIENT IS HIGHLY ALLERGIC TO NSAIDS SO WILL TAKE TYLENOL ARTHRITIS.
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| 2833309 | 49 | M | 03/26/2025 |
TDAP |
GLAXOSMITHKLINE BIOLOGICALS |
Y59D4 |
Injection site erythema, Injection site mass, Injection site pruritus, Injection...
Injection site erythema, Injection site mass, Injection site pruritus, Injection site swelling
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Patient reports "a knot" under the skin at injection sit. Patient also reports redness, it...
Patient reports "a knot" under the skin at injection sit. Patient also reports redness, itchiness and swelling to the injection site. Symptoms began approximately one day after administration and was ongoing for several days.
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| 2833310 | 32 | F | NY | 03/26/2025 |
HPV9 |
MERCK & CO. INC. |
Y010802 |
Extra dose administered
Extra dose administered
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Additional (extra) dose given. Pt verbalized that she had had 2 doses, 3 doses were documented.
Additional (extra) dose given. Pt verbalized that she had had 2 doses, 3 doses were documented.
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| 2833311 | 15 | M | OH | 03/26/2025 |
IPV |
SANOFI PASTEUR |
W1C741M |
Nausea, Pallor, Tachypnoea
Nausea, Pallor, Tachypnoea
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Shortly after second immunization (IPV) patient developed significant nausea, tachypnea, And pale di...
Shortly after second immunization (IPV) patient developed significant nausea, tachypnea, And pale discoloration. - No rash, blood pressure remained stable, no vomiting - Prescribed dose of Zofran and provided patient with juice. Patient was monitored for approximately 20 minutes before third injection was given. Patient tolerated the next injection well and was monitored for approximately 20 minutes after.
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| 2833312 | 6 | M | WI | 03/26/2025 |
DTAPIPV HEP MMR VARCEL |
GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS MERCK & CO. INC. MERCK & CO. INC. |
5G23d 4D333 Y004114 Y011015 |
Malaise, Vomiting; Malaise, Vomiting; Malaise, Vomiting; Malaise, Vomiting
Malaise, Vomiting; Malaise, Vomiting; Malaise, Vomiting; Malaise, Vomiting
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RN gave patient vaccines. Patient went to waiting room while his sibling was vaccinated. Within 10 m...
RN gave patient vaccines. Patient went to waiting room while his sibling was vaccinated. Within 10 minutes, patient started vomiting. Patient's mother then said patient was not feeling well and had not eaten anything all day. RN gave patient water and nutrigrain bar and continued to observe patient for several minutes. Patient then said he was feeling ok and wanted to leave. Patient's other sibling does have chicken pox and Patient was exposed to that child as well.
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| 2833313 | 71 | M | IN | 03/26/2025 |
COVID19 |
MODERNA |
EG6V4N1F621R |
Mass, Pain, Skin discolouration
Mass, Pain, Skin discolouration
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So his wife came in today and stated that pt said he got a lump after his vaccine 4 weeks later, it ...
So his wife came in today and stated that pt said he got a lump after his vaccine 4 weeks later, it started small and it is now the size of a golf ball has not gone down, it is painful and discolored.
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| 2833314 | 1 | F | MN | 03/26/2025 |
HEPA MMR VARCEL |
GLAXOSMITHKLINE BIOLOGICALS MERCK & CO. INC. MERCK & CO. INC. |
DN273 Y004116 Y011712 |
Body temperature increased, Cough, Drug hypersensitivity, Rash morbilliform; Bod...
Body temperature increased, Cough, Drug hypersensitivity, Rash morbilliform; Body temperature increased, Cough, Drug hypersensitivity, Rash morbilliform; Body temperature increased, Cough, Drug hypersensitivity, Rash morbilliform
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Full body measles rash from head to toe for 7 days, 103 degree temperature for 4 days, cough for 7 d...
Full body measles rash from head to toe for 7 days, 103 degree temperature for 4 days, cough for 7 days
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| 2833315 | 34 | F | VA | 03/26/2025 |
UNK UNK |
UNKNOWN MANUFACTURER UNKNOWN MANUFACTURER |
FAV041 FAV041 |
Asthenia, Dizziness, Erythema, Face oedema, Rash; Rash pruritic, Urticaria
Asthenia, Dizziness, Erythema, Face oedema, Rash; Rash pruritic, Urticaria
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WEAKNESS, LIGHT HEADED, PRURITIS RASH (ENTIRE BODY), FACIAL EDEMA, MACULAR ERYTHEMA, URTICARIAL WHEA...
WEAKNESS, LIGHT HEADED, PRURITIS RASH (ENTIRE BODY), FACIAL EDEMA, MACULAR ERYTHEMA, URTICARIAL WHEALS. GIVEN 40MG MEDROL, 50 MG BENADRYL.
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| 2833316 | 0.83 | M | AZ | 03/26/2025 |
DTAPIPVHIB |
SANOFI PASTEUR |
UJ994AA |
Expired product administered
Expired product administered
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Expired vaccine given - date of expiration date is 3/14/25
Expired vaccine given - date of expiration date is 3/14/25
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| 2833317 | 71 | F | CT | 03/26/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
fj9a7 |
Injection site erythema, Injection site swelling
Injection site erythema, Injection site swelling
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per ma at office pt presented to office with redness and swelling around injection site 1 week after...
per ma at office pt presented to office with redness and swelling around injection site 1 week after faccine
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| 2833318 | 40 | M | TX | 03/26/2025 |
MMR TDAP |
GLAXOSMITHKLINE BIOLOGICALS SANOFI PASTEUR |
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Extra dose administered, No adverse event; Extra dose administered, No adverse e...
Extra dose administered, No adverse event; Extra dose administered, No adverse event
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On March 21, 2025, the patient visited the clinic for due vaccines and presented her shot record. MM...
On March 21, 2025, the patient visited the clinic for due vaccines and presented her shot record. MMR , Hep B , Flu , Varicella and TD vaccines were administered and the patient was monitored for fifteen minutes without experiencing any side effects. It was brought to my attention by the provider of the week, who alerted me to the mistake that I had given the MMR vaccine too early. I did a review of this patient chart and found out that I administered another MMR vaccine, which the patient had already received 3 days prior due to an oversight. I noted the vaccine's received date as March 18, 2024, instead of the correct date, March 18, 2025, which was an oversight. i followed up with the patient on 3/24/2025 and patient denied any adverse effect and stated that he is okay. moving forward I will ensure that I am more meticulous when conducting review of patients records to prevent a reoccurrence of such.
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| 2833319 | 4 | F | WA | 03/26/2025 |
MMRV |
MERCK & CO. INC. |
Y018157 |
Injection site erythema, Injection site rash, Injection site swelling, Rash, Ras...
Injection site erythema, Injection site rash, Injection site swelling, Rash, Rash pruritic
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Rash starting on right thigh at injection site 3/24/25. Enlarging for the past few days. Now, erythe...
Rash starting on right thigh at injection site 3/24/25. Enlarging for the past few days. Now, erythematous raised boarders with central clearning without crusting or scale. No warmth or tenderness. Describes rash as mildly painful and pruritic. No vesicles noted.
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| 2833320 | 68 | M | VA | 03/26/2025 |
FLU3 FLU3 FLU3 |
SANOFI PASTEUR SANOFI PASTEUR SANOFI PASTEUR |
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Allergy test positive, Allergy to plants, Arthralgia, Bursitis, Exercise toleran...
Allergy test positive, Allergy to plants, Arthralgia, Bursitis, Exercise tolerance decreased; Food allergy, Inflammation, Injection site pain, Milk allergy, Muscular weakness; Pain, Pain in extremity, Seasonal allergy
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After the shot, pain began developing close to my left humerus in the biceps brachii (long head) alo...
After the shot, pain began developing close to my left humerus in the biceps brachii (long head) along a 3-4 zone. It has not abated over time, and my arm becomes quite weak and sore with various exercises (I can no long do any pushups, for example). Raising my arm upwards or exercising generates considerable pain, and the shoulder joint also seems sore. I decided to give my condition a full six months before filing this report, hoping it would subside, but it has not. I received the shot 10 days after receiving a yellow jacket sting in the same arm, but the injury had fully subsided before getting the Fluzone injection.
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| 2833321 | 80 | F | IN | 03/26/2025 |
COVID19 RSV |
PFIZER\BIONTECH PFIZER\WYETH |
LP1776 LG9827 |
Dizziness, Nausea, Urticaria; Dizziness, Nausea, Urticaria
Dizziness, Nausea, Urticaria; Dizziness, Nausea, Urticaria
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Reports developed hives on entire body within 48 hours of receiving vaccines. Had nausea and lighthe...
Reports developed hives on entire body within 48 hours of receiving vaccines. Had nausea and lightheadedness the first few days. Reporting symptoms on 3/26/25 and that still has hives on chest and back. Denied and difficulty breathing.
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| 2833322 | 2 | M | WI | 03/26/2025 |
HEPA MMRV VARCEL |
GLAXOSMITHKLINE BIOLOGICALS MERCK & CO. INC. MERCK & CO. INC. |
DN273 Y014435 Y014868 |
No adverse event, Wrong patient; No adverse event, Wrong patient; No adverse eve...
No adverse event, Wrong patient; No adverse event, Wrong patient; No adverse event, Wrong patient
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Patient presented to the clinic with his mother to get caught up on immunizations. Patient's si...
Patient presented to the clinic with his mother to get caught up on immunizations. Patient's sister was also present to get caught up on her immunizations as well. Patient was due for a Hepatitis A, MMR and Varicella. Patient was given a Hepatitis A, Varicella and mistakenly given his sister's MMRV instead of plain MMR. Patient's mother was notified right away, the doctor who evaluated was also notified right away. She then contacted the pharmacy to ensure patient safety. No adverse reactions or symptoms occurred.
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| 2833323 | 4 | F | CA | 03/26/2025 |
MMRV |
MERCK & CO. INC. |
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No adverse event, Product storage error
No adverse event, Product storage error
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Vaccine was shipped refrigerated and then subsequently placed in the freezer for clinic storage. Per...
Vaccine was shipped refrigerated and then subsequently placed in the freezer for clinic storage. Per manufacturer, patient needing to be revaccinated. No adverse symptoms or outcome related to the event.
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| 2833324 | 4 | M | GA | 03/26/2025 |
DTAPIPV |
GLAXOSMITHKLINE BIOLOGICALS |
U8209CB |
Injection site erythema, Injection site swelling
Injection site erythema, Injection site swelling
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Localized reaction to right thigh progressively enlarged to 5x5 inches of redness since approximatel...
Localized reaction to right thigh progressively enlarged to 5x5 inches of redness since approximately 8:00am on 3/25/2025. He has associated swelling and tenderness to the thigh. No respiratory symptoms or fevers. Seen at provider on 3/26/2025 at 2:15 pm. Patient is clinically well appearing. Recommended Tylenol, Motrin, Benadryl for comfort.
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| 2833325 | 36 | F | TX | 03/26/2025 |
HEP |
DYNAVAX TECHNOLOGIES CORPORATION |
945658 |
Injection site erythema, Injection site induration, Injection site warmth
Injection site erythema, Injection site induration, Injection site warmth
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RIGHT DELTOID, INJECTION SITE, HOT TO TOUCH, LARGE KNOT, PAINFUL ARM WITH MOVEMENT, REDNESS. TREATME...
RIGHT DELTOID, INJECTION SITE, HOT TO TOUCH, LARGE KNOT, PAINFUL ARM WITH MOVEMENT, REDNESS. TREATMENT- ANTIHISTAMINE, ICE, ADVIL
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| 2833326 | 23 | F | NY | 03/26/2025 |
COVID19 COVID19 |
MODERNA MODERNA |
007B21A 006C21A |
Agoraphobia, Anxiety, Menstruation irregular, Panic attack; Agoraphobia, Anxiety...
Agoraphobia, Anxiety, Menstruation irregular, Panic attack; Agoraphobia, Anxiety, Menstruation irregular, Panic attack
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I had been on Zoloft for 9 years and was told that I did not need to see a therapist or psychiatrist...
I had been on Zoloft for 9 years and was told that I did not need to see a therapist or psychiatrist after college and could you receive Zoloft through my general practitioner; this is to provide context of how well mental health wise I was doing before this. Around 2 weeks after the first dose, I experienced intense anxiety seemingly randomly (still experiencing), anxiety and panic attacks (for a year after), agoraphobia (for 2-3 years after), and an irregular menstrual cycle with intense physical symptoms (for 3 years after).
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| 2833327 | 8 | M | 03/26/2025 |
COVID19 |
PFIZER\BIONTECH |
LM2045 |
Expired product administered, No adverse event
Expired product administered, No adverse event
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PATIENT RECEIVED EXPIRED VACCINE, NO ADVERSE EVENT REPORTED BY FAMILY
PATIENT RECEIVED EXPIRED VACCINE, NO ADVERSE EVENT REPORTED BY FAMILY
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| 2833328 | 4 | F | CA | 03/26/2025 |
MMRV |
MERCK & CO. INC. |
y019465 |
No adverse event, Product storage error
No adverse event, Product storage error
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Vaccine was shipped refrigerated and then subsequently placed in the freezer for clinic storage. Per...
Vaccine was shipped refrigerated and then subsequently placed in the freezer for clinic storage. Per manufacturer, patient needing to be revaccinated. No adverse symptoms or outcome related to the event.
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| 2833329 | 64 | F | NM | 03/26/2025 |
TDAP VARZOS |
GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS |
7kd5b H97H2 |
Lip pruritus, Lip swelling, Pruritus, Swelling face; Lip pruritus, Lip swelling,...
Lip pruritus, Lip swelling, Pruritus, Swelling face; Lip pruritus, Lip swelling, Pruritus, Swelling face
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approx 1-2 hours from inoculation: Swelling of lips, jaw, itching at site of swelling, lasting at le...
approx 1-2 hours from inoculation: Swelling of lips, jaw, itching at site of swelling, lasting at least until 2 days after. benadryl helping, told to seek medical attention if any difficulty breathing occurs or if symptoms dont improve with benadryl
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| 2833330 | 1.17 | M | CA | 03/26/2025 |
MMRV |
MERCK & CO. INC. |
y019465 |
No adverse event, Product storage error
No adverse event, Product storage error
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Vaccine was shipped refrigerated and then subsequently placed in the freezer for clinic storage. Per...
Vaccine was shipped refrigerated and then subsequently placed in the freezer for clinic storage. Per manufacturer, patient needing to be revaccinated. No adverse symptoms or outcome related to the event.
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| 2833331 | 84 | F | FL | 03/26/2025 |
RSV |
PFIZER\WYETH |
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Fatigue, Lymphadenopathy, Myalgia, Pyrexia
Fatigue, Lymphadenopathy, Myalgia, Pyrexia
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Patient comes to the office 3/25/2025 accompanied by her husband. She had the RSV vaccine on Friday...
Patient comes to the office 3/25/2025 accompanied by her husband. She had the RSV vaccine on Friday. Since then she has developed some swollen glands underneath her jaw, fever yesterday, fatigue and myalgias. Her chronic headache is no different. She was developing a canker sore on her right lip before she got the vaccine. No chills, night sweats, ear pain, sore throat, shortness of breath, cough, nausea or vomiting. No diarrhea.
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| 2833332 | 65 | F | NY | 03/26/2025 |
RSV |
PFIZER\WYETH |
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Rash pruritic
Rash pruritic
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Body itch rash starting from Ears, to neck, face, back, chest, arms. No treatment except for allergy...
Body itch rash starting from Ears, to neck, face, back, chest, arms. No treatment except for allergy OTC stuff.
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