| ID | Age | Sex | State | Date โผ | Onset Days | Vaccine | Manufacturer | Lot # | Symptoms | Narrative | ๐ | ๐ฅ | ๐ | โฟ | โ ๏ธ |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2832841 | 1.33 | M | GA | 03/24/2025 |
PNC20 |
PFIZER\WYETH |
LJ5283 |
Full blood count normal, Hyporesponsive to stimuli, Lethargy, Metabolic function...
Full blood count normal, Hyporesponsive to stimuli, Lethargy, Metabolic function test normal
More
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Approximately 4 days after he received his vaccine back in January 7, patient had episode of letharg...
Approximately 4 days after he received his vaccine back in January 7, patient had episode of lethargy and decreased responsiveness. Lethargy lasted for approximately 24 hours. She did not contact us about that specifically but the emergency room doctor told her that this felt to be an adverse reaction to the vaccine that he had received.
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| 2832842 | 0.42 | F | ND | 03/24/2025 |
DTPPVHBHPB PNC20 RV1 |
MSP VACCINE COMPANY PFIZER\WYETH GLAXOSMITHKLINE BIOLOGICALS |
U7969AA LK6651 2032352 |
Pyrexia, Rash; Pyrexia, Rash; Pyrexia, Rash
Pyrexia, Rash; Pyrexia, Rash; Pyrexia, Rash
|
Mother called the next day with reports of baby having a rash on chest area extending up to neck are...
Mother called the next day with reports of baby having a rash on chest area extending up to neck area and a fever
More
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| 2832843 | 47 | F | GA | 03/24/2025 |
HEP MMR VARCEL |
GLAXOSMITHKLINE BIOLOGICALS MERCK & CO. INC. MERCK & CO. INC. |
92NK25 X022411 X006980 |
Extra dose administered; Extra dose administered; Extra dose administered
Extra dose administered; Extra dose administered; Extra dose administered
|
PATIENT WAS GIVEN AN ADDITIONAL DOSE OF HEPATITIS B
PATIENT WAS GIVEN AN ADDITIONAL DOSE OF HEPATITIS B
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| 2832844 | 1.33 | M | OK | 03/24/2025 |
DTAPHEPBIP |
GLAXOSMITHKLINE BIOLOGICALS |
|
Pyrexia, Rash
Pyrexia, Rash
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Rash and high fever
Rash and high fever
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| 2832845 | 80 | F | FL | 03/24/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
51hwnhk4ct |
Herpes zoster, Nerve compression, Pain in extremity
Herpes zoster, Nerve compression, Pain in extremity
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Patient next day went to ER because of pain in arm (doctors thought pinched nerve) and after a week ...
Patient next day went to ER because of pain in arm (doctors thought pinched nerve) and after a week developed shingles
More
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| 2832846 | 64 | F | AL | 03/24/2025 |
PNC20 |
PFIZER\WYETH |
lj5284 |
Extra dose administered, No adverse event
Extra dose administered, No adverse event
|
Patient was given a second shot when current CDC recommendations include only one, no side effects
Patient was given a second shot when current CDC recommendations include only one, no side effects
|
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| 2832847 | 16 | F | GA | 03/24/2025 |
MENB MNQ |
PFIZER\WYETH SANOFI PASTEUR |
LF5302 U8256BA |
Erythema, Oedema peripheral, Pain in extremity; Erythema, Oedema peripheral, Pai...
Erythema, Oedema peripheral, Pain in extremity; Erythema, Oedema peripheral, Pain in extremity
More
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Reaction recorded by facility. Left arm erythema, mild edema, and pain. One other note, but I am una...
Reaction recorded by facility. Left arm erythema, mild edema, and pain. One other note, but I am unable to read the healthcare workers handwriting.
More
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| 2832849 | 34 | F | ME | 03/24/2025 |
COVID19 COVID19 COVID19 COVID19 |
PFIZER\BIONTECH PFIZER\BIONTECH PFIZER\BIONTECH PFIZER\BIONTECH |
EW0153 EW0153 EW0176 EW0176 |
Caesarean section, Carpal tunnel syndrome, Duchenne muscular dystrophy gene carr...
Caesarean section, Carpal tunnel syndrome, Duchenne muscular dystrophy gene carrier, Exposure during pregnancy, Food aversion; Gene mutation identification test positive, Induced labour, Nausea, Neonatal disorder, Sleep paralysis; Caesarean section, Carpal tunnel syndrome, Duchenne muscular dystrophy gene carrier, Exposure during pregnancy, Food aversion; Gene mutation identification test positive, Induced labour, Nausea, Neonatal disorder, Sleep paralysis
More
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Mom conceived on 4/17/21 and delivered at 39 weeks. Mom experienced carpal tunnel, food aversions, s...
Mom conceived on 4/17/21 and delivered at 39 weeks. Mom experienced carpal tunnel, food aversions, sleep paralysis, and nausea during pregnancy. Labor was induced and began and ended in an emergency c-section. Baby was 6lbs9oz at birth. Baby was delayed with sitting independently (11 months) and walking (19 months) and is still unable to jump or run at 3yrs3mos. He requires assistance moving up and down stairs. He was diagnosed with Duchenne muscular dystrophy on 10/23/24, with an exon deletion of 3-44. Mom was diagnosed as a carrier of the same mutation on 11/14/24. Maternal grandmother tested negative.
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โ | โ | โ | |||
| 2832850 | 71 | M | CA | 03/24/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
|
Magnetic resonance imaging normal, Transient ischaemic attack
Magnetic resonance imaging normal, Transient ischaemic attack
|
1 hour after receiving the vaccination, I had a TIA (transient ischemic attack.)
1 hour after receiving the vaccination, I had a TIA (transient ischemic attack.)
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| 2832851 | 37 | F | WI | 03/24/2025 |
HPV9 |
MERCK & CO. INC. |
1967338 |
Arthralgia, Burning sensation
Arthralgia, Burning sensation
|
Pt reports ongoing shoulder pain since the vaccine was administered, which has not dissipated over t...
Pt reports ongoing shoulder pain since the vaccine was administered, which has not dissipated over time. States it "burned excruciatingly" when administered but she wasn't sure if that was normal for HPV vaccine, as this was her first dose. States she recalls thinking at the time that it was administered very high up on her arm. States pain is not debilitating, but that its significant enough to wake her up at night and affects ability to do certain activities. Pt was treated with lidocaine patch and Medrol Dosepack steroids, with some relief. Pt has been evaluated and treated in Physical therapy, starting 9/3/24. Rates pain between a 1-7 at it's best/worst. PT describes as "pain along rotator cuff referral pattern, does not go to or past elbow. Abduction more painful than flexion. Abduction pain at shoulder height and above."
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| 2832852 | 70 | F | NC | 03/24/2025 |
FLU3 |
SANOFI PASTEUR |
U8489DA |
Urticaria
Urticaria
|
Patient had hives that were unrelieved by benadryl. Patient reported that she had a reaction in past...
Patient had hives that were unrelieved by benadryl. Patient reported that she had a reaction in past to flu vaccine, but did not attribute reaction to vaccine at that time so was not on her record. Provider gave atarax 25mg tablet and a decadron shot 10mg.
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| 2832853 | 39 | M | NJ | 03/24/2025 |
COVID19 COVID19 |
MODERNA MODERNA |
037C21A 037C21A |
Asthenia, Cold sweat, Cold-stimulus headache, Electric shock sensation, Influenz...
Asthenia, Cold sweat, Cold-stimulus headache, Electric shock sensation, Influenza like illness; Small fibre neuropathy
More
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Ice Cream headache and shocking sensation to my nervous system. Cold sweats and weakness.
Ice Cream headache and shocking sensation to my nervous system. Cold sweats and weakness.
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| 2832854 | 29 | M | ME | 03/24/2025 |
COVID19 |
PFIZER\BIONTECH |
|
Addison's disease, Adrenocortical insufficiency acute
Addison's disease, Adrenocortical insufficiency acute
|
Addison disease from Pfizer vaccine was hospitalized for 11 days with addisonion crisis from
Addison disease from Pfizer vaccine was hospitalized for 11 days with addisonion crisis from
|
โ | |||||
| 2832855 | F | NY | 03/24/2025 |
PNC21 |
MERCK & CO. INC. |
|
Asthenia, Fatigue, Nausea, Pyrexia, Vomiting
Asthenia, Fatigue, Nausea, Pyrexia, Vomiting
|
HCP calling on behalf of their wife to report after receiving CAPVAXIVE, their wife experienced naus...
HCP calling on behalf of their wife to report after receiving CAPVAXIVE, their wife experienced nausea, vomiting, fatigue, weakness and a fever. Caller states their wife received the PNEUMOVA23 in 2017 and had similar reactions but is unsure if they; HCP calling on behalf of their wife to report after receiving CAPVAXIVE, their wife experienced nausea, vomiting, fatigue, weakness and a fever. Caller states their wife received the PNEUMOVA23 in 2017 and had similar reactions but is unsure if they; HCP calling on behalf of their wife to report after receiving CAPVAXIVE, their wife experienced nausea, vomiting, fatigue, weakness and a fever. Caller states their wife received the PNEUMOVA23 in 2017 and had similar reactions but is unsure if they; HCP calling on behalf of their wife to report after receiving CAPVAXIVE, their wife experienced nausea, vomiting, fatigue, weakness and a fever. Caller states their wife received the PNEUMOVA23 in 2017 and had similar reactions but is unsure if they; HCP calling on behalf of their wife to report after receiving CAPVAXIVE, their wife experienced nausea, vomiting, fatigue, weakness and a fever. Caller states their wife received the PNEUMOVA23 in 2017 and had similar reactions but is unsure if they; This spontaneous report was received from a physician and refers to a 74-year-old female patient. The patient's medical history was not reported. The patient's concurrent conditions were not reported. Concomitant therapies were not reported. On 07-Mar-2025, the patient started therapy with Pneumococcal 21-valent Conjugate Vaccine (CAPVAXIVE), dose number 1, administered by Intramuscular route (lot # and expiration date were not reported) for routine vaccination. On 07-Mar-2025, the patient experienced nausea, vomiting, fatigue, weakness (asthenia) and a fever (pyrexia). At the reporting time, the patient had not recovered from the events. The causal relationship between the events and Pneumococcal 21-valent Conjugate Vaccine (CAPVAXIVE) was unknown.
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| 2832856 | 4 | F | CA | 03/24/2025 |
DTAPIPV MMRV |
GLAXOSMITHKLINE BIOLOGICALS MERCK & CO. INC. |
4L454 Y018157 |
Injection site erythema, Injection site swelling, Injection site warmth; Injecti...
Injection site erythema, Injection site swelling, Injection site warmth; Injection site erythema, Injection site swelling, Injection site warmth
More
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Redness, swelling about 2 in diameter to Right thigh, warmth to touch.
Redness, swelling about 2 in diameter to Right thigh, warmth to touch.
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| 2832857 | 8 | M | CA | 03/24/2025 |
DTAP |
SANOFI PASTEUR |
3CA25C1 |
No adverse event, Product administered to patient of inappropriate age
No adverse event, Product administered to patient of inappropriate age
|
No adverse event occurred. On 3/20/25, the patient (8 years old) had appointment at 4:30 PM, and was...
No adverse event occurred. On 3/20/25, the patient (8 years old) had appointment at 4:30 PM, and was brought in by his mother to receive vaccines. The mother did not know which vaccines her child needed, but brought in a form from the patient's school with a list of required vaccines, as well as the patient's vaccination record. The pharmacist reviewed the list and vaccination record, and determined that the patient had not yet received the 5th dose of Daptacel (DTaP). The school-required vaccines also indicated that the patient needed a 5th dose of DTaP. The pharmacist informed the patient's mother that he would be receiving Daptacel, and proceeded to check-in the patient and prepare the vaccine. The patient received the Daptacel vaccine 0.5 mL intramuscularly in the left deltoid. After the patient and his mother left, the pharmacy clerk attempted to complete the appointment. However, she was not able to select Daptacel as the product used. On the following day, 3/21/25, the pharmacist opened a ticket to see why we were not able to select the vaccine. informed us that we were not able to select Daptacel because it is only indicated for patients ages 6 months to 6 years old. After reviewing CDC guidelines, the pharmacist determined that the patient was actually indicated for Tdap, and should have received Adacel or Boostrix, instead of Daptacel. However, CDC guidelines also state that Daptacel is still valid for a patient in his age group, and that the patient can then receive a booster of Adacel or Boostrix once he turns 11 years old. The pharmacist called the patient?s mother using the telephone interpreter service (the patient?s mother only speaks Spanish). The pharmacist informed the patient?s mother of the mistake, and the patient?s mother was understanding and said ?Okay.? The pharmacist also received the patient?s PCP information from his mother and informed the PCP office of the mistake. For error prevention in the future, the pharmacist will thoroughly check CDC guidelines and age recommendations, and will not administer vaccines unless they are indicated for the patient?s age group.
More
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| 2832858 | 4 | F | MA | 03/24/2025 |
MMRV |
MERCK & CO. INC. |
Y014435 |
Pyrexia, Vomiting
Pyrexia, Vomiting
|
Fever and vomiting
Fever and vomiting
|
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| 2832859 | 28 | F | WA | 03/24/2025 |
VARCEL |
MERCK & CO. INC. |
Y013348 |
Inappropriate schedule of product administration
Inappropriate schedule of product administration
|
Varicella vaccine given on 3/18/2025 did not realize that patient was already given the MMR 3/01/202...
Varicella vaccine given on 3/18/2025 did not realize that patient was already given the MMR 3/01/2025
More
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| 2832860 | 56 | F | NM | 03/24/2025 |
PNC21 PNC21 |
MERCK & CO. INC. MERCK & CO. INC. |
|
Asthenia, Burning sensation, Dry mouth, Dysphagia, Lymphadenopathy; Renal cancer
Asthenia, Burning sensation, Dry mouth, Dysphagia, Lymphadenopathy; Renal cancer
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Burning going through right and the up the left. I let the nurse know who stated it was normal and i...
Burning going through right and the up the left. I let the nurse know who stated it was normal and i waited in the room for 15 mins. I took a sip of water and i could no swallow. After 15 min i was fine. I went home and an hour later i felt weak in the knees and then i felt like i could not swallow again and my husband took me to the ER. And then everything started to feel better but the doctor stated my lymphoid was swollen which is might be the reason i can not swallow. And he told me to do a follow. My mouth felt super dry and i started having crustiest on the outside of my mouth.
More
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| 2832861 | 0.17 | M | TX | 03/24/2025 |
TDAP |
GLAXOSMITHKLINE BIOLOGICALS |
L5229 |
No adverse event, Wrong product administered
No adverse event, Wrong product administered
|
Patient was given Boostrix at 2 months of age instead of Vaxelis vaccine. Patient did not show any s...
Patient was given Boostrix at 2 months of age instead of Vaxelis vaccine. Patient did not show any signs or symptoms of adverse reaction at time of administration. Patient was discharged from clinic after being observed and cleared by Dr.
More
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| 2832862 | 52 | M | OR | 03/24/2025 |
MMR |
MERCK & CO. INC. |
|
Erythema, Oedema peripheral, Tenderness
Erythema, Oedema peripheral, Tenderness
|
Swelling and redness, approximately 7 cm in size, were reported in the left armpit, the same side as...
Swelling and redness, approximately 7 cm in size, were reported in the left armpit, the same side as the MMR vaccine administration (03/19/25) . The individual also experienced pain when touched, with symptoms beginning on the same day as the vaccine
More
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| 2832863 | 50 | M | CA | 03/24/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
pc5y3 |
Rash
Rash
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Patient reported a painful rash that developed the next day that has gotten smaller in size and pain...
Patient reported a painful rash that developed the next day that has gotten smaller in size and pain as the days progressed.
More
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| 2832864 | 28 | F | GA | 03/24/2025 |
COVID19 |
MODERNA |
|
Electrocardiogram, Pericarditis
Electrocardiogram, Pericarditis
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Pericarditis, treated with ibuprofen outpatient, no symptoms after 5 days
Pericarditis, treated with ibuprofen outpatient, no symptoms after 5 days
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| 2832866 | 63 | M | MI | 03/24/2025 |
COVID19 COVID19 COVID19 COVID19 COVID19 |
PFIZER\BIONTECH PFIZER\BIONTECH PFIZER\BIONTECH PFIZER\BIONTECH PFIZER\BIONTECH |
LP1780 LP1780 LP1780 LP1780 LP1780 |
Blood bicarbonate increased, Blood electrolytes, Blood lactic acid, Blood pH dec...
Blood bicarbonate increased, Blood electrolytes, Blood lactic acid, Blood pH decreased, Brain natriuretic peptide increased; Carbon dioxide increased, Chronic obstructive pulmonary disease, Condition aggravated, Cough, Diastolic dysfunction; Dyspnoea, Echocardiogram abnormal, Ejection fraction decreased, Heart failure with reduced ejection fraction, Hypercapnia; Hypoxia, Intensive care, Obstructive sleep apnoea syndrome, PCO2 increased, Positive airway pressure therapy; Respiratory distress, Tachycardia, Tachypnoea, Ventricular hypokinesia, Viral myocarditis
More
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Patient experienced new onset diagnosis, "it looks like viral myocarditis" and was hospita...
Patient experienced new onset diagnosis, "it looks like viral myocarditis" and was hospitalized in the ICU for this. The timing is related to receipt of his COVID vaccine on 3/14/2025, but onset of symptoms started before the vaccine. It is unknown whether there is any causality since patient has had respiratory symptoms for approximately 2 weeks, and received the vaccine during his worsening respiratory symptoms. The cough and SOB may have been related to myocarditis prior to receiving the vaccine, due to recent suspected viral illness. The timing of the vaccine vs. viral exposure with sick contact clouds the picture. Patient also has longstanding 40py history of smoking and was diagnosed with a COPD exacerbation, and likely OSA. The heart failure with EF 11% is NYHA Class IV, Stage C, new onset. More details from H&P: "63 y.o. year-old male with unknown past medical history who presented with shortness of breath. Patient has not seen a physician in many years and has not been on any medications at home. Patient states that he was in his usual state of health up until 2 weeks ago when he developed had a cough. He states that his granddaughter was also sick with similar symptoms around the same time. He states that he received COVID-19 vaccine on 3/16 and since then has been having symptoms of cough and shortness of breath. He states that shortness of breath has been getting progressively worse and so he came to the ED for further evaluation. In the ED, patient was noted to be tachycardic, tachypneic and hypoxic with SpO2 of 53 on room air. He was subsequently started on 5 L of oxygen via nasal cannula. Electrolytes showed elevated CO2 consistent with chronic CO2 retention. ABG showed pH 7.26, pCO2 85.7, HCO3 38.5, lactate 0.7. Patient was started on breathing treatments. She was called due to respiratory distress and patient was transferred to the ICU. In ICU patient was started on BiPAP. Further evaluation with echocardiogram showed patient has EF of 11% with global LV hypokinesis and grade 2 diastolic dysfunction. Cardiology has been consulted for management of heart failure with severely reduced EF. Patient denies any family history of cardiac events. Brother, mother and Sister all died from lung cancer. He does state he gets chest pain and shortness of breath with any physical exertion fro the last 3 months. He also endorses snoring and feeling not well rested after sleeping."
More
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โ | โ | ||||
| 2832867 | 4 | F | WA | 03/24/2025 |
DTAPIPVHIB |
SANOFI PASTEUR |
UK017AA |
Product administered to patient of inappropriate age
Product administered to patient of inappropriate age
|
Pt received the vaccine Pentacel in error instead of Quadracel that was needed for their age/Vaccina...
Pt received the vaccine Pentacel in error instead of Quadracel that was needed for their age/Vaccination requirement. Verified with DOH that patient does not need repeated Dtap/IPV d/t the timing of the vaccine being out of age range recommendation for vaccine.
More
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| 2832868 | 10 | M | IN | 03/24/2025 |
HPV9 |
MERCK & CO. INC. |
HPV9 |
No adverse event
No adverse event
|
none
none
|
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| 2832869 | 4 | M | IN | 03/24/2025 |
MMRV MMRV |
MERCK & CO. INC. MERCK & CO. INC. |
Y013576 Y013576 |
Disorientation, Malaise, Poor quality sleep, Pyrexia, Screaming; Skin warm, Star...
Disorientation, Malaise, Poor quality sleep, Pyrexia, Screaming; Skin warm, Staring, Streptococcus test negative, Tremor
More
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On 3-22-25 he had a fever and possible febrile seizure. He slept poorly on Friday. On Saturday at f...
On 3-22-25 he had a fever and possible febrile seizure. He slept poorly on Friday. On Saturday at family members house mother suspected he wasn't feeling good and a bit warm. However that nigh he woke up 45 mins later somewhat disoriented. First thing mom noted that his hands started to shake. He then had his whole body was shaking. He then had a high pitched scream. Father picked him up and he continued to have some shaking. Eyes were staring blankly. No LOC. He did not pee himself, he is potty trained. All in all the shaking was < 5 mins. No vomiting. No color change. He was seen in the office and well appearing. He had a normal neurological exam. Family was advised to watch for future events.
More
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| 2832870 | 20 | F | MA | 03/24/2025 |
HEP |
DYNAVAX TECHNOLOGIES CORPORATION |
|
Pharyngeal swelling, Pruritus, Swelling, Swelling face
Pharyngeal swelling, Pruritus, Swelling, Swelling face
|
Swollen face & neck/throat & itchiness were the symptoms. I went to urgent care and was pres...
Swollen face & neck/throat & itchiness were the symptoms. I went to urgent care and was prescribed over the counter Benadryl & and EpiPen & prednisone
More
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| 2832871 | 70 | M | CA | 03/24/2025 |
COVID19 |
MODERNA |
3044069 |
Heart rate irregular, Hypopnoea, Pallor, Sepsis
Heart rate irregular, Hypopnoea, Pallor, Sepsis
|
RESIDENT NOTED WITH CHANGE IN CONDITION EVENT ON 3/22/2025 1330- OXYGEN SATURATION @85% ON 2L OXYGE...
RESIDENT NOTED WITH CHANGE IN CONDITION EVENT ON 3/22/2025 1330- OXYGEN SATURATION @85% ON 2L OXYGEN VIA NASAL CANNULA, SHALLOW RESPIRATONS, SKIN COLOR NOTED TO BE PALE. VITAL SIGNS: BP 117/66, P 121 (IRREGULAR), RR 12, T 97.2, SPO2 85% VIA 2L NC, BS 191. NON-REBREATHER MASK PLACED ON RESIDENT WITH O2 SATURATION AT 100%. MD NOTIFIED WITH ORDER TO TRANSFER RESIDENT TO HOSPITAL FOR FURTHER EVALUATION, RESIDENT TRANSFERRED TO HOSPITAL WITH DX OF SEPSIS.
More
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โ | |||||
| 2832872 | 69 | F | NY | 03/24/2025 |
VARZOS VARZOS VARZOS VARZOS |
GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS |
NDC: 58160-0823 NDC: 58160-0823 UNK UNK |
Aphonia, Condition aggravated, Eyelid discolouration, Swelling of eyelid, Tinnit...
Aphonia, Condition aggravated, Eyelid discolouration, Swelling of eyelid, Tinnitus; Aphonia, Erythema, Eye swelling, Eyelid oedema, Ocular hyperaemia; Aphonia, Condition aggravated, Eyelid discolouration, Swelling of eyelid, Tinnitus; Aphonia, Erythema, Eye swelling, Eyelid oedema, Ocular hyperaemia
More
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Both eyelids swollen and discolored; total loss of voice. Was advised to take 25mg diphenhydramine a...
Both eyelids swollen and discolored; total loss of voice. Was advised to take 25mg diphenhydramine and 10mg Zyrtec. In ER was given 40mg prednisone PO and observed for several hours. Was discharged when voice started to return. Sent home on diphenhydramine 50mg PO q6h x 1week, Zyrtec 10mg q24h x 1 month, prednisone 50mg q24h x 5 additional days, famotidine 20mg q24h. Personal MD recommended using diphenhydramine PRN instead of q6h. Also recommended continuing prednisone 10mg q24h for 1 month following the 5 days of 50mg. Advised to continue the Zyrtec and famotidine for that month. Since then tinnitus is louder.
More
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| 2832873 | 60 | F | CA | 03/24/2025 |
TDAP VARZOS |
SANOFI PASTEUR GLAXOSMITHKLINE BIOLOGICALS |
3CA30C1 H97H2 |
Injection site erythema, Injection site swelling; Injection site erythema, Injec...
Injection site erythema, Injection site swelling; Injection site erythema, Injection site swelling
More
|
Redness, swelling at injection site
Redness, swelling at injection site
|
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| 2832874 | 85 | F | CA | 03/24/2025 |
COVID19 |
MODERNA |
3044069 |
Hypopnoea, Oedema peripheral, Pallor, Respiratory failure, Use of accessory resp...
Hypopnoea, Oedema peripheral, Pallor, Respiratory failure, Use of accessory respiratory muscles
More
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ON 3/23/2025 @1830 RESIDENT NOTED WITH SHALLOW RESPIRATIONS W/ USE OF ACCESSORY MUSCLES. VS: BP 134/...
ON 3/23/2025 @1830 RESIDENT NOTED WITH SHALLOW RESPIRATIONS W/ USE OF ACCESSORY MUSCLES. VS: BP 134/93, P 60 REGULAR, RR 12, T 97.3 SPO2 100% ON 2L VIA NON-REBREATHER MASK, PALE SKIN, RESIDENT NOTED WITH +1 BILATERAL EDEMA TO LEGS. MD NOTIFIED WITH ORDER TO TRANSFER TO HOSPITAL FOR FURTHER EVALUATION. DX OF RESPIRATORY FAILURE @ HOSPITAL.
More
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โ | |||||
| 2832875 | 0.25 | F | MI | 03/24/2025 |
RV1 |
GLAXOSMITHKLINE BIOLOGICALS |
FJ442 |
Inappropriate schedule of product administration
Inappropriate schedule of product administration
|
Patient was started on immunization series 5 days outside of schedule guidelines.
Patient was started on immunization series 5 days outside of schedule guidelines.
|
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| 2832876 | 18 | F | MI | 03/24/2025 |
FLU3 |
GLAXOSMITHKLINE BIOLOGICALS |
24PL5 |
Extra dose administered
Extra dose administered
|
Patient was given another flu shot, she was given one initially 10/17/2024
Patient was given another flu shot, she was given one initially 10/17/2024
|
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| 2832877 | 77 | F | ID | 03/24/2025 |
COVID19 PPV TDAP TYP |
PFIZER\BIONTECH MERCK & CO. INC. SANOFI PASTEUR SANOFI PASTEUR |
LN0591 LG5575 U8339BA X1A271M |
Extra dose administered; Extra dose administered; Extra dose administered; Extra...
Extra dose administered; Extra dose administered; Extra dose administered; Extra dose administered
More
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CLIENT HAD RECEIVED THE SAME VACCINE PREVIOUSLY ON 09/23/2024, THIS WASN'T SEEN IN HER CHART OF...
CLIENT HAD RECEIVED THE SAME VACCINE PREVIOUSLY ON 09/23/2024, THIS WASN'T SEEN IN HER CHART OF PREVIOUS RECORDS AND INADVERTANTLY GIVEN A SECOND TIME
More
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| 2832878 | 0.5 | F | GA | 03/24/2025 |
HEPA |
GLAXOSMITHKLINE BIOLOGICALS |
J4k4X |
No adverse event, Wrong patient
No adverse event, Wrong patient
|
No adverse events. Will be monitoring the baby. This baby, who is 6 months old, inadvertently rece...
No adverse events. Will be monitoring the baby. This baby, who is 6 months old, inadvertently received Hep A, which was meant for another child. The was baby is doing well. Baby was supposed to receive Pediarix PCV & HIB. Instead, she received Hep A DTaP PCV.
More
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| 2832879 | 57 | F | MO | 03/24/2025 |
VARZOS VARZOS VARZOS |
GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS |
94SE2 94SE2 94SE2 |
Blood thyroid stimulating hormone, Diarrhoea, Feeling cold, Full blood count, Gl...
Blood thyroid stimulating hormone, Diarrhoea, Feeling cold, Full blood count, Glycosylated haemoglobin; Hallucination, Headache, Lumbar puncture, Metabolic function test, Pyrexia; Vitamin D, Vomiting
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Reports fever, vomiting, diarrhea, headache, and hallucinations about 5 hours after injection. Needi...
Reports fever, vomiting, diarrhea, headache, and hallucinations about 5 hours after injection. Needing several blankets to be warm. Her husband reported "she was talking to things that weren't there."
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| 2832880 | 14 | F | CA | 03/24/2025 |
HPV9 |
MERCK & CO. INC. |
Y008119 |
Anxiety, Dyskinesia, Fear, Tremor
Anxiety, Dyskinesia, Fear, Tremor
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tremors, vibration in the body, shaking, anxiety, fear, uncontrollable body movements,
tremors, vibration in the body, shaking, anxiety, fear, uncontrollable body movements,
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| 2832882 | 29 | F | PA | 03/24/2025 |
FLU3 |
SANOFI PASTEUR |
U8515CA |
Nausea
Nausea
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Slight nausea
Slight nausea
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| 2832883 | 54 | M | WA | 03/24/2025 |
PNC20 |
PFIZER\WYETH |
LJ5284 |
Headache, Sinus congestion
Headache, Sinus congestion
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Patient claiming Sinus congestion; Headache when lay down after immunization, especially when he lay...
Patient claiming Sinus congestion; Headache when lay down after immunization, especially when he lays down; Recommended using cetirizine for a week, but no improvement per patient at the moment
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| 2832884 | 1 | F | TX | 03/24/2025 |
HEPA MMR VARCEL |
MERCK & CO. INC. MERCK & CO. INC. MERCK & CO. INC. |
Y008483 Y013132 Y014868 |
Infant irritability, Injection site erythema, Injection site pruritus, Rash; Inf...
Infant irritability, Injection site erythema, Injection site pruritus, Rash; Infant irritability, Injection site erythema, Injection site pruritus, Rash; Infant irritability, Injection site erythema, Injection site pruritus, Rash
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Patient developed redness and itching around the vaccine sites within 5 minutes of injection. She wa...
Patient developed redness and itching around the vaccine sites within 5 minutes of injection. She was more irritable than she typically is following vaccines. The reaction was limited to ~ 4 inches around the injection site. Patient was treated with oral Benadryl in office and monitored for 30 minutes with improvement in itching, fussiness, and rash.
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| 2832885 | 4 | M | AZ | 03/24/2025 |
DTAPIPV DTAPIPV MMRV MMRV |
SANOFI PASTEUR SANOFI PASTEUR MERCK & CO. INC. MERCK & CO. INC. |
U7838AA U7838AA X025093 X025093 |
Injection site erythema, Injection site induration, Injection site reaction, Inj...
Injection site erythema, Injection site induration, Injection site reaction, Injection site swelling, Injection site warmth; Musculoskeletal stiffness; Injection site erythema, Injection site induration, Injection site reaction, Injection site swelling, Injection site warmth; Musculoskeletal stiffness
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He received 2 shots one in each arm on Friday 3/14/25. The right arm started showing symptoms on Sat...
He received 2 shots one in each arm on Friday 3/14/25. The right arm started showing symptoms on Saturday 3/15/25 around 8pm. His right arm had swollen tremendously from his shoulder to his elbow. His skin was hot and red, stiff, and when you touched his arm it was completely hard.
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| 2832886 | 0.33 | F | OR | 03/24/2025 |
RV5 |
MERCK & CO. INC. |
Y005877 |
Vomiting
Vomiting
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patient vomiting during administering.
patient vomiting during administering.
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| 2832887 | 63 | M | NJ | 03/24/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
74NC9 |
Abdominal pain, Injection site erythema, Rash
Abdominal pain, Injection site erythema, Rash
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Site: Redness at Injection Site-Medium, Systemic: Allergic: Rash Generalized-Medium, Systemic: Abdom...
Site: Redness at Injection Site-Medium, Systemic: Allergic: Rash Generalized-Medium, Systemic: Abdominal Pain-Medium, Additional Details: Redness at Injection Site of injection
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| 2832888 | 83 | F | IL | 03/24/2025 |
RSV |
GLAXOSMITHKLINE BIOLOGICALS |
24m94 |
Injection site bruising, Injection site erythema, Injection site pain, Injection...
Injection site bruising, Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling
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Site: Bruising at Injection Site-Medium, Site: Itching at Injection Site-Medium, Site: Pain at Injec...
Site: Bruising at Injection Site-Medium, Site: Itching at Injection Site-Medium, Site: Pain at Injection Site-Medium, Site: Redness at Injection Site-Medium, Site: Swelling at Injection Site-Medium, Other Vaccines: VaccineTypeBrand: pneumovax; Manufacturer: merck; LotNumber: y016291; Route: im; BodySite: left deltoid; Dose: ; VaxDate: UNKNOWN
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| 2832889 | 55 | F | AL | 03/24/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
ts525 |
Asthenia, Headache, Injection site pain, Nausea, Pain
Asthenia, Headache, Injection site pain, Nausea, Pain
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Site: Pain at Injection Site-Mild, Systemic: Nausea-Mild, Systemic: Weakness-Mild, Additional Detail...
Site: Pain at Injection Site-Mild, Systemic: Nausea-Mild, Systemic: Weakness-Mild, Additional Details: pt says she felt nauseated, sore, and someone was standing on her head., Other Vaccines: VaccineTypeBrand: hepslav b; Manufacturer: dynax; LotNumber: 945662; Route: im; BodySite: left; Dose: ; VaxDate: UNKNOWN, VaccineTypeBrand: boostrix; Manufacturer: glaskosmith cline; LotNumber: 7kd5d; Route: im; BodySite: left; Dose: ; VaxDate: UNKNOWN, VaccineTypeBrand: capvaxine; Manufacturer: merck; LotNumber: y013009; Route: im; BodySite: left; Dose: ; VaxDate: UNKNOWN
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| 2832890 | 72 | F | PA | 03/24/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
7349L |
Injection site erythema, Injection site pruritus, Pruritus, Rash
Injection site erythema, Injection site pruritus, Pruritus, Rash
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Site: Itching at Injection Site-Mild, Site: Redness at Injection Site-Mild, Systemic: Allergic: Itch...
Site: Itching at Injection Site-Mild, Site: Redness at Injection Site-Mild, Systemic: Allergic: Itch (specify: facial area, extremeties)-Mild, Systemic: Allergic: Rash (specify: facial area, extremeties)-Mild, Additional Details: Patient said it was onl mild. her arm is still red at the site of the injection but she reported tat it's getting better and 1 advised her to use benadryl and talk to her doctor. and to call 911 if symptoms are getting worse
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| 2832891 | 58 | F | PA | 03/24/2025 |
MMR |
GLAXOSMITHKLINE BIOLOGICALS |
xx9n4 |
Injection site bruising, Injection site erythema, Injection site pain, Injection...
Injection site bruising, Injection site erythema, Injection site pain, Injection site swelling
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Site: Bruising at Injection Site-Mild, Site: Pain at Injection Site-Mild, Site: Redness at Injection...
Site: Bruising at Injection Site-Mild, Site: Pain at Injection Site-Mild, Site: Redness at Injection Site-Mild, Site: Swelling at Injection Site-Mild
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| 2832892 | 60 | F | CA | 03/24/2025 |
PNC21 PNC21 |
MERCK & CO. INC. MERCK & CO. INC. |
y019158 y019158 |
Injection site erythema, Injection site pain, Injection site pruritus, Injection...
Injection site erythema, Injection site pain, Injection site pruritus, Injection site rash, Injection site swelling; Rash, Skin warm, Tenderness
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Site: Itching at Injection Site-Mild, Site: Pain at Injection Site-Medium, Site: Redness at Injectio...
Site: Itching at Injection Site-Mild, Site: Pain at Injection Site-Medium, Site: Redness at Injection Site-Medium, Site: Swelling at Injection Site-Mild, Systemic: Allergic: Itch (specify: facial area, extremeties)-Mild, Systemic: Allergic: Rash (specify: facial area, extremeties)-Mild, Additional Details: Pt received vaccine on Monday 3/10/2025, came in today Sunday 3/16 and showed rash to pharmacist. Pt said it started on 3/11 Tuesday and it has improved but the rash was from her injection site all the way down the arm. Pt states her arm is tender and warm. Pt has been taking Benadryl which has helped a little. Pharmacist recommended the pt to go seek medical attention at the ER or Urgent Care to make sure it is not cellulitis. Pt states she will think about it.
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| 2832893 | 58 | M | CA | 03/24/2025 |
PNC21 PNC21 |
MERCK & CO. INC. MERCK & CO. INC. |
y019158 y019158 |
Asthenia, Dizziness, Headache, Injection site erythema, Injection site pain; Inj...
Asthenia, Dizziness, Headache, Injection site erythema, Injection site pain; Injection site pruritus, Injection site swelling, Myalgia, Pain
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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, Site: Swelling at Injection Site-Medium, Systemic: Body Aches Generalized-Medium, Systemic: Dizziness / Lightheadness-Medium, Systemic: muscle pain and bodyweakness-Medium, Systemic: Headache-Medium, Systemic: Weakness-Medium
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