| ID | Age | Sex | State | Date โผ | Onset Days | Vaccine | Manufacturer | Lot # | Symptoms | Narrative | ๐ | ๐ฅ | ๐ | โฟ | โ ๏ธ |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2803606 | 82 | M | CA | 10/29/2024 |
YF YF YF YF YF |
SANOFI PASTEUR SANOFI PASTEUR SANOFI PASTEUR SANOFI PASTEUR SANOFI PASTEUR |
UK117AA |
Hypotension, Intensive care, Liver function test increased, Neurological symptom...
Hypotension, Intensive care, Liver function test increased, Neurological symptom, Thrombocytopenia; Systemic inflammatory response syndrome; Hypotension, Intensive care, Liver function test increased, Neurological symptom, Thrombocytopenia; Systemic inflammatory response syndrome; Unevaluable event
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thrombocytopenia; hypotensive; got elevated LFTs; neurological changes; Initial information received...
thrombocytopenia; hypotensive; got elevated LFTs; neurological changes; Initial information received on 22-Oct-2024 regarding an unsolicited valid serious case received from a physician. This case involves a 82 years old male patient who experienced hypotensive, got elevated LFTs (liver function test), neurological changes and thrombocytopenia after receiving yellow fever vaccine - [YF-VAX]. The patient's past medical history, medical treatment(s), vaccination(s) and family history were not provided. On an unknown date, the patient received 0.5 mg dose of yellow fever vaccine - US Solution for injection with standard strength (lot number and expiry date not reported) once via subcutaneous route in unknown administration site for Immunization. On an unknown date the patient was hypotensive (hypotension), got elevated lfts (liver function test increased), neurological changes (nervous system disorder) and thrombocytopenia (latency- 5 days) following the administration of yellow fever vaccine -. Information on the batch number was requested corresponding to the one at time of event occurrence. Reportedly, Physician reported that patient had an adverse effect 5 days after receiving YF-VAX. Physician stated that it seems like patient had got that visceral Visceral Topic Disease from it. Now, the patient was in the ICU (Intensive Care Unit). Patient was hypotensive. Patient had got elevated LFTs, abnormal crowning function, and thrombocytopenia. Patient had neurological changes as well. Patient was hypotensive and mild [unconfirmed] lysis. Patient was still in the ICU right now as per physician. Physician said that patient got the YF-VAX in preparation because he was leaving the country. Patient was being treated by the Doctor. Action taken was not applicable. It was not reported if the patient received a corrective treatment for all the events. At time of reporting, the outcome was Not Recovered / Not Resolved for all the events. Seriousness criteria: The patient was hospitalized for all the events and medically significant for thrombocytopenia.; Sender's Comments: Sanofi company comment dated 29-Oct-2024: This case involves a 82 years old male patient who experienced hypotensive, got elevated LFTs (liver function test), neurological changes and thrombocytopenia after receiving yellow fever vaccine - [YF-VAX]. Further information regarding concurrent condition during vaccination, tolerance, allergic history, laboratory investigations excluding alternative etiologies for the reported event are needed to fully assess this case. Based upon the reported information, the role of the individual suspect vaccine cannot be assessed
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| 2830932 | 03/12/2025 |
VARZOS |
UNKNOWN MANUFACTURER |
UNK |
Herpes zoster, Vaccination failure
Herpes zoster, Vaccination failure
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Suspected vaccination failure; experineced shingles 3 times; This serious case was reported by a con...
Suspected vaccination failure; experineced shingles 3 times; This serious case was reported by a consumer via interactive digital media and described the occurrence of vaccination failure in a patient who received Herpes zoster (Shingles vaccine) for prophylaxis. On an unknown date, the patient received Shingles vaccine. On an unknown date, an unknown time after receiving Shingles vaccine, the patient experienced vaccination failure (Verbatim: Suspected vaccination failure) (serious criteria GSK medically significant) and shingles (Verbatim: experineced shingles 3 times). The outcome of the vaccination failure and shingles were not reported. It was unknown if the reporter considered the vaccination failure and shingles to be related to Shingles vaccine. The company considered the vaccination failure to be unrelated to Shingles vaccine. It was unknown if the company considered the shingles to be related to Shingles vaccine. Additional Information: GSK Receipt Date: 09-MAR-2025 This case was reported by a patient via interactive digital media. The patient was vaccinated for shingles and have had shingles 3 times since then. This case was considered as suspected vaccination failure as details regarding completion of primary vaccination schedule, time to onset for shingles and laboratory confirmation regarding shingles were unknown at the time of reporting.; Sender's Comments: Vaccination failure is a listed event which, due to the following criteria (insufficient information provided about the clinical description, details regarding completion of primary vaccination schedule, time to onset and laboratory confirmation of disease) is considered unrelated to GSK Shingles vaccine.
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| 2830933 | M | OH | 03/12/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
3939H2S |
Extra dose administered
Extra dose administered
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Extra dose/ third dose administered; This non-serious case was reported by a other health profession...
Extra dose/ third dose administered; This non-serious case was reported by a other health professional via call center representative and described the occurrence of extra dose administered in a 73-year-old male patient who received Herpes zoster (Shingrix) (batch number 3939H2S, expiry date 10-MAR-2027) for prophylaxis. Previously administered products included Shingrix (received 1st dose on 19-FEB-2020) and Shingrix (received 2nd dose on 06-AUG-2020). On 18-FEB-2025, the patient received the 3rd dose of Shingrix. On 18-FEB-2025, an unknown time after receiving Shingrix, the patient experienced extra dose administered (Verbatim: Extra dose/ third dose administered). The outcome of the extra dose administered was not applicable. Additional Information: GSK Receipt Date: 04-MAR-2025 The Vaccine Administration Facility is the same as Primary Reporter The Practice Director called to enquire if there was any issue with a patient that had the complete schedule for Shingrix vaccine, and received an extra dose (third dose) a few weeks ago. The patient had received the 3rd dose of Shingrix, which had led to extra dose administered.
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| 2830934 | 53 | M | NV | 03/12/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
93kk4 |
Inappropriate schedule of product administration
Inappropriate schedule of product administration
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Shingrix early second dose; This non-serious case was reported by a pharmacist via call center repre...
Shingrix early second dose; This non-serious case was reported by a pharmacist via call center representative and described the occurrence of drug dose administration interval too short in a 53-year-old male patient who received Herpes zoster (Shingrix) (batch number 93kk4, expiry date 31-JAN-2027) for prophylaxis. Concomitant products included Varicella zoster vaccine rgE (CHO) (Shingrix). On 06-FEB-2025, the patient received the 2nd dose of Shingrix. On 06-FEB-2025, an unknown time after receiving Shingrix, the patient experienced drug dose administration interval too short (Verbatim: Shingrix early second dose). The outcome of the drug dose administration interval too short was not applicable. Additional Information: GSK Receipt Date: 05-MAR-2025 The pharmacist reported a patient received the first dose of Shingrix on 13th January 2025. The patient was not immunocompromised. The reporter consented to follow up. The patient received 2nd dose of Shingrix, earlier than the recommended interval, which led to shortening of vaccination schedule.
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| 2830935 | 73 | M | 03/12/2025 |
COVID19 |
MODERNA |
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Fatigue, Feeling abnormal, Initial insomnia
Fatigue, Feeling abnormal, Initial insomnia
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around lunch time it seems like I am zapped, I can never fall asleep but I have to lay down and rest...
around lunch time it seems like I am zapped, I can never fall asleep but I have to lay down and rest for a while; Extreme tiredness/started getting extremely tired in the afternoon; around lunch time it seems like I am zapped, I can never fall asleep but I have to lay down and rest for a while; This spontaneous case was reported by a patient and describes the occurrence of INITIAL INSOMNIA (around lunch time it seems like I am zapped, I can never fall asleep but I have to lay down and rest for a while), FATIGUE (Extreme tiredness/started getting extremely tired in the afternoon) and FEELING ABNORMAL (around lunch time it seems like I am zapped, I can never fall asleep but I have to lay down and rest for a while) in a 73-year-old male patient who received mRNA-1273.712 (SPIKEVAX 2024-2025 PFS) for COVID-19 prophylaxis. Previously administered products included for Product used for unknown indication: Pfizer-BioNTech COVID-19 Vaccine (Dose 2) in 2021, Pfizer-BioNTech COVID-19 Vaccine (Dose 1) in 2021, Pfizer-BioNTech COVID-19 Vaccine (Dose 3) in 2022, Pfizer-BioNTech COVID-19 Vaccine (Dose 4) in 2022 and Pfizer-BioNTech COVID-19 Vaccine (Dose 5) in 2023. Past adverse reactions to the above products included No adverse effect with Pfizer-BioNTech COVID-19 Vaccine, Pfizer-BioNTech COVID-19 Vaccine, Pfizer-BioNTech COVID-19 Vaccine, Pfizer-BioNTech COVID-19 Vaccine and Pfizer-BioNTech COVID-19 Vaccine. In October 2024, the patient received sixth dose of mRNA-1273.712 (SPIKEVAX 2024-2025 PFS) (unknown route) 1 dosage form. On an unknown date, the patient experienced INITIAL INSOMNIA (around lunch time it seems like I am zapped, I can never fall asleep but I have to lay down and rest for a while), FATIGUE (Extreme tiredness/started getting extremely tired in the afternoon) and FEELING ABNORMAL (around lunch time it seems like I am zapped, I can never fall asleep but I have to lay down and rest for a while). At the time of the report, INITIAL INSOMNIA (around lunch time it seems like I am zapped, I can never fall asleep but I have to lay down and rest for a while), FATIGUE (Extreme tiredness/started getting extremely tired in the afternoon) and FEELING ABNORMAL (around lunch time it seems like I am zapped, I can never fall asleep but I have to lay down and rest for a while) outcome was unknown. Concomitant medication was not provided. Patient took 6 shots of COVID-19 Vaccine, after 6th shot of vaccine and from the last two weeks started experiencing extreme tiredness in the afternoon. Patient was not sure if that was form Pfizer covid 19 vaccine or due to old age. She got up in the mornings and did her normal stuff and around lunch time it seems like she was zapped. She could never fall asleep but had to lay down and rest for a while, it had been going on for couple of weeks. She did not know what was going on and will be visiting her heart doctor. Initially patient received a couple of vaccines in each year for first two years and then taper off in the last couple of years, she had got only one per year in 2023 and 2024. Treatment information was not reported.
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| 2830936 | F | 03/12/2025 |
COVID19 |
MODERNA |
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Herpes zoster
Herpes zoster
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she mentioned that she had spoken with a friend of mine. She was a medical technologist and she got ...
she mentioned that she had spoken with a friend of mine. She was a medical technologist and she got shingles from it.; This spontaneous case was reported by a patient family member or friend and describes the occurrence of HERPES ZOSTER (she mentioned that she had spoken with a friend of mine. She was a medical technologist and she got shingles from it.) in a female patient of an unknown age who received SPIKEVAX NOS (SPIKEVAX NOS) for COVID-19 prophylaxis. No Medical History information was reported. On an unknown date, the patient received dose of SPIKEVAX NOS (SPIKEVAX NOS) (unknown route) 1 dosage form. On an unknown date, the patient experienced HERPES ZOSTER (she mentioned that she had spoken with a friend of mine. She was a medical technologist and she got shingles from it.). At the time of the report, HERPES ZOSTER (she mentioned that she had spoken with a friend of mine. She was a medical technologist and she got shingles from it.) outcome was unknown. The action taken with SPIKEVAX NOS (SPIKEVAX NOS) (Unknown) was unknown. Concomitant product use was not provided by the reporter. Treatment information was not provided. This case was linked to US-MODERNATX, INC.-MOD-2025-783038 (E2B Linked Report).; Sender's Comments: US-MODERNATX, INC.-MOD-2025-783038:Master case (B-G)
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| 2830937 | F | CA | 03/12/2025 |
COVID19 |
MODERNA |
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Malaise, Vaccination site pain
Malaise, Vaccination site pain
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Like I was, I for like 24 hours I was very um. kind of sickish; the shot when she put the needle in ...
Like I was, I for like 24 hours I was very um. kind of sickish; the shot when she put the needle in it, it, it hurt a lot/I had a lot of pain; This spontaneous case was reported by a patient and describes the occurrence of MALAISE (Like I was, I for like 24 hours I was very um. kind of sickish) and VACCINATION SITE PAIN (the shot when she put the needle in it, it, it hurt a lot/I had a lot of pain) in an elderly female patient who received SPIKEVAX NOS (SPIKEVAX NOS) for COVID-19 prophylaxis. Concurrent medical conditions included Immunocompromised and Lung disorder NOS. On an unknown date, the patient received dose of SPIKEVAX NOS (SPIKEVAX NOS) (Intramuscular use) 1 dosage form. On an unknown date, the patient experienced MALAISE (Like I was, I for like 24 hours I was very um. kind of sickish) and VACCINATION SITE PAIN (the shot when she put the needle in it, it, it hurt a lot/I had a lot of pain). At the time of the report, MALAISE (Like I was, I for like 24 hours I was very um. kind of sickish) and VACCINATION SITE PAIN (the shot when she put the needle in it, it, it hurt a lot/I had a lot of pain) outcome was unknown. No concomitant medications were reported. It was reported that the patient had medical history of rare disease. Administration date was reported as a couple of months ago. It was unknown if the patient experienced any additional symptoms/events. No treatment medications were reported. Most recent FOLLOW-UP information incorporated above includes: On 20-Feb-2025: Non-significant follow-up received, and reference number added On 20-Feb-2025: Upon internal review on 12-Mar-2025, significant correction was performed to update suspect product coding from COVID-19 vaccine to Spikevax NOS.
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| 2830938 | F | 03/12/2025 |
COVID19 COVID19 |
MODERNA MODERNA |
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Arthralgia, Body temperature, Illness, Insomnia, Mobility decreased; Pyrexia, Tr...
Arthralgia, Body temperature, Illness, Insomnia, Mobility decreased; Pyrexia, Tremor
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has been really sick; couldn't sleep last night because the shaking was so bad; couldn't s...
has been really sick; couldn't sleep last night because the shaking was so bad; couldn't sleep last night because the shaking was so bad; Caller can't really move the arm that much on the right side; Caller's joints hurt on 'that side' badly; Caller took temperature and it was 103'F; This spontaneous case was reported by a patient and describes the occurrence of ILLNESS (has been really sick), INSOMNIA (couldn't sleep last night because the shaking was so bad), TREMOR (couldn't sleep last night because the shaking was so bad), MOBILITY DECREASED (Caller can't really move the arm that much on the right side) and ARTHRALGIA (Caller's joints hurt on 'that side' badly) in a female patient of an unknown age who received mRNA-1273.712 (SPIKEVAX 2024-2025 PFS) for COVID-19 prophylaxis. The occurrence of additional non-serious events is detailed below. No Medical History information was reported. On 03-Mar-2025, the patient received dose of mRNA-1273.712 (SPIKEVAX 2024-2025 PFS) (Intramuscular use) 1 dosage form. On an unknown date, the patient experienced ILLNESS (has been really sick), INSOMNIA (couldn't sleep last night because the shaking was so bad), TREMOR (couldn't sleep last night because the shaking was so bad), MOBILITY DECREASED (Caller can't really move the arm that much on the right side), ARTHRALGIA (Caller's joints hurt on 'that side' badly) and PYREXIA (Caller took temperature and it was 103'F). At the time of the report, ILLNESS (has been really sick), INSOMNIA (couldn't sleep last night because the shaking was so bad), TREMOR (couldn't sleep last night because the shaking was so bad), MOBILITY DECREASED (Caller can't really move the arm that much on the right side), ARTHRALGIA (Caller's joints hurt on 'that side' badly) and PYREXIA (Caller took temperature and it was 103'F) had not resolved. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): In March 2025, Body temperature: 103 degree fahrenheit. The action taken with mRNA-1273.712 (SPIKEVAX 2024-2025 PFS) (Intramuscular use) was unknown. No Concomitant medications provided by the reporter. It was reported that post vaccination patient was felt really sick, and patient was unable to sleep because she experienced a bad shook last night and her joints hurt on the site of vaccination very badly. Patient was unable to move the arm that much on the right side. No treatment medications provided by the reporter.
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| 2830939 | 67 | M | 03/12/2025 |
COVID19 |
MODERNA |
939905 |
Cardiac failure, Nervous system disorder, Sleep apnoea syndrome
Cardiac failure, Nervous system disorder, Sleep apnoea syndrome
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heart failure; neurological disease; sleep apnea; This spontaneous case was reported by a patient an...
heart failure; neurological disease; sleep apnea; This spontaneous case was reported by a patient and describes the occurrence of CARDIAC FAILURE (heart failure) in a 65-year-old male patient who received mRNA-1273 (Spikevax) (batch no. 939905) for COVID-19 prophylaxis. The occurrence of additional non-serious events is detailed below. No Medical History information was reported. On 06-Sep-2023, the patient received dose of mRNA-1273 (Spikevax) (Intramuscular use) 1 dosage form. On 29-Sep-2021, the patient experienced CARDIAC FAILURE (heart failure) (seriousness criterion medically significant), NERVOUS SYSTEM DISORDER (neurological disease) and SLEEP APNOEA SYNDROME (sleep apnea). At the time of the report, CARDIAC FAILURE (heart failure), NERVOUS SYSTEM DISORDER (neurological disease) and SLEEP APNOEA SYNDROME (sleep apnea) had not resolved. The action taken with mRNA-1273 (Spikevax) (Intramuscular use) was unknown. For mRNA-1273 (Spikevax) (Intramuscular use), the reporter did not provide any causality assessments. No concomitant and treatment medication were reported. It was unknown if the patient experienced any additional symptoms/events.; Reporter's Comments: The benefit-risk relationship of product is not affected by this report.
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| 2830940 | 03/12/2025 |
PPV |
UNKNOWN MANUFACTURER |
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Drug ineffective, Pneumococcal infection
Drug ineffective, Pneumococcal infection
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pneumococcal infection; 5 cases of invasive pneumococcal disease in children that have been vaccinat...
pneumococcal infection; 5 cases of invasive pneumococcal disease in children that have been vaccinated with PCV13 (I am unsure if every child received every dose in the series)/pneumococcal infection; This is a spontaneous report received from a Physician. A patient (age and gender not provided) received pneumococcal 13-val conj vac (dipht CRM197 protein) (PNEUMOCOCCAL 13-VAL CONJ VAC (DIPHT CRM197 PROTEIN)), as dose number unknown, single (Batch/Lot number: unknown) for immunisation. The patient's relevant medical history and concomitant medications were not reported. The following information was reported: PNEUMOCOCCAL INFECTION (medically significant), outcome "unknown", described as "5 cases of invasive pneumococcal disease in children that have been vaccinated with PCV13 (I am unsure if every child received every dose in the series)/pneumococcal infection"; DRUG INEFFECTIVE (medically significant), outcome "unknown", described as "pneumococcal infection". It was stated that the reporter was hoping to submit an adverse reporting through this route as he/she believes this to be a unique situation. He/she had a clinical meeting with a pediatric infectious disease physician. She is the Director of the newly established Vaccine Center of Excellence and recently has come back in the last year and a half after practicing for 18 years. During their introductory discussion, she elaborated that upon returning, she has witnessed 5 cases of invasive pneumococcal disease in children that have been vaccinated with PCV13 (unsure if every child received every dose in the series). She said she had not seen this many cases during her entire tenure, so she had sought to get serotyping and see if anyone is following these cases. She stated she is having trouble with anyone showing interest in this and finds no one researching this area (ie- are we following pediatrics who received PCV13 and then get IPD or PNA? Should pediatric patients who received PCV13 get a booster of PCV20?). She said most research is in pediatrics age < 5 years and is struggling with serotyping and follow up given these patients are over the age of 5 years. The local departments of health utilize a lab in (name) and these cases do not fit their criteria as the patients are over 5 years of age. The adverse event here is the high number of potential breakthrough cases of invasive pneumococcal disease in (name) (she stated one was serotype 3) OR potentially cases of pneumococcal infection that could be covered with PCV20 in patients who received PCV13. The information on the batch/lot number for pneumococcal 13-val conj vac (dipht CRM197 protein) will be requested and submitted if and when received.; Sender's Comments: Based on the information currently available, a lack of efficacy with pneumococcal 13-valent conjugate vaccine in this patient cannot be completely excluded. Further information like confirmative serotype results, vaccination schedule, patient age, medical history and concomitant medications are needed for full medical assessment.
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| 2830941 | 11 | M | 03/12/2025 |
COVID19 |
PFIZER\BIONTECH |
LP1776 |
Overdose, Product administered to patient of inappropriate age, Pyrexia
Overdose, Product administered to patient of inappropriate age, Pyrexia
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The Comirnaty vaccine for ages 12 and above was inadvertently administered to an 11-year-old; The Co...
The Comirnaty vaccine for ages 12 and above was inadvertently administered to an 11-year-old; The Comirnaty vaccine for ages 12 and above was inadvertently administered to an 11-year-old; fever that lasted for 30 minutes; This is a spontaneous report received from a Nurse from medical information team. An 11-year-old male patient received BNT162b2 omicron (kp.2) (COMIRNATY (2024-2025 FORMULA)), on 08Feb2025 as dose number unknown, single (Lot number: LP1776, Expiration Date: 26Apr2025) at the age of 11 years for covid-19 immunisation. The patient didn't receive BNT162b2 omicron (kp.2) (PFIZER-BIONTECH COVID-19 VACCINE (2024-2025 FORMULA)). The patient's relevant medical history and concomitant medications were not reported. The following information was reported: PRODUCT ADMINISTERED TO PATIENT OF INAPPROPRIATE AGE (non-serious), OVERDOSE (non-serious) all with onset 08Feb2025, outcome "unknown" and all described as "The Comirnaty vaccine for ages 12 and above was inadvertently administered to an 11-year-old"; PYREXIA (non-serious) with onset 2025, outcome "recovered" (2025), described as "fever that lasted for 30 minutes". Additional information: Inadvertent administration of higher than the recommended dose of 10 mcg in 5 through 11 years of age. The reporter stated the mother of the patient or the parent of the patient reported that after the injection the patient experienced fever that lasted for 30 minutes.
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| 2830942 | M | AZ | 03/12/2025 |
COVID19 |
PFIZER\BIONTECH |
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Chills, Pyrexia
Chills, Pyrexia
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just got minor chills and fever; just got minor chills and fever; This is a spontaneous report recei...
just got minor chills and fever; just got minor chills and fever; This is a spontaneous report received from a Consumer or other non HCP. A 73-year-old male patient received BNT162b2 (BNT162B2 NOS), as dose number unknown, 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: PYREXIA (non-serious), CHILLS (non-serious), outcome "unknown" and all described as "just got minor chills and fever". Additional information: stated when got the shot it was no big deal. Patient had gotten all the covid vaccines. Patient always had covid vaccine from Pfizer. When patient previous vaccines he had little reactions. Haven't had anything go bad, just got minor chills and fever. The information on the batch/lot number for BNT162b2 will be requested and submitted if and when received.; Sender's Comments: Linked Report(s) : US-PFIZER INC-202500052280 Same reporter, different patient/drug/AE;
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| 2830943 | M | AZ | 03/12/2025 |
COVID19 |
PFIZER\BIONTECH |
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COVID-19, Drug ineffective
COVID-19, Drug ineffective
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got COVID; got COVID; This is a spontaneous report received from a Consumer or other non HCP. A 73-...
got COVID; got COVID; This is a spontaneous report received from a Consumer or other non HCP. A 73-year-old male patient received BNT162b2 omi xbb.1.5 (COMIRNATY (2023-2024 FORMULA)), as dose 1, single (Batch/Lot number: unknown) for covid-19 immunisation. The patient's relevant medical history included: "High cholesterol" (unspecified if ongoing); "Blood pressure" (unspecified if ongoing); "pulse" (unspecified if ongoing). Concomitant medication(s) included: METOPROLOL taken for blood pressure abnormal, pulse abnormal, start date: 2023 (ongoing); ATORVASTATIN taken for blood cholesterol increased (ongoing). Vaccination history included: Bnt162b2 (DOSE 1), for Covid-19 Immunization, reaction(s): "little reactions"; Bnt162b2 (DOSE 2), for Covid-19 Immunization, reaction(s): "little reactions"; Bnt162b2 (DOSE NUMBER UNKNOWN (BOOSTER)), for Covid-19 Immunization, reaction(s): "little reactions". The following information was reported: DRUG INEFFECTIVE (medically significant), COVID-19 (medically significant) all with onset Jul2024, outcome "unknown" and all described as "got COVID". The patient reported he had all the boosters and vaccine before (always had COVID vaccine from Pfizer). He then added, that missed one booster and got COVID in Jul2024 and was pretty sick.; Sender's Comments: Linked Report(s) : US-PFIZER INC-202500052280 Same reporter, different patient, drug and AE;US-PFIZER INC-202500052080 Same patient, different dose and event;
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| 2830945 | F | NY | 03/12/2025 |
PNC20 |
PFIZER\WYETH |
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Chills, Pyrexia
Chills, Pyrexia
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chills; fever; This is a spontaneous report received from an Other HCP from a sales representative. ...
chills; fever; This is a spontaneous report received from an Other HCP from a sales representative. A female patient (unknown if pregnant) received pneumococcal 20-val conj vac (dipht CRM197 protein) (PREVNAR 20), on 10Mar2025 as dose number unknown, single (Batch/Lot number: unknown) for immunisation. The patient's relevant medical history and concomitant medications were not reported. The following information was reported: CHILLS (non-serious) with onset 10Mar2025, outcome "unknown"; PYREXIA (non-serious) with onset 10Mar2025, outcome "unknown", described as "fever". It was unknown if therapeutic measures were taken as a result of chills, pyrexia. Additional information: Patient experienced chills and fever after vaccination with Prevnar 20. No follow-up attempts are possible. Batch/lot number is not provided, and it cannot be obtained.
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| 2830946 | 03/12/2025 |
PPV |
UNKNOWN MANUFACTURER |
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Drug ineffective, Pneumococcal infection
Drug ineffective, Pneumococcal infection
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pneumococcal infection; 5 cases of invasive pneumococcal disease in children that have been vaccinat...
pneumococcal infection; 5 cases of invasive pneumococcal disease in children that have been vaccinated with PCV13 (I am unsure if every child received every dose in the series)/pneumococcal infection; This is a spontaneous report received from a Physician. A patient (age and gender not provided) received pneumococcal 13-val conj vac (dipht CRM197 protein) (PNEUMOCOCCAL 13-VAL CONJ VAC (DIPHT CRM197 PROTEIN)), as dose number unknown, single (Batch/Lot number: unknown) for immunisation. The patient's relevant medical history and concomitant medications were not reported. The following information was reported: PNEUMOCOCCAL INFECTION (medically significant), outcome "unknown", described as "5 cases of invasive pneumococcal disease in children that have been vaccinated with PCV13 (I am unsure if every child received every dose in the series)/pneumococcal infection"; DRUG INEFFECTIVE (medically significant), outcome "unknown", described as "pneumococcal infection". It was stated that the reporter was hoping to submit an adverse reporting through this route as he/she believes this to be a unique situation. He/she had a clinical meeting with a pediatric infectious disease physician. She is the Director of the newly established Vaccine Center of Excellence and recently has come back in the last year and a half after practicing for 18 years. During their introductory discussion, she elaborated that upon returning, she has witnessed 5 cases of invasive pneumococcal disease in children that have been vaccinated with PCV13 (unsure if every child received every dose in the series). She said she had not seen this many cases during her entire tenure, so she had sought to get serotyping and see if anyone is following these cases. She stated she is having trouble with anyone showing interest in this and finds no one researching this area (ie- are we following pediatrics who received PCV13 and then get IPD or PNA? Should pediatric patients who received PCV13 get a booster of PCV20?). She said most research is in pediatrics age < 5 years and is struggling with serotyping and follow up given these patients are over the age of 5 years. The local departments of health utilize a lab in (name) and these cases do not fit their criteria as the patients are over 5 years of age. The adverse event here is the high number of potential breakthrough cases of invasive pneumococcal disease in (name) (she stated one was serotype 3) OR potentially cases of pneumococcal infection that could be covered with PCV20 in patients who received PCV13. The information on the batch/lot number for pneumococcal 13-val conj vac (dipht CRM197 protein) will be requested and submitted if and when received.; Sender's Comments: Based on the information currently available, a lack of efficacy with pneumococcal 13-valent conjugate vaccine in this patient cannot be completely excluded. Further information like confirmative serotype results, vaccination schedule, patient age, medical history and concomitant medications are needed for full medical assessment.,Linked Report(s) : US-PFIZER INC-PV202500026859 same reporter/drug/event, different patient;
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| 2830947 | 03/12/2025 |
PPV |
UNKNOWN MANUFACTURER |
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Drug ineffective, Pneumococcal infection
Drug ineffective, Pneumococcal infection
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pneumococcal infection; 5 cases of invasive pneumococcal disease in children that have been vaccinat...
pneumococcal infection; 5 cases of invasive pneumococcal disease in children that have been vaccinated with PCV13 (I am unsure if every child received every dose in the series)/pneumococcal infection; This is a spontaneous report received from a Physician. A patient (age and gender not provided) received pneumococcal 13-val conj vac (dipht CRM197 protein) (PNEUMOCOCCAL 13-VAL CONJ VAC (DIPHT CRM197 PROTEIN)), as dose number unknown, single (Batch/Lot number: unknown) for immunisation. The patient's relevant medical history and concomitant medications were not reported. The following information was reported: PNEUMOCOCCAL INFECTION (medically significant), outcome "unknown", described as "5 cases of invasive pneumococcal disease in children that have been vaccinated with PCV13 (I am unsure if every child received every dose in the series)/pneumococcal infection"; DRUG INEFFECTIVE (medically significant), outcome "unknown", described as "pneumococcal infection". It was stated that the reporter was hoping to submit an adverse reporting through this route as he/she believes this to be a unique situation. He/she had a clinical meeting with a pediatric infectious disease physician. She is the Director of the newly established Vaccine Center of Excellence and recently has come back in the last year and a half after practicing for 18 years. During their introductory discussion, she elaborated that upon returning, she has witnessed 5 cases of invasive pneumococcal disease in children that have been vaccinated with PCV13 (unsure if every child received every dose in the series). She said she had not seen this many cases during her entire tenure, so she had sought to get serotyping and see if anyone is following these cases. She stated she is having trouble with anyone showing interest in this and finds no one researching this area (ie- are we following pediatrics who received PCV13 and then get IPD or PNA? Should pediatric patients who received PCV13 get a booster of PCV20?). She said most research is in pediatrics age < 5 years and is struggling with serotyping and follow up given these patients are over the age of 5 years. The local departments of health utilize a lab in (name) and these cases do not fit their criteria as the patients are over 5 years of age. The adverse event here is the high number of potential breakthrough cases of invasive pneumococcal disease in (name) (she stated one was serotype 3) OR potentially cases of pneumococcal infection that could be covered with PCV20 in patients who received PCV13. The information on the batch/lot number for pneumococcal 13-val conj vac (dipht CRM197 protein) will be requested and submitted if and when received.; Sender's Comments: Based on the information currently available, a lack of efficacy with pneumococcal 13-valent conjugate vaccine in this patient cannot be completely excluded. Further information like confirmative serotype results, vaccination schedule, patient age, medical history and concomitant medications are needed for full medical assessment.,Linked Report(s) : US-PFIZER INC-PV202500026859 same reporter/drug/event, different patient;
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| 2830948 | 03/12/2025 |
PPV |
UNKNOWN MANUFACTURER |
|
Drug ineffective, Pneumococcal infection
Drug ineffective, Pneumococcal infection
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pneumococcal infection; 5 cases of invasive pneumococcal disease in children that have been vaccinat...
pneumococcal infection; 5 cases of invasive pneumococcal disease in children that have been vaccinated with PCV13 (I am unsure if every child received every dose in the series)/pneumococcal infection; This is a spontaneous report received from a Physician. A patient (age and gender not provided) received pneumococcal 13-val conj vac (dipht CRM197 protein) (PNEUMOCOCCAL 13-VAL CONJ VAC (DIPHT CRM197 PROTEIN)), as dose number unknown, single (Batch/Lot number: unknown) for immunisation. The patient's relevant medical history and concomitant medications were not reported. The following information was reported: PNEUMOCOCCAL INFECTION (medically significant), outcome "unknown", described as "5 cases of invasive pneumococcal disease in children that have been vaccinated with PCV13 (I am unsure if every child received every dose in the series)/pneumococcal infection"; DRUG INEFFECTIVE (medically significant), outcome "unknown", described as "pneumococcal infection". It was stated that the reporter was hoping to submit an adverse reporting through this route as he/she believes this to be a unique situation. He/she had a clinical meeting with a pediatric infectious disease physician. She is the Director of the newly established Vaccine Center and recently has come back in the last year and a half after practicing for 18 years. During their introductory discussion, she elaborated that upon returning, she has witnessed 5 cases of invasive pneumococcal disease in children that have been vaccinated with PCV13 (unsure if every child received every dose in the series). She said she had not seen this many cases during her entire tenure, so she had sought to get serotyping and see if anyone is following these cases. She stated she is having trouble with anyone showing interest in this and finds no one researching this area (ie- are we following pediatrics who received PCV13 and then get IPD or PNA? Should pediatric patients who received PCV13 get a booster of PCV20?). She said most research is in pediatrics age < 5 years and is struggling with serotyping and follow up given these patients are over the age of 5 years. The local departments of health utilize a lab in (name) and these cases do not fit their criteria as the patients are over 5 years of age. The adverse event here is the high number of potential breakthrough cases of invasive pneumococcal disease in (name) (she stated one was serotype 3) OR potentially cases of pneumococcal infection that could be covered with PCV20 in patients who received PCV13. The information on the batch/lot number for pneumococcal 13-val conj vac (dipht CRM197 protein) will be requested and submitted if and when received.; Sender's Comments: Based on the information currently available, a lack of efficacy with pneumococcal 13-valent conjugate vaccine in this patient cannot be completely excluded. Further information like confirmative serotype results, vaccination schedule, patient age, medical history and concomitant medications are needed for full medical assessment.,Linked Report(s) : US-PFIZER INC-PV202500026859 same reporter/drug/event, different patient;
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| 2830949 | WA | 03/12/2025 |
COVID19 |
PFIZER\BIONTECH |
|
COVID-19, Drug ineffective
COVID-19, Drug ineffective
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Covid After Shots; Covid After Shots; This is a spontaneous report received from a Consumer or other...
Covid After Shots; Covid After Shots; This is a spontaneous report received from a Consumer or other non HCP, Program ID. A 77-year-old 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. Vaccination history included: Bnt162b2 (primary immunization series complete), for COVID-19 immunisation. The following information was reported: DRUG INEFFECTIVE (medically significant) with onset 2025, outcome "unknown", COVID-19 (medically significant) with onset 2025, outcome "not recovered" and all described as "Covid After Shots". The event "covid after shots" required emergency room visit. The patient was diagnosed with Covid last night at the doctor's office. Patient went to get his/her prescription and they said patient needed to call the emergency room where the patient went last night and have the doctor call them. Patient was sick and made so many calls. Patient was not at his/her best right now. Patient stated, "Covid is not a walk in the park." Patient have had every single one of our wonderful shots and patient was thanking and wondering as what would he/she be feeling like otherwise. Patient stated, "This is the time when a person that's sick needs somebody to give them a hand...". While looking for a prescription from their doctors office, the patient was given a nose spray that came in a bottle. Patient was not feeling good.
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| 2830950 | 69 | NY | 03/12/2025 |
COVID19 |
PFIZER\BIONTECH |
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COVID-19, SARS-CoV-2 test, Vaccination failure
COVID-19, SARS-CoV-2 test, Vaccination failure
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I had COVID again; I had COVID again; got Covid; The initial case was missing the following minimum ...
I had COVID again; I had COVID again; got Covid; The initial case was missing the following minimum criteria: no adverse event. Upon receipt of follow-up information on 13Feb2024, this case now contains all required information to be considered valid. This is a spontaneous report received from a Consumer or other non HCP. A 69-year-old patient received BNT162b2 omi xbb.1.5 (COMIRNATY (2023-2024 FORMULA)), on 18Nov2023 as dose 1, single (Batch/Lot number: unknown) at the age of 69 years for covid-19 immunisation. The patient's relevant medical history included: "osteoarthritis" (unspecified if ongoing); "rheumatory arthritis" (unspecified if ongoing); "immune system very weak" (unspecified if ongoing). The patient was on an expensive medication to keep the patient's rheumatory arthritis from overcoming the patient and that left the patient's immune system very weak. The patient's concomitant medications were not reported. The following information was reported: COVID-19 (non-serious) with onset Nov2023, outcome "recovered", described as "got Covid"; VACCINATION FAILURE (medically significant), COVID-19 (medically significant) all with onset 20Jan2024, outcome "recovered" and all described as "I had COVID again". The patient got the vaccine on 18Nov2023 and tested positive for COVID on 20Nov2023 and took PAXLOVID. Unbeknownst to the patient, s/he got very sick, didn't know what s/he had, couldn't believe anything. Tested positive for COVID for a second time 20Jan2024 and was on PAXLOVID again. That's how easy the patient succumb to things. PAXLOVID had helped the patient and patient's doctor prescribed it so patient can get over Covid because otherwise it could do great harm to his/her body. The patient did not have a problem right now. The information on the batch/lot number for BNT162b2 omi xbb.1.5 will be requested and submitted if and when received.
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| 2830951 | 03/12/2025 |
PPV |
UNKNOWN MANUFACTURER |
|
Drug ineffective, Pneumococcal infection
Drug ineffective, Pneumococcal infection
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pneumococcal infection; 5 cases of invasive pneumococcal disease in children that have been vaccinat...
pneumococcal infection; 5 cases of invasive pneumococcal disease in children that have been vaccinated with PCV13 (I am unsure if every child received every dose in the series)/pneumococcal infection; This is a spontaneous report received from a Physician. A patient (age and gender not provided) received pneumococcal 13-val conj vac (dipht CRM197 protein) (PNEUMOCOCCAL 13-VAL CONJ VAC (DIPHT CRM197 PROTEIN)), as dose number unknown, single (Batch/Lot number: unknown) for immunisation. The patient's relevant medical history and concomitant medications were not reported. The following information was reported: PNEUMOCOCCAL INFECTION (medically significant), outcome "unknown", described as "5 cases of invasive pneumococcal disease in children that have been vaccinated with PCV13 (I am unsure if every child received every dose in the series)/pneumococcal infection"; DRUG INEFFECTIVE (medically significant), outcome "unknown", described as "pneumococcal infection". It was stated that the reporter was hoping to submit an adverse reporting through this route as he/she believes this to be a unique situation. He/she had a clinical meeting with a pediatric infectious disease physician. She is the Director of the newly established Vaccine Center of Excellence and recently has come back in the last year and a half after practicing for 18 years. During their introductory discussion, she elaborated that upon returning, she has witnessed 5 cases of invasive pneumococcal disease in children that have been vaccinated with PCV13 (unsure if every child received every dose in the series). She said she had not seen this many cases during her entire tenure, so she had sought to get serotyping and see if anyone is following these cases. She stated she is having trouble with anyone showing interest in this and finds no one researching this area (ie- are we following pediatrics who received PCV13 and then get IPD or PNA? Should pediatric patients who received PCV13 get a booster of PCV20?). She said most research is in pediatrics age < 5 years and is struggling with serotyping and follow up given these patients are over the age of 5 years. The local departments of health utilize a lab in (name) and these cases do not fit their criteria as the patients are over 5 years of age. The adverse event here is the high number of potential breakthrough cases of invasive pneumococcal disease in (name) (she stated one was serotype 3) OR potentially cases of pneumococcal infection that could be covered with PCV20 in patients who received PCV13. The information on the batch/lot number for pneumococcal 13-val conj vac (dipht CRM197 protein) will be requested and submitted if and when received.; Sender's Comments: Based on the information currently available, a lack of efficacy with pneumococcal 13-valent conjugate vaccine in this patient cannot be completely excluded. Further information like confirmative serotype results, vaccination schedule, patient age, medical history and concomitant medications are needed for full medical assessment.,Linked Report(s) : US-PFIZER INC-202500051963 same reporter/drug/event, different patient;US-PFIZER INC-202500055171 same reporter/drug/event, different patient;US-PFIZER INC-202500055170 same reporter/drug/event, different patient;US-PFIZER INC-202500055169 same reporter/drug/event, different patient;
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| 2830952 | 03/12/2025 |
COVID19 |
PFIZER\BIONTECH |
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COVID-19, Drug ineffective, SARS-CoV-2 test
COVID-19, Drug ineffective, SARS-CoV-2 test
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all these shots doesn't help; COVID; This is a spontaneous report received from a Consumer or o...
all these shots doesn't help; COVID; This is a spontaneous report received from a Consumer or other non HCP, Program ID. A patient (age and gender not provided) received BNT162b2 omi xbb.1.5 (COMIRNATY (2023-2024 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. Vaccination history included: Covid-19 vaccine (Primary Immunization series complete; unknown manufacturer), for Covid-19 immunization. The following information was reported: COVID-19 (medically significant) with onset 08Feb2024, outcome "unknown", described as "COVID"; DRUG INEFFECTIVE (medically significant) with onset 08Feb2024, outcome "unknown", described as "all these shots doesn't help". The patient underwent the following laboratory tests and procedures: SARS-CoV-2 test: (08Feb2024) Positive. Therapeutic measures were taken as a result of drug ineffective, covid-19. Clinical course: Patient was ordered to take Paxlovid. The patient came down with COVID this morning; symptoms started last night." Later in the call, patient guess getting all these shots doesn't help. Patient has had every COVID shot. No follow-up attempts are possible. Batch/lot number is not provided, and it cannot be obtained.
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| 2830953 | 88 | M | NJ | 03/12/2025 |
DTAP |
SANOFI PASTEUR |
3CA25C1 |
Product administered to patient of inappropriate age
Product administered to patient of inappropriate age
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Daptacel on an 88-year-old patient with no reported adverse event; Initial information received on 1...
Daptacel on an 88-year-old patient with no reported adverse event; Initial information received on 10-Mar-2025 regarding an unsolicited valid non-serious case received from a other healthcare professional. This case involves a 88 years old male patient who received diphtheria-15/tetanus/5 AC pertussis vaccine [daptacel] with no reported adverse event. The patient's past medical history, medical treatment(s), concomitant medications, vaccination(s) and family history were not provided. On 27-Feb-2025, the patient received standard dose of 0.5 ml of suspect diphtheria-15/tetanus/5 AC pertussis vaccine Suspension for injection with lot 3CA25C1 and expiry date 30-Apr-2026 via intramuscular route in the left arm for Immunization (product administered to patient of inappropriate age) (Latency same day). Action taken was not applicable. This suspected adverse reaction report is submitted and classified as a medication error solely and exclusively to ensure the marketing authorization holder's compliance with the requirements set out in the Directive 2001/83/EC and Module VI of the Good Pharmacovigilance Practices. The classification as a medical error is in no way intended, nor should it be interpreted or construed as an allegation or claim made by the marketing authorization holder that any third party has contributed to or is to be held liable for the occurrence of this medication error.
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| 2830954 | 1 | 03/12/2025 |
DTAPIPVHIB |
SANOFI PASTEUR |
|
No adverse event, Product preparation issue
No adverse event, Product preparation issue
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child was administered pentacel, but the polio portion was given without being mixed with the hib po...
child was administered pentacel, but the polio portion was given without being mixed with the hib portion with no reported adverse event; Initial information received on 10-Mar-2025 regarding an unsolicited valid non-serious case received from a other health professional. This case involves 1 years old and unknown gender patient who received diphtheria/tetanus/5 hybrid AC pertussis/IPV(VERO)/HIB(PRP/T) vaccine [Pentacel (Vero)] but the polio portion was given without being mixed with the hib portion with no reported adverse event. The patient's past medical history, medical treatment(s), vaccination(s) and family history were not provided. On an unknown date, the patient received an unknown dose of suspect diphtheria/tetanus/5 hybrid AC pertussis/IPV(VERO)/HIB(PRP/T) vaccine, Powder and suspension for suspension for injection (lot number, strength and expiry date not reported) via unknown route in unknown administration site for prophylactic vaccination (Immunisation) but the polio portion was given without being mixed with the hib portion with no reported adverse event (single component of a two component product administered) (Latency: same day). Information on the batch number was requested corresponding to the one at time of event occurrence. Action taken was not applicable. Reportedly,They want to ensure that this is safe and that the patient will not experience any side effects. Per SRD (Standard Reference Data) informed that Pentacel vaccine components should not be used separately. However, if the DTaP-IPV (Diphtheria, tetanus, and pertussis inactivated poliovirus) liquid component was administered separately it would count as a valid DTaP and IPV dose. Additionally informed that any dose of Act-HIB reconstituted with a diluent other than specific Act-HIB diluent should not be counted as valid and must be repeated. This suspected adverse reaction report is submitted and classified as a medication error solely and exclusively to ensure the marketing authorization holder's compliance with the requirements set out in the Directive 2001/83/EC and Module VI of the Good Pharmacovigilance Practices. The classification as a medical error is in no way intended, nor should it be interpreted or construed as an allegation or claim made by the marketing authorization holder that any third party has contributed to or is to be held liable for the occurrence of this medication error.
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| 2830955 | 4 | F | MD | 03/12/2025 |
DTAP TDAP |
SANOFI PASTEUR SANOFI PASTEUR |
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No adverse event, Wrong product administered; No adverse event, Wrong product ad...
No adverse event, Wrong product administered; No adverse event, Wrong product administered
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The patient was given Tdap [ADACEL] instead of DTaP [DAPTACEL] as the fifth dose in the supposed 5 d...
The patient was given Tdap [ADACEL] instead of DTaP [DAPTACEL] as the fifth dose in the supposed 5 dose-series of DTaP with no reported adverse event; Initial information received on 11-Mar-2025 regarding an unsolicited valid non-serious case received from a other health professional. This case involves a 4 years old female patient who was given tdap (Diphtheria-2/Tetanus/5 Ac Pertussis Vaccine) [adacel] instead of dtap (Diphtheria-15/Tetanus/5 Ac Pertussis Vaccine) [daptacel] as the fifth dose in the supposed 5 dose-series of dtap with no reported adverse event. The patient's past medical history, medical treatment(s), vaccination(s) and family history were not provided. On an unknown date, the patient received a dose 5 of suspect Diphtheria-2/Tetanus/5 Ac Pertussis Vaccine Suspension for injection (strength, dose, batch and expiry date unknown) via unknown route in unknown administration site for immunization instead of dtap [daptacel] as the fifth dose in the supposed 5 dose-series of dtap with no reported adverse event (wrong product administered) (same day latency). Information on batch number and expiry date corresponding to the one at time of event occurrence was requested. Action taken: not applicable. This suspected adverse reaction report is submitted and classified as a medication error solely and exclusively to ensure the marketing authorization holder's compliance with the requirements set out in the Directive 2001/83/EC and Module VI of the Good Pharmacovigilance Practices. The classification as a medical error is in no way intended, nor should it be interpreted or construed as an allegation or claim made by the marketing authorization holder that any third party has contributed to or is to be held liable for the occurrence of this medication error.
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| 2830956 | M | 03/12/2025 |
UNK |
UNKNOWN MANUFACTURER |
946624 |
Influenza, Influenza A virus test positive, Oropharyngeal pain, Pyrexia, Vaccina...
Influenza, Influenza A virus test positive, Oropharyngeal pain, Pyrexia, Vaccination failure
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Vaccination failure; Fever broke; Severe sore throat; Flu virus type A; This spontaneous case, initi...
Vaccination failure; Fever broke; Severe sore throat; Flu virus type A; This spontaneous case, initially received on 03-Mar-2025, was reported by a non health professional and concerns an adult male patient. Administration of company suspect drug: On 22-Oct-2024, the patient received Flucelvax (TIV) for Indication not reported. Dose regimen: Not reported, Route of administration: Not reported. Anatomical location: Left Deltoid. Lot number: 946624. No additional suspect drugs. Adverse reactions/events and outcomes: On 21-Feb-2025, the patient experienced Flu virus type A (Medically Significant, outcome: Not Reported). Associated symptoms included: Fever broke , Severe sore throat. On unknown date, the patient experienced Flu virus type A after receiving Flucelvax/Vaccination failure (Medically Significant, outcome: Not Reported) It was reported that 25-Feb-2025, severe sore throat subsided. Source of infection was not known for certain. Possibly obtained at a sporting event on 19-Feb-2025. Flu was verified by swab on 24-Feb-2025. Flucelvax (TIV) action taken: Not Applicable Reporter's assessment: The reporter did not provide the seriousness and causality of the events.; Reporter's Comments: Causality: Due to the spontaneous nature of the case, the events are considered related for reporting purposes. For influenza and vaccination failure, patient tested positive within 21 to 180 day time period and also tested positive to Influenza A on swab. Furthermore, A lack of effect can generally be expected for any medicinal/drug product as a 100% success rate cannot be reasonably assumed in every patient treated.
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| 2830978 | F | 03/12/2025 |
VARZOS VARZOS |
GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS |
UNK UNK |
Balance disorder, Gait inability, Guillain-Barre syndrome, Loss of personal inde...
Balance disorder, Gait inability, Guillain-Barre syndrome, Loss of personal independence in daily activities, Mobility decreased; Nerve injury
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90 percent bed ridden; unable to walk; unable to function; balance issues; Guillain-Barre syndrome; ...
90 percent bed ridden; unable to walk; unable to function; balance issues; Guillain-Barre syndrome; This serious case was reported by a consumer via interactive digital media and described the occurrence of guillain barre syndrome in a adult female patient who received Herpes zoster (Shingrix) for prophylaxis. The patient's past medical history included shingles. On an unknown date, the patient received the 1st dose of Shingrix. On an unknown date, an unknown time after receiving Shingrix, the patient experienced guillain barre syndrome (Verbatim: Guillain-Barre syndrome) (serious criteria GSK medically significant and other: Serious as per reporter), bedridden (Verbatim: 90 percent bed ridden), unable to walk (Verbatim: unable to walk), performance status decreased (Verbatim: unable to function) and balance difficulty (Verbatim: balance issues). The outcome of the guillain barre syndrome was unknown (duration 2 days) and the outcome of the bedridden, unable to walk, performance status decreased and balance difficulty were not reported. The reporter considered the guillain barre syndrome to be related to Shingrix. It was unknown if the reporter considered the bedridden, unable to walk, performance status decreased and balance difficulty to be related to Shingrix. The company considered the guillain barre syndrome to be unrelated to Shingrix. It was unknown if the company considered the bedridden, unable to walk, performance status decreased and balance difficulty to be related to Shingrix. Additional Information: GSK Receipt Date : 09-MAR-2025 This case was reported by a patient via interactive digital media. Patient developed Guillain-Barre syndrome (GBS) after receiving the first shingles shot. As a result, she was 90 percent bedridden, unable to walk or function. She had to re-learn to walk, dealing with balance issues, and it was a long three year journey. Her physician had recommended the vaccine after she recovered from shingles to prevent a recurrence, but the vaccination was worse and caused nerve damage. she should have never taken the shot.; Sender's Comments: Guillain-Barre syndrome is an unlisted event which is considered unrelated to GSK vaccine Shingrix
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| 2830979 | M | TX | 03/12/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
BP74J |
Adverse event, Dementia, Extra dose administered
Adverse event, Dementia, Extra dose administered
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accidentally administered a third dose of Shingrix on March 4th 2025; suffered from dementia; This s...
accidentally administered a third dose of Shingrix on March 4th 2025; suffered from dementia; This serious case was reported by a pharmacist via call center representative and described the occurrence of dementia in a 76-year-old male patient who received Herpes zoster (Shingrix) (batch number BP74J, expiry date 15-NOV-2026) for prophylaxis. Previously administered products included Shingrix (received 2 doses on an unknown date). On 04-MAR-2025, the patient received the 3rd dose of Shingrix. On 04-MAR-2025, an unknown time after receiving Shingrix, the patient experienced extra dose administered (Verbatim: accidentally administered a third dose of Shingrix on March 4th 2025). In MAR-2025, the patient experienced dementia (Verbatim: suffered from dementia) (serious criteria GSK medically significant). The outcome of the dementia was not reported and the outcome of the extra dose administered was not applicable. It was unknown if the reporter considered the dementia to be related to Shingrix. The company considered the dementia to be unrelated to Shingrix. Additional Information: GSK Receipt Date: 05-MAR-2025 The patient was accidentally administered a third dose of Shingrix, which led to extra dose administered. The reporter mentioning that the patient suffered from dementia and that they were experiencing undisclosed adverse events. The vaccine administration facility was the same as primary reporter.; Sender's Comments: Dementia is an unlisted event which is considered unrelated to GSK vaccine Shingrix.
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| 2830980 | 03/12/2025 |
PNC20 |
PFIZER\WYETH |
|
Feeling abnormal, Urticaria
Feeling abnormal, Urticaria
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Felt kind of abnormal; Breaking out in hives; This is a spontaneous report received from a Consumer ...
Felt kind of abnormal; Breaking out in hives; This is a spontaneous report received from a Consumer or other non HCP. A 62-year-old patient received pneumococcal 20-valent conjugate vaccine (diphtheria crm197 protein) (PREVNAR 20), as dose number unknown, single (Batch/Lot number: unknown) for immunisation. The patient's relevant medical history and concomitant medications were not reported. The following information was reported: FEELING ABNORMAL (non-serious), outcome "unknown", described as "Felt kind of abnormal "; URTICARIA (non-serious), outcome "unknown", described as "Breaking out in hives". Additional information: the patient stated, "I got a pneumonia shot on Friday and I am 62. So, I did not get the one for 65 and above and I felt kind of (redated) over the weekend which you know okay, but now I am breaking out in hives." The patient described the vaccine as "it's pneumonia, for pneumonia." The patient was 'under impression' it was the Pfizer vaccine. No follow-up attempts are possible. Batch/lot number is not provided, and it cannot be obtained.
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| 2830982 | F | NC | 03/12/2025 |
UNK |
UNKNOWN MANUFACTURER |
946624 |
Influenza, Influenza A virus test positive, Vaccination failure
Influenza, Influenza A virus test positive, Vaccination failure
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The patient tested positive for Flu A; Vaccination failure; This spontaneous case, initially receive...
The patient tested positive for Flu A; Vaccination failure; This spontaneous case, initially received on 28-Feb-2025, was reported by a non health professional and concerns a female patient. Medical History and concomitant medication were reported as unknown. There was no allergy information reported. There was no product complaint associated with this case. Administration of company suspect drug: On 02-Oct-2024, the patient received Flucelvax (TIV) for Active immunization against influenza disease., Dose Regimen: Not reported, Route of administration: Not reported, Anatomical location: Right Deltoid, Lot number: 946624. No additional suspect drugs. Adverse reactions/events and outcomes: On 22-Feb-2025, The patient tested positive for Flu A (Medically Significant, outcome: Unknown). On an unknown date in 2025, the patient had Vaccination failure (Outcome: Not reported) On 22-Feb-2025, the patient went to urgent care where she tested positive for Flu. She was given the flu shot at work. Flu was not verified by nasal swab. Back to work by 25-Feb-2025. Didn't know how she got this, no one in the family had the flu. Flucelvax (TIV) action taken: Not Applicable Treatment measures associated with event was reported as unknown. Reporter's assessment: The reporter assessed the seriousness as unknown and causality assessment was not reported for event The patient tested positive for Flu A. The reporter did not provide the seriousness and causality assessment of the event Vaccination failure.; Reporter's Comments: Causality: Due to the spontaneous nature of the case, the events are considered related for reporting purposes. For influenza and vaccination failure, patient tested positive within 21 to 180 day time period. Furthermore, A lack of effect can generally be expected for any medicinal/drug product as a 100% success rate cannot be reasonably assumed in every patient treated.
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| 2830984 | 78 | M | PA | 03/12/2025 |
COVID19 FLU3 RSV VARZOS |
MODERNA SANOFI PASTEUR PFIZER\WYETH GLAXOSMITHKLINE BIOLOGICALS |
3043335 UT8419CA LN5482 445TK |
Expired product administered; Expired product administered; Expired product admi...
Expired product administered; Expired product administered; Expired product administered; Expired product administered
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This was a vaccine administration error. The patient did not report any adverse effects. The dose of...
This was a vaccine administration error. The patient did not report any adverse effects. The dose of Shingrix administered 11/8/2024 was the patient's 3rd dose of Shingrix. The series was completed by the facility, who did not report administered vaccines to the Immunization Electronic Registry System at the time of this error.
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| 2830985 | 68 | F | NM | 03/12/2025 |
PNC20 |
PFIZER\WYETH |
LG5577 |
Rash, Rash erythematous, Rash papular, Rash pruritic
Rash, Rash erythematous, Rash papular, Rash pruritic
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Patient had a rash and itching and was very painful and red and swollen patient apply Benadryl cream...
Patient had a rash and itching and was very painful and red and swollen patient apply Benadryl cream and took acetaminophen symptoms for about 10 days and has gotten better
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| 2830986 | 0.58 | M | IL | 03/12/2025 |
RSV |
MODERNA |
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Product administered to patient of inappropriate age
Product administered to patient of inappropriate age
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none
none
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| 2830987 | 2 | F | MN | 03/12/2025 |
HEPA |
GLAXOSMITHKLINE BIOLOGICALS |
HR4RB |
Incorrect dose administered
Incorrect dose administered
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Pediatric patient given adult Havrix 1440 Elisa units/dose (hepatitis A vaccine) by GSK for hepatiti...
Pediatric patient given adult Havrix 1440 Elisa units/dose (hepatitis A vaccine) by GSK for hepatitis A vaccine. Patient was to receive dose of pediatric Hepatitis A vaccine (Havrix 720 Elisa units/dose by GSK).
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| 2831041 | 66 | F | CA | 03/12/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
TY7MZ |
Feeling cold, Headache, Nausea, Paraesthesia, Paraesthesia oral
Feeling cold, Headache, Nausea, Paraesthesia, Paraesthesia oral
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Within 10 minutes of administration, patient experienced tingling in arm and on tongue, headache, an...
Within 10 minutes of administration, patient experienced tingling in arm and on tongue, headache, and nausea. Sensation on tongue diminished, but then lips started tingling . Patient had a sip of water and walked around a bit, then staff was notified. Slight headache persisted as did nausea and arm felt cold. Patient was offered benadryl, but initially declined. Stated odd sensation at back of throat subsiding, no difficulty breathing or throat closing down. Legs felt weak . When offered benadryl again, patient agreed and received 10 ml of the dye free childrens liquid (25 mg dose.) Patient was told to check with her physician before receiving the next dose. Patient stayed in waiting room for a bit longer, then did some shopping in the store. Patient checked back with the pharmacy to inform staff she felt well enough (not impaired) and was going to go home. Patient was given the bottle of liquid Benadryl at no charge to have on hand. A little after 1 pm, the pharmacist called the patient at home and was informed patient arrived safely home and was feeling much more "like normal." The patient did not feel strongly either way about a VAERS report, but decided that reporting her experience may benefit others. Patient open to phone calls about her other supplements and any other pertinent information.
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| 2831042 | 17 | F | IA | 03/12/2025 |
HEPA |
GLAXOSMITHKLINE BIOLOGICALS |
2YS34 |
Expired product administered
Expired product administered
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Patient administered Havrix 720 EL.U/0.5ml dose on 3/11/25 that had an expiration date of 3/2/25. Pa...
Patient administered Havrix 720 EL.U/0.5ml dose on 3/11/25 that had an expiration date of 3/2/25. Patient was given expired vaccine for dose and will be re-vaccinated as considering the dose void.
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| 2831043 | 66 | F | WA | 03/12/2025 |
COVID19 |
MODERNA |
032fz1a |
Product administered at inappropriate site, Rotator cuff repair, Rotator cuff sy...
Product administered at inappropriate site, Rotator cuff repair, Rotator cuff syndrome, Shoulder injury related to vaccine administration
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Ended up with sirva. Torn cuff and had 2 surgeries to try and repair the torn cuff.
Ended up with sirva. Torn cuff and had 2 surgeries to try and repair the torn cuff.
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โ | |||||
| 2831044 | 65 | F | NJ | 03/12/2025 |
PNC20 |
PFIZER\WYETH |
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Injection site erythema
Injection site erythema
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Redness from injection site extending down about eight inches sideways about six inches.
Redness from injection site extending down about eight inches sideways about six inches.
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| 2831045 | 13 | F | GA | 03/12/2025 |
HPV9 HPV9 |
MERCK & CO. INC. MERCK & CO. INC. |
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Cough, Dizziness, Dysphonia, Headache, Injection site pain; Oropharyngeal pain
Cough, Dizziness, Dysphonia, Headache, Injection site pain; Oropharyngeal pain
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Dizziness, lightheaded, headache, sore throat, hoarseness, dry cough, injection site pain
Dizziness, lightheaded, headache, sore throat, hoarseness, dry cough, injection site pain
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| 2831046 | 65 | F | CO | 03/12/2025 |
PNC20 |
PFIZER\WYETH |
LK6651 |
Musculoskeletal stiffness, Pain, Rash, Rash pruritic
Musculoskeletal stiffness, Pain, Rash, Rash pruritic
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Patient received vaccine in afternoon 3/11/25. Patient called on 3/12/25 9:30am stating she develope...
Patient received vaccine in afternoon 3/11/25. Patient called on 3/12/25 9:30am stating she developed an itchy rash on vaccinated arm and neck. In pain and neck felt stiff. Instructed pt to contact medical professional to be seen as it sounded like a form of allergic reaction
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| 2831047 | 60 | F | TX | 03/12/2025 |
HEPAB |
GLAXOSMITHKLINE BIOLOGICALS |
324BY |
Inappropriate schedule of product administration, No adverse event
Inappropriate schedule of product administration, No adverse event
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NONE. PATIENT IS FINE NO ADVERSE REACTION WAS ENCOUNTERED, PATIENT WAS GIVEN 3RD DOSE IN 52 DAYS, RE...
NONE. PATIENT IS FINE NO ADVERSE REACTION WAS ENCOUNTERED, PATIENT WAS GIVEN 3RD DOSE IN 52 DAYS, RECOMMENDED 5 MONTHS BETWEEN 2 ND AND 3RD DOSE.
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| 2831064 | 9 | F | OR | 03/12/2025 |
HEPA HEPA MMR VARCEL |
GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS MERCK & CO. INC. |
C24B9 C24B9 KH2BD Y013073 |
Extra dose administered, No adverse event; Extra dose administered, No adverse e...
Extra dose administered, No adverse event; Extra dose administered, No adverse event; Extra dose administered, No adverse event; Extra dose administered, No adverse event
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Received 2 doses of Hepatitis A vaccine. Patient asymptomatic. No treatment needed.
Received 2 doses of Hepatitis A vaccine. Patient asymptomatic. No treatment needed.
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| 2830539 | 0.17 | M | 03/11/2025 |
RV5 |
MERCK & CO. INC. |
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Faeces discoloured, No adverse event, Product dose omission issue
Faeces discoloured, No adverse event, Product dose omission issue
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patient missed their second dose of ROTATEQ; green poop; This spontaneous report was received from a...
patient missed their second dose of ROTATEQ; green poop; This spontaneous report was received from a consumer referring her son as a 2-month-old male patient. His medical history, concurrent conditions, concomitant therapies and drug reactions/allergies were not reported. On 11-NOV-2024, the patient was vaccinated with Rotavirus Vaccine, Live, Oral, Pentavalent (ROTATEQ), Oral liquid, dose number 1, 1 dosage form administered by Oral route (po) (lot # and expiration date were not reported) as prophylaxis (reported as "rotavirus.") On unspecified date in November 2024, the patient had "green poop" (faeces discoloured) following first vaccination, which lasted for "about a week or two". Then on an unspecified date in November 2024, he recovered from the event. Patient's mother reported that the patient missed his second dose of Rotavirus Vaccine, Live, Oral, Pentavalent (ROTATEQ) on 11-JAN-2025 (product dose omission issue). No symptoms or side effects were reported by the patient's mother for the patient missing the second dose of Rotavirus Vaccine, Live, Oral, Pentavalent (ROTATEQ). No further information reported by the patient's mother. The causal relationship between faeces discoloured and Rotavirus Vaccine, Live, Oral, Pentavalent (ROTATEQ) was unknown as patient's mother was unsure if that was because of the Rotavirus Vaccine, Live, Oral, Pentavalent (ROTATEQ.) Additional information was not expected.
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| 2830540 | OK | 03/11/2025 |
HPV9 |
MERCK & CO. INC. |
Y010656 |
No adverse event, Product administered to patient of inappropriate age, Wrong pa...
No adverse event, Product administered to patient of inappropriate age, Wrong patient
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No additional AE; infant patient was inadvertently administered an adolescent dose of GARDASIL 9 tod...
No additional AE; infant patient was inadvertently administered an adolescent dose of GARDASIL 9 today, 3/3/2025, that was meant for their older sibling; Medical Assistant calling with a report of an adverse event regarding GARDASIL 9. Medical assistant stated that an infant patient was inadvertently administered an adolescent dose of GARDASIL 9 today, 3/3/2025, that was meant for their older sibling; This spontaneous report was received from a Physician Assistant (reported as medical assistant) and refers to an infant patient of unknown age and gender. The patient's medical history, concurrent conditions, concomitant therapies were not reported, past drug reactions and allergies were not reported. On 03-MAR-2025, the infant patient was inadvertently vaccinated with an adolescent dose of Human Papillomavirus 9-valent Vaccine, Recombinant (GARDASIL 9), 0.5 mL, Two or Three dose series, indicated as prophylaxis (lot number Y010656 has been verified to be a valid number for Human Papillomavirus 9-valent Vaccine, Recombinant [GARDASIL 9], expiration date: 29-Nov-2026; formulation route of administration and anatomical site of injection were not provided) that was meant for their older sibling who was of age to received their first dose (Product administered to patient of inappropriate age, Wrong patient received product). The reporter confirmed the patient involved has not experienced any medical concerns or symptoms after the administration (No adverse event).
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| 2830551 | 57 | F | TX | 03/11/2025 |
PNC20 PNC20 |
PFIZER\WYETH PFIZER\WYETH |
Receipt does no Receipt does no |
Dizziness, Fatigue, Injection site pain, Injection site swelling, Nausea; Rash
Dizziness, Fatigue, Injection site pain, Injection site swelling, Nausea; Rash
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Rash on left arm appeared 22 hours after injection and persists 56 hours after injection. Injection ...
Rash on left arm appeared 22 hours after injection and persists 56 hours after injection. Injection site pain and swelling appeared 4 hours after injection and began to resolve 48 hours after injection. Fatigue, dizziness, and nausea appeared 22 hours after injection and resolved 48 hours after injection.
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| 2830552 | 4 | F | CA | 03/11/2025 |
DTAP DTAP |
GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS |
223Y9 223Y9 |
Erythema, Injected limb mobility decreased, Injection site erythema, Injection s...
Erythema, Injected limb mobility decreased, Injection site erythema, Injection site pain, Injection site pruritus; Injection site swelling, Injection site warmth
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Vaccine given on a Friday afternoon. At about 12 hrs after vaccination we noted some redness around ...
Vaccine given on a Friday afternoon. At about 12 hrs after vaccination we noted some redness around injection site. At 18 hours it increased in redness and was swollen.. At 24 hours injection site increased in redness. It became raised, itchy, painful to touch and hot to touch. It became hard for the child to move her arm. By 36 hours redness spread to cover whole upper extremity wrapping around arm . It continued to be painful, hot to touch, raised and itchy. Child given oral Benadryl. Completed a Video visit where provider believed it was cellulite and recommended antibiotics. Delayed giving antibiotics. Gave one dose of abx before seeing pediatrician. Pediatrician advised to stop abx as likely was not antibiotics and a localized reaction to the vaccine
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| 2830567 | 50 | F | FL | 03/11/2025 |
VARZOS |
UNKNOWN MANUFACTURER |
UNK |
Injection site pain
Injection site pain
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The patient states that her arm (Right Arm) is sore at the injection site; This non-serious case was...
The patient states that her arm (Right Arm) is sore at the injection site; This non-serious case was reported by a consumer via call center representative and described the occurrence of injection site pain in a 50-year-old female patient who received Herpes zoster (Shingles vaccine) for prophylaxis. On 05-MAR-2025, the patient received the 1st dose of Shingles vaccine (right arm). In MAR-2025, an unknown time after receiving Shingles vaccine, the patient experienced injection site pain (Verbatim: The patient states that her arm (Right Arm) is sore at the injection site). The outcome of the injection site pain was unknown. It was unknown if the reporter considered the injection site pain to be related to Shingles vaccine. It was unknown if the company considered the injection site pain to be related to Shingles vaccine. Additional Information: GSK Receipt Date : 06-MAR-2025 The patient received the Shingles vaccine the day before reporting at a local pharmacy. The patient stated that her arm (right Arm) was sore at the injection site.
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| 2830568 | M | 03/11/2025 |
COVID19 COVID19 |
MODERNA MODERNA |
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Anosmia, Brain fog, Illness, Immunisation reaction, Insomnia; Tinnitus
Anosmia, Brain fog, Illness, Immunisation reaction, Insomnia; Tinnitus
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Patient began a 1 1/2-year battle with sickness, never had Covid, the vaccines made sick; still suff...
Patient began a 1 1/2-year battle with sickness, never had Covid, the vaccines made sick; still suffering with problems like foggy head, insomnia, loss of smell, tinnitus and several other issues; still suffering with problems like foggy head, insomnia, loss of smell, tinnitus and several other issues; still suffering with problems like foggy head, insomnia, loss of smell, tinnitus and several other issues; still suffering with problems like foggy head, insomnia, loss of smell, tinnitus and several other issues; still suffering with problems like foggy head, insomnia, loss of smell, tinnitus and several other issues; This spontaneous case was reported by a patient and describes the occurrence of ILLNESS (Patient began a 1 1/2-year battle with sickness, never had Covid, the vaccines made sick), INSOMNIA (still suffering with problems like foggy head, insomnia, loss of smell, tinnitus and several other issues), ANOSMIA (still suffering with problems like foggy head, insomnia, loss of smell, tinnitus and several other issues), TINNITUS (still suffering with problems like foggy head, insomnia, loss of smell, tinnitus and several other issues) and BRAIN FOG (still suffering with problems like foggy head, insomnia, loss of smell, tinnitus and several other issues) in a male patient of an unknown age who received mRNA-1273.712 (SPIKEVAX 2024-2025 PFS) for COVID-19 prophylaxis. The occurrence of additional non-serious events is detailed below. No Medical History information was reported. In September 2024, the patient received dose of mRNA-1273.712 (SPIKEVAX 2024-2025 PFS) (Intramuscular use) 1 dosage form. On an unknown date, the patient experienced ILLNESS (Patient began a 1 1/2-year battle with sickness, never had Covid, the vaccines made sick), INSOMNIA (still suffering with problems like foggy head, insomnia, loss of smell, tinnitus and several other issues), ANOSMIA (still suffering with problems like foggy head, insomnia, loss of smell, tinnitus and several other issues), TINNITUS (still suffering with problems like foggy head, insomnia, loss of smell, tinnitus and several other issues), BRAIN FOG (still suffering with problems like foggy head, insomnia, loss of smell, tinnitus and several other issues) and IMMUNISATION REACTION (still suffering with problems like foggy head, insomnia, loss of smell, tinnitus and several other issues). At the time of the report, ILLNESS (Patient began a 1 1/2-year battle with sickness, never had Covid, the vaccines made sick), INSOMNIA (still suffering with problems like foggy head, insomnia, loss of smell, tinnitus and several other issues), ANOSMIA (still suffering with problems like foggy head, insomnia, loss of smell, tinnitus and several other issues), TINNITUS (still suffering with problems like foggy head, insomnia, loss of smell, tinnitus and several other issues), BRAIN FOG (still suffering with problems like foggy head, insomnia, loss of smell, tinnitus and several other issues) and IMMUNISATION REACTION (still suffering with problems like foggy head, insomnia, loss of smell, tinnitus and several other issues) had not resolved. No concomitant medications were reported. It was reported that the patient received moderna vaccine on Sep-2023 and Sep-2024. At the time of reporting patient was still suffering with problems like foggy head, insomnia, loss of smell, tinnitus and several other issues. Patient wanted to learn why the vaccines made so ill. No treatment medications were reported. This case was linked to MOD-2025-782823 (Patient Link).; Reporter's Comments: The benefit-risk relationship of product is not affected by this report.
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| 2830573 | 62 | F | FL | 03/11/2025 |
PPV PPV |
MERCK & CO. INC. MERCK & CO. INC. |
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Emotional distress, Feeling hot, Laboratory test, Magnetic resonance imaging, Pa...
Emotional distress, Feeling hot, Laboratory test, Magnetic resonance imaging, Pain; Periarthritis, Rotator cuff syndrome
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Turn rotator cuff; Frozen shoulder; warm rush sensation through her chest; agony; pain; she could no...
Turn rotator cuff; Frozen shoulder; warm rush sensation through her chest; agony; pain; she could not raise her arm; This spontaneous report has been received from a consumer regarding a 62-year-old female patient. The patient's medical history and concurrent conditions were not reported. Concomitant medications included Dexmethylphenidate hydrochloride (FOCALIN), Tramadol hydrochloride, and anti depressant. On 06-JAN-2022 at about 10:00, the patient was vaccinated with Pneumococcal Vaccine, Polyvalent (23-valent) (PNEUMOVAX 23), administered as prophylaxis (strength, dose, vaccination scheme, route of administration, anatomical site of injection, lot number, and expiration date were not reported). On that same date at around 11:30, the patient was standing and experienced a warm rush sensation through her chest (Feeling hot). That night, the patient went to raise her arms to put a shirt on and she could not raise her arm (Vaccination site movement impairment). The reporter stated that she had been dealing with this pain ever since (Pain), and she was in agony for the first 18 months (Emotional distress). On an unknown date in 2023, the patient recovered from the event of emotional distress. On an unknown date, the patient experienced frozen shoulder (Periarthritis) and turn rotator cuff (Rotator cuff syndrome). She stated that she had been to many different healthcare professionals (HCP) including neurologists, pain management, physical therapists, orthopedics, and a psychiatrist, and that all the HCPs want to do is ''cut''. Also, it was reported that some of the treatments have included physical therapy and pain management injections but that the pain persists, and that the patient has gotten ''every test in the book'' including magnetic resonance imaging (MRI). She mentioned that the vaccine di work because she has not gotten sick since she got it back in 2022. At the time of the reporting, the patient had not recovered from the events of pain, rotator cuff syndrome, and periarthritis. The outcome of the events of vaccination site movement impairment and feeling hot was unknown. The causal relationship between the events and Pneumococcal Vaccine, Polyvalent (23-valent) (PNEUMOVAX 23) was not reported.
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| 2830574 | M | TX | 03/11/2025 |
MMRV |
MERCK & CO. INC. |
Y009348 |
Device connection issue, Underdose
Device connection issue, Underdose
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the PFS leaked from around the leurlock during administration; Initial caller was medical assistant ...
the PFS leaked from around the leurlock during administration; Initial caller was medical assistant who then placed MD on phone. HCP reported PQC for Sterile Diluent PFS. Caller states the PFS leaked from around the leurlock during administration and then the needle and leurlock broke off when engaging the saf; syringe leak; This spontaneous report was received from a physician referring to a 4-year-old male patient. The patient's medical history, concurrent conditions and concomitant therapies were not reported. On an unknown date, the patient started therapy with Measles, Mumps, Rubella and Varicella (Oka-Merck) Virus Vaccine Live lyophilisate and solvent for solution for injection (PROQUAD), injection for prophylaxis, 0.5 milliliter, intramuscularly, lot number Y009348 which has been verified to be valid, expiration date reported and validated as 11-NOV-2025 (anatomical location, scheme and strength not provided) with sterile diluent solution for injection, lot number 1973529 which is an invalid lot number, expiration date 03-MAR-2026. On 20-FEB-2025, the prefilled syringe leaked from around the leurlock during administration. The reporter stated that the prefilled syringe leaked from around the leurlock during administration and then the needle and leurlock broke off when engaging the safety cap (poor quality deice used) (accidental underdose). Follow-up was received from reporter on 24-FEB-2025. The needle and leur lock broke off from the syringe. The louer lock itself was still inact and attached to the needle. The reporter confirmed needle detached from louer lock while engaging safety cap. It was not difficult to attach the needle but she could not get a good seal.
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| 2830575 | PR | 03/11/2025 |
VARCEL |
MERCK & CO. INC. |
Y015108 |
Product storage error
Product storage error
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Caller reported VARIVAX administered after temperature excursion. No other information provided.; Th...
Caller reported VARIVAX administered after temperature excursion. No other information provided.; This spontaneous report has been received from a nurse, regarding to a patient of unknown age and gender. The patient's pertinent medical history, concurrent conditions, concomitant therapies, and previous drug reactions or allergies were not reported. On 07-FEB-2025, the patient was vaccinated with an improperly stored dose of varicella virus vaccine live (oka-merck) lyophilisate and solvent for solution for injection (VARIVAX) 0.5 milliliter (mL) administered as prophylaxis Lot No. Y015108 has been verified to be a valid lot number for [varicella virus vaccine live (oka-merck) lyophilisate and solvent for solution for injection], expiration date reported and upon internal validation established as 06-SEP-2026 (strength, dose number, route and anatomical location of administration and vaccination scheme frequency were not provided) that was reconstituted with an sterile diluent solution for injection (BAXTER STERILE DILUENT) (Lot number, expiration date and route of administration was not provided (product storage error), after a temperature excursion of -2.1 degree Celsius (C) (-2.1C) during a time frame of 6 hours 45 minutes and 0 seconds. No previous temperature excursion was reported. This is one of several reports received from the same reporter.
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