| ID | Age | Sex | State | Date โผ | Onset Days | Vaccine | Manufacturer | Lot # | Symptoms | Narrative | ๐ | ๐ฅ | ๐ | โฟ | โ ๏ธ |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2828124 | 28 | M | ME | 02/25/2025 |
TDAP |
GLAXOSMITHKLINE BIOLOGICALS |
U8115AA |
Product storage error
Product storage error
|
It was discovered after vaccine was given, that the refrigerator it was kept in was out of temperatu...
It was discovered after vaccine was given, that the refrigerator it was kept in was out of temperature range at the time the vaccine was administered.
More
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| 2828125 | 40 | M | ME | 02/25/2025 |
TDAP |
GLAXOSMITHKLINE BIOLOGICALS |
U7929AA |
Product storage error
Product storage error
|
It was discovered after vaccine was given, that the refrigerator it was kept in was out of temperatu...
It was discovered after vaccine was given, that the refrigerator it was kept in was out of temperature range at the time the vaccine was administered.
More
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| 2828126 | 71 | F | ME | 02/25/2025 |
FLU3 |
SANOFI PASTEUR |
UT8409EA |
Product storage error
Product storage error
|
It was discovered after vaccine was given, that the refrigerator it was kept in was out of temperatu...
It was discovered after vaccine was given, that the refrigerator it was kept in was out of temperature range at the time the vaccine was administered.
More
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| 2828127 | 75 | F | ME | 02/25/2025 |
FLU3 |
SANOFI PASTEUR |
UT8409EA |
Product storage error
Product storage error
|
It was discovered after vaccine was given, that the refrigerator it was kept in was out of temperatu...
It was discovered after vaccine was given, that the refrigerator it was kept in was out of temperature range at the time the vaccine was administered.
More
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| 2828128 | 24 | F | ME | 02/25/2025 |
FLU3 |
GLAXOSMITHKLINE BIOLOGICALS |
K9XL5 |
Product storage error
Product storage error
|
It was discovered after vaccine was given, that the refrigerator it was kept in was out of temperatu...
It was discovered after vaccine was given, that the refrigerator it was kept in was out of temperature range at the time the vaccine was administered.
More
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| 2828129 | 48 | F | ME | 02/25/2025 |
FLU3 |
GLAXOSMITHKLINE BIOLOGICALS |
K9XL5 |
Product storage error
Product storage error
|
It was discovered after vaccine was given, that the refrigerator it was kept in was out of temperatu...
It was discovered after vaccine was given, that the refrigerator it was kept in was out of temperature range at the time the vaccine was administered.
More
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| 2828130 | 4 | F | 02/25/2025 |
DTAPIPV DTAPIPV MMRV MMRV |
SANOFI PASTEUR SANOFI PASTEUR MERCK & CO. INC. MERCK & CO. INC. |
|
Cyanosis, Dizziness, Eye movement disorder, Malaise, Pallor; Presyncope, Vomitin...
Cyanosis, Dizziness, Eye movement disorder, Malaise, Pallor; Presyncope, Vomiting; Cyanosis, Dizziness, Eye movement disorder, Malaise, Pallor; Presyncope, Vomiting
More
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About 30-40 minutes after vaccination patient stood up and while walking started feeling dizzy and s...
About 30-40 minutes after vaccination patient stood up and while walking started feeling dizzy and sick, threw up, and almost passed out. She was immediately picked up and put in trendelenburg, her face/lips turned pale and was green/blue around her mouth, eyes rolling into the back of her head, but did not entirely lose consciousness. About 10-15 minutes after the event she felt better. She ate a full breakfast an hour before her appointment and has never passed out from vaccines in the past. Her doctor?s office was notified and said this was a ?very common adrenaline reaction,? which seems inaccurate as it did not occur immediately after vaccination, and should not be a common reaction. I want to make sure the reaction is reported accurately.
More
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| 2828131 | 24 | F | ME | 02/25/2025 |
TDAP |
GLAXOSMITHKLINE BIOLOGICALS |
U8115AA |
Product storage error
Product storage error
|
It was discovered after vaccine was given, that the refrigerator it was kept in was out of temperatu...
It was discovered after vaccine was given, that the refrigerator it was kept in was out of temperature range at the time the vaccine was administered.
More
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| 2828132 | 23 | F | ME | 02/25/2025 |
HPV9 |
MERCK & CO. INC. |
X019862 |
Product storage error
Product storage error
|
It was discovered after vaccine was given, that the refrigerator it was kept in was out of temperatu...
It was discovered after vaccine was given, that the refrigerator it was kept in was out of temperature range at the time the vaccine was administered.
More
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| 2828133 | 30 | F | ME | 02/25/2025 |
FLU3 |
GLAXOSMITHKLINE BIOLOGICALS |
DA7P5 |
Exposure during pregnancy, Product storage error
Exposure during pregnancy, Product storage error
|
It was discovered after vaccine was given, that the refrigerator it was kept in was out of temperatu...
It was discovered after vaccine was given, that the refrigerator it was kept in was out of temperature range at the time the vaccine was administered. Patient is pregnant with EDD of 6/20/2025
More
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| 2828134 | 36 | F | ME | 02/25/2025 |
FLU3 |
GLAXOSMITHKLINE BIOLOGICALS |
K9XL5 |
Product storage error
Product storage error
|
It was discovered after vaccine was given, that the refrigerator it was kept in was out of temperatu...
It was discovered after vaccine was given, that the refrigerator it was kept in was out of temperature range at the time the vaccine was administered.
More
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| 2828135 | 1.33 | F | CO | 02/25/2025 |
UNK UNK UNK UNK |
UNKNOWN MANUFACTURER UNKNOWN MANUFACTURER UNKNOWN MANUFACTURER UNKNOWN MANUFACTURER |
79K45 Y003146 5YB7L LC5484 |
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
More
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Accidental third dose of Influenza (flulaval) IZ administered to pt. No adverse reaction occured - d...
Accidental third dose of Influenza (flulaval) IZ administered to pt. No adverse reaction occured - did call mother of patient followind day, 02/25/2025 and ask how patient was doing, MOC (speaking) notified that pt was doing well and had no side effects or adverse reaction. Did speak with provider of visit and supervisors of incident day of (02/24/2025) - notified by supvervisor to report incident.
More
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| 2828136 | 1 | M | 02/25/2025 |
DTPPVHBHPB MMR |
MSP VACCINE COMPANY MERCK & CO. INC. |
U7947AA Y008290 |
Rash; Rash
Rash; Rash
|
Rash beginning day after vaccine administration. Resolved over next few days. Per nursing note &q...
Rash beginning day after vaccine administration. Resolved over next few days. Per nursing note "Mom called to clinic stating child had a well check on 2/19. At appt he received two vaccines (MMR and vaxelis). The next day mom noted a rash and by Friday rash seemed worse. Improved over the weekend and has completely resolved today."
More
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| 2828137 | 55 | F | ME | 02/25/2025 |
FLU3 |
GLAXOSMITHKLINE BIOLOGICALS |
K9XL5 |
Product storage error
Product storage error
|
It was discovered after vaccine was given, that the refrigerator it was kept in was out of temperatu...
It was discovered after vaccine was given, that the refrigerator it was kept in was out of temperature range at the time the vaccine was administered.
More
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| 2828138 | 25 | F | ME | 02/25/2025 |
FLU3 |
GLAXOSMITHKLINE BIOLOGICALS |
K9XL5 |
Exposure during pregnancy, Product storage error
Exposure during pregnancy, Product storage error
|
It was discovered after vaccine was given, that the refrigerator it was kept in was out of temperatu...
It was discovered after vaccine was given, that the refrigerator it was kept in was out of temperature range at the time the vaccine was administered. Patient is pregnant and EDD is 4/10/25
More
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| 2828139 | 25 | F | ME | 02/25/2025 |
TDAP |
SANOFI PASTEUR |
U7999AA |
Exposure during pregnancy, Product storage error
Exposure during pregnancy, Product storage error
|
It was discovered after vaccine was given, that the refrigerator it was kept in was out of temperatu...
It was discovered after vaccine was given, that the refrigerator it was kept in was out of temperature range at the time the vaccine was administered. Patient is pregnant and EDD is 4/10/25
More
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| 2828140 | 32 | F | ME | 02/25/2025 |
RSV TDAP |
PFIZER\WYETH SANOFI PASTEUR |
LN5502 U7999AA |
No adverse event, Product storage error; No adverse event, Product storage error
No adverse event, Product storage error; No adverse event, Product storage error
|
Out of range temperature for refrigerator. No adverse reactions
Out of range temperature for refrigerator. No adverse reactions
|
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| 2828141 | 0.17 | M | NY | 02/25/2025 |
UNK |
UNKNOWN MANUFACTURER |
U8265AA |
Circumstance or information capable of leading to medication error, Skin abrasio...
Circumstance or information capable of leading to medication error, Skin abrasion, Skin haemorrhage
More
|
Vaccine administered by LPN and when vaccine was administered, needle was removed but patient moved ...
Vaccine administered by LPN and when vaccine was administered, needle was removed but patient moved his leg and needle did hit his upper left knee leaving a small abrasion. Bleeding was controlled and bandaid was applied
More
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| 2828142 | 31 | F | ME | 02/25/2025 |
RSV TDAP |
PFIZER\WYETH SANOFI PASTEUR |
LN5502 U7999AA |
Exposure during pregnancy, Product storage error; Exposure during pregnancy, Pro...
Exposure during pregnancy, Product storage error; Exposure during pregnancy, Product storage error
More
|
It was discovered after vaccine was given, that the refrigerator it was kept in was out of temperatu...
It was discovered after vaccine was given, that the refrigerator it was kept in was out of temperature range at the time the vaccine was administered. Patient is pregnant EDD is 3/9/25
More
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| 2828143 | 34 | F | ME | 02/25/2025 |
FLU3 TDAP |
GLAXOSMITHKLINE BIOLOGICALS SANOFI PASTEUR |
K9XL5 U7999AA |
No adverse event, Product storage error; No adverse event, Product storage error
No adverse event, Product storage error; No adverse event, Product storage error
|
Out of range temperature for refrigerator. No adverse reactions
Out of range temperature for refrigerator. No adverse reactions
|
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| 2828144 | 5 | F | NM | 02/25/2025 |
HEPAB |
GLAXOSMITHKLINE BIOLOGICALS |
m4834 |
No adverse event, Wrong product administered
No adverse event, Wrong product administered
|
pt was given twinrex instead of hep a hep b separately...no symptoms
pt was given twinrex instead of hep a hep b separately...no symptoms
|
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| 2828145 | 13 | M | SC | 02/25/2025 |
HEPA HPV9 |
GLAXOSMITHKLINE BIOLOGICALS MERCK & CO. INC. |
TF27T 1965035 |
Pallor, Syncope; Pallor, Syncope
Pallor, Syncope; Pallor, Syncope
|
Following administration of vaccines, client slid from chair onto floor. Client s father was seated ...
Following administration of vaccines, client slid from chair onto floor. Client s father was seated on chair beside client. Client appeared pale and experienced a brief period of syncope. Client placed in supine position with legs elevated. Vital signs monitored. Client returned to consciousness within a few seconds. Vital signs stable and pupils equal, round, reactive, to light and accommodation. Father voiced concern for possible allergic reaction. Client s shirt removed, cool cloths and fan provided and tolerated well. Client s skin tone returned to baseline coloration within minutes. Continued to monitor client and vital signs. No symptoms of localized or anaphylactic reaction present. Within minutes client stated no dizziness, nausea, or other symptoms. No vomiting present. Client denied pain. Cool water provided and tolerated well; snack offered but declined. Continued to monitor client who was able to sit, stand, and walk around room without difficulty. Vital signs stable, activity and water tolerated well. Two small areas of redness present to intact skin of nose. Client denied pain and tenderness; no injury or bleeding present. Client s father denied concerns and declined emergency medical response. Client denied symptoms. Father encouraged to have client follow up with primary medical provider and to seek medical attention for client with concerns or changes in condition. Father voiced understanding. Client and parent encouraged to notify providers of syncopal episode prior to future injections or procedures. Client and parent voiced understanding. Regional medical director notified by telephone. Per regional medical director no further intervention indicated, no orders received. Regional immunization program manager notified by telephone. Client ambulatory with steady gait without assistance, accompanied by father. No symptoms or distress present at time of discharge from clinic.
More
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| 2828146 | 19 | F | ME | 02/25/2025 |
TDAP |
SANOFI PASTEUR |
|
Exposure during pregnancy, No adverse event, Product storage error
Exposure during pregnancy, No adverse event, Product storage error
|
Out of range temperature for refrigerator. No adverse reactions
Out of range temperature for refrigerator. No adverse reactions
|
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| 2828147 | 25 | F | ME | 02/25/2025 |
FLU3 RSV TDAP |
GLAXOSMITHKLINE BIOLOGICALS PFIZER\WYETH SANOFI PASTEUR |
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No adverse event, Product storage error; No adverse event, Product storage error...
No adverse event, Product storage error; No adverse event, Product storage error; No adverse event, Product storage error
More
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Out of range temperature for refrigerator. No adverse reactions
Out of range temperature for refrigerator. No adverse reactions
|
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| 2828148 | 13 | M | KY | 02/25/2025 |
VARCEL VARCEL |
MERCK & CO. INC. MERCK & CO. INC. |
Y014868 Y014868 |
Incorrect route of product administration, Injection site erythema, Injection si...
Incorrect route of product administration, Injection site erythema, Injection site pruritus, Injection site swelling, Product administered at inappropriate site; Urticaria
More
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Per the 02/19/2025 triage note from RN, "After 20 minutes, sight of shot displayed redness and ...
Per the 02/19/2025 triage note from RN, "After 20 minutes, sight of shot displayed redness and mild swelling and itchiness. Dr. checked spot with patient and advised that is possible natural reaction from the injection given in the subcutaneous tissue of the lower forearm and stated benadryl would be prescribed for symptomatic relief and patient and mother acknowledged information." Patient and patient's mother left the medical office before receiving the benadryl from the Health Center pharmacy. Later that evening, the patient's parents took the patient to the Hospital emergency room. Per provider encounter note on 02/21/2025, "here to follow up ER visit. seen at facility 2 days ago after local reaction to the varicella vaccine. doing better, redness is smaller and not itchy, but hurts a lot. note reviewed, got benadryl, has been taking 25 mg every hours." "Current Medications Discontinued Benadryl Allergy 12.5 MG/5ML Liquid 5 ml Orally every 6 hrs prn , stop date 03/12/2025 Treatment 1. Acute urticaria Start diphenhydrAMINE HCl Capsule, 25 MG, 1 capsule, Orally, every 6 hours As needed, 7 days, 28 Capsule, Refills 1 Start predniSONE Tablet, 5 MG, 1 tablet, Orally, Once a day, 3 days, 3 Tablet, Refills 0 Notes: Nursing supervisor spoke with manufacturer and advised will need to repeat the dose due to not being given IM or SQ and to wait 30 days. will have patient return to see me after 30 days and update all vaccines and repeat the varicella. 2. Others Start Ibuprofen Tablet, 200 MG, 2 tablets, Orally, every 8 hours As needed, 7 days, 42 Tablet, Refills 1 On 02/20/2025, RN "Spoke to Merck Sharp & Dohme LLC. Spoke with representative. Case #02756830. Per Merck and CDC vaccine is invalid because there are no studies on vaccine efficacy when given in forearm. Per Merck, titers may be drawn to determine immunity. Based on results of titers, provider may decide to offer additional dose of Varivax. Merck states that immunity cannot be guaranteed with current second dose. Per Merck, should wait at least 28 days prior to administering additional dose. Reaction reported to Merck (Merck stated that they report all reactions to VAERS)".
More
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| 2828149 | 22 | F | ME | 02/25/2025 |
TDAP |
SANOFI PASTEUR |
U7929AA |
Exposure during pregnancy, No adverse event, Product storage error
Exposure during pregnancy, No adverse event, Product storage error
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Out of range temperature for refrigerator. No adverse reactions
Out of range temperature for refrigerator. No adverse reactions
|
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| 2828150 | 67 | F | AL | 02/25/2025 |
RSV |
GLAXOSMITHKLINE BIOLOGICALS |
F42B2 |
Paraesthesia oral
Paraesthesia oral
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Patient said she had tingling of the tongue/mouth area that started about 5 to 10 minutes after the ...
Patient said she had tingling of the tongue/mouth area that started about 5 to 10 minutes after the vaccine. Symptoms resolved within about 30 minutes. No medical care sought
More
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| 2828151 | 21 | F | ME | 02/25/2025 |
FLU3 TDAP |
GLAXOSMITHKLINE BIOLOGICALS SANOFI PASTEUR |
K9XL5 U7924AA |
No adverse event, Product storage error; No adverse event, Product storage error
No adverse event, Product storage error; No adverse event, Product storage error
|
Out of range temperature for refrigerator. No adverse reactions
Out of range temperature for refrigerator. No adverse reactions
|
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| 2828152 | 22 | F | ME | 02/25/2025 |
TDAP |
SANOFI PASTEUR |
3CA07C1 |
Exposure during pregnancy, No adverse event, Product storage error
Exposure during pregnancy, No adverse event, Product storage error
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Out of range temperature for refrigerator. No adverse reactions
Out of range temperature for refrigerator. No adverse reactions
|
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| 2828153 | 0.42 | F | MI | 02/25/2025 |
DTAPIPVHIB IPV PNC20 |
SANOFI PASTEUR SANOFI PASTEUR PFIZER\WYETH |
UK023AA X1D141M LG5574 |
Extra dose administered; Extra dose administered; Extra dose administered
Extra dose administered; Extra dose administered; Extra dose administered
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Dtap-Hib-IPV administered at the same time as single antigen IPV.
Dtap-Hib-IPV administered at the same time as single antigen IPV.
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| 2828154 | 29 | M | MI | 02/25/2025 |
COVID19 |
PFIZER\BIONTECH |
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Alopecia
Alopecia
|
Hair loss 2 months post vaccination. No personal history and No family history of alopecia or male p...
Hair loss 2 months post vaccination. No personal history and No family history of alopecia or male pattern baldness. Episodes have come in waves over the last 3-4 years. Always patchy and different areas of body. permanent hair loss on crown of head
More
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| 2828155 | 1.33 | F | TX | 02/25/2025 |
MMR |
MERCK & CO. INC. |
X024178 |
No adverse event
No adverse event
|
Nurse didn't realize the child had an egg allergy until after giving the vaccine. Parnts and ch...
Nurse didn't realize the child had an egg allergy until after giving the vaccine. Parnts and child waiting in clinic 10 minutes before leaving. No reaction was noted.
More
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| 2828156 | 1.33 | F | TX | 02/25/2025 |
MMR |
MERCK & CO. INC. |
X024178 |
No adverse event
No adverse event
|
Nurse didn't realize the child had an egg allergy until after giving the vaccine. Parnts and ch...
Nurse didn't realize the child had an egg allergy until after giving the vaccine. Parnts and child waiting in clinic 10 minutes before leaving. No reaction was noted.
More
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| 2828157 | 18 | F | IL | 02/25/2025 |
MENB MENB |
NOVARTIS VACCINES AND DIAGNOSTICS NOVARTIS VACCINES AND DIAGNOSTICS |
PX7E2 PX7E2 |
Oral pruritus, Rash, Rash erythematous, Rash macular, Rash pruritic; Skin warm
Oral pruritus, Rash, Rash erythematous, Rash macular, Rash pruritic; Skin warm
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Pt describes feeling itchiness around mouth within 1 hour of vaccine administration. Within next 3 ...
Pt describes feeling itchiness around mouth within 1 hour of vaccine administration. Within next 3 hours complained of facial itching and also facial redness, rash and blotchiness. Returned to clinic within 5 hours to get evaluated and noted to have facial itchiness with rash and redness/warmth, without any respiratory or other complaints. Received oral Prednisone 20 mL (15 mg/mL) suspension and oral Children's Allegra Allergy liquid 25 ml. Within 1 hour itchiness decreased and facial rash noticeably less reddened. Was sent home on oral Prednisone 40 mg 2x's/day x 5 days and also Allegra Allergy liquid. Per patient next day 2/25/25 reports facial complaints improved, slight itchiness, no increased redness.
More
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| 2828158 | 0.83 | M | PA | 02/25/2025 |
UNK |
UNKNOWN MANUFACTURER |
W1A191M |
Expired product administered
Expired product administered
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Vaccine administered past manufacturer expiration date. Printed expiration date lists 02/16/2025. Va...
Vaccine administered past manufacturer expiration date. Printed expiration date lists 02/16/2025. Vaccine administered to patient on 02/25/2025
More
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| 2828159 | 67 | M | NJ | 02/25/2025 |
COVID19 COVID19 COVID19 |
PFIZER\BIONTECH PFIZER\BIONTECH PFIZER\BIONTECH |
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Atrial fibrillation, Blood creatinine increased, Blood immunoglobulin G decrease...
Atrial fibrillation, Blood creatinine increased, Blood immunoglobulin G decreased, Blood immunoglobulin M normal, Cardiac failure congestive; Chills, Epstein-Barr virus antibody, Fatigue, Glomerular filtration rate decreased, Headache; Hyperhidrosis, Infectious mononucleosis, Pain, Renal impairment
More
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Developed mononucleosis, atrial fibrillation and congestive heart failure. Hospitalized for 11 days...
Developed mononucleosis, atrial fibrillation and congestive heart failure. Hospitalized for 11 days. Major mono symptoms lasted about 2 weeks, and included painful headaches, body aches, chills, sweats and fatigue. Today (six weeks later) the fatigue is still severe. Heart failure was treated with diuretics. Also developed under-performing kidneys, possibly from diuretics.
More
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โ | |||||
| 2828160 | 1 | F | WA | 02/25/2025 |
HIBV |
SANOFI PASTEUR |
UK042AA |
No adverse event, Product preparation error
No adverse event, Product preparation error
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There was no adverse reaction. The patient received this vaccine diluted with the wrong diluent. Ste...
There was no adverse reaction. The patient received this vaccine diluted with the wrong diluent. Sterile water was used instead of the supplied diluent of 0.4% sodium chloride.
More
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| 2828161 | 23 | M | AK | 02/25/2025 |
COVID19 FLU3 |
MODERNA SANOFI PASTEUR |
B0005 UT8415MA |
Arthralgia, Mobility decreased, Pain; Arthralgia, Mobility decreased, Pain
Arthralgia, Mobility decreased, Pain; Arthralgia, Mobility decreased, Pain
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Complains of 3 weeks of intermittent radiating pain originating in left shoulder with limited mobili...
Complains of 3 weeks of intermittent radiating pain originating in left shoulder with limited mobility that started after the COVID vaccine. Reported it lasted 2 days after administration, resolved, and then returned. Complains of episodes of right hand limited mobility over 3 weeks since flu vaccine administration. 3 weeks later he reported "my right hand still hurts at the wrist". Client wanted to see if symptoms improved after completion of course of antibiotics.
More
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| 2828174 | F | AZ | 02/25/2025 |
PPV PPV PPV PPV |
UNKNOWN MANUFACTURER UNKNOWN MANUFACTURER UNKNOWN MANUFACTURER UNKNOWN MANUFACTURER |
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Extra dose administered, Product administered to patient of inappropriate age; E...
Extra dose administered, Product administered to patient of inappropriate age; Extra dose administered, Product administered to patient of inappropriate age; Extra dose administered, Product administered to patient of inappropriate age; Extra dose administered, Product administered to patient of inappropriate age
More
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patient vaccinated with the fourth dose of pneumococcal vaccine on 17-FEB-2006 at the age reported a...
patient vaccinated with the fourth dose of pneumococcal vaccine on 17-FEB-2006 at the age reported as 1y0mo; patient vaccinated with the fourth dose of pneumococcal vaccine on 17-FEB-2006 at the age reported as 1y0mo; patient vaccinated with the third dose pneumococcal vaccine on 16-AUG-2005 at the age reported as 6m3do; patient vaccinated with the third dose pneumococcal vaccine on 16-AUG-2005 at the age reported as 6m3do; patient vaccinated with the second dose of pneumococcal vaccine on 14-JUN-2005 at the age reported as 4m1do; patient vaccinated with the second dose of pneumococcal vaccine on 14-JUN-2005 at the age reported as 4m1do; patient vaccinated with the first dose of pneumococcal vaccine on 12-APR-2005 at the age reported as 1m30do; This spontaneous report, which is a split case from a case in litigation for human papillomavirus 9-valent vaccine, recombinant (GARDASIL 9) (case ID in previous safety database: 2501USA003441; current case ID: 2249222), has been received via medical records from a physician and refers to a 1-month-old female patient. The patient's medical history, current conditions and concomitant therapies have already been reported in the above-mentioned case in litigation. On 12-Apr-2005, the patient was vaccinated with the first dose of pneumococcal vaccine, polyvalent (23-valent) (manufacturer unknown) solution for injection, provided as "pneumococcal" vaccine (exact dose, lot #, expiration date, route of administration and anatomical location not reported), for prophylaxis, at the age reported as "1m30do" (Inappropriate age at vaccine administration). On 14-Jun-2005, the patient was vaccinated with the second dose of pneumococcal vaccine, polyvalent (23-valent) (manufacturer unknown) solution for injection (exact dose, lot #, expiration date, route of administration and anatomical location not reported), for prophylaxis, at the age reported as "4m1do" (Inappropriate age at vaccine administration, Extra dose administered). On 16-Aug-2005, the patient was vaccinated with the third dose of pneumococcal vaccine, polyvalent (23-valent) (manufacturer unknown) solution for injection (exact dose, lot #, expiration date, route of administration and anatomical location not reported), for prophylaxis, at the age reported as "6m3do" (Inappropriate age at vaccine administration, Extra dose administered). On 17-Feb-2006, the patient was vaccinated with the fourth dose of pneumococcal vaccine, polyvalent (23-valent) (manufacturer unknown) solution for injection (exact dose, lot #, expiration date, route of administration and anatomical location not reported), for prophylaxis, at the age reported as "1y0mo" (Inappropriate age at vaccine administration, Extra dose administered). This is one of several reports pertaining to the same patient (cross-referenced with case # US-009507513-2501USA003441). All available medical records will be provided upon request.
More
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| 2828175 | NJ | 02/25/2025 |
RV5 |
MERCK & CO. INC. |
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Rotavirus infection
Rotavirus infection
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3-month-old child was admitted with Rotavirus 2/7/2025. Child was supposed to receive ROTATEQ today,...
3-month-old child was admitted with Rotavirus 2/7/2025. Child was supposed to receive ROTATEQ today, but did not; This spontaneous report was received from a Nurse and refers to a 3-month-old patient of unknown gender. The patient's medical history, concurrent conditions and concomitant therapies were not provided. On an unknown date, the patient started therapy with Rotavirus Vaccine, Live, Oral, Pentavalent (ROTATEQ) oral solution, reported as "ROTATEQ VIAL 2", administered by oral route for prophylaxis (lot # and expiration date were not reported). On 07-FEB-2025, the patient was admitted due to Rotavirus, diagnosed on 20-FEB-2025. Child was supposed to receive Rotavirus Vaccine, Live, Oral, Pentavalent (ROTATEQ) that day, but did not. At the reporting time, the outcome of Rotavirus was not known. The action taken with the suspect vaccine regarding the event was not reported but established as not applicable. The causal relationship between the event of Rotavirus and Rotavirus Vaccine, Live, Oral, Pentavalent (ROTATEQ) was not provided.
More
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โ | |||||||
| 2828176 | F | FL | 02/25/2025 |
HPV9 |
MERCK & CO. INC. |
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Injection site nodule, Pain in extremity
Injection site nodule, Pain in extremity
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A patient experienced a nodule at the injection site after receiving their second dose of GARDASIL 9...
A patient experienced a nodule at the injection site after receiving their second dose of GARDASIL 9 that lasted approximately a week.; After the nodule went away, the patient has still been experiencing arm pain; This spontaneous report was received from a Physician regarding a 45-year-old female patient. The patient's medical history, concurrent conditions, concomitant therapies, past drug reactions and allergies were unknown by the reporter. On an unknown date in November 2024 (reported as at the end of November), the patient was vaccinated with the second dose of Human Papillomavirus 9-valent Vaccine, Recombinant (GARDASIL 9), Injection, 0.5 mL, administered Intramuscularly for vaccination (lot number, expiration date and anatomical site of injection were not reported). After receiving the mentioned dose, the patient experienced a nodule at the injection site (Vaccination site nodule) that lasted approximately a week. After the patient recovered from the vaccination site nodule on an unknown date in November 2024 (reported as after the nodule went away), the patient has still been experiencing arm pain (Pain in extremity). The reporter stated that due to the event of Vaccination site nodule, they decided not to administer the third dose of the vaccine. At the time of the report, the patient was recovered from the event of Vaccination site nodule and was not recovered from the event of Pain in extremity. The action taken with the suspect vaccine regarding the events was reported as drug withdrawn. Dechallenge and rechallenge were not applicable. The causal relationship between the events and Human Papillomavirus 9-valent Vaccine, Recombinant (GARDASIL 9) was not provided.
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| 2828177 | 64 | M | KS | 02/25/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
24M7E |
Inappropriate schedule of product administration
Inappropriate schedule of product administration
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patient had received two shots of Shingrix, but they were more; This non-serious case was reported b...
patient had received two shots of Shingrix, but they were more; This non-serious case was reported by a pharmacist via call center representative and described the occurrence of drug dose administration interval too long in a 64-year-old male patient who received Herpes zoster (Shingrix) (batch number 24M7E, expiry date 02-APR-2026) for prophylaxis. Previously administered products included Shingrix (1st dose received on 22-NOV-2021). On 03-JAN-2025, the patient received the 2nd dose of Shingrix (intramuscular, right deltoid). On 03-JAN-2025, an unknown time after receiving Shingrix, the patient experienced drug dose administration interval too long (Verbatim: patient had received two shots of Shingrix, but they were more). The outcome of the drug dose administration interval too long was not applicable. Additional Information: GSK Receipt Date: 21-FEB-2025 Reporter did not had access saw this in registry first dose was not administered at their pharmacy. The reporter stated that although the pharmacy has email it was for internal use only. She reported to the GRC on 21 February 2025 that a patient had received a shots of Shingrix, but they were more than 6 months apart. Reporter did not have access to the lot number for dose #1 which was given at a different facility in 2021. The patient received 2nd dose of Shingrix, later than the recommended interval, which led to lengthening of vaccination schedule.
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| 2828178 | 02/25/2025 |
VARZOS VARZOS |
GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS |
UNK UNK |
Incomplete course of vaccination, Malaise; Incomplete course of vaccination, Mal...
Incomplete course of vaccination, Malaise; Incomplete course of vaccination, Malaise
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received my first Shingrix shot in July 2024 and I have been sick; have not gotten my second shot, i...
received my first Shingrix shot in July 2024 and I have been sick; have not gotten my second shot, is it too late; This non-serious case was reported by a consumer via interactive digital media and described the occurrence of sickness in a patient who received Herpes zoster (Shingrix) for prophylaxis. Co-suspect products included Herpes zoster (Shingrix) for prophylaxis. On an unknown date, the patient did not receive the 2nd dose of Shingrix. In JUL-2024, the patient received the 1st dose of Shingrix. On an unknown date, not applicable after receiving Shingrix and an unknown time after receiving Shingrix, the patient experienced sickness (Verbatim: received my first Shingrix shot in July 2024 and I have been sick) and incomplete course of vaccination (Verbatim: have not gotten my second shot, is it too late). The outcome of the sickness was not reported and the outcome of the incomplete course of vaccination was unknown. It was unknown if the reporter considered the sickness to be related to Shingrix. It was unknown if the company considered the sickness to be related to Shingrix. Additional Information: GSK Receipt Date: 13-FEB-2025 This case was reported by a patient via interactive digital media. The patient received first Shingrix shot and had been sick on and off and have not got the second shot, was it too late to get it now or did have to start over. Till the time of reporting, the patient did not receive 2nd dose of Shingrix, which led to incomplete course of vaccination.
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| 2828179 | 02/25/2025 |
VARZOS VARZOS |
UNKNOWN MANUFACTURER UNKNOWN MANUFACTURER |
UNK UNK |
Herpes zoster, Vaccination failure; Herpes zoster, Vaccination failure
Herpes zoster, Vaccination failure; Herpes zoster, Vaccination failure
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suspected vaccination failure; shingles; This serious case was reported by a consumer via interactiv...
suspected vaccination failure; shingles; 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. Co-suspect products included Herpes zoster (Shingles vaccine) for prophylaxis. The patient's past medical history included shingles. On an unknown date, the patient received the 2nd dose of Shingles vaccine and the 1st dose of Shingles vaccine. On an unknown date, an unknown time after receiving Shingles vaccine and Shingles vaccine, the patient experienced vaccination failure (Verbatim: suspected vaccination failure) (serious criteria GSK medically significant) and shingles (Verbatim: shingles). The outcome of the vaccination failure was not reported and the outcome of the shingles was resolving. It was unknown if the reporter considered the vaccination failure and shingles to be related to Shingles vaccine and Shingles vaccine. The company considered the vaccination failure to be unrelated to Shingles vaccine and Shingles vaccine. It was unknown if the company considered the shingles to be related to Shingles vaccine and Shingles vaccine. Additional Information: GSK Receipt Date: 15-FEB-2025 This case was reported by a patient via interactive digital media. The patient had both shingles vaccines and continue to get shingles. The patient also stated that vaccines have not protected them at all and was just getting over the worst outbreak so far. This case was considered as suspected vaccination failure as details regarding 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 vaccine Shingles vaccine (1st and 2nd dose)
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| 2828180 | 02/25/2025 |
VARZOS |
UNKNOWN MANUFACTURER |
UNK |
Herpes zoster, Vaccination failure
Herpes zoster, Vaccination failure
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Suspected Vaccination failure; Everyone I know got shingles from the vaccination; This serious case ...
Suspected Vaccination failure; Everyone I know got shingles from the vaccination; 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: Everyone I know got shingles from the vaccination). 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 and shingles to be unrelated to Shingles vaccine. Additional Information: GSK Receipt Date 14-FEB-2025 This case was reported by a patient via interactive digital media. Reporter reported that he/she got shingles from the vaccination. Sorry he/she will take chances. Zinc had helped me ward off viruses. 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 the completion of primary vaccination schedule, time to onset and laboratory confirmation of disease) is considered unrelated to GSK Shingles vaccine. Herpes zoster is an unlisted event which is considered unrelated to GSK Shingles vaccine.
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| 2828181 | 02/25/2025 |
VARZOS VARZOS |
UNKNOWN MANUFACTURER UNKNOWN MANUFACTURER |
UNK UNK |
Herpes zoster, Vaccination failure; Herpes zoster, Vaccination failure
Herpes zoster, Vaccination failure; Herpes zoster, Vaccination failure
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Suspected vaccination failure; diagnosed with shingles last week; This serious case was reported by ...
Suspected vaccination failure; diagnosed with shingles last week; 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. Co-suspect products included Herpes zoster (Shingles vaccine) for prophylaxis. On an unknown date, the patient received the 2nd dose of Shingles vaccine and the 1st dose of Shingles vaccine. In FEB-2025, an unknown time after receiving Shingles vaccine and Shingles vaccine, the patient experienced vaccination failure (Verbatim: Suspected vaccination failure) (serious criteria GSK medically significant) and shingles (Verbatim: diagnosed with shingles last week). 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 and Shingles vaccine. The company considered the vaccination failure and shingles to be unrelated to Shingles vaccine and Shingles vaccine. Additional Information: GSK Receipt Date: 20-FEB-2025 This case was reported by a patient via interactive digital media. The patient just had the vaccine last year in 2024 and was a two part shot and was just diagnosed with shingles last week. The patient didn't knew what to think about any vaccines as they were shooting in everyone's bodies. This case was considered as suspected vaccination failure since the details regarding the time to onset and lanboratory confirmation of 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, time to onset and laboratory confirmation of disease) is considered unrelated to GSK Shingles vaccine. Herpes zoster is an unlisted event which is considered unrelated to GSK Shingles vaccine.
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| 2828182 | 02/25/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
UNK |
Hypersensitivity
Hypersensitivity
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I had a allergic reaction; This non-serious case was reported by a consumer via interactive digital ...
I had a allergic reaction; This non-serious case was reported by a consumer via interactive digital media and described the occurrence of allergic reaction in a patient who received Herpes zoster (Shingrix) for prophylaxis. On an unknown date, the patient received Shingrix. On an unknown date, an unknown time after receiving Shingrix, the patient experienced allergic reaction (Verbatim: I had a allergic reaction). The outcome of the allergic reaction was resolved. The reporter considered the allergic reaction to be related to Shingrix. The company considered the allergic reaction to be related to Shingrix. Additional Information: GSK Receipt Date: 20-FEB-2025 The reporter reported that he/she had an allergic reaction to what they suspect was the vaccine, and would be available for questions if anyone was interested. The reporter saw that allergic reactions were rare with this vaccine, and thought the reporter would offer if interested. All was well now.
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| 2828184 | F | OR | 02/25/2025 |
HEPAB |
GLAXOSMITHKLINE BIOLOGICALS |
UNK |
Incomplete course of vaccination
Incomplete course of vaccination
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patient received a dose of Twinrix and then she came back two months later for the second dose; This...
patient received a dose of Twinrix and then she came back two months later for the second dose; This non-serious case was reported by a pharmacist via call center representative and described the occurrence of incomplete course of vaccination in a 54-year-old female patient who received HAB (Twinrix) for prophylaxis. Concomitant products included HEPATITIS A VACCINE INACT;HEPATITIS B VACCINE RHBSAG (YEAST) (TWINRIX). On an unknown date, the patient did not receive the 2nd dose of Twinrix. On an unknown date, an unknown time after receiving Twinrix, the patient experienced incomplete course of vaccination (Verbatim: patient received a dose of Twinrix and then she came back two months later for the second dose). The outcome of the incomplete course of vaccination was not applicable. This report is made by GSK without prejudice and does not imply any admission or liability for the incident or its consequences. Additional Information: GSK Receipt Date: 28-JAN-2025 The reporter called to report that a patient received a dose of Twinrix and then she came back two months later for the second dose. The reporter enquired does the patient needs a booster dose. The reporter consented to follow up. Till the time of reporting, the patient did not receive the 2nd dose, which led to incomplete course of vaccination.
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| 2828185 | F | PA | 02/25/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
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Chills, Headache, Hyperhidrosis, Oral mucosal eruption, Pain
Chills, Headache, Hyperhidrosis, Oral mucosal eruption, Pain
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body ache; Headache; broke out with a rash in the mouth; Chills; Sweating; This non-serious case was...
body ache; Headache; broke out with a rash in the mouth; Chills; Sweating; This non-serious case was reported by a consumer via call center representative and described the occurrence of chills in a 75-year-old female patient who received Herpes zoster (Shingrix) for prophylaxis. Previously administered products included Zostavax (Had vaccine 12 years ago). Concurrent medical conditions included diabetes. Additional patient notes included The patient had sensitive system and react bad to all vaccines/medications. She takes medications for diabetes.. On 03-AUG-2024, the patient received the 1st dose of Shingrix (left arm). On an unknown date, an unknown time after receiving Shingrix, the patient experienced chills (Verbatim: Chills), sweating (Verbatim: Sweating), general body pain (Verbatim: body ache), headache (Verbatim: Headache) and rash mouth (Verbatim: broke out with a rash in the mouth). The outcome of the chills and sweating were resolved (duration 1 week) and the outcome of the general body pain and headache were resolved and the outcome of the rash mouth was not resolved. It was unknown if the reporter considered the chills, sweating, general body pain, headache and rash mouth to be related to Shingrix. It was unknown if the company considered the chills, sweating, general body pain, headache and rash mouth to be related to Shingrix. Additional Information: GSK Receipt Date: 28-JAN-2025 The patient was diabetic and that takes medications for diabetes. She had the Zostavax vaccine 12 years ago. She reported that she got her 1st dose of Shingrix on 03 August 2024. The patient received the vaccine at a local pharmacy, and it was administered in the left arm. The patient reported that she had headache and body aches. She had sweating and chills that lasted for a week. These events have been resolved. The patient concerned about getting the 2nd dose because had a sensitive system and react bad to all vaccines/medications. The patient inquired Shingrix related to Likens planus. She broke out with a rash in the mouth a few days ago. The patient was not sure what it was and was concerned about getting the 2nd dose of Shingrix because she was told that this condition and Shingrix were related. No additional events were reported. Did not given consent to follow up.
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| 2828186 | SC | 02/25/2025 |
DTAP DTAPHEPBIP FLU3 MNQ RV1 TDAP |
GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS NOVARTIS VACCINES AND DIAGNOSTICS GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS |
M52GG 2G273 J5T9Z 9M2R7 HP495 3335K |
Product storage error; Product storage error; Product storage error; Product sto...
Product storage error; Product storage error; Product storage error; Product storage error; Product storage error; Product storage error
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Vaccines administered after above and below temperature excursion; This non-serious case was reporte...
Vaccines administered after above and below temperature excursion; This non-serious case was reported by a physician via call center representative and described the occurrence of incorrect storage of drug in an unspecified number of patients who received DTPa (Reduced antigen) (Boostrix) (batch number 3335K, expiry date 28-SEP-2025) for prophylaxis. Co-suspect products included DTPa (Infanrix) (batch number M52GG, expiry date 07-SEP-2026) for prophylaxis, Rota (Rotarix liquid formulation) (batch number HP495, expiry date 17-MAY-2026) for prophylaxis, DTPa-HBV-IPV (Pediarix) (batch number 2G273, expiry date 15-APR-2027) for prophylaxis, Flu Seasonal TIV Quebec (FluLaval 2024-2025 season) (batch number J5T9Z, expiry date 06-JUN-2025) for prophylaxis and Men ACWY-CRM NVS (Menveo) (batch number 9M2R7, expiry date 31-DEC-2025) for prophylaxis. On an unknown date, the patient received Boostrix, Infanrix, Rotarix liquid formulation, Pediarix, FluLaval 2024-2025 season and Menveo. On an unknown date, an unknown time after receiving Boostrix, Infanrix, Rotarix liquid formulation, Pediarix, FluLaval 2024-2025 season and Menveo, the patient experienced incorrect storage of drug (Verbatim: Vaccines administered after above and below temperature excursion). The outcome of the incorrect storage of drug was not applicable. This report is made by GSK without prejudice and does not imply any admission or liability for the incident or its consequences. Additional Information: GSK Receipt Date: 07-FEB-2025 The physician called to report a temperature excursion that happened during 22 hours 50 minutes with a maximum temperature of 10.22 degree Celsius for Bexsero, Boostrix, Engerix-B, FluLaval, Havrix, Infanrix, Kinrix, Menveo (1-vial), Pediarix and Rotarix (liquid). Those vaccines experienced two prior excursions, one of them during 32 hours 6 minutes with maximum temperature of 21.92 degree Celsius, and the other one during 9 hours 45 minutes with a minimum temperature of 1.53 degree Celsius. Physician mentioned that after those temperature excursions, some of the vaccines were administered to patients 1 dose of Menveo (1-vial presentation), 2 doses of FluLaval, 3 doses of Pediarix, 3 doses of Rotarix (liquid presentation), 2 doses of Infanrix, and 1 dose of Boostrix, which led incorrect storage of drug. The reporter did not have any patient demographics, but mentioned that vaccines were administered between February 3rd and 4th 2025. The reporter consented to follow up.
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