| ID | Age | Sex | State | Date โผ | Onset Days | Vaccine | Manufacturer | Lot # | Symptoms | Narrative | ๐ | ๐ฅ | ๐ | โฟ | โ ๏ธ |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2827812 | 55 | M | GA | 02/24/2025 |
CHIK CHIK |
VALNEVA USA, INC. VALNEVA USA, INC. |
24B011 24B011 |
Abdominal pain, Chills, Dyspnoea, Fatigue, Nausea; Pyrexia, Respiratory tract co...
Abdominal pain, Chills, Dyspnoea, Fatigue, Nausea; Pyrexia, Respiratory tract congestion
More
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102 fever per patient, severe abdominal cramping that persisted for 4-5 days, nausea, chills, signif...
102 fever per patient, severe abdominal cramping that persisted for 4-5 days, nausea, chills, significant fatigue, difficulty breathing, congestion. Contemplated ER for difficulty breathing and decided to "ride it out". Was out of town and emergently came home.
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| 2827813 | 5 | F | GA | 02/24/2025 |
DTAPIPV FLU3 IPV MMR |
GLAXOSMITHKLINE BIOLOGICALS SANOFI PASTEUR SANOFI PASTEUR MERCK & CO. INC. |
|
No adverse event, Wrong product administered; No adverse event, Wrong product ad...
No adverse event, Wrong product administered; No adverse event, Wrong product administered; No adverse event, Wrong product administered; No adverse event, Wrong product administered
More
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Pt given Kinrix and IPOL instead of intended Dtap and IPOL. No adverse effects or symptoms noted.
Pt given Kinrix and IPOL instead of intended Dtap and IPOL. No adverse effects or symptoms noted.
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| 2827814 | 55 | M | ME | 02/24/2025 |
PNC20 PNC20 |
PFIZER\WYETH PFIZER\WYETH |
HN5970 HN5970 |
Blister, Burning sensation, Rash, Rash erythematous, Skin lesion; Treponema test
Blister, Burning sensation, Rash, Rash erythematous, Skin lesion; Treponema test
|
Patient was awakened by burning discomfort on L hand overnight on the evening after receiving the va...
Patient was awakened by burning discomfort on L hand overnight on the evening after receiving the vaccination. He developed a blistering rash on L palm that was somewhat painful. He likened it to when he had shingles years ago. He did not seek medical evaluation at the time but reported it to his providers later. The blisters resolved and the pain has also resolved but as of 2/21/25 he has a persistent L palmar rash with clustered flat erythematous lesions across multiple dermatomes which was examined and photographed by this clinician on 2/21/25 .
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| 2827815 | 63 | F | CA | 02/24/2025 |
RSV |
PFIZER\WYETH |
|
Hypoaesthesia, Paraesthesia
Hypoaesthesia, Paraesthesia
|
My feet are hurting they feel like pins and needles and numbness
My feet are hurting they feel like pins and needles and numbness
|
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| 2827816 | 90 | M | IA | 02/24/2025 |
COVID19 |
MODERNA |
3043332 |
Death
Death
|
Death
Death
|
โ | |||||
| 2827817 | 71 | M | IL | 02/24/2025 |
PNC20 |
PFIZER\WYETH |
CRM197 |
Injected limb mobility decreased, Pain, Posture abnormal, Sleep disorder
Injected limb mobility decreased, Pain, Posture abnormal, Sleep disorder
|
Below it the information from the nurse that administered the vaccine. I saw Pt on 2/19/25, this wa...
Below it the information from the nurse that administered the vaccine. I saw Pt on 2/19/25, this was when I was made aware of adverse reaction from vaccine RN (Registered Nurse) ? Encounter Date: 2/3/2025 ? Signed is a 71 y.o. male who presents to the 2/3/2025 for immunization(s) ordered by provider . Immunizations administered: Pneumococcal conjugate (PCV20) (Prevnar 20) polysaccharide CRM197, adjuvant, PF 6 WKS+ IM (90677) (216) See Immunization activity for required documentation. Post-treatment monitoring done per protocol. Patient observed for adverse reactions for 15 minutes. Adverse reaction(s): None On 2/19/25 , Pt reported the following...... During shot felt it in his fingertips Worst symptoms 3-4 days after injection - states he couldn't actively lift left harm. Currently with arm hanging at his side feels an abnormality in upper left arm When he actively abducts left arm localized pain increases. States it is still painful to put coat on. States he is still uncomfortable when trying to sleep on left side No bruising or rash in the area at time or after injection Pt had pain with active abduction of left arm on exam 2/19/25, no anatomical abnormalities noted. Ultrasound of area ordered and conservative treatment with Tylenol and heat/ice recommended. No additional follow up at this time to report.
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| 2827818 | 48 | F | FL | 02/24/2025 |
PNC21 PNC21 |
MERCK & CO. INC. MERCK & CO. INC. |
Y013009 Y013009 |
Asthenia, Chills, Dizziness, Erythema, Headache; Hyperhidrosis, Pain in extremit...
Asthenia, Chills, Dizziness, Erythema, Headache; Hyperhidrosis, Pain in extremity, Pyrexia
More
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PATIENT PRESENTED TWO DAYS AFTER THE VACCINE SAYING THAT HER ARM WAS VERY SORE AND WAS RED IN APPEAR...
PATIENT PRESENTED TWO DAYS AFTER THE VACCINE SAYING THAT HER ARM WAS VERY SORE AND WAS RED IN APPEARANCE. PATIENT SAID FRIDAY EVENING (TWO DAYS AFTER THE VACCINE) PATIENT HAD CHILLS, FEVER, WEAKNESS, DIZZINESS, SWEATING AND HEADACHES. PATIENT TRIED TYLENOL AND CANNOT TAKE IBUPROFEN.
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| 2827819 | 72 | M | FL | 02/24/2025 |
TDAP |
GLAXOSMITHKLINE BIOLOGICALS |
L5229 |
Extra dose administered, No adverse event
Extra dose administered, No adverse event
|
TDAP Duplication Vaccine given 8/9/2024 and 2/21/2025. Vaccine given out of CDC recommended guidelin...
TDAP Duplication Vaccine given 8/9/2024 and 2/21/2025. Vaccine given out of CDC recommended guidelines. Patient is not experiencing any adverse effects.
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| 2827820 | 46 | M | MO | 02/24/2025 |
PNC20 PNC20 |
PFIZER\WYETH PFIZER\WYETH |
HG7739 HG7739 |
Abdominal pain, Erythema, Flank pain, Gastrointestinal disorder, Pain; Renal pai...
Abdominal pain, Erythema, Flank pain, Gastrointestinal disorder, Pain; Renal pain
More
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REDNESS, Soreness that has since went largely away. Reporting because patient consulted me and state...
REDNESS, Soreness that has since went largely away. Reporting because patient consulted me and stated that he was also getting right kidney or flank pain. I dove in further and he concluded he had recently started Metformin and he hasn't been taking with a meal. Been having Abdominal pains, GI problems, and pain is diffuse. He wasn't sure if it was a prostate issue, GI, or from the shot. He inquired, so I reported. It is perceived that this could be an adverse medication reaction.
More
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| 2827821 | 41 | F | PR | 02/24/2025 |
HPV9 |
MERCK & CO. INC. |
X020725 |
Erythema, Peripheral swelling, Rash
Erythema, Peripheral swelling, Rash
|
Rash, redness and swelling of both hands fingers
Rash, redness and swelling of both hands fingers
|
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| 2827822 | 77 | F | ND | 02/24/2025 |
PNC21 |
MERCK & CO. INC. |
y013009 |
C-reactive protein increased, Induration, Pain, Skin reaction, White blood cell ...
C-reactive protein increased, Induration, Pain, Skin reaction, White blood cell count normal
More
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red,pain,induration,- provider ordered medrol dose pack
red,pain,induration,- provider ordered medrol dose pack
|
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| 2827823 | 11 | M | MO | 02/24/2025 |
HPV9 MNQ TDAP |
MERCK & CO. INC. NOVARTIS VACCINES AND DIAGNOSTICS GLAXOSMITHKLINE BIOLOGICALS |
Y014510 9M2R7 3ZH27 |
Fall, Posture abnormal, Somnolence; Fall, Posture abnormal, Somnolence; Fall, Po...
Fall, Posture abnormal, Somnolence; Fall, Posture abnormal, Somnolence; Fall, Posture abnormal, Somnolence
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Mom called for help and states his rolled back and he slid out of his chair. He was in a sitting pos...
Mom called for help and states his rolled back and he slid out of his chair. He was in a sitting position with MA supporting him on the floor and upright when RN entered room and he stated what happened. "I got my shot" and he told the doctor "I saw someone getting his shots and then I felt sleepy." He laid down and his coat was removed. RN was placing a cool compress on his forehead. Vitals obtained HR 91, O2 99%, 110/74, RR 18. He had not eaten any food today and he had drank one juice box in the office and a second after this event. He also said he does remember feeling sleepy and watching his brother getting his vaccines which was after patient had received his vaccines. Mom reports he started to slump in his chair. They also said the reason he had nothing to eat for breakfast today or prior to visit was because he did not go to bed until 6 am and then when parents woke him with only enough time to head to the office for his 10 am visit. He did not lose consciousness to the best of his knowledge or parent's knowledge and he was alert while mom called for help. He had no sleepiness after this occurred, no incontinence and felt fine and wanted to go pick out a prize with his brothers. Mom encouraged to call with any questions or concerns. I advised he not watch his siblings receive shots in the future as this can precipitate vasovagal syncope and near syncope. Mom verbalized understanding and patient went down the hall with his brothers in his normal energy level.
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| 2827824 | 37 | F | TX | 02/24/2025 |
TDAP |
SANOFI PASTEUR |
3ca30c1 |
Injection site erythema, Injection site nodule, Injection site warmth
Injection site erythema, Injection site nodule, Injection site warmth
|
Patient called in to the clinic to inform that injection site became red and warm to the tough. A kn...
Patient called in to the clinic to inform that injection site became red and warm to the tough. A knot appeared that went from golf ball size to baseball size.
More
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| 2827825 | 50 | F | NM | 02/24/2025 |
COVID19 COVID19 COVID19 |
MODERNA MODERNA MODERNA |
Unknown Unknown Unknown |
Computerised tomogram, Dizziness, Electroencephalogram, Fatigue, Gait disturbanc...
Computerised tomogram, Dizziness, Electroencephalogram, Fatigue, Gait disturbance; Hypoaesthesia, Inflammation, Magnetic resonance imaging, Muscle atrophy, Nervous system injury; Nervousness, Pain, Pain in extremity, Tremor
More
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After I got the Covid 25 + vaccine I began having tremors, numbness, and pain in my trunk and bi-la...
After I got the Covid 25 + vaccine I began having tremors, numbness, and pain in my trunk and bi-laterally in both legs. I have a severe internal tremor at the base of my spine. I?m a fatigued, I have lost muscle mass, Inhsve remainder rate, and dizziness and my gait is very wobbly. I?m experiencing full body inflammation and nervous system damage.
More
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โ | |||||
| 2827826 | 54 | F | TX | 02/24/2025 |
TDAP |
SANOFI PASTEUR |
3ca30c1 |
Injection site erythema, Injection site nodule, Injection site warmth
Injection site erythema, Injection site nodule, Injection site warmth
|
Patient called in to report injection site became red, warm to touch, and formed a knot
Patient called in to report injection site became red, warm to touch, and formed a knot
|
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| 2827827 | 17 | F | NY | 02/24/2025 |
HEP HEPA IPV MMR MNQ TDAP VARCEL |
GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS SANOFI PASTEUR MERCK & CO. INC. SANOFI PASTEUR GLAXOSMITHKLINE BIOLOGICALS MERCK & CO. INC. |
H39Z 4 T5727 X1C891M X027902 U8351CA LX494 Y015559 |
No adverse event, Product distribution issue; No adverse event, Product distribu...
No adverse event, Product distribution issue; No adverse event, Product distribution issue; No adverse event, Product distribution issue; No adverse event, Product distribution issue; No adverse event, Product distribution issue; No adverse event, Product distribution issue; No adverse event, Product distribution issue
More
|
Due to the delay in transit the Varicella vaccine deemed spoiled, the issue was identified immediate...
Due to the delay in transit the Varicella vaccine deemed spoiled, the issue was identified immediately upon delivery, however staff was not informed right away leading to the administration of an affected Varicella vaccine. Patient will be notified and brought back for revaccination when indicated. No immediate adverse reactions were observed at the time of the reporting.
More
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| 2827828 | 67 | M | FL | 02/24/2025 |
COVID19 COVID19 COVID19 COVID19 COVID19 COVID19 COVID19 COVID19 COVID19 COVID19 COVID19 COVID19 COVID19 COVID19 COVID19 |
MODERNA MODERNA MODERNA MODERNA MODERNA MODERNA MODERNA MODERNA MODERNA MODERNA MODERNA MODERNA MODERNA MODERNA MODERNA |
011L20a 011L20a 011L20a 011L20a 011L20a 012M20a 012M20a 012M20a 012M20a 012M20a |
Ankle fracture, Autoimmune disorder, Balance disorder, Biopsy skin, Blood test a...
Ankle fracture, Autoimmune disorder, Balance disorder, Biopsy skin, Blood test abnormal; Dysphagia, Fall, Fracture treatment, Gait disturbance, Gait inability; Hypoaesthesia, Immunoglobulin therapy, Inclusion body myositis, Joint dislocation, Mobility decreased; Muscle atrophy, Muscular weakness, Nerve stimulation test abnormal, Neuropathy peripheral, Pain in extremity; Paraesthesia, Suture insertion, Walking aid user; Ankle fracture, Autoimmune disorder, Balance disorder, Biopsy skin, Blood test abnormal; Dysphagia, Fall, Fracture treatment, Gait disturbance, Gait inability; Hypoaesthesia, Immunoglobulin therapy, Inclusion body myositis, Joint dislocation, Mobility decreased; Muscle atrophy, Muscular weakness, Nerve stimulation test abnormal, Neuropathy peripheral, Pain in extremity; Paraesthesia, Suture insertion, Walking aid user; Ankle fracture, Autoimmune disorder, Balance disorder, Biopsy skin, Blood test abnormal; Dysphagia, Fall, Fracture treatment, Gait disturbance, Gait inability; Hypoaesthesia, Immunoglobulin therapy, Inclusion body myositis, Joint dislocation, Mobility decreased; Muscle atrophy, Muscular weakness, Nerve stimulation test abnormal, Neuropathy peripheral, Pain in extremity; Paraesthesia, Suture insertion, Walking aid user
More
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Some time after receiving the Moderna Vaccines i began to experience pain, tingling, and numbing in ...
Some time after receiving the Moderna Vaccines i began to experience pain, tingling, and numbing in my arms and legs as well as a deterioration of muscle strength and size in my arms, legs, back, abdomen etc.. i was losing my muscle mass - they seem to be shrinking . I also began to lose my balance, my legs became weak and unstable. I went to a neurologist who did blood work and nerve tests and determined I had "Peripheral Neuropathy" causing muscle weakness. Continuation from description of problem: Dr suspected other problems so he sent me to another neurologist - Dr. After many tests, electrical and blood, Dr suspected I had developed an auto-immune disease called - IBM ( Inclusion Body Myositis) so he sent me to Dr, (on sept 14 2023) ______ a general surgeon to do a biopsy on my muscles. Fortunately a biopsy is a definative method to determine if IBM is present and the cause of muscle deterioration. Unfortunately, we received the results of the biopsy (Oct 2023) which showed a positive outcome for IBM - I DO in fact now have IBM. The results of the biopsy are readily available of course. As a consequence, i am now suffering the long term affects of IBM - severe muscle deterioration especially in my legs and arms. At this point, i am ALMOST unable to walk as my leg muscles are completely unstable. I have fallen multiple times, ending up in the hospital emergency room. Once time i cut my head severely during a fall which had to be stitched up of course. At this point, feb 2025 I am sitting home because I fell again, dislocated and broke my right ankle bone requiring surgery, and the inclusion of multiple screws and a plate on the bone. Unfotunately i suspect i will be unable to walk at all within a year or so - as the affects have gotten severe. I walk now (albeit in a crippled fashion) with a cane or a walker as best i can. Today i am a patient of Dr who seems to be the ONLY local neurologist with an understanding of IBM. He was acquired through the Muscular Dystrophy association. After Dr did his tests and verified the result of the biopsy confirming IBM, he put me on IV IG (intravenous Immuniglobulin) monthly. A nurse visits and administers the medicine... It DOES have some positive affects - my swallowing is improved ( it has gotten bad over time) and i have regained SOME movement in the fingers of my hands. Please also note - all blood work lab results and electrical tests from Neurologists listed here are available through the labs or the doctors offices if needed. If you require additional information from me please feel free to let me know Thank you
More
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| 2827829 | 55 | M | PA | 02/24/2025 |
FLU3 |
SEQIRUS, INC. |
946578 |
Eye irritation, Oropharyngeal pain, Stomatitis
Eye irritation, Oropharyngeal pain, Stomatitis
|
Shot was given on a Tuesday and on Thursday symptoms started appearing. Eye was irritated first, fol...
Shot was given on a Tuesday and on Thursday symptoms started appearing. Eye was irritated first, followed by sores in mouth with a sore throat . Pt states these continued until 02/23/25 and went to urgent care to try and get answers. They gave him a Medrol pack and had concerns of GBS (Guillain-Barr๏ฟฝ Syndrome). Told pt to monitor and look for S/S of such.
More
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| 2827830 | 13 | F | NY | 02/24/2025 |
FLU3 HEPA HPV9 MMR MNQ TDAP VARCEL |
SANOFI PASTEUR GLAXOSMITHKLINE BIOLOGICALS MERCK & CO. INC. MERCK & CO. INC. SANOFI PASTEUR GLAXOSMITHKLINE BIOLOGICALS MERCK & CO. INC. |
UT8485NA T5727 Y008640 X027902 U8351CA LX494 Y015559 |
No adverse event, Product distribution issue; No adverse event, Product distribu...
No adverse event, Product distribution issue; No adverse event, Product distribution issue; No adverse event, Product distribution issue; No adverse event, Product distribution issue; No adverse event, Product distribution issue; No adverse event, Product distribution issue; No adverse event, Product distribution issue
More
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Due to the delay in transit the Varicella vaccine deemed spoiled, the issue was identified immediate...
Due to the delay in transit the Varicella vaccine deemed spoiled, the issue was identified immediately upon delivery, however staff was not informed right away leading to the administration of an affected vaccine. Patient will be notified and brought back for revaccination when indicated. No immediate adverse reactions were observed at the time of the reporting.
More
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| 2827831 | 0.5 | M | OR | 02/24/2025 |
RV1 |
GLAXOSMITHKLINE BIOLOGICALS |
5N2AN |
Infant irritability
Infant irritability
|
Irritability
Irritability
|
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| 2827832 | 0.17 | F | TX | 02/24/2025 |
PNC21 |
MERCK & CO. INC. |
Y011819 |
No adverse event, Wrong product administered
No adverse event, Wrong product administered
|
Administration error - incorrect vaccine given to patient. Patient was due for PCV20 and was given P...
Administration error - incorrect vaccine given to patient. Patient was due for PCV20 and was given PCV21. No adverse effects noted.
More
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| 2827833 | 46 | F | KY | 02/24/2025 |
MMR VARCEL |
MERCK & CO. INC. MERCK & CO. INC. |
y011709 y015108 |
Anxiety, Loss of consciousness; Anxiety, Loss of consciousness
Anxiety, Loss of consciousness; Anxiety, Loss of consciousness
|
patient was given VARIVAX , FOLLOWED BY MMR- patient passed out for a few seconds and comes back to ...
patient was given VARIVAX , FOLLOWED BY MMR- patient passed out for a few seconds and comes back to life after 10-15 seconds. Patient stated she had given blood prior to vaccine administration. Patient had not eaten and was anxious. EMR assessed and walked her out to car.
More
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| 2827834 | 5 | M | NY | 02/24/2025 |
FLU3 HEPA VARCEL |
SANOFI PASTEUR GLAXOSMITHKLINE BIOLOGICALS MERCK & CO. INC. |
UT8485NA T5727 Y015559 |
No adverse event, Product distribution issue; No adverse event, Product distribu...
No adverse event, Product distribution issue; No adverse event, Product distribution issue; No adverse event, Product distribution issue
More
|
Due to the delay in transit the VARICELLA vaccine deemed spoiled, the issue was identified immediate...
Due to the delay in transit the VARICELLA vaccine deemed spoiled, the issue was identified immediately upon delivery, however staff was not informed right away leading to the administration of an affected vaccine. Patient will be notified and brought back for revaccination when indicated. No immediate adverse reactions were observed at the time of the reporting.
More
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| 2827835 | 6 | F | WI | 02/24/2025 |
VARCEL VARCEL |
MERCK & CO. INC. MERCK & CO. INC. |
Y013346 Y013346 |
Dysstasia, Erythema, Fatigue, Feeling hot, Gait disturbance; Lethargy, Pain in e...
Dysstasia, Erythema, Fatigue, Feeling hot, Gait disturbance; Lethargy, Pain in extremity, Pyrexia
More
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On 2/21/25 spoke with mom on the phone. Mom states that the night of 2/13/25 after getting vaccine c...
On 2/21/25 spoke with mom on the phone. Mom states that the night of 2/13/25 after getting vaccine child was tired and lethargic and appeared to have a fever as she had red cheeks and felt warm. Mom gave her a bath and gave tylenol. Fever was gone on Friday and child started complaining of feet and leg pain. Mom states child could barely stand or walk on Friday. Mom states left leg got better over weekend but right leg was still causing her pain. She is still limping on right leg at time of call on Friday 2/21/25. Reviewed normal side effects from varicella vaccine and encouraged mom to have child seen by provider. Mom will call their doctors office to see about getting her in to be seen for the leg pain.
More
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| 2827836 | 16 | M | KS | 02/24/2025 |
MNQ |
NOVARTIS VACCINES AND DIAGNOSTICS |
EK7DG |
Extra dose administered
Extra dose administered
|
Vaccine review and consent form signatures were obtained with patient and patient's father by t...
Vaccine review and consent form signatures were obtained with patient and patient's father by the medical assistant. As the vaccine was being given by the medical assistant (MA), the nurse was signing the orders for the vaccine. The vaccine was administered by the MA prior to the electronic medical record firing an alert during the signing process and notifying the nurse that the patient did not need the vaccine, as they were already up to date for this vaccine. Nurse then notified MA who had already given the vaccine. Event reported to the nurse supervisor and primary care provider.
More
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| 2827837 | 16 | F | TN | 02/24/2025 |
COVID19 FLU3 |
MODERNA GLAXOSMITHKLINE BIOLOGICALS |
B0001 774N2 |
Unevaluable event; Unevaluable event
Unevaluable event; Unevaluable event
|
No Symptoms
No Symptoms
|
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| 2827838 | 74 | F | SC | 02/24/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
|
Rash, Rash erythematous, Rash pustular
Rash, Rash erythematous, Rash pustular
|
I woke up and it was like a rash in my groin, red like bumps with puss in it on the right side.
I woke up and it was like a rash in my groin, red like bumps with puss in it on the right side.
|
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| 2827839 | 17 | M | NY | 02/24/2025 |
FLU3 HEPA HPV9 MMR MNQ TDAP VARCEL |
SANOFI PASTEUR GLAXOSMITHKLINE BIOLOGICALS MERCK & CO. INC. MERCK & CO. INC. SANOFI PASTEUR GLAXOSMITHKLINE BIOLOGICALS MERCK & CO. INC. |
UT8485NA T5727 Y008640 X027902 U8351CA LX494 Y015559 |
No adverse event, Product distribution issue; No adverse event, Product distribu...
No adverse event, Product distribution issue; No adverse event, Product distribution issue; No adverse event, Product distribution issue; No adverse event, Product distribution issue; No adverse event, Product distribution issue; No adverse event, Product distribution issue; No adverse event, Product distribution issue
More
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Due to the delay in transit the Varicella vaccine deemed spoiled, the issue was identified immediate...
Due to the delay in transit the Varicella vaccine deemed spoiled, the issue was identified immediately upon delivery, however staff was not informed right away leading to the administration of an affected Varicella vaccine. Patient will be notified and brought back for revaccination when indicated. No immediate adverse reactions were observed at the time of the reporting.
More
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| 2827841 | 70 | F | WV | 02/24/2025 |
TDAP TDAP |
GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS |
ak334 ak334 |
Cerebrovascular accident, Computerised tomogram head abnormal, Fall, Loss of con...
Cerebrovascular accident, Computerised tomogram head abnormal, Fall, Loss of consciousness, Mechanical ventilation; Unresponsive to stimuli
More
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My hometown was severely affected by a flood on February 15th (worst in recorded history for our cou...
My hometown was severely affected by a flood on February 15th (worst in recorded history for our county). I hosted a Tetanus and Hepatitis Vaccine Clinic at the local elementary school, which is serving as a hub to donate supplies and water to those affected. Patient is a teacher and was volunteering her time. She had been at the school all week and hung out around my station all day. I administered patient's tetanus vaccine around 2:30 pm to her left arm. At this time, she was fine. I left the site around 3:30pm. She left the site around 5 to go home, where she lives alone. Around 5:30pm she was on the phone with a friend when he could tell something went wrong and she fell to the floor. He called 911. She was unconscious, but had a pulse and was taken to the nearest ER. I went to the ER when I found out the news around 8pm to be as transparent with the provider as possible and provide any additional information. The nurse took down my name and phone number. Dr. came out and said she had experienced a "catastrophic stroke" and was being flow to a Medical Center for further assessment. Patient was on the vent and unresponsive at my last update.
More
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โ | โ | ||||
| 2827842 | 56 | F | CA | 02/24/2025 |
COVID19 COVID19 COVID19 |
NOVAVAX NOVAVAX NOVAVAX |
|
Blood test normal, Burning sensation, Chest pain, Chronic fatigue syndrome, Eryt...
Blood test normal, Burning sensation, Chest pain, Chronic fatigue syndrome, Erythema; Fatigue, Hyperhidrosis, Immediate post-injection reaction, Impaired work ability, Loss of personal independence in daily activities; Lymph node pain, Mobility decreased, Neck pain, Rash, Sensory disturbance
More
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Chest pain and adrenaline feeling immediately after shot. Rash on arms about a week later. Sweating,...
Chest pain and adrenaline feeling immediately after shot. Rash on arms about a week later. Sweating, red burning hands, neck and lymph pain. Extreme fatigue that has left me bedbound unable to work or care for myself. Severe me/CFS.
More
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โ | |||||
| 2827843 | 17 | M | NY | 02/24/2025 |
HEP HPV9 IPV MMR TDAP VARCEL |
GLAXOSMITHKLINE BIOLOGICALS MERCK & CO. INC. SANOFI PASTEUR MERCK & CO. INC. GLAXOSMITHKLINE BIOLOGICALS MERCK & CO. INC. |
H39Z4 Y008640 X1C891M X027902 LX494 Y015559 |
No adverse event, Product distribution issue; No adverse event, Product distribu...
No adverse event, Product distribution issue; No adverse event, Product distribution issue; No adverse event, Product distribution issue; No adverse event, Product distribution issue; No adverse event, Product distribution issue; No adverse event, Product distribution issue
More
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Due to the delay in transit the VARICELLA vaccine deemed spoiled, the issue was identified immediate...
Due to the delay in transit the VARICELLA vaccine deemed spoiled, the issue was identified immediately upon delivery, however staff was not informed right away leading to the administration of an affected vaccine. Patient will be notified and brought back for revaccination when indicated. No immediate adverse reactions were observed at the time of the reporting.
More
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| 2827844 | 16 | M | NY | 02/24/2025 |
HEP HPV9 IPV MMR MNQ TDAP VARCEL |
GLAXOSMITHKLINE BIOLOGICALS MERCK & CO. INC. SANOFI PASTEUR MERCK & CO. INC. SANOFI PASTEUR GLAXOSMITHKLINE BIOLOGICALS MERCK & CO. INC. |
H39Z4 Y008640 X1C891M X027902 U8351CA LX494 Y015559 |
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; 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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Due to the delay in transit the VARICELLA vaccine deemed spoiled, the issue was identified immediate...
Due to the delay in transit the VARICELLA vaccine deemed spoiled, the issue was identified immediately upon delivery, however staff was not informed right away leading to the administration of an affected vaccine. Patient will be notified and brought back for revaccination when indicated. No immediate adverse reactions were observed at the time of the reporting.
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| 2827845 | 15 | M | NY | 02/24/2025 |
HEP HEPA IPV MMR MNQ TDAP VARCEL |
GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS SANOFI PASTEUR MERCK & CO. INC. SANOFI PASTEUR GLAXOSMITHKLINE BIOLOGICALS MERCK & CO. INC. |
H39Z4 T5727 X1C891M X027902 U8351CA LX494 Y015559 |
No adverse event, Product distribution issue; No adverse event, Product distribu...
No adverse event, Product distribution issue; No adverse event, Product distribution issue; No adverse event, Product distribution issue; No adverse event, Product distribution issue; No adverse event, Product distribution issue; No adverse event, Product distribution issue; No adverse event, Product distribution issue
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Due to the delay in transit the VARICELLA vaccine deemed spoiled, the issue was identified immediate...
Due to the delay in transit the VARICELLA vaccine deemed spoiled, the issue was identified immediately upon delivery, however staff was not informed right away leading to the administration of an affected vaccine. Patient will be notified and brought back for revaccination when indicated. No immediate adverse reactions were observed at the time of the reporting.
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| 2827846 | 17 | F | VA | 02/24/2025 |
FLU3 MNQ |
GLAXOSMITHKLINE BIOLOGICALS SANOFI PASTEUR |
AE2J7 U8351CA |
Hyperhidrosis, Loss of consciousness, Pallor; Hyperhidrosis, Loss of consciousne...
Hyperhidrosis, Loss of consciousness, Pallor; Hyperhidrosis, Loss of consciousness, Pallor
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Patient in office for vaccinations. Received flu vaccine while seated with mother assisting. Patient...
Patient in office for vaccinations. Received flu vaccine while seated with mother assisting. Patient briefly lost consciousness and lowered to laying with feet propped up. Patient speaking within 5 seconds. Pale, diaphoretic. Vitals 113/78, hr 85. O2% 99, Temp 98.1. Assessed by PA-C as well as RN. Had patient remain seated for 20+ minutes and given snack and water. Patient given 2nd vaccination (Menquadfi) after some time with no ill effects. Patient ambulated on her own with no further issues.
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| 2827847 | 55 | F | FL | 02/24/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
4H79Y |
Injection site erythema, Injection site pruritus, Injection site swelling
Injection site erythema, Injection site pruritus, Injection site swelling
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Patient had swelling, redness, and itchiness at the injection site for about 48 hours. Swelling had ...
Patient had swelling, redness, and itchiness at the injection site for about 48 hours. Swelling had subsided around 48 hours but itchiness still remained somewhat, along with some redness.
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| 2827848 | 56 | F | CA | 02/24/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
GK2AZ |
Incomplete course of vaccination, No adverse event
Incomplete course of vaccination, No adverse event
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Incomplete vaccine administered (2 adjuvant suspension components), no symptoms reported by patient ...
Incomplete vaccine administered (2 adjuvant suspension components), no symptoms reported by patient after vaccine administration.
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| 2827849 | 1.75 | F | ND | 02/24/2025 |
DTAPIPVHIB |
SANOFI PASTEUR |
UK017AA |
Product preparation issue
Product preparation issue
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Vaccine counts being done, and found missing Pentacel diluent to a pentacel the powder. Timeline gon...
Vaccine counts being done, and found missing Pentacel diluent to a pentacel the powder. Timeline gone through for when vaccine error could have been made and patient was found on this list, needing to be revaccinated to ensure has received full vaccine dosages. Please call parent to bring child back in to get vaccine.
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| 2827850 | 31 | F | GA | 02/24/2025 |
FLU3 |
SEQIRUS, INC. |
393341 |
Extra dose administered
Extra dose administered
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PT RECEIVED SAME VACCINE ON 07/25/2024 AT PHARMACY.
PT RECEIVED SAME VACCINE ON 07/25/2024 AT PHARMACY.
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| 2827851 | 17 | F | CT | 02/24/2025 |
MENB MENB |
NOVARTIS VACCINES AND DIAGNOSTICS NOVARTIS VACCINES AND DIAGNOSTICS |
99g34 99g34 |
Anaphylactic reaction, Chest pain, Chills, Headache, Hypotension; Intensive care...
Anaphylactic reaction, Chest pain, Chills, Headache, Hypotension; Intensive care, Palpitations, Pyrexia, Septic shock
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Patient's mother called the office on call at 11:36 pm on 2/19 following her well visit/ vaccin...
Patient's mother called the office on call at 11:36 pm on 2/19 following her well visit/ vaccination. During the call mom reports Patient was complaining of a bad headache, chest pain, chills, and heart racing. She was directed to report to the emergency room where she was admitted to the PICU with hypotension and fevers. She received 3NSB and continued to be hypotensive, epi drip was started. Admitted to PICU for septic shock of unknown etiology. Received IV vanco, iv ceftriaxone, iv tylenol. DX with diagnosis of anaphylaxis.
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| 2827852 | 55 | F | AZ | 02/24/2025 |
VARZOS VARZOS |
GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS |
PC5Y3 PC5Y3 |
Computerised tomogram head normal, Fatigue, Incoherent, Laboratory test normal, ...
Computerised tomogram head normal, Fatigue, Incoherent, Laboratory test normal, Myalgia; Tardive dyskinesia
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Tardive dyskinesia/ writhing onset 5 days post vaccine admin, with severe B arm and both leg moveme...
Tardive dyskinesia/ writhing onset 5 days post vaccine admin, with severe B arm and both leg movement, incoherence of thought, fatigue, muscle aches
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| 2827853 | 62 | F | IA | 02/24/2025 |
COVID19 FLU3 |
PFIZER\BIONTECH GLAXOSMITHKLINE BIOLOGICALS |
LN0591 CZ47E |
Extra dose administered; Extra dose administered
Extra dose administered; Extra dose administered
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Pt reported having flu should already this season. 2nd dose given incorrectly.
Pt reported having flu should already this season. 2nd dose given incorrectly.
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| 2827854 | 0.33 | M | ND | 02/24/2025 |
DTAPIPVHIB |
SANOFI PASTEUR |
UK017AA |
Product preparation issue
Product preparation issue
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Vaccine counts being done, and found missing pentacel diluent to a pentacel powder. Timeline gone th...
Vaccine counts being done, and found missing pentacel diluent to a pentacel powder. Timeline gone through for when vaccine error could have been made and patient was found on this list to need to be revaccinated to ensure has received full vaccine dosages. Please call parent to bring child back in to get Pentacel.
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| 2827855 | 3 | M | CO | 02/24/2025 |
TDAP |
GLAXOSMITHKLINE BIOLOGICALS |
3RE73 |
No adverse event, Product administered to patient of inappropriate age
No adverse event, Product administered to patient of inappropriate age
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Pt was given TDAP, vaccine supposed to be given was DTAP. Spoke with provider, and no adverse reacti...
Pt was given TDAP, vaccine supposed to be given was DTAP. Spoke with provider, and no adverse reactions. Mother of child made aware.
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| 2827856 | 17 | F | VA | 02/24/2025 |
MNQ MNQ |
SANOFI PASTEUR SANOFI PASTEUR |
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Dizziness, Hyperhidrosis, Malaise, Nervousness, Pallor; Tremor
Dizziness, Hyperhidrosis, Malaise, Nervousness, Pallor; Tremor
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Patient attending in-house clinic at her base high school. RN reviewed patient's vaccine histor...
Patient attending in-house clinic at her base high school. RN reviewed patient's vaccine history and administered MCV #1 dose appropriately in Right arm. 5 min post vaccination, patient complained of feeling light-headed & had sweaty palms. Patient attempted to stand and felt dizzy. RN and other medical staff came to aid support, supported student to sit on the floor carefully. BP obtained sitting 110/60 R arm, 87 HR, 100 O2. Bed cot- brought to patient and patient was supported to stand, pivot and lay on cot. Student appeared pale, hands were shaky and sweating. BP rechecked laying down 11:20 am 100/74. Student reported slight improvement, but nervous to stand up. Pt sat upright with RN by her side, BP rechecked 1130am 122/62. Was wheelchaired to observation area to attempt to eat lunch around 1145am. 12:10 patient still reported feeling unwell, able to sit upright. Was escorted in wheelchair downstairs to nurse office to call parents. Parents picked up patient to go home.
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| 2827857 | 26 | F | SC | 02/24/2025 |
ANTH |
EMERGENT BIOSOLUTIONS |
300215A |
Injection site erythema, Injection site swelling, Pyrexia
Injection site erythema, Injection site swelling, Pyrexia
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Swelling and soreness at the injection site w/ low-grade fever 5-6 hours after shot was given. Pt to...
Swelling and soreness at the injection site w/ low-grade fever 5-6 hours after shot was given. Pt took Ibuprofen PRN. Pt still has minor swelling 2 weeks after the shot was given
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| 2827858 | 11 | F | PA | 02/24/2025 |
COVID19 FLU3 HPV9 MNQ TDAP VARCEL |
MODERNA GLAXOSMITHKLINE BIOLOGICALS MERCK & CO. INC. SANOFI PASTEUR SANOFI PASTEUR MERCK & CO. INC. |
3043024 N373Y Y010466 U8271AB U8252AA Y015100 |
Pruritus, Rash, Urticaria; Pruritus, Rash, Urticaria; Pruritus, Rash, Urticaria;...
Pruritus, Rash, Urticaria; Pruritus, Rash, Urticaria; Pruritus, Rash, Urticaria; Pruritus, Rash, Urticaria; Pruritus, Rash, Urticaria; Pruritus, Rash, Urticaria
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Hive, itchiness, and rashes were noted shortly after the vaccination (6 shots - HPV9, MCV4, Tdap, Va...
Hive, itchiness, and rashes were noted shortly after the vaccination (6 shots - HPV9, MCV4, Tdap, Varicella, Flu and Covid), she denies any respiratory difficulties, dizziness, or chills at 11:45am. Given a dose Benedryl 50mg IM by RN. as per teen/adolescent reaction protocol signed by Dr. at 12pm. Language line utilized for conversation with the mom, who was given instructions on seeking immediate medical attention in case the symptoms get worsened, or any respiratory distress developed at home. extended 30min observation of the client after being given Benedryl 50mg, all symptoms resolved and she ambulated out of the clinic without any complaints at 12:40pm.
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| 2827859 | 67 | M | NC | 02/24/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
93KK4 |
Rash
Rash
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3 bigger rash on legs
3 bigger rash on legs
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| 2827860 | 52 | F | CT | 02/24/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
HA5HL |
Inflammation
Inflammation
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Inflammation of left arm - patient was prescribed prednisone and augmentin
Inflammation of left arm - patient was prescribed prednisone and augmentin
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| 2827861 | 2 | M | PA | 02/24/2025 |
PNC20 |
PFIZER\WYETH |
HN5980 |
Injection site erythema, Injection site induration, Injection site warmth
Injection site erythema, Injection site induration, Injection site warmth
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Right thigh started becoming red and hot to the touch about 5 hours after given, Spot grow larger an...
Right thigh started becoming red and hot to the touch about 5 hours after given, Spot grow larger and became hard, red hot and swollen given Tylenol, Benadryl and iced it. Leg is still red and hot 3 days later Antibiotic sent in will start tonight 02/24/2025
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| 2827862 | 3 | M | NC | 02/24/2025 |
FLU3 |
SANOFI PASTEUR |
U8486AA |
Unevaluable event
Unevaluable event
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no issues were reported from this error
no issues were reported from this error
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