| ID | Age | Sex | State | Date โผ | Onset Days | Vaccine | Manufacturer | Lot # | Symptoms | Narrative | ๐ | ๐ฅ | ๐ | โฟ | โ ๏ธ |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2826968 | 55 | F | PA | 02/19/2025 |
COVID19 COVID19 COVID19 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 MODERNA MODERNA MODERNA |
012L20A 012L20A 012L20A 012L20A 012L20A 012L20A 031L20A 031L20A 031L20A 031L20A 031L20A 031L20A 060H21A 060H21A 060H21A 060H21A 060H21A 060H21A |
Alanine aminotransferase increased, Antinuclear antibody positive, Anxiety, Arth...
Alanine aminotransferase increased, Antinuclear antibody positive, Anxiety, Arthralgia, Asthenia; Autoimmune disorder, Blood test normal, Brain fog, C-reactive protein, Cardiac stress test; Computerised tomogram thorax, Condition aggravated, Connective tissue disorder, Depression, Echocardiogram; Fatigue, Fibromyalgia, Headache, Influenza like illness, Loss of personal independence in daily activities; Lymphocyte count increased, Magnetic resonance imaging head, Magnetic resonance imaging spinal, Myalgia, Pseudodementia; Red blood cell count increased, Temperature intolerance, Ultrasound scan, White blood cell count increased, X-ray limb normal; Alanine aminotransferase increased, Antinuclear antibody positive, Anxiety, Arthralgia, Asthenia; Autoimmune disorder, Blood test normal, Brain fog, C-reactive protein, Cardiac stress test; Computerised tomogram thorax, Condition aggravated, Connective tissue disorder, Depression, Echocardiogram; Fatigue, Fibromyalgia, Headache, Influenza like illness, Loss of personal independence in daily activities; Lymphocyte count increased, Magnetic resonance imaging head, Magnetic resonance imaging spinal, Myalgia, Pseudodementia; Red blood cell count increased, Temperature intolerance, Ultrasound scan, White blood cell count increased, X-ray limb normal; Alanine aminotransferase increased, Antinuclear antibody positive, Anxiety, Arthralgia, Asthenia; Autoimmune disorder, Blood test normal, Brain fog, C-reactive protein, Cardiac stress test; Computerised tomogram thorax, Condition aggravated, Connective tissue disorder, Depression, Echocardiogram; Fatigue, Fibromyalgia, Headache, Influenza like illness, Loss of personal independence in daily activities; Lymphocyte count increased, Magnetic resonance imaging head, Magnetic resonance imaging spinal, Myalgia, Pseudodementia; Red blood cell count increased, Temperature intolerance, Ultrasound scan, White blood cell count increased, X-ray limb normal
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Initial symptoms were mild flu like symptoms for 1 week. Sudden onset of anxiety and depression in 0...
Initial symptoms were mild flu like symptoms for 1 week. Sudden onset of anxiety and depression in 03/2021 through 11/2021. 04/2022 sudden onset of debilitating anxiety. 11/2022 developed extreme fatigue, joint and muscle pain, brain fog, headaches, activity intolerance and heat intolerance. 03/2023 +ANA and CRP. Diagnosed with autoimmune disease/connective tissue disease, pseudo dementia and fibromyalgia. Symptoms persist despite treatment from rheumatologist. Approved for SSDI 10/25/2024. I believe my symptoms are due to the Covid vaccine.
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โ | |||||
| 2826969 | 77 | M | IA | 02/19/2025 |
COVID19 |
MODERNA |
3043159 |
Death
Death
|
Death
Death
|
โ | |||||
| 2826970 | 33 | M | MA | 02/19/2025 |
SMALLMNK |
BAVARIAN NORDIC |
FDP00018 |
Adverse reaction
Adverse reaction
|
The nurse gave a full dose .5cc intradermally. She had given the eua version before. The pt had a r...
The nurse gave a full dose .5cc intradermally. She had given the eua version before. The pt had a roubst rxn-he sent me a picture-but he was fine.
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| 2826971 | 0.33 | M | PA | 02/19/2025 |
DTAPHEPBIP PNC20 RV5 |
GLAXOSMITHKLINE BIOLOGICALS PFIZER\WYETH MERCK & CO. INC. |
D252F LG5578 Y005907 |
Rash; Rash; Rash
Rash; Rash; Rash
|
Mom messaged the office via the patient portal at 1840 on 2/18/2025 with concerns of a rash on patie...
Mom messaged the office via the patient portal at 1840 on 2/18/2025 with concerns of a rash on patient's trunk area. Per mom, this is the first time she has seen this rash after immunizations. No fever at this time.
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| 2826972 | 11 | M | AL | 02/19/2025 |
HPV9 |
MERCK & CO. INC. |
Y0110500 |
Eye swelling, Ocular hyperaemia
Eye swelling, Ocular hyperaemia
|
Mom reports Left eye red and swollen almost shut 2 hours after taking the shot
Mom reports Left eye red and swollen almost shut 2 hours after taking the shot
|
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| 2826973 | 50 | F | FL | 02/19/2025 |
COVID19 COVID19 |
PFIZER\BIONTECH PFIZER\BIONTECH |
|
Atrial fibrillation, Cardiac ablation, Cold sweat, Dyspnoea, Electrocardiogram; ...
Atrial fibrillation, Cardiac ablation, Cold sweat, Dyspnoea, Electrocardiogram; Electroencephalogram, Palpitations, Ultrasound scan
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I RECEIVED 2 COVID-19 SHOTS 1(EN6201 4/9/21) 2(EN6198 4/30/21) ON JUNE 30,2021 AROUND 8 PM I WOKE WI...
I RECEIVED 2 COVID-19 SHOTS 1(EN6201 4/9/21) 2(EN6198 4/30/21) ON JUNE 30,2021 AROUND 8 PM I WOKE WITH A COLD SWEAT, A POUNDING HEART THAT FELT IN MY CHEST AND LEFT RIBCAGE WITH SOB I WENT TO THE EMERGENCY ROOM WHERE I WAS DIAGNOSED WITH AFIB. THIS WAS THE FIRST OF MANY VISITS WHICH ALSO INVOLVED HAVING AN ABLATION TO CORRECT THE AFIB. NOW I AM ON PERMANENT MEDICATION FOR THIS CONDITION, ELIQUIS, SOTOLOL AND A BABY ASPIRIN
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โ | โ | ||||
| 2826975 | 75 | M | NY | 02/19/2025 |
RSV RSV |
GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS |
|
Atrioventricular block, Cardiac pacemaker evaluation, Cardiac pacemaker insertio...
Atrioventricular block, Cardiac pacemaker evaluation, Cardiac pacemaker insertion, Death, Loss of consciousness; Procedural pneumothorax, Respiratory arrest, Transcutaneous pacing
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loss of consciousness, heart block AV block, death, emergency room temporary external pacemaker conn...
loss of consciousness, heart block AV block, death, emergency room temporary external pacemaker connected, procedural pneumothorax, permanent pacemaker procedure, breathing cessation during surgery i.e another death
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โ | โ | โ | |||
| 2826976 | 17 | F | 02/19/2025 |
IPV |
SANOFI PASTEUR |
|
Wrong product administered
Wrong product administered
|
Patient came for TB skin test but 0.1 of polio administered. Nurse recognized mistake, informed pati...
Patient came for TB skin test but 0.1 of polio administered. Nurse recognized mistake, informed patient and administered tuberculin. Patient informed to watch for allergic reaction.
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| 2826977 | 25 | M | ME | 02/19/2025 |
MMR |
MERCK & CO. INC. |
Y010046 |
Extra dose administered, No adverse event
Extra dose administered, No adverse event
|
Received a 3rd dose, patient reports no side effects.
Received a 3rd dose, patient reports no side effects.
|
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| 2826978 | 46 | F | CO | 02/19/2025 |
FLU3 |
SEQIRUS, INC. |
AW1614C |
Extra dose administered
Extra dose administered
|
Patient had already received annual influenza vaccine on 12/03/2024.
Patient had already received annual influenza vaccine on 12/03/2024.
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| 2826979 | 42 | F | CA | 02/19/2025 |
COVID19 COVID19 COVID19 COVID19 |
MODERNA MODERNA MODERNA MODERNA |
|
Biopsy, Computerised tomogram abdomen, Laboratory test, Magnetic resonance imagi...
Biopsy, Computerised tomogram abdomen, Laboratory test, Magnetic resonance imaging abdominal, Mesenteric vein thrombosis; Portal vein thrombosis, Splenic vein thrombosis, Ultrasound scan; Biopsy, Computerised tomogram abdomen, Laboratory test, Magnetic resonance imaging abdominal, Mesenteric vein thrombosis; Portal vein thrombosis, Splenic vein thrombosis, Ultrasound scan
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Portal, mesenteric, and splenic vein thrombosis
Portal, mesenteric, and splenic vein thrombosis
|
โ | |||||
| 2826980 | 53 | M | IN | 02/19/2025 |
VARZOS VARZOS |
GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS |
|
Computerised tomogram head normal, Dizziness, Electrocardiogram normal, Laborato...
Computerised tomogram head normal, Dizziness, Electrocardiogram normal, Laboratory test normal, Scan with contrast normal; Varicella, Vertigo, Vestibular neuronitis, Vomiting
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pt says on Feb 8th he was taken to the ER. because the room was violently spinning and he was vomit...
pt says on Feb 8th he was taken to the ER. because the room was violently spinning and he was vomiting. They did multiple test which were all negative. He had a head and neck CT with contrast. Had an EKG and cardiac marker lab work. His DX was vertigo. They prescribed him Zofran and meclizine. He followed up with PCP Dr. on Feb 14th. He DX was vestibular neuritis. His recommendation was to continue the meds that he was given in the ER since this is a virus caused by varicella which is the active ingredient from the Shingrix vaccine. He is still having the symptoms and dizziness from the virus and will discuss having the second dose with his PCP.
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| 2826981 | 8 | M | NC | 02/19/2025 |
TDAP |
GLAXOSMITHKLINE BIOLOGICALS |
CX4HL |
Injection site erythema, Injection site induration, Injection site swelling
Injection site erythema, Injection site induration, Injection site swelling
|
The patient was seen in our clinic for a school physical when mom mentioned his right arm. The injec...
The patient was seen in our clinic for a school physical when mom mentioned his right arm. The injection site has a localized reaction with swelling, erythema, and very hard to touch. This vaccine was given at County Health Department on 02/11/2025 and this patient was seen in our office on 02/17/2025. Mom has been using ice packs to minimize swelling but not given any oral medications such as Benadryl or Tylenol to prevent rash. His arm has been like this for almost a week. The school was contacted because they are trying to get the patient caught up on vaccines but no more was given due to the reaction he has had. Mom is concerned about any further vaccinations due to the fact the patient has had reactions with other vaccines in the past. We explained to mom we would report this and get further information regarding the info. she has given us in the clinic on 02/17/2025.
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| 2826982 | 74 | M | NV | 02/19/2025 |
PNC21 |
MERCK & CO. INC. |
|
Chills, Headache, Myalgia, Pain, Pyrexia
Chills, Headache, Myalgia, Pain, Pyrexia
|
About 12 hours after injection, awaken with high fever and chills, body aches, sever headache, muscl...
About 12 hours after injection, awaken with high fever and chills, body aches, sever headache, muscle aches
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| 2826983 | 13 | M | CO | 02/19/2025 |
TYP |
BERNA BIOTECH, LTD. |
3004086 |
Dyspnoea, Loss of consciousness, Urticaria, Vomiting
Dyspnoea, Loss of consciousness, Urticaria, Vomiting
|
Reported to RN that took call stating that after the client took his second dose of Oral Typhoid, ha...
Reported to RN that took call stating that after the client took his second dose of Oral Typhoid, had a severe reaction that presented as vomiting (threw up the pill), followed by hives, more vomiting, passing out, loss of consciousness for a minute or two and some trouble breathing. Client's mother did not seek medical care but was monitored throughout the night. No lingering effects the morning after this episode. Instructed to reach out to their PCP
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| 2826984 | 64 | F | OH | 02/19/2025 |
PPV PPV |
MERCK & CO. INC. MERCK & CO. INC. |
X027348 X027348 |
Electric shock sensation, Loss of personal independence in daily activities, Mob...
Electric shock sensation, Loss of personal independence in daily activities, Mobility decreased, Muscular weakness, Pain in extremity; Paraesthesia
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She reports persistent arm pain following a vaccination, which has improved with steroid treatment. ...
She reports persistent arm pain following a vaccination, which has improved with steroid treatment. Initially, she experienced limited range of motion, necessitating support from the counter to perform tasks such as drying her hair. The pain was initially localized but has since spread to both arms and down to her fingers. She had a tingling/electric shock pain to her fingers. She also reports tingling in her fingers, reminiscent of a previous shoulder injury. She describes the sensation as similar to a rotator cuff injury, with associated tingling in her fingers. She has been using red light therapy and over-the-counter analgesics, but these have caused gastrointestinal upset. She has no history of shoulder issues, except for occasional soreness. She has received annual influenza vaccines without complications, but did not receive one this year due to illness. She was unable to lift objects above her head for weeks, and felt like she lost all strength in that arm for about one week.
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| 2826985 | 70 | F | IN | 02/19/2025 |
VARZOS VARZOS |
GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS |
3x97j 3x97j |
Dizziness, Fatigue, Injection site pain, Injection site reaction, Nausea; Urtica...
Dizziness, Fatigue, Injection site pain, Injection site reaction, Nausea; Urticaria, Vomiting
More
|
Patient returned to the pharmacy the morning after her vaccination. She complained of a welt and so...
Patient returned to the pharmacy the morning after her vaccination. She complained of a welt and soreness at the site of the injection as well as nausea/vomiting, dizziness, and fatigue. I looked at the arm and told her that it looked within normal limits. I asked her if she had been around any sick people and she said no, that she hadn't left the house in weeks. I told her to rest and and if her symptoms did not improve, to see her physician.
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| 2826986 | 0.17 | F | MD | 02/19/2025 |
DTAPIPVHIB PNC20 RV5 |
SANOFI PASTEUR PFIZER\WYETH MERCK & CO. INC. |
UK149AB LJ5284 Y011797 |
Urticaria; Urticaria; Urticaria
Urticaria; Urticaria; Urticaria
|
Infant developed small hives over most of her body surface area approximately 4 minutes after she wa...
Infant developed small hives over most of her body surface area approximately 4 minutes after she was vaccinated. She was observed for 30 minutes without progression of reaction and was sent home. Mother reports the rash resolved by 2/19/25
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| 2826987 | 11 | M | ND | 02/19/2025 |
HPV9 |
MERCK & CO. INC. |
W026977 |
Decreased appetite, Immediate post-injection reaction, Lethargy, Mobility decrea...
Decreased appetite, Immediate post-injection reaction, Lethargy, Mobility decreased
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Patient's mother, reported to this RN that she is concerned about the HPV vaccination and vacci...
Patient's mother, reported to this RN that she is concerned about the HPV vaccination and vaccinating her son a 2nd time as the first time he was vaccinated with the vaccine it immediately took a lot out of him. His continence changed, he became lethargic and did not eat or get out of bed for several days over the entire weekend. She had never noticed this severe of a reaction in him with any other vaccine.
More
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| 2826988 | 10 | F | FL | 02/19/2025 |
MMR MMR MMR |
MERCK & CO. INC. MERCK & CO. INC. MERCK & CO. INC. |
|
Crying, Dizziness, Eye pain, Headache, Hyperacusis; Lymphadenopathy, Photophobia...
Crying, Dizziness, Eye pain, Headache, Hyperacusis; Lymphadenopathy, Photophobia, Rash erythematous, Rash macular, Rash pruritic; Salivary gland enlargement
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Day 9 after vaccine: swollen occipital lymph node (associated with rubella) which caused a headache ...
Day 9 after vaccine: swollen occipital lymph node (associated with rubella) which caused a headache so bad, she was crying from the pain. eye pain dizziness lightheadedness slight nasal congestion noise and light sensitivity Day 10 after vaccine: a temperature of about 100 In the evening (Day 12 after vaccine) red splotches on her chest and hairline, progressed to tummy, arms, hands. Looks like a measles rash. Worse in the sun or with heat. Very itchy. Then, on 03/21/24 pain under her jaw, She got the MMR shot just over 3 weeks ago. about 10 days after the shot she had swollen occipital lymph node, fever and a migraine that lasted about 3 days. the next day she had a measles looking rash that lasted 3 days. Now swelling of salivary glands from the vaccine. She still gets headaches to this day, never had one before the vaccine.
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| 2826989 | 29 | F | CA | 02/19/2025 |
HPV9 |
MERCK & CO. INC. |
Y014059 |
Hypoaesthesia, Muscular weakness, Pain in extremity
Hypoaesthesia, Muscular weakness, Pain in extremity
|
Patient was seen by PCP yesterday 02/18/2025. Patient reported extreme pain right after from the HPV...
Patient was seen by PCP yesterday 02/18/2025. Patient reported extreme pain right after from the HPV vaccine received 01/27/2025. Provider asked why patient did not seek help immediately, per patient about to go to ER that day but eventually went after few days and arm pain still experiencing. During PCP visit yesterday 02/18/2025, presenting for sudden onset pain, numbness, and weakness in right arm. Reports had HPV vaccine #2 placed in her right arm on 1/27/25 (although per documentation by LVN, vaccine was placed in left arm). Patient verbalized vaccine was given on right arm, not on left arm.
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| 2826990 | 48 | F | CO | 02/19/2025 |
HEP |
DYNAVAX TECHNOLOGIES CORPORATION |
945659 |
Pruritus
Pruritus
|
10 minutes after receiving Heplisav B vaccine at OH Clinic client reported feelings of itching on bi...
10 minutes after receiving Heplisav B vaccine at OH Clinic client reported feelings of itching on bilateral arms from shoulders to wrists. Itching progressed to front of neck, upper chest, lower back and bilateral upper portion of legs. 0940 administered 25mg Benadryl one time dose with improvement after dose. Vital signs stable
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| 2826991 | 1.25 | M | MT | 02/19/2025 |
MMRV PNC20 VARCEL |
MERCK & CO. INC. PFIZER\WYETH MERCK & CO. INC. |
Y012594 HN5980 X010535 |
Wrong product administered; Wrong product administered; Wrong product administer...
Wrong product administered; Wrong product administered; Wrong product administered
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MMRV given instead of MMR
MMRV given instead of MMR
|
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| 2826992 | 19 | M | WA | 02/19/2025 |
VARCEL |
MERCK & CO. INC. |
Y001510 |
Dyspnoea, Eye swelling, Nausea, Ocular hyperaemia, Vomiting
Dyspnoea, Eye swelling, Nausea, Ocular hyperaemia, Vomiting
|
Pt reports varicella vaccination at 0950, started eye redness, swelling approx 1030. now reports SOB...
Pt reports varicella vaccination at 0950, started eye redness, swelling approx 1030. now reports SOB and trouble breathing, intermittent nasuea, no vomiting maintaining airway in triage. denies taking anything prior to arrival Patient is a 19-year-old male otherwise healthy presented to the emergency department for concerns of difficulty breathing, swollen left eye, nausea and vomiting that started this morning. Patient states that this morning he took the fitness test, afterwards he presented to clinic to receive his varicella vaccine shortly after that time patient went home and began experiencing 2 episodes of nausea and vomiting. 1 of his friends noticed that his left eyelid looked swollen. patient was not aware of this at that time. Additionally he endorsed feeling short of breath. So he came to the emergency department. He is not aware of any allergies, has not had an allergic reaction in the past. Denies any new medications. Denies any issues/illness prior to the fitness test this morning.
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| 2826993 | 32 | M | UT | 02/19/2025 |
HEP |
MERCK & CO. INC. |
W038864 |
No adverse event, Underdose
No adverse event, Underdose
|
Patient was given a pediatric dose of recombivax instead of adult dose. No current symptoms being re...
Patient was given a pediatric dose of recombivax instead of adult dose. No current symptoms being reported.
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| 2826994 | 55 | F | WA | 02/19/2025 |
PNC20 |
PFIZER\WYETH |
LJ5284 |
Injection site reaction
Injection site reaction
|
PT CALLED REPORTING INJECTION SITE REACTION ON 2/19/2025 AT AROUND 10:18 AM AND TOLD ME THERE IS A D...
PT CALLED REPORTING INJECTION SITE REACTION ON 2/19/2025 AT AROUND 10:18 AM AND TOLD ME THERE IS A DEFINED RED BORDER WHERE SHE WAS INJECTED. SHE NOTICED IT LAST NIGHT AND TOOK AN ANTIHISTAMINE (DID NOT REPORT WHICH ONE) AND IT WAS SPLOCHY AND EXTENDED AT LEAST 1 INCH AWAY FROM INJECTION POINT. PT REPORTS NO FEVER OR PAIN DURING OUR CALL. I SUGGESTED FOR HER TO GO TO URGENT CARE AFTER WORK IF THINGS DO NOT GET BETTER.
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| 2826995 | 38 | F | WA | 02/19/2025 |
TDAP |
GLAXOSMITHKLINE BIOLOGICALS |
X449Y |
Bursitis, Pain in extremity, Ultrasound scan, X-ray limb
Bursitis, Pain in extremity, Ultrasound scan, X-ray limb
|
Patient received injection of Tdap to right arm and later that night it begin to get sore. Came and ...
Patient received injection of Tdap to right arm and later that night it begin to get sore. Came and saw a provider a few days later and she was dx with bursitis.
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| 2826996 | 15 | M | FL | 02/19/2025 |
HPV9 |
MERCK & CO. INC. |
y012865 |
Dizziness
Dizziness
|
dizziness after vaccine
dizziness after vaccine
|
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| 2826997 | 37 | M | CO | 02/19/2025 |
HPV9 |
MERCK & CO. INC. |
Y000206 |
Condition aggravated, Injection site pain, Joint dislocation
Condition aggravated, Injection site pain, Joint dislocation
|
Patient described the vaccine as extremely painful when administered, unlike the first dose and felt...
Patient described the vaccine as extremely painful when administered, unlike the first dose and felt like it contributed to her shoulder popping out of her socket. Patient reported swelling, and inflammation, but I observed no abnormalities when I compared her right and left arm in person on 2/19/2025 at 11 AM, but vaccine was administered on 2/11/2025. She reported her shoulder being partially dislocated during this time. Her physical therapist recommended patient reach to the pharmacy to inform us in which I has patient present to the pharmacy to observe.
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| 2826998 | 64 | F | FL | 02/19/2025 |
DTAP |
GLAXOSMITHKLINE BIOLOGICALS |
X357E |
Extra dose administered
Extra dose administered
|
PATIENT RECEIVED 2 TDAP VACCINES WITHIN 9 MONTH PERIOD (MAY 2024 AND FEB 2025)
PATIENT RECEIVED 2 TDAP VACCINES WITHIN 9 MONTH PERIOD (MAY 2024 AND FEB 2025)
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| 2826999 | 50 | F | IN | 02/19/2025 |
TDAP |
SANOFI PASTEUR |
U8264AA |
Chills, Erythema, Pyrexia, Swelling
Chills, Erythema, Pyrexia, Swelling
|
Fever and Chills for 24 hours, Swelling and redness for 6 days
Fever and Chills for 24 hours, Swelling and redness for 6 days
|
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| 2827000 | 1 | M | NY | 02/19/2025 |
MMR |
MERCK & CO. INC. |
X026330 |
Erythema, Induration, Swelling, Urticaria, Vomiting
Erythema, Induration, Swelling, Urticaria, Vomiting
|
11:35am MMR vaccine given. 11:36am tennis ball sized area of redness with induration and swelling. 1...
11:35am MMR vaccine given. 11:36am tennis ball sized area of redness with induration and swelling. 11:55 vomiting. 12:00, hives began to form on the other arm. Vitals and respiratory status stable on room air. Epinephrine given and 911 contacted to transport to the hospital for monitoring.
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| 2827001 | 57 | M | 02/19/2025 |
PNC21 |
MERCK & CO. INC. |
Y011819 |
Chills, Confusional state, Fatigue, Poor quality sleep, Speech disorder
Chills, Confusional state, Fatigue, Poor quality sleep, Speech disorder
|
Chills, confusion, babbling approx 13 hours after vaccination. Poor sleep that night. Lingering inte...
Chills, confusion, babbling approx 13 hours after vaccination. Poor sleep that night. Lingering intermittent confusion and fatigue the following day
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| 2827002 | 1.58 | F | TX | 02/19/2025 |
COVID19 HEPA |
MODERNA GLAXOSMITHKLINE BIOLOGICALS |
3044210 T5727 |
Urticaria; Urticaria
Urticaria; Urticaria
|
Hives, administered 1.5mL of Benadryl orally in office
Hives, administered 1.5mL of Benadryl orally in office
|
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| 2827003 | 70 | F | GA | 02/19/2025 |
CHIK |
VALNEVA USA, INC. |
24B011 |
Arthralgia, Chikungunya virus infection, Chills, Myalgia, Night sweats
Arthralgia, Chikungunya virus infection, Chills, Myalgia, Night sweats
|
Worsening signs/symptoms of chikungunya - chills, night sweats, severe muscle and joint pain that ha...
Worsening signs/symptoms of chikungunya - chills, night sweats, severe muscle and joint pain that has worsened;
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| 2827004 | 50 | M | TX | 02/19/2025 |
COVID19 |
JANSSEN |
203A21A |
Tinnitus
Tinnitus
|
PATIENT REPORTED EXPERIENCING TINNITUS 6-8 WEEKS AFTER INJECTION. HE HAD A FOLLOW UP WITH AN AUDIOLO...
PATIENT REPORTED EXPERIENCING TINNITUS 6-8 WEEKS AFTER INJECTION. HE HAD A FOLLOW UP WITH AN AUDIOLOGIST AND IT WAS CONFIRMED ON 01/2022. PATIENT STATED HE NEVER HAD TINNITUS PRIOR.
More
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โ | |||||
| 2827005 | 47 | F | MN | 02/19/2025 |
COVID19 COVID19 COVID19 |
PFIZER\BIONTECH PFIZER\BIONTECH PFIZER\BIONTECH |
EW0181 EW0198 FK9894 |
Ear pain, Pain, Pyrexia, SARS-CoV-2 test, Sinus congestion; Ear pain, Pain, Pyre...
Ear pain, Pain, Pyrexia, SARS-CoV-2 test, Sinus congestion; Ear pain, Pain, Pyrexia, SARS-CoV-2 test, Sinus congestion; Ear pain, Pain, Pyrexia, SARS-CoV-2 test, Sinus congestion
More
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Fever, head congestion, left ear pain, body aches
Fever, head congestion, left ear pain, body aches
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| 2827006 | 43 | M | NC | 02/19/2025 |
COVID19 |
JANSSEN |
|
Dizziness, Tinnitus
Dizziness, Tinnitus
|
Sudden onset tinnitus/dizziness 6 months after injection. No prior hearing issues before injection. ...
Sudden onset tinnitus/dizziness 6 months after injection. No prior hearing issues before injection. Tinnitus has continued to present day. GP and ENT tried treatment with oral and nasal steroids but nothing has made it subside.
More
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| 2827007 | 77 | F | NJ | 02/19/2025 |
COVID19 FLU3 |
MODERNA SANOFI PASTEUR |
8081260 u8532ca |
Injection site erythema, Injection site inflammation; Injection site erythema, I...
Injection site erythema, Injection site inflammation; Injection site erythema, Injection site inflammation
More
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big red reaction around injection site with inflamation and pain down to elbow -- now gone
big red reaction around injection site with inflamation and pain down to elbow -- now gone
|
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| 2827008 | 55 | F | PA | 02/19/2025 |
DTAP |
SANOFI PASTEUR |
U8274AA |
No adverse event, Product administered to patient of inappropriate age
No adverse event, Product administered to patient of inappropriate age
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none from this vaccine
none from this vaccine
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| 2827009 | 4 | M | AZ | 02/19/2025 |
COVID19 DTAPIPV FLU3 MMRV |
MODERNA GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS MERCK & CO. INC. |
3044143 5H95B 5ZG92 Y004996 |
No adverse event; No adverse event; No adverse event; No adverse event
No adverse event; No adverse event; No adverse event; No adverse event
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no other symptoms noted after vaccination other than the ones patient initially arrived to the clini...
no other symptoms noted after vaccination other than the ones patient initially arrived to the clinic with.
More
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| 2827010 | 0.58 | M | NJ | 02/19/2025 |
HIBV |
SANOFI PASTEUR |
UK169AB |
Inappropriate schedule of product administration, No adverse event
Inappropriate schedule of product administration, No adverse event
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NO ADVERSE REACTION- The HIB vaccine was ordered and administered too early for the patient. Dr spok...
NO ADVERSE REACTION- The HIB vaccine was ordered and administered too early for the patient. Dr spoke to parent on phone and had child follow up in office 2 days later. No adverse reaction, child was cleared.
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| 2827011 | 54 | F | CO | 02/19/2025 |
PNC20 |
PFIZER\WYETH |
LG5577 |
Injection site erythema, Injection site pain, Injection site pruritus, Injection...
Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling
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Patient states that by the end of the day on 2/4/25 after receiving the vaccine she developed swelli...
Patient states that by the end of the day on 2/4/25 after receiving the vaccine she developed swelling, itching, redness, and pain around the injection site. She also stated that the swelling and redness spread to her underarm area at some point. She called me on 2/28/25 to report the symptoms and stated that the symptoms are still persisting at 2 weeks post vaccination. She also told me that she had an adverse reaction to a different vaccine in the past but it did not last for 2 weeks.
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| 2827012 | 0.5 | F | TX | 02/19/2025 |
DTPPVHBHPB FLU3 PNC20 RV5 |
MSP VACCINE COMPANY SANOFI PASTEUR PFIZER\WYETH MERCK & CO. INC. |
U7921AA U8531AA LC5484 Y009341 |
Crying, Erythema, Rash, Rash erythematous; Crying, Erythema, Rash, Rash erythema...
Crying, Erythema, Rash, Rash erythematous; Crying, Erythema, Rash, Rash erythematous; Crying, Erythema, Rash, Rash erythematous; Crying, Erythema, Rash, Rash erythematous
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After the patient received the vaccines she broke out on her face, she had red spots just on her fac...
After the patient received the vaccines she broke out on her face, she had red spots just on her face. The rest of her body was free of any signs. The patient was crying after vaccines and skin turned red but after patient calmed down red spots remained.
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| 2827013 | 54 | F | CA | 02/19/2025 |
RSV |
GLAXOSMITHKLINE BIOLOGICALS |
x4ea5 |
Unevaluable event
Unevaluable event
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pt at skilled nursing home under 60 immunocompromised got the RSV vaccine
pt at skilled nursing home under 60 immunocompromised got the RSV vaccine
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| 2827014 | 1 | M | CA | 02/19/2025 |
UNK UNK UNK UNK |
UNKNOWN MANUFACTURER UNKNOWN MANUFACTURER UNKNOWN MANUFACTURER UNKNOWN MANUFACTURER |
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Acute haemorrhagic oedema of infancy, Autism spectrum disorder, Blister, Erythem...
Acute haemorrhagic oedema of infancy, Autism spectrum disorder, Blister, Erythema, Laboratory test; Acute haemorrhagic oedema of infancy, Autism spectrum disorder, Blister, Erythema, Laboratory test; Acute haemorrhagic oedema of infancy, Autism spectrum disorder, Blister, Erythema, Laboratory test; Acute haemorrhagic oedema of infancy, Autism spectrum disorder, Blister, Erythema, Laboratory test
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We went to a friends house and he was okay for an hour, Then he went with my mom and he started gett...
We went to a friends house and he was okay for an hour, Then he went with my mom and he started getting red blisters all over his body. And she took him hospital and i met them there around 5. We were there all night and he was admitted for 5 days and he had acute hemporric edmea of infancy. In 2017 there were only 5 cases reported. It took 21 days for it to go away and it took 5 docs to diagnose him. And he is now autistic.
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| 2827015 | 54 | F | TX | 02/19/2025 |
FLU3 |
SANOFI PASTEUR |
UT8485LA |
Injection site pain
Injection site pain
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arm pain to right side injection site
arm pain to right side injection site
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| 2827016 | 82 | M | FL | 02/19/2025 |
RSV |
GLAXOSMITHKLINE BIOLOGICALS |
255t2 |
Extra dose administered
Extra dose administered
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Received the Arexvy vaccine on 10/24/2023. Patient did not remember getting the vaccine and the Pha...
Received the Arexvy vaccine on 10/24/2023. Patient did not remember getting the vaccine and the Pharmacist inappropriately gave another dose of Arexvy on 02/16/2025. Spoke with patient on 02/19/2025. He is not experiencing any side effects from the vaccine .
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| 2827018 | 11 | F | NC | 02/19/2025 |
MNQ TDAP |
SANOFI PASTEUR SANOFI PASTEUR |
U8361AA U8122AA |
Injection site reaction, Injection site urticaria, Urticaria; Injection site rea...
Injection site reaction, Injection site urticaria, Urticaria; Injection site reaction, Injection site urticaria, Urticaria
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Local hive/urticarial rash at site of injections on right arm.
Local hive/urticarial rash at site of injections on right arm.
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| 2827019 | 0.33 | F | VA | 02/19/2025 |
UNK |
UNKNOWN MANUFACTURER |
AZ240068 |
Extra dose administered, No adverse event
Extra dose administered, No adverse event
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Patient received 2 doses of Beyfortus vaccine about 4 weeks apart. (1/4/25 & 2/3/25). No adverse...
Patient received 2 doses of Beyfortus vaccine about 4 weeks apart. (1/4/25 & 2/3/25). No adverse outcomes noted to date. Parent notified of the vaccine administration on 2/3/25
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