| ID | Age | Sex | State | Date โผ | Onset Days | Vaccine | Manufacturer | Lot # | Symptoms | Narrative | ๐ | ๐ฅ | ๐ | โฟ | โ ๏ธ |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2826836 | 33 | U | 02/18/2025 |
COVID19 |
MODERNA |
|
Bradycardia, Chest discomfort, Dyspnoea, Pharyngeal paraesthesia
Bradycardia, Chest discomfort, Dyspnoea, Pharyngeal paraesthesia
|
SOB tightness in chest tingling in throat; bradycardia
SOB tightness in chest tingling in throat; bradycardia
|
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| 2826838 | 44 | F | MN | 02/18/2025 |
COVID19 |
PFIZER\BIONTECH |
|
Rash
Rash
|
The following day I developed a bilateral rash, there were two pink dots on my forehead near the hai...
The following day I developed a bilateral rash, there were two pink dots on my forehead near the hairline, then behind both ears, at the base of my neck, down the center of my chest, across my stomach and along the back of my hairline. This happened at the time of the booster as well, and when I eventually ended up with COVID. Now it appears every single time I feel under the weather.
More
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| 2826839 | U | 02/18/2025 |
COVID19 COVID19 COVID19 COVID19 COVID19 COVID19 COVID19 COVID19 COVID19 COVID19 FLUX FLUX FLUX FLUX FLUX |
NOVAVAX NOVAVAX NOVAVAX NOVAVAX NOVAVAX NOVAVAX NOVAVAX NOVAVAX NOVAVAX NOVAVAX UNKNOWN MANUFACTURER UNKNOWN MANUFACTURER UNKNOWN MANUFACTURER UNKNOWN MANUFACTURER UNKNOWN MANUFACTURER |
|
Abdominal distension, Abdominal pain, Blindness, Chills, Fatigue; Nausea, Pain, ...
Abdominal distension, Abdominal pain, Blindness, Chills, Fatigue; Nausea, Pain, Pyrexia, Syncope, Vomiting; Abdominal distension, Abdominal pain, Blindness, Chills, Fatigue; Nausea, Pain, Pyrexia, SARS-CoV-2 test, Syncope; Vomiting; Abdominal distension, Abdominal pain, Blindness, Chills, Fatigue; Nausea, Pain, Pyrexia, Syncope, Vomiting; Abdominal distension, Abdominal pain, Blindness, Chills, Fatigue; Nausea, Pain, Pyrexia, SARS-CoV-2 test, Syncope; Vomiting; Abdominal distension, Abdominal pain, Blindness, Chills, Fatigue; Nausea, Pain, Pyrexia, Syncope, Vomiting; Abdominal distension, Abdominal pain, Blindness, Chills, Fatigue; Nausea, Pain, Pyrexia, SARS-CoV-2 test, Syncope; Vomiting
More
|
Adverse events: Loss of vision, fainting (Feb. 15) Fever, body aches, chills (Feb. 15-17) Extreme f...
Adverse events: Loss of vision, fainting (Feb. 15) Fever, body aches, chills (Feb. 15-17) Extreme fatigue (Feb. 15-17) Nausea, vomitting (Feb. 15-17) Abdominal cramping and bloating (Feb. 15-18) Treament: Over the counter medication (Tylenol, Pepto, Gas-X, Ibuprofen), bed rest, hydration
More
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| 2826840 | 58 | M | NJ | 02/18/2025 |
COVID19 COVID19 COVID19 COVID19 COVID19 COVID19 COVID19 COVID19 COVID19 COVID19 COVID19 COVID19 |
MODERNA MODERNA MODERNA MODERNA MODERNA MODERNA MODERNA MODERNA MODERNA MODERNA MODERNA MODERNA |
012a21a 012a21a 012a21a 012a21a 040VB21A 040VB21A 040VB21A 040VB21A 031H21A 031H21A 031H21A 031H21A |
Adhesion, Arthritis, Bell's palsy, Blood test, Cranial nerve decompression;...
Adhesion, Arthritis, Bell's palsy, Blood test, Cranial nerve decompression; Hip arthroplasty, Immune system disorder, Impaired healing, Magnetic resonance imaging, Musculoskeletal disorder; Osteonecrosis, Pain, Post procedural inflammation, Shoulder operation, Spinal fusion surgery; Surgical failure, Synkinesis, Wrist surgery; Adhesion, Arthritis, Bell's palsy, Blood test, Cranial nerve decompression; Hip arthroplasty, Immune system disorder, Impaired healing, Magnetic resonance imaging, Musculoskeletal disorder; Osteonecrosis, Pain, Post procedural inflammation, Shoulder operation, Spinal fusion surgery; Surgical failure, Synkinesis, Wrist surgery; Adhesion, Arthritis, Bell's palsy, Blood test, Cranial nerve decompression; Hip arthroplasty, Immune system disorder, Impaired healing, Magnetic resonance imaging, Musculoskeletal disorder; Osteonecrosis, Pain, Post procedural inflammation, Shoulder operation, Spinal fusion surgery; Surgical failure, Synkinesis, Wrist surgery
More
|
Shortly after vaccination developed avascular necrosis of the hips (idiopathic) requiring hip replac...
Shortly after vaccination developed avascular necrosis of the hips (idiopathic) requiring hip replacement of both hips as well as revisions to the replacements (all within the last 3+ years) as my immune system reacted adversely to the surgery via inflammation and excessive scar tissue adhesion. During this period I developed other orthopedic problems with no known cause or event requiring surgery of the shoulder, wrist, and spinal. Note the first spinal fusion was also rejected by the body and did not fuse requiring a second fusion. Lastly, I developed aberrant nerve regeneration in my brain requiring surgery (microvascular nerve decompression). My body has not healed well and I remain in a state of pain and unable to heal one of the hips.
More
|
โ | โ | ||||
| 2826841 | 57 | F | MN | 02/18/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
F9X4P |
Chest X-ray abnormal, Chest discomfort, Cough, Pneumonia
Chest X-ray abnormal, Chest discomfort, Cough, Pneumonia
|
Had just told my docter that I felt so healthy. I said yes to the vaccine and the following morning...
Had just told my docter that I felt so healthy. I said yes to the vaccine and the following morning, I woke up to tightness in left chest and cough and the cough has continued since. I have had no other symptoms such as congestion or other symptoms. 2/13/2025 diagnosed with pneumonia that antibiotics did not help. Starting steroids today 2/18/2025
More
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| 2826842 | 21 | F | FL | 02/18/2025 |
PNC20 |
PFIZER\WYETH |
LK6651 |
Injected limb mobility decreased, Injection site pain, Pain in extremity, Ultras...
Injected limb mobility decreased, Injection site pain, Pain in extremity, Ultrasound scan normal
More
|
Pt was given Prevnar 20 in R arm. MA who administered the vaccine states that after she put the need...
Pt was given Prevnar 20 in R arm. MA who administered the vaccine states that after she put the needle in, she met resistance when trying to inject the liquid. She pulled the needle back some and was able to administer the vaccine without resistance. Pt states she had instant pain in her right arm down to her fingers as soon as the injection was given. Following day pt was unable to raise or abduct her arm due to pain.
More
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| 2826843 | F | MA | 02/18/2025 |
HEP |
GLAXOSMITHKLINE BIOLOGICALS |
|
Lethargy, Pain, Pyrexia, Screaming, Urticaria
Lethargy, Pain, Pyrexia, Screaming, Urticaria
|
Full body hives, lethargic, screaming in pain, unconsolable, fever
Full body hives, lethargic, screaming in pain, unconsolable, fever
|
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| 2826844 | 0.17 | F | FL | 02/18/2025 |
RV5 |
MERCK & CO. INC. |
2051974 |
Diarrhoea
Diarrhoea
|
diarrhea, 2-3x per day x one week after vaccine given
diarrhea, 2-3x per day x one week after vaccine given
|
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| 2826845 | 10 | F | WY | 02/18/2025 |
HEPA |
GLAXOSMITHKLINE BIOLOGICALS |
C24B9 |
Circumstance or information capable of leading to medication error
Circumstance or information capable of leading to medication error
|
Hep A vaccine was drawn up/uncapped prior to client being in the room and having signed paper in fro...
Hep A vaccine was drawn up/uncapped prior to client being in the room and having signed paper in front of me. I assumed the mother had the correct children that were scheduled for vaccines on 02/14/2025. After getting the signed consent, we noticed it did not have the same name as what I did on the routing slip. Receptionist clarified and it was determined the client that was supposed to get the Hep A vaccine did not come. Vaccine was not given but had to do a waste.
More
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| 2826846 | 54 | M | IL | 02/18/2025 |
COVID19 |
JANSSEN |
1805031 |
Auditory nerve disorder, Ear infection viral, Hypoacusis, Magnetic resonance ima...
Auditory nerve disorder, Ear infection viral, Hypoacusis, Magnetic resonance imaging, Tinnitus
More
|
Noticed ringing in my ears, thought it was tinnitus, and finally got to a point where I could not ...
Noticed ringing in my ears, thought it was tinnitus, and finally got to a point where I could not hear out of my right ear. Went to ENT for the exam. They sent me for an MRI. They told me that a virus had destroyed part of my auditory nerve, and my hearing was greatly reduced in my right ear. They tried antibiotics directly into the ear but with no positive effect. I have gone for check-ups, and my ear has not gotten any better, I still have tinnitus-like symptoms and hearing loss in my right ear. Sometimes, the rings seem to be in both ears. Gets very loud in louder environments to the point of annoyance. Told no known treatment, just keep returning to make sure I am not loosing hearing in my left ear.
More
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โ | |||||
| 2826847 | 11 | M | WI | 02/18/2025 |
HPV9 |
MERCK & CO. INC. |
|
Blood test, Dizziness, Electrocardiogram, Laboratory test, Postural orthostatic ...
Blood test, Dizziness, Electrocardiogram, Laboratory test, Postural orthostatic tachycardia syndrome
More
|
Diagnosed now as having POTS. Started having problems with random dizzy spells approximately one ye...
Diagnosed now as having POTS. Started having problems with random dizzy spells approximately one year father having this vaccine. Received the second dose against my better judgement because the doctor told me there were no bad ingredients and it was safe. Now I see others having the same issues as my son has. The episodes are now a daily problem. He was completely healthy with no medical issues prior to having these two vaccinations. Many doctors visits to the walk in clinic and Er. Had a visit with a pediatric cardiologist and testing.
More
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| 2826848 | 29 | F | SC | 02/18/2025 |
VARZOS VARZOS |
GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS |
K2BB7 K2BB7 |
Arthralgia, Back pain, Erythema, Myalgia, Peripheral swelling; Skin irritation
Arthralgia, Back pain, Erythema, Myalgia, Peripheral swelling; Skin irritation
|
Muscle pain all over the body which began the day after the shot. On day 3, then joint soreness, ac...
Muscle pain all over the body which began the day after the shot. On day 3, then joint soreness, aching, pain began in the R hip, the next day the L hip joint was also painful, then the day after, began the lower back aching and soreness. On the 15th of february, skin irritation, redness and swelling began on backside and thigh area.
More
|
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| 2826849 | 73 | F | WI | 02/18/2025 |
PNC20 PNC20 UNK UNK PNC20 PNC20 RSV RSV |
PFIZER\WYETH PFIZER\WYETH UNKNOWN MANUFACTURER UNKNOWN MANUFACTURER PFIZER\WYETH PFIZER\WYETH PFIZER\WYETH PFIZER\WYETH |
LG5575 LG5575 LG9828 LG9828 |
Eyelids pruritus, Pain in extremity, Pruritus, Rash erythematous, Sensitive skin...
Eyelids pruritus, Pain in extremity, Pruritus, Rash erythematous, Sensitive skin; Pruritus, Rash; Eyelids pruritus, Pain in extremity, Pruritus, Rash erythematous, Sensitive skin; Pruritus, Rash; Eyelids pruritus, Pain in extremity, Pruritus, Rash erythematous, Sensitive skin; Pruritus, Rash; Eyelids pruritus, Pain in extremity, Pruritus, Rash erythematous, Sensitive skin; Pruritus, Rash
More
|
pt says her arm was sore and she developed itching all over by later in the day. It became worse ove...
pt says her arm was sore and she developed itching all over by later in the day. It became worse over night. She applied remedy moisture cream and some anti-itch cream which did not seem to help much. By morning she had a red rash and her skin was super sensitive. The material that was touching her was hurting her. She took a prescribed antihistamine and contacted her doctors office. She spoke with a nurse and was advised to take Benadryl as apposed to the prescribed antihistamine. By the next day her eyelids were even itching. At this point it is getting better but she is still itchy and still taking Claritin.
More
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| 2826850 | 65 | F | OH | 02/18/2025 |
COVID19 COVID19 COVID19 COVID19 COVID19 COVID19 |
MODERNA MODERNA MODERNA MODERNA MODERNA MODERNA |
039K20A 039K20A 039K20A 030L20A 030L20A 030L20A |
Asthenia, Balance disorder, Chronic inflammatory demyelinating polyradiculoneuro...
Asthenia, Balance disorder, Chronic inflammatory demyelinating polyradiculoneuropathy, Computerised tomogram, Dizziness; Electromyogram, Full blood count, Gait disturbance, Immunoglobulin therapy, Lumbar puncture; Magnetic resonance imaging, Metabolic function test, Muscular weakness, Pain in extremity, Paraesthesia; Asthenia, Balance disorder, Chronic inflammatory demyelinating polyradiculoneuropathy, Computerised tomogram, Dizziness; Electromyogram, Full blood count, Gait disturbance, Immunoglobulin therapy, Lumbar puncture; Magnetic resonance imaging, Metabolic function test, Muscular weakness, Pain in extremity, Paraesthesia
More
|
Thirty minutes after vaccine (Dec. 30, 2020) I started to have light headedness, and feeling very w...
Thirty minutes after vaccine (Dec. 30, 2020) I started to have light headedness, and feeling very weak, this progressed to having pain and paraesthesia in left lower and left upper extremities. I discussed this with RN and pharmacist prior to second vaccine and they instructed me to get the second vaccine and see my primary care MD if symptoms continue. I then received the second vaccine (Jan. 27, 2021) and immediately the paraesthesia became worse and my left leg and right leg became weak. I was having problems walking up stairs, loosing my balance and had severe pain. This was during the height of COVID outbreak and it was near immpossible to see any physician unless it was an emergency and it took approximately 3 months to see my primary care MD. Once seen the MD instructed me to give it some time and "it should resolve on it's own" Several months down the road I had no improvement and as a APRN I insisted on seeing Neurology and Rheumatology. The diagnosis was CIDP and I and being treated with IgG
More
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โ | |||||
| 2826851 | 43 | F | PA | 02/18/2025 |
COVID19 COVID19 COVID19 COVID19 |
MODERNA MODERNA MODERNA MODERNA |
017e21a 017e21a 048c21a 048c21a |
Blood test normal, Condition aggravated, Fatigue, Gait disturbance, Heart rate i...
Blood test normal, Condition aggravated, Fatigue, Gait disturbance, Heart rate increased; Laboratory test, Muscular weakness, Postural orthostatic tachycardia syndrome, Skin burning sensation; Blood test normal, Condition aggravated, Fatigue, Gait disturbance, Heart rate increased; Laboratory test, Muscular weakness, Postural orthostatic tachycardia syndrome, Skin burning sensation
More
|
About 2 weeks from second dose, tripping over feet and dropping things in the kitchen. Sustained hi...
About 2 weeks from second dose, tripping over feet and dropping things in the kitchen. Sustained high heart rate after exercise. Burning skin. First round of bloodwork/medical check, nothing found. Break from exercise to relieve symptoms and retrying early Jan led to extremely high sustained hear rate, POTS, chronic fatigue and all of the other sustained symptoms. Had litany of examines, saw internal medicine doc at facility. Started on metoprolol, xanax, adderall, tried SSRIs with no real improvement.
More
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| 2826852 | 83 | F | MN | 02/18/2025 |
COVID19 COVID19 COVID19 COVID19 COVID19 COVID19 |
MODERNA MODERNA MODERNA PFIZER\BIONTECH PFIZER\BIONTECH PFIZER\BIONTECH |
013A21A 082A21A 051F21A FP7140 HG6396 LN0589 |
Death; Death; Death; Death; Death; Death
Death; Death; Death; Death; Death; Death
|
Patient expired on 2/15/2025.
Patient expired on 2/15/2025.
|
โ | |||||
| 2826853 | 14 | F | NY | 02/18/2025 |
FLU3 |
GLAXOSMITHKLINE BIOLOGICALS |
DG3TN |
Dizziness, Loss of consciousness
Dizziness, Loss of consciousness
|
Patient received her flu vaccine and within 5 minutes began to feel dizzy. Patient lost consciousnes...
Patient received her flu vaccine and within 5 minutes began to feel dizzy. Patient lost consciousness and EMT's were called. Patient was in and out of consciousness for approximately 10 minutes while we waited for the EMT's to arrive. Patient did receive some Vitamin Water while she was conscious but the emergency services instructed us to stop because they were concerned that she would lose consciousness again. Paramedics arrived and took patient to the hospital. On follow up with the patients mom I was informed that at the ER they informed her that patient was dehydrated and the vaccine on top of being dehydrated was what caused her to pass out. Patient has now recovered with no additional complaints at this time.
More
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| 2826854 | 0.33 | M | CA | 02/18/2025 |
DTAPHEPBIP HIBV PNC20 RV5 |
GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS PFIZER\WYETH MERCK & CO. INC. |
5YB7L CL5KM LG5575 7E9Y2 |
Seizure; Seizure; Seizure; Seizure
Seizure; Seizure; Seizure; Seizure
|
Pt had seizure event 24 hours after vaccines given
Pt had seizure event 24 hours after vaccines given
|
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| 2826855 | 1.5 | F | CA | 02/18/2025 |
COVID19 |
PFIZER\BIONTECH |
LN8272 |
Expired product administered, No adverse event
Expired product administered, No adverse event
|
Vaccine was administered although it was past the 10week refrigerator storage expiration date, not t...
Vaccine was administered although it was past the 10week refrigerator storage expiration date, not the manufacturer expiration date. Patient did not experience any adverse response our outcome.
More
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| 2826856 | 39 | M | CA | 02/18/2025 |
HEPA |
GLAXOSMITHKLINE BIOLOGICALS |
4T93R |
Inappropriate schedule of product administration
Inappropriate schedule of product administration
|
Havrix Hep A vaccine 2nd dose provided earlier than 6month recomendation-- given 2 mos after the fir...
Havrix Hep A vaccine 2nd dose provided earlier than 6month recomendation-- given 2 mos after the first.
More
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| 2826857 | 18 | F | PR | 02/18/2025 |
HEP |
GLAXOSMITHKLINE BIOLOGICALS |
95BJ9 |
Rash
Rash
|
Five minutes after administration, the patient developed a rash all over his body.
Five minutes after administration, the patient developed a rash all over his body.
|
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| 2826858 | 1.5 | M | WA | 02/18/2025 |
HEPA |
MERCK & CO. INC. |
Y011643 |
No adverse event
No adverse event
|
No adverse reaction.
No adverse reaction.
|
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| 2826859 | 69 | M | CO | 02/18/2025 |
COVID19 |
PFIZER\BIONTECH |
FE3594 |
Chest X-ray normal, Malaise, Respiratory tract congestion
Chest X-ray normal, Malaise, Respiratory tract congestion
|
I have always been an extremely healthy and very active person. The last time I was sick enough to m...
I have always been an extremely healthy and very active person. The last time I was sick enough to miss a day of school or work, I was in the 8th grade. I went thru 4 yrs of High School, 4 years of College, 36 years of Work and 11 years of retirement without ever being sick. I received my first Pfizer Covid-19 vaccination on 2/15/21, my second on 3/8/21 and a booster on 12/17/21. Beginning in January of 2022, I developed severe Chest Congestion. It was cleared up with a prescription of Prednisone. I have had the same Chest Congestion develop every Winter since my Covid-19 Booster Vaccination. A 7 to 10 day prescription of Prednisone will temporarily clear it up but it always returns. I've had chest x-Rays (all clear I've been prescribed a Z-pack which did nothing, I've visited my PCP with this condition numerous times. I've visited an Ear, Nose & Throat Specialist twice. The only thing that helps temporarily is a prescription of 7 to 10 days of prednisone but the condition always returns.
More
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| 2826860 | 4 | M | MI | 02/18/2025 |
DTAPIPV DTAPIPVHIB FLU3 |
SANOFI PASTEUR SANOFI PASTEUR SANOFI PASTEUR |
Sanofi U7838aa Sanofi UK110AA Sanofi UT8514NA |
Extra dose administered; Extra dose administered; Extra dose administered
Extra dose administered; Extra dose administered; Extra dose administered
|
None
None
|
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| 2826861 | 1.58 | M | MI | 02/18/2025 |
DTAPIPV |
GLAXOSMITHKLINE BIOLOGICALS |
U7908AB |
Product administered to patient of inappropriate age
Product administered to patient of inappropriate age
|
N/A
N/A
|
||||||
| 2826862 | 18 | M | KY | 02/18/2025 |
HEP |
MERCK & CO. INC. |
Y007191 |
No adverse event, Product administered to patient of inappropriate age
No adverse event, Product administered to patient of inappropriate age
|
No adverse events- Nurse accidently given adult dose Hep B to a 18 year old.
No adverse events- Nurse accidently given adult dose Hep B to a 18 year old.
|
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| 2826863 | 66 | M | 02/18/2025 |
HEPA |
GLAXOSMITHKLINE BIOLOGICALS |
A3X2K |
Underdose
Underdose
|
Pt given wrong dose of Hep A vaccine. Pt given peds dose and was supposed to receive adult dose
Pt given wrong dose of Hep A vaccine. Pt given peds dose and was supposed to receive adult dose
|
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| 2826864 | 59 | M | WA | 02/18/2025 |
FLU3 |
SANOFI PASTEUR |
UT8434JA |
Extra dose administered, No adverse event
Extra dose administered, No adverse event
|
This was the 2nd flu vaccine received by this patient in a 6 month period. The patient did not exper...
This was the 2nd flu vaccine received by this patient in a 6 month period. The patient did not experience any symptoms or adverse physical reaction.
More
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| 2826865 | 23 | F | 02/18/2025 |
HPV9 |
MERCK & CO. INC. |
|
Arthralgia, Pain in extremity
Arthralgia, Pain in extremity
|
Continued arm / shoulder pain 2+ weeks past administration of vaccine
Continued arm / shoulder pain 2+ weeks past administration of vaccine
|
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| 2826866 | F | MN | 02/18/2025 |
MMR |
MERCK & CO. INC. |
k3c23 |
Wrong product administered
Wrong product administered
|
Pt given MMR vaccine instead of Pediarix
Pt given MMR vaccine instead of Pediarix
|
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| 2826867 | M | MN | 02/18/2025 |
MMR |
MERCK & CO. INC. |
7HG2A |
Wrong product administered
Wrong product administered
|
pt given MMR vaccine instead of pedarix
pt given MMR vaccine instead of pedarix
|
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| 2826868 | 17 | F | TX | 02/18/2025 |
FLU3 |
SEQIRUS, INC. |
946592 |
Extra dose administered
Extra dose administered
|
Medical assistant administered flu vaccine. Patient had already received vaccine for the 2024-2025 f...
Medical assistant administered flu vaccine. Patient had already received vaccine for the 2024-2025 flu season. No allergic or anaphylactic reaction noted. No treatment needed.
More
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| 2826869 | 4 | M | TN | 02/18/2025 |
IPV |
SANOFI PASTEUR |
3RT93 |
Product administered to patient of inappropriate age
Product administered to patient of inappropriate age
|
pt had polio at age 4 days old. Got kinrix as last dose
pt had polio at age 4 days old. Got kinrix as last dose
|
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| 2826870 | 59 | F | CA | 02/18/2025 |
PNC20 |
PFIZER\WYETH |
LG5579 |
Pain, Pain in extremity
Pain, Pain in extremity
|
Pt called stating her injection arm is in excrutiating pain and hurts to move. Stated Tylenol and ib...
Pt called stating her injection arm is in excrutiating pain and hurts to move. Stated Tylenol and ibuprofen haven't helped. Advised to see doctor.
More
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| 2826871 | 72 | M | AL | 02/18/2025 |
PNC20 |
PFIZER\WYETH |
lj5281 |
Extra dose administered, No adverse event
Extra dose administered, No adverse event
|
This was a duplicate vaccine administration. Upon review, patient received Prevnar 20 in July of 202...
This was a duplicate vaccine administration. Upon review, patient received Prevnar 20 in July of 2023. No side effects reported.
More
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| 2826872 | 71 | F | MD | 02/18/2025 |
PNC20 |
PFIZER\WYETH |
lg5579 |
Contusion, Peripheral swelling
Contusion, Peripheral swelling
|
Arthus like significant swelling of arm day after vaccination. Bruising, patient not in significant ...
Arthus like significant swelling of arm day after vaccination. Bruising, patient not in significant pain and does not have any loss of motion in arm.
More
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| 2826873 | 0.58 | F | TX | 02/18/2025 |
DTPPVHBHPB FLU3 PNC20 |
MSP VACCINE COMPANY GLAXOSMITHKLINE BIOLOGICALS PFIZER\WYETH |
U7947AA 724L5 LG5574 |
Drooling, Gaze palsy, Pyrexia, Seizure, Tremor; Drooling, Gaze palsy, Pyrexia, S...
Drooling, Gaze palsy, Pyrexia, Seizure, Tremor; Drooling, Gaze palsy, Pyrexia, Seizure, Tremor; Drooling, Gaze palsy, Pyrexia, Seizure, Tremor
More
|
Pt had a seizure at about 4am the morning following her immunizations. She had whole body shaking, ...
Pt had a seizure at about 4am the morning following her immunizations. She had whole body shaking, leftward gaze of her eyes, and drooling. The episode lasted approximately 2 minutes and parents noted that pt had fever after the event was over. After this event she slept and later that morning she was back to baseline and parents had no concerns over the next several days. Mother informed doctor of this event the following week at sibling's doctor's office visit.
More
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| 2826874 | 10 | F | PA | 02/18/2025 |
HPV9 |
MERCK & CO. INC. |
1957407 |
Anxiety, Insomnia
Anxiety, Insomnia
|
Pt mom reports pt developed anxiety and insomnia that lasted a week following his HPV vaccine
Pt mom reports pt developed anxiety and insomnia that lasted a week following his HPV vaccine
|
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| 2826875 | 70 | F | TX | 02/18/2025 |
PNC20 |
PFIZER\WYETH |
LJ5283 |
Injection site erythema, Injection site swelling, Injection site warmth
Injection site erythema, Injection site swelling, Injection site warmth
|
Swelling, redness and warmth at injection site.
Swelling, redness and warmth at injection site.
|
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| 2826876 | 38 | F | SD | 02/18/2025 |
TDAP |
SANOFI PASTEUR |
|
Pain, Vomiting
Pain, Vomiting
|
Soreness, some body ache, some vomitting
Soreness, some body ache, some vomitting
|
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| 2826877 | 54 | F | TX | 02/18/2025 |
HEPAB PNC20 |
GLAXOSMITHKLINE BIOLOGICALS PFIZER\WYETH |
|
Injection site erythema, Injection site inflammation, Injection site pain, Injec...
Injection site erythema, Injection site inflammation, Injection site pain, Injection site warmth; Injection site erythema, Injection site inflammation, Injection site pain, Injection site warmth
More
|
Site reaction, redness, warmth, tenderness, inflammation,
Site reaction, redness, warmth, tenderness, inflammation,
|
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| 2826878 | 76 | M | OK | 02/18/2025 |
RSV RSV |
GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS |
TT5S7 TT5S7 |
Cancer surgery, Injection site erythema, Injection site haemorrhage, Injection s...
Cancer surgery, Injection site erythema, Injection site haemorrhage, Injection site mass, Injection site pruritus; Injection site scab, Injection site swelling, Laboratory test abnormal, Malignant melanoma
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within 24 hours the injection site on my left arm became red and began to itchy. a bump began to app...
within 24 hours the injection site on my left arm became red and began to itchy. a bump began to appear as if it was swollen, the spot got worse over time and formed a red scab, it continued to itch, After a few months I pealed the scab off and a small amount of blood appeared. The scab grew back and became larger.
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| 2826880 | 8 | M | IL | 02/18/2025 |
COVID19 COVID19 COVID19 |
MODERNA MODERNA MODERNA |
3043000 3043000 3043000 |
Antinuclear antibody negative, Arthralgia, C-reactive protein normal, Complement...
Antinuclear antibody negative, Arthralgia, C-reactive protein normal, Complement analysis, Complement factor C3; Complement factor C4, Full blood count normal, Joint swelling, Metabolic function test normal, Peripheral swelling; Red blood cell sedimentation rate normal, Rheumatoid factor negative, Urticaria
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Two days after administration large local swelling in arm. Approximately 11 days after administrati...
Two days after administration large local swelling in arm. Approximately 11 days after administration developed hives and joint pain and swelling in ankles, wrists and knees. These symptoms lasted approximately one week.
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| 2826881 | 11 | M | KS | 02/18/2025 |
HPV9 HPV9 |
MERCK & CO. INC. MERCK & CO. INC. |
X024560 X024560 |
Abnormal behaviour, Anxiety, Asthenia, Dyspnoea, Hyperventilation; Laboratory te...
Abnormal behaviour, Anxiety, Asthenia, Dyspnoea, Hyperventilation; Laboratory test normal, Somnolence, Urine analysis normal
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Right after receiving vaccine my son became hyperventilating, shortness of breath and weak( he does ...
Right after receiving vaccine my son became hyperventilating, shortness of breath and weak( he does have a history of asthma and anxiety ), shortly after he was still a bit weak but was allowed to leave the clinic nurse advised maybe he could use some fresh air, I agreed and proceeded to drive home ,shortly after arriving home I contacted the on call provider because my son was unable to stay awake ,was talking very faint just very unusual behavior. On call provider did recommended going to ER as symptoms were very concerning. Did end up going to ER were they ran lab panels , urine samples and did not find anything concerning. A few hours of being at the hospital he started to act more like himself and were able to leave the same day but they did recommended me following up with PCP ,Dr . On 2/17 was his ER follow up were I explained to his provider and she believes it was not an allergic reaction to vaccine but more of his Anxiety. Dr also recommended I report incident as a precaution.
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| 2826882 | 34 | F | TX | 02/18/2025 |
FLU3 |
GLAXOSMITHKLINE BIOLOGICALS |
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Mobility decreased, Pain, Swelling
Mobility decreased, Pain, Swelling
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Upper are swollen hurt per patient unable to move
Upper are swollen hurt per patient unable to move
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| 2826883 | 60 | F | TX | 02/18/2025 |
PNC20 |
PFIZER\WYETH |
lj5283 |
Pruritus, Skin warm, Swelling
Pruritus, Skin warm, Swelling
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Itching, swelling, warm to the touch
Itching, swelling, warm to the touch
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| 2826885 | 82 | F | PR | 02/18/2025 |
PNC20 |
PFIZER\WYETH |
LJ5283 |
Cellulitis
Cellulitis
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Celulitis in the left arm; This is a spontaneous report received from a Pharmacist from a sales repr...
Celulitis in the left arm; This is a spontaneous report received from a Pharmacist from a sales representative. An 82-year-old female patient (not pregnant) received pneumococcal 20-val conj vac (dipht CRM197 protein) (PREVNAR 20), on 24Jan2025 as dose number unknown, single (Lot number: LJ5283) at the age of 82 years, in left arm for immunisation. The patient's relevant medical history and concomitant medications were not reported. The following information was reported: VACCINATION SITE CELLULITIS (hospitalization) with onset 26Jan2025, outcome "recovering", described as "Celulitis in the left arm". The patient was hospitalized for vaccination site cellulitis (hospitalization duration: 3 day(s)). Therapeutic measures were taken as a result of vaccination site cellulitis. Causality for "celulitis in the left arm" was determined associated to device constituent of pneumococcal 20-val conj vac (dipht CRM197 protein) (malfunction).; Sender's Comments: Based on the given information, the Company confirms that the event vaccination site cellulitis is unrelated to the suspected drug PNEUMOCOCCAL 20-VAL CONJ VAC (DIPHT CRM197 PROTEIN) and most likely to the device constituent of pneumococcal 20-val conj vac (dipht CRM197 protein) (malfunction).
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| 2826889 | U | AR | 02/18/2025 |
MMRV VARCEL |
MERCK & CO. INC. MERCK & CO. INC. |
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Incorrect dose administered, No adverse event; Incorrect dose administered, No a...
Incorrect dose administered, No adverse event; Incorrect dose administered, No adverse event
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HCP reports an unknown number of patients may have received improperly stored VARIVAX or PROQUAD any...
HCP reports an unknown number of patients may have received improperly stored VARIVAX or PROQUAD anytime between 03-JAN-2025 and 04-FEB-2025; No adverse event; This case has been migrated from the previous safety database to the current safety database and assigned new Case ID: . The previous case ID: 2502USA001449. As a consequence of migration, the follow-up report may indicate in the appropriate field that it is an initial report. This spontaneous report was received from a registered medical assistant referring to an unknown number of patients of unknown age and gender. No information was provided regarding the patient's medical history, concurrent conditions, drug reactions or allergies, or concomitant medications. On unknown dates between 03-JAN-2025 and 04-FEB-2025, the patients were vaccinated with a dose of measles, mumps, rubella, and varicella (oka-merck) virus vaccine live (PROQUAD) injection, administered for prophylaxis (strength, dose description, lot #, expiry date, and route of administration were not provided); or a dose of varicella virus vaccine live (oka/merck) (VARIVAX) injection, administered for prophylaxis (strength, dose description, lot #, expiry date, and route of administration were not provided) that were improperly stored at 6.2 Fahrenheit degrees for 38 minutes and at 33 Fahrenheit degrees for 5 hours and 19 minutes (most recent). No adverse event was reported. This case was considered to be non-valid due to unknown number of patients without patient identifiers. Follow-up information has been received from the medical assistant on 10-FEB-2025. It was confirmed that no patients have reported any side effects since receiving doses of varicella virus vaccine live (oka/merck) (VARIVAX) or measles, mumps, rubella, and varicella (oka-merck) virus vaccine live (PROQUAD) after the temperature excursion.
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| 2826890 | U | 02/18/2025 |
UNK |
UNKNOWN MANUFACTURER |
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Injected limb mobility decreased, Injection site pain
Injected limb mobility decreased, Injection site pain
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significant pain in the arm where the vaccine was administered; limit mobility, making it difficult ...
significant pain in the arm where the vaccine was administered; limit mobility, making it difficult to lift the arm; This spontaneous report was received from a consumer of unknown age and gender referring to him/herself. The patient's medical history was not reported. The patient's concurrent conditions were not reported. Concomitant therapies were not reported. On 05-FEB-2025, the patient was vaccinated with a dose of Pneumococcal Vaccine, Polyvalent (23-valent) (PNEUMOVAX 23) solution for injection (dose number, dose, strength, batch/lot #, expiration date, route and anatomical site were unknown) for prophylaxis. On 06-FEB-2025 (also reported as on the day following vaccination), the patient experienced significant pain in the arm where the vaccine was administered (severe) (vaccination site pain). The pain was severe enough to limit mobility, making it difficult to lift the arm (injected limb mobility decreased). At the reporting time, the outcome of the events was unknown. The causal relationship between the events and Pneumococcal Vaccine, Polyvalent (23-valent) (PNEUMOVAX 23) was unknown.
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| 2826891 | M | CA | 02/18/2025 |
HEP |
MERCK & CO. INC. |
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No adverse event, Underdose
No adverse event, Underdose
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No Side effects/No Additional AE; adult patient received a pediatric dose of RECOMBIVAX HB; This spo...
No Side effects/No Additional AE; adult patient received a pediatric dose of RECOMBIVAX HB; This spontaneous report was received from a nurse and refers to a 60-year-old male patient. His medical history, concurrent conditions and concomitant therapies were not provided. On 12-FEB-2025, the patient was vaccinated with pediatric dose of Hepatitis B Vaccine (Recombinant) (RECOMBIVAX HB) 2.5/0.5 (unit not provided), 0.5 mL, administered for prophylaxis (anatomical location, route of administration, lot # and expiration date were not reported) (Vaccine underdose). No side effects/ no additional adverse events. Lot # is being requested and will be submitted if received.
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