| ID | Age | Sex | State | Date โผ | Onset Days | Vaccine | Manufacturer | Lot # | Symptoms | Narrative | ๐ | ๐ฅ | ๐ | โฟ | โ ๏ธ |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2826579 | 59 | F | TX | 02/17/2025 |
UNK |
UNKNOWN MANUFACTURER |
U7013DA |
Cold sweat, Loss of consciousness, Pallor
Cold sweat, Loss of consciousness, Pallor
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On 02/14/2025 donor presented to clinic for donation. After she completed a donation she was schedu...
On 02/14/2025 donor presented to clinic for donation. After she completed a donation she was scheduled to receive the Vaccinia Vaccination. Post Immunization the donor started to feel clammy, Pallor Skin or lips and also had LOC for less then 60 seconds.
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| 2826580 | 17 | F | IL | 02/17/2025 |
COVID19 FLU3 MENB |
MODERNA SANOFI PASTEUR PFIZER\WYETH |
B0005 UT8415KA HP9988 |
Syncope; Syncope; Syncope
Syncope; Syncope; Syncope
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Patient fainted after being given the vaccines while walking out of the room.
Patient fainted after being given the vaccines while walking out of the room.
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| 2826581 | 48 | M | MN | 02/17/2025 |
COVID19 COVID19 |
MODERNA MODERNA |
034C21A 046C21A |
Cough, Dyspnoea, Respiratory tract congestion, SARS-CoV-2 test; Cough, Dyspnoea,...
Cough, Dyspnoea, Respiratory tract congestion, SARS-CoV-2 test; Cough, Dyspnoea, Respiratory tract congestion, SARS-CoV-2 test
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Chest congestion, cough, shortness of breath x5 days
Chest congestion, cough, shortness of breath x5 days
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โ | |||||
| 2826582 | 23 | F | PA | 02/17/2025 |
HEP |
GLAXOSMITHKLINE BIOLOGICALS |
H2B22 |
Underdose
Underdose
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Patient was given Pediatric dose of 10 mcg/0.5 mL instead of adult dose 20 mcg/1 mL.
Patient was given Pediatric dose of 10 mcg/0.5 mL instead of adult dose 20 mcg/1 mL.
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| 2826583 | 43 | F | CA | 02/17/2025 |
FLUC4 |
SEQIRUS, INC. |
946619 |
Joint injury
Joint injury
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Error: Shoulder Joint Injury (prolonged pain, tingling, etc.)-, Error: Shoulder Joint Injury (prolon...
Error: Shoulder Joint Injury (prolonged pain, tingling, etc.)-, Error: Shoulder Joint Injury (prolonged pain, tingling, etc.)-, Other Vaccines: VaccineTypeBrand: prevnar 20; Manufacturer: ; LotNumber: ; Route: same arm; BodySite: same arm; Dose: ; VaxDate: UNKNOWN
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| 2826584 | 21 | F | CA | 02/17/2025 |
HPV9 HPV9 |
MERCK & CO. INC. MERCK & CO. INC. |
y018389 y018389 |
Dizziness, Flushing, Headache, Hyperhidrosis, Nausea; Paraesthesia, Visual impai...
Dizziness, Flushing, Headache, Hyperhidrosis, Nausea; Paraesthesia, Visual impairment
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Systemic: Dizziness / Lightheadness-Medium, Systemic: Flushed / Sweating-Medium, Systemic: Headache-...
Systemic: Dizziness / Lightheadness-Medium, Systemic: Flushed / Sweating-Medium, Systemic: Headache-Medium, Systemic: Nausea-Medium, Systemic: Tingling (specify: facial area, extemities)-Medium, Systemic: Visual Changes/Disturbances-Medium, Other Vaccines: VaccineTypeBrand: boostrix tdap; Manufacturer: GSK; LotNumber: 9429j; Route: IM; BodySite: Left arm; Dose: ; VaxDate: UNKNOWN, VaccineTypeBrand: menveo a-c-y-w; Manufacturer: GSK; LotNumber: xl223; Route: IM; BodySite: Left arm; Dose: ; VaxDate: UNKNOWN
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| 2826585 | 72 | F | TX | 02/17/2025 |
COVID19 COVID19 COVID19 |
PFIZER\BIONTECH PFIZER\BIONTECH PFIZER\BIONTECH |
EN6202 EN6202 EN6202 |
Anxiety, Arthralgia, Biopsy skin abnormal, Blood test abnormal, Fatigue; Inflamm...
Anxiety, Arthralgia, Biopsy skin abnormal, Blood test abnormal, Fatigue; Inflammation, Lymphadenopathy, Mastication disorder, Pain, Polymyalgia rheumatica; Rash, Rash pruritic, Scar, Skin test, Tenderness
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Description of Symptoms (This description was given to Dr. rheumatologist on my 1st visit on Dec. 5,...
Description of Symptoms (This description was given to Dr. rheumatologist on my 1st visit on Dec. 5, 2023) On March 9, 2021 I took my first dose of the Covid Vaccine and immediately had reactions to the shot. These reactions were within the first 24 hours after the shot. ( I took the second dose two weeks later and then the required booster shots.) My lymph nodes did swell and when I would sit down to eat I had difficulty chewing because it would seem to swell them further. It would cause anxiety every time I ate. Also, I developed at the same time an unexplained rash on my left leg and then later my right leg that would cause a lot of itching. I have continued to have these problems and my doctors and dermatologists could not seem to help. The inflammation comes and goes on my rash with each episode leaving permanent scarring on my skin. Every time it flares up it spreads wider and has even spread to my other leg. I just recently was seen by Dermatologists (Sept. 11, 2023) and they did a biopsy of which I have the report results. They gave me a cortisone shot and it seemed to help temporarily. I need to find what is causing this reaction. According to the biopsy report, I was advised to check further since it showed some kind of auto immune response. My next appointment was at Allergy where I was sent to lab for an intense blood work on all possible allergies and then later came back for a thorough airborne allergy skin testing. The blood work seemed to confirm an auto immune response. I have been experiencing unexplained fatigue whereby my whole body just aches and nothing seems to help except laying down and sleeping it off. I can experience aches concentrated on the certain areas marked on your questionnaire to all over achiness . I don?t know if all this is related to my rashes and lymph node swellings . Last week and through today it is concentrated on my right knee. 2 weeks ago was my right shoulder which felt like I was being stabbed sharply. The week before that (3 weeks ago) it was concentrated on my left shoulder and it felt very painful to touch right at the joint. Since my appoiintment with Dr. MD I have been referred to Dr. (Rhuematologist MD) . Dr. diagnosed me as having RA but referred me out for second opinion. Dr. diagnosed me with Polymyalgia Rheumatica. The medicines prescribed for my condition have been Hydroxychloroquine and Prednisone.
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| 2826586 | 69 | F | FL | 02/17/2025 |
FLU3 |
SANOFI PASTEUR |
u8944da |
Injection site erythema, Injection site pain
Injection site erythema, Injection site pain
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redness and pain around injection site starting 2 days after injection. no longer red but still pain...
redness and pain around injection site starting 2 days after injection. no longer red but still painful today 2/17/25
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| 2826587 | 5 | M | PA | 02/17/2025 |
COVID19 |
MODERNA |
3044143 |
Product preparation error
Product preparation error
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Patient was given dose of vaccine before the vaccine was completely thawed. Given approximately 30 ...
Patient was given dose of vaccine before the vaccine was completely thawed. Given approximately 30 minutes early, before correct thaw time. After consultation with Moderna and our senior staff as well as physician, patient was determined to not need revaccination
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| 2826588 | 71 | F | FL | 02/17/2025 |
PNC21 |
MERCK & CO. INC. |
Y013009 |
Injection site erythema, Injection site mass, Injection site pruritus
Injection site erythema, Injection site mass, Injection site pruritus
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Patient reported over phone: woke the next morning to a "knot" on her arm at the vaccine s...
Patient reported over phone: woke the next morning to a "knot" on her arm at the vaccine site and well as some redness. The redness has since spread as far as her elbow. Patient states that is is itchy as well.
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| 2826589 | 40 | F | CA | 02/17/2025 |
HPV9 |
MERCK & CO. INC. |
|
Arthralgia, Mobility decreased
Arthralgia, Mobility decreased
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Left should pain and loss of mobility
Left should pain and loss of mobility
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| 2826590 | 88 | M | RI | 02/17/2025 |
COVID19 COVID19 |
PFIZER\BIONTECH PFIZER\BIONTECH |
LN0588 LN0588 |
Blood glucose increased, Confusional state, Death, Dyspnoea, Fatigue; Headache, ...
Blood glucose increased, Confusional state, Death, Dyspnoea, Fatigue; Headache, Loss of consciousness, Nausea, Peripheral coldness, Vomiting
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Upon awakening on October 25, 2024, which was the morning following the administration of the COVID ...
Upon awakening on October 25, 2024, which was the morning following the administration of the COVID 19 vaccination given on October 24, 2024, his finger stick blood sugar was very high for him 177 (for the last 2 years his range has been 100-134, except on approximately 3 occasions after eating sweets the night prior), headache, intense fatigue, nausea, vomiting which continued through the night. The next morning on October 26, 2024, upon awakening his finger stick blood sugar was 174, again high for him especially with minimal intake, the symptoms from the day prior worsened during the day with additional new symptoms of shortness of breath, difficulty breathing, confusion and skin cool to the touch at which time EMS was called. Prior to their arrival, he became unconscious but breathing. He was transported to the nearest hospital and he was pronounced dead at 11:18pm (on October 26, 2024) which was shortly after arrival.
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| 2826591 | 51 | M | CA | 02/17/2025 |
VARZOS VARZOS |
GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS |
KB2YT KB2YT |
Arthralgia, Dysstasia, Gait disturbance, Influenza like illness, Injection site ...
Arthralgia, Dysstasia, Gait disturbance, Influenza like illness, Injection site discomfort; Loss of personal independence in daily activities, Muscle spasms, Myalgia
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After approximately 36 hours post vaccination I began to experience mild flu-like symptoms ( low fev...
After approximately 36 hours post vaccination I began to experience mild flu-like symptoms ( low fever, night sweating, upset stomach) in addition mild discomfort at injection site. On Monday 2/3/25 I woke up to intense and debilitating joint pain in my lower back which progressed the same day to both hips. Was in severe discomfort and was unable to stand up straight and could barely walk. The pain intensified over the next few days. On Wednesday 2/5/2205 the joint paint had not subsided and I began to experience muscle aches and spasms throughout both legs. It is now 2/17/25 and the pain is only beginning to subside with standing and walking becoming more comfortable. Prior to the shingles vaccination I had rarely if ever experience body aches and pains and had exercised daily for a minimum of 30 minutes. I am still unable to exercise.
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| 2826606 | U | 02/17/2025 |
VARZOS VARZOS |
GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS |
UNK UNK |
Herpes zoster, Vaccination failure; Herpes zoster, Vaccination failure
Herpes zoster, Vaccination failure; Herpes zoster, Vaccination failure
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Suspected vaccination failure; to have shingles this month; This serious case was reported by a cons...
Suspected vaccination failure; to have shingles this month; This serious case was reported by a consumer via interactive digital media and described the occurrence of vaccination failure in a patient who received Herpes zoster (Shingrix) for prophylaxis. Co-suspect products included Herpes zoster (Shingrix) for prophylaxis. On an unknown date, the patient received the 2nd dose of Shingrix and the 1st dose of Shingrix. In JAN-2025, an unknown time after receiving Shingrix and Shingrix, the patient experienced vaccination failure (Verbatim: Suspected vaccination failure) (serious criteria GSK medically significant) and shingles (Verbatim: to have shingles this month). The outcome of the vaccination failure was not reported and the outcome of the shingles was resolved. It was unknown if the reporter considered the vaccination failure and shingles to be related to Shingrix and Shingrix. The company considered the vaccination failure to be unrelated to Shingrix and Shingrix. It was unknown if the company considered the shingles to be related to Shingrix and Shingrix. Additional Information: GSK Receipt Date: 29-JAN-2025 This case was reported by a patient via (Shingles) interactive digital media. The patient received both doses of shingles vaccine in 2023 and 2024 and had shingles this month. The patient stated the good thing was did not had the blistering rash. The patient felt compel to let everyone know that they can have shingles without an outbreak. The patient stated please get vaccinated and maybe, should you come down with shingles, you will not have a rash. This case was considered as suspected vaccination failure as details regarding laboratory confirmation regarding shingles were unknown at the time of reporting The follow-up could not be possible as no contact details were available.; Sender's Comments: Vaccination failure is a listed event which, due to the following criteria (insufficient information provided about the clinical description, details regarding time to onset and laboratory confirmation of disease) is considered unrelated to GSK vaccine Shingrix (Dose 1 and Dose 2).
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| 2826607 | F | TX | 02/17/2025 |
DTAP |
GLAXOSMITHKLINE BIOLOGICALS |
9R2D7 |
Product administered to patient of inappropriate age
Product administered to patient of inappropriate age
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10 year old female patient received a dose of Infanrix; This non-serious case was reported by a othe...
10 year old female patient received a dose of Infanrix; This non-serious case was reported by a other health professional via call center representative and described the occurrence of inappropriate age at vaccine administration in a 10-year-old female patient who received DTPa (Infanrix) (batch number 9R2D7, expiry date 23-MAY-2025) for prophylaxis. On 31-OCT-2024, the patient received Infanrix. On 31-OCT-2024, an unknown time after receiving Infanrix, the patient experienced inappropriate age at vaccine administration (Verbatim: 10 year old female patient received a dose of Infanrix). The outcome of the inappropriate age at vaccine administration was unknown. This report is made by GSK without prejudice and does not imply any admission or liability for the incident or its consequences. Additional Information: GSK Receipt Date: 10-FEB-2025 The Vaccine Administration Facility was the same as Primary Reporter The Certified Medical Assistant called to report that a 10 year old patient received a dose of Infanrix vaccine, which led to inappropriate age at vaccine administration. They wanted to know if the patient needed to receive another dose.
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| 2826608 | 67 | F | 02/17/2025 |
COVID19 |
MODERNA |
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COVID-19, Food poisoning, SARS-CoV-2 test
COVID-19, Food poisoning, SARS-CoV-2 test
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was ill with food poisoning; tested positive for COVID-19; This spontaneous case was reported by a p...
was ill with food poisoning; tested positive for COVID-19; This spontaneous case was reported by a patient and describes the occurrence of FOOD POISONING (was ill with food poisoning) and COVID-19 (tested positive for COVID-19) in a 68-year-old female patient who received mRNA-1273.815 (SPIKEVAX 2023-2024) for COVID-19 prophylaxis. No Medical History information was reported. On 15-Dec-2023, the patient received dose of mRNA-1273.815 (SPIKEVAX 2023-2024) (Intramuscular use) .5 milliliter. On 13-Jan-2025, after starting mRNA-1273.815 (SPIKEVAX 2023-2024), the patient experienced COVID-19 (tested positive for COVID-19). On an unknown date, the patient experienced FOOD POISONING (was ill with food poisoning). At the time of the report, FOOD POISONING (was ill with food poisoning) outcome was unknown and COVID-19 (tested positive for COVID-19) had resolved. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 13-Jan-2025, SARS-CoV-2 test: Positive. On 20-Jan-2025, SARS-CoV-2 test: Negative. The action taken with mRNA-1273.815 (SPIKEVAX 2023-2024) (Intramuscular use) was unknown. No concomitant medication was reported. She was originally set to receive the new COVID vaccine for the 2024-2025 season in Dec-2024, but due to food poisoning, her appointment was postponed to Jan-2025. On 13-Jan-2025, she tested positive for COVID-19 and missed the rescheduled vaccination. She had severe cold-like symptoms, including a runny nose and sneezing, but denied having a cough. Although she suspected it wasn't COVID, her daughter encouraged her to get tested. Ultimately, she tested negative on 20-Jan-2025, with no further information available. It was unknown if the patient experienced any additional symptoms or events. No treatment medication was reported.
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| 2826609 | 27 | F | NJ | 02/17/2025 |
COVID19 |
PFIZER\BIONTECH |
LN0591 |
Fatigue, Migraine, Nausea, Pain, Pyrexia
Fatigue, Migraine, Nausea, Pain, Pyrexia
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body aches; migraine; fever; nausea; exhaustion; This is a spontaneous report received from a Consum...
body aches; migraine; fever; nausea; exhaustion; This is a spontaneous report received from a Consumer or other non HCP. A 27-year-old female patient (not pregnant) received BNT162b2 omicron (kp.2) (COMIRNATY (2024-2025 FORMULA)), on 09Feb2025 at 15:45 as dose 1, single (Lot number: LN0591) at the age of 27 years, in left arm for covid-19 immunisation. The patient had no relevant medical history. Concomitant medication(s) included: LO LOESTRIN FE, start date: Apr2015; SPIRONOLACTONE, start date: Jan2015. The following information was reported: PAIN (non-serious) with onset 09Feb2025 at 23:45, outcome "recovered" (12Feb2025), described as "body aches"; FATIGUE (non-serious) with onset 09Feb2025 at 23:45, outcome "recovered" (12Feb2025), described as "exhaustion"; PYREXIA (non-serious) with onset 09Feb2025 at 23:45, outcome "recovered" (12Feb2025), described as "fever"; MIGRAINE (non-serious) with onset 09Feb2025 at 23:45, outcome "recovered" (12Feb2025); NAUSEA (non-serious) with onset 09Feb2025 at 23:45, outcome "recovered" (12Feb2025). Therapeutic measures were not taken as a result of pain, migraine, pyrexia, nausea, fatigue. Additional information: The patient did not receive any other vaccines on the same date as the vaccine(s). The patient did not receive any other vaccines within 4 weeks PRIOR to the vaccine(s).
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| 2826610 | M | 02/17/2025 |
COVID19 |
PFIZER\BIONTECH |
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Magnetic resonance imaging, Mobility decreased, Pain, Pain in extremity, X-ray
Magnetic resonance imaging, Mobility decreased, Pain, Pain in extremity, X-ray
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pain in his arm/hurting; barely can move my right arm/can barely move his arm; in pain; This is a sp...
pain in his arm/hurting; barely can move my right arm/can barely move his arm; in pain; This is a spontaneous report received from a Consumer or other non HCP from medical information team, Program ID. A male patient received BNT162b2 omicron (kp.2) (COMIRNATY (2024-2025 FORMULA)), as dose 1, single (Batch/Lot number: unknown) for covid-19 immunisation. The patient's relevant medical history and concomitant medications were not reported. The following information was reported: PAIN IN EXTREMITY (non-serious), outcome "unknown", described as "pain in his arm/hurting"; MOBILITY DECREASED (non-serious), outcome "unknown", described as "barely can move my right arm/can barely move his arm"; PAIN (non-serious), outcome "unknown", described as "in pain". Relevant laboratory tests and procedures are available in the appropriate section. Additional information: The caller said he took the Pfizer COVID vaccine and experienced pain in his arm and he would like to know how to remove the protein inside his body. per caller calling regarding Pfizer covid19 vaccine received vaccination per caller when you bombarded us with information you are going to die if you don't take a shot, 2-3 years ago No follow-up attempts are possible. Batch/lot number is not provided, and it cannot be obtained.
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| 2826611 | F | 02/17/2025 |
COVID19 FLUX |
PFIZER\BIONTECH UNKNOWN MANUFACTURER |
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Vaccination site pain; Vaccination site pain
Vaccination site pain; Vaccination site pain
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arm was sore; This is a spontaneous report received from a Consumer or other non HCP, Program ID. A...
arm was sore; This is a spontaneous report received from a Consumer or other non HCP, Program ID. An adult (60-64 years old) female patient received BNT162b2 omicron (kp.2) (COMIRNATY (2024-2025 FORMULA)), in 2025 as dose 1, single (Batch/Lot number: unknown), in arm for covid-19 immunisation; influenza vaccine (FLU VACCINE VII), in 2025 as unk, single), in arm for immunisation. The patient's relevant medical history and concomitant medications were not reported. The following information was reported: VACCINATION SITE PAIN (hospitalization) with onset 2025, outcome "unknown", described as "arm was sore". Clinical course: This season; patient received the flu and Covid vaccines at the same time; in the same arm; so the scenarios were familiar. Arm was sore for a couple of days. No follow-up attempts are possible. Batch/lot number is not provided, and it cannot be obtained.
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| 2826612 | 22 | M | OK | 02/17/2025 |
TDAP |
GLAXOSMITHKLINE BIOLOGICALS |
333SK |
Blood pressure decreased, Feeling hot, Pallor
Blood pressure decreased, Feeling hot, Pallor
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patient blood pressure dropped, face pale and patient was feeling warm about 15 - minutes after get...
patient blood pressure dropped, face pale and patient was feeling warm about 15 - minutes after getting immunization administered. patient said he gets very nervous about needles and it lasts around 20 minutes or so - happened during a blood draw about two months ago and when he watched his wife get an iv - after EMS came to evaluate patient and it was mentioned it may be vasovagal syncope patient said he remembered at his blood draw being told something about that (this information was not listed on his patient consent/questionnaire form - patient denied transport to the hospital via ambulance and was advised to go to a walk-in clinic or talk with his primary and given instructions of what to do if anything happens after leaving, wife was with him who verbalized understanding
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| 2826613 | 66 | M | VA | 02/17/2025 |
COVID19 COVID19 |
PFIZER\BIONTECH PFIZER\BIONTECH |
FK9893 FK9893 |
Aldosterone/renin ratio, Blood chromogranin A, Blood magnesium normal, Blood thy...
Aldosterone/renin ratio, Blood chromogranin A, Blood magnesium normal, Blood thyroid stimulating hormone normal, Coma; Electrocardiogram normal, Full blood count normal, Labile hypertension, Lipids normal
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Patient reports labile hypertension after COVID vaccination. Currently, he is not taking any medicat...
Patient reports labile hypertension after COVID vaccination. Currently, he is not taking any medications. He is managed through lifestyle and monitoring at this time.
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| 2826614 | 69 | F | OH | 02/17/2025 |
FLU3 FLU3 PNC20 PNC20 |
SANOFI PASTEUR SANOFI PASTEUR PFIZER\WYETH PFIZER\WYETH |
U8489AA U8489AA HE9173 HE9173 |
Computerised tomogram thorax, Deep vein thrombosis, Injected limb mobility decre...
Computerised tomogram thorax, Deep vein thrombosis, Injected limb mobility decreased, Injection site erythema, Injection site pain; Injection site warmth, Ultrasound Doppler abnormal; Computerised tomogram thorax, Deep vein thrombosis, Injected limb mobility decreased, Injection site erythema, Injection site pain; Injection site warmth, Ultrasound Doppler abnormal
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Injection site hot, red, painful, decreased ROM at the shoulder. Sent to ER concern for cellulitis....
Injection site hot, red, painful, decreased ROM at the shoulder. Sent to ER concern for cellulitis. Dx'd DVT brachial vein.
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| 2826615 | 54 | M | WA | 02/17/2025 |
COVID19 COVID19 COVID19 COVID19 |
PFIZER\BIONTECH PFIZER\BIONTECH PFIZER\BIONTECH PFIZER\BIONTECH |
EL3302 EL3302 EL9264 EL9264 |
Angiocardiogram, Angioplasty, Coronary angioplasty, Coronary arterial stent inse...
Angiocardiogram, Angioplasty, Coronary angioplasty, Coronary arterial stent insertion, Myocardial infarction; Ultrasound Doppler; Angiocardiogram, Angioplasty, Coronary angioplasty, Coronary arterial stent insertion, Myocardial infarction; Ultrasound Doppler
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Adverse Event: 1.Massive Heart Attack in Proximal Circumflex Artery Segment -. Treatment: 1. Corona...
Adverse Event: 1.Massive Heart Attack in Proximal Circumflex Artery Segment -. Treatment: 1. Coronary angiogram 2. Percutaneous transluminal angioplasty and primary intracoronary stent placement to the CxOM and balloon angioplasty of the Cx 3. Intravascular ultrasound of the Cx-OM
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| 2826616 | 72 | M | CO | 02/17/2025 |
RSV |
GLAXOSMITHKLINE BIOLOGICALS |
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Hypoaesthesia
Hypoaesthesia
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patient said his feet went numb. He said he went to his physicians office 3 times the first day. he ...
patient said his feet went numb. He said he went to his physicians office 3 times the first day. he received the vaccine and within 6 hours of the vaccine he was having numbness in his feet.
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| 2826617 | 17 | F | MP | 02/17/2025 |
MNQ |
SANOFI PASTEUR |
U8351CA |
Dry skin, Erythema, Urticaria
Dry skin, Erythema, Urticaria
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Reported that after eating lunch, about an hour after vaccine, developed HA, facial urticaria. No SO...
Reported that after eating lunch, about an hour after vaccine, developed HA, facial urticaria. No SOB, no fever, no swelling noted; Drank Tylenol & HA resolved. Washed face with soap & water but itchiness persisted; client observed actively scratching face, slight redness in left cheek, forehead, side of nose, dry skin but no hives; no hives observed elsewhere in body; Reported not eating anything or applying anything on skin that is "new"; CNP on site suggested 25mg diphenhydranine PO then & another 25mg after if itchiness persisted. Contacted mother who game permission to treat; instructed to bring to ED if symptoms do not resolve or worsens. Reported to school counselor a day later stating HA gone but took dipenhydramine as itchiness persists. Reported to school counselor a day later stating HA gone but took dipenhydramine once more and itchiness resolved.
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| 2826618 | 34 | F | NJ | 02/17/2025 |
RSV RSV RSV RSV |
GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS |
ae435 ae435 AE435 AE435 |
Exposure during pregnancy, No adverse event, Product use issue; Exposure during ...
Exposure during pregnancy, No adverse event, Product use issue; Exposure during pregnancy, Product use issue; Exposure during pregnancy, No adverse event, Product use issue; Exposure during pregnancy, Product use issue
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patient got arexvy at 36 weeks which its not indicated for. patient does not have any side effects b...
patient got arexvy at 36 weeks which its not indicated for. patient does not have any side effects but since it does not have and indication for it we need to report it.
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| 2826619 | 33 | F | SC | 02/17/2025 |
COVID19 COVID19 COVID19 COVID19 COVID19 COVID19 COVID19 COVID19 |
MODERNA MODERNA MODERNA MODERNA MODERNA MODERNA MODERNA MODERNA |
026L20A 026L20A 026L20A 026L20A 026L20A 026L20A 026L20A 026L20A |
Antinuclear antibody positive, Autoimmune disorder, Blood test, Condition aggrav...
Antinuclear antibody positive, Autoimmune disorder, Blood test, Condition aggravated, Decreased appetite; Hyperhidrosis, Hypoaesthesia, Insomnia, Magnetic resonance imaging, Major depression; Nightmare, Nodule, Paraesthesia, Peripheral swelling, Sleep study normal; Somnambulism, Somnolence, Weight decreased, X-ray; Antinuclear antibody positive, Autoimmune disorder, Blood test, Condition aggravated, Decreased appetite; Hyperhidrosis, Hypoaesthesia, Insomnia, Magnetic resonance imaging, Major depression; Nightmare, Nodule, Paraesthesia, Peripheral swelling, Sleep study normal; Somnambulism, Somnolence, Weight decreased, X-ray
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Increased swelling in my right forearm and right hand, which resulted in blood tests, specifically a...
Increased swelling in my right forearm and right hand, which resulted in blood tests, specifically a RA panel that was initially reported a positive ANA factor and had to seek out Rheumatology. I waited 16 months to be treated for the inflammatory auto immune disorder that was shown in my blood work. By this point my right forearm and right hand were so swollen, numbness and tingling. I began forming large dense nodules on the palms of both hands. Was then directed to a hand surgeon. Insomnia, excess sweating, nightmares and extreme daytime sleepiness, which resulted in getting a sleep study done that showed no pertinent results. Extreme weight loss, decrease appetite, which resulted in seeing my primary care doctor. I went from 114lbs to 91lbs in a short 8 months. Ended up under the treatment of neurology due to major depression, insomnia, and sleep walking. Neurology provided me a referral for counseling.
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| 2826620 | 44 | F | IA | 02/17/2025 |
HEPAB |
GLAXOSMITHKLINE BIOLOGICALS |
4ds4n |
Malaise, Swelling
Malaise, Swelling
|
Swelling, overall unwell feeling
Swelling, overall unwell feeling
|
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| 2826621 | 66 | M | CO | 02/17/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
93KK4 |
Extra dose administered, No adverse event, Wrong product administered
Extra dose administered, No adverse event, Wrong product administered
|
PATIENT RECEIVED SHINGRIX (3RD DOSE) INSTEAD OF PNEUMONIA-- NO REACTIONS/ADVERSE EVENTS
PATIENT RECEIVED SHINGRIX (3RD DOSE) INSTEAD OF PNEUMONIA-- NO REACTIONS/ADVERSE EVENTS
|
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| 2826622 | 67 | M | CA | 02/17/2025 |
COVID19 |
PFIZER\BIONTECH |
|
Eye pain, Facial pain, Nasopharyngitis, Pain in jaw, Pain of skin
Eye pain, Facial pain, Nasopharyngitis, Pain in jaw, Pain of skin
|
A few hours after the vaccine was administered my left jaw became very painful spreading to my left ...
A few hours after the vaccine was administered my left jaw became very painful spreading to my left eye, forehead and scalp. After another few hours I took an Ibuprofen tab 200mg and these symptom gradually subsided. It is now several days later and I'm having mild cold symptoms I expect will dissipate soon.
More
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| 2826623 | 59 | F | TX | 02/17/2025 |
TDAP |
GLAXOSMITHKLINE BIOLOGICALS |
LP2G2 |
Joint injury
Joint injury
|
Error: Shoulder Joint Injury (prolonged pain, tingling, etc.)-
Error: Shoulder Joint Injury (prolonged pain, tingling, etc.)-
|
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| 2826624 | 75 | M | NJ | 02/17/2025 |
TDAP |
GLAXOSMITHKLINE BIOLOGICALS |
M4E4E |
Joint injury
Joint injury
|
Error: Shoulder Joint Injury (prolonged pain, tingling, etc.)-
Error: Shoulder Joint Injury (prolonged pain, tingling, etc.)-
|
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| 2826625 | 55 | F | FL | 02/17/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
429mk |
Joint injury
Joint injury
|
Error: Shoulder Joint Injury (prolonged pain, tingling, etc.)-
Error: Shoulder Joint Injury (prolonged pain, tingling, etc.)-
|
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| 2826626 | 49 | M | MO | 02/17/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
7ye7t |
Joint injury
Joint injury
|
Error: Shoulder Joint Injury (prolonged pain, tingling, etc.)-
Error: Shoulder Joint Injury (prolonged pain, tingling, etc.)-
|
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| 2826627 | 72 | F | MA | 02/17/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
2r375 |
Joint injury
Joint injury
|
Error: Shoulder Joint Injury (prolonged pain, tingling, etc.)-
Error: Shoulder Joint Injury (prolonged pain, tingling, etc.)-
|
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| 2826629 | 86 | F | VA | 02/17/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
9s252 |
Joint injury
Joint injury
|
Error: Shoulder Joint Injury (prolonged pain, tingling, etc.)-
Error: Shoulder Joint Injury (prolonged pain, tingling, etc.)-
|
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| 2826630 | 75 | F | TX | 02/17/2025 |
HEPAB |
GLAXOSMITHKLINE BIOLOGICALS |
H3SG9 |
Joint injury
Joint injury
|
Error: Shoulder Joint Injury (prolonged pain, tingling, etc.)-
Error: Shoulder Joint Injury (prolonged pain, tingling, etc.)-
|
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| 2826631 | 81 | F | MO | 02/17/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
5777f |
Joint injury
Joint injury
|
Error: Shoulder Joint Injury (prolonged pain, tingling, etc.)-
Error: Shoulder Joint Injury (prolonged pain, tingling, etc.)-
|
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| 2826632 | 66 | M | CA | 02/17/2025 |
FLU4 |
SANOFI PASTEUR |
U8044BA |
Joint injury
Joint injury
|
Error: Shoulder Joint Injury (prolonged pain, tingling, etc.)-, Other Vaccines: VaccineTypeBrand: M...
Error: Shoulder Joint Injury (prolonged pain, tingling, etc.)-, Other Vaccines: VaccineTypeBrand: Moderna Bivalent; Manufacturer: Moderna; LotNumber: AS7643e; Route: IM; BodySite: Left Arm; Dose: 5; VaxDate: 08/01/2023
More
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| 2826634 | 65 | F | TX | 02/17/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
9hm59 |
Joint injury
Joint injury
|
Error: Shoulder Joint Injury (prolonged pain, tingling, etc.)-
Error: Shoulder Joint Injury (prolonged pain, tingling, etc.)-
|
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| 2826635 | 69 | M | KY | 02/17/2025 |
FLUA4 |
SEQIRUS, INC. |
370267 |
Joint injury
Joint injury
|
Error: Shoulder Joint Injury (prolonged pain, tingling, etc.)-
Error: Shoulder Joint Injury (prolonged pain, tingling, etc.)-
|
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| 2826636 | 72 | F | MI | 02/17/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
274yd |
Joint injury
Joint injury
|
Error: Shoulder Joint Injury (prolonged pain, tingling, etc.)-
Error: Shoulder Joint Injury (prolonged pain, tingling, etc.)-
|
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| 2826637 | 77 | F | MO | 02/17/2025 |
FLU4 |
SANOFI PASTEUR |
u8044aa |
Joint injury
Joint injury
|
Error: Shoulder Joint Injury (prolonged pain, tingling, etc.)-, Other Vaccines: VaccineTypeBrand: p...
Error: Shoulder Joint Injury (prolonged pain, tingling, etc.)-, Other Vaccines: VaccineTypeBrand: pfizer bivalent covid; Manufacturer: pfizer; LotNumber: gk0923; Route: intramuscular; BodySite: left deltoid; Dose: booster; VaxDate: 08/09/2023
More
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โ | |||||
| 2826638 | 70 | M | CA | 02/17/2025 |
FLUA4 |
SEQIRUS, INC. |
371604 |
Joint injury
Joint injury
|
Error: Shoulder Joint Injury (prolonged pain, tingling, etc.)-
Error: Shoulder Joint Injury (prolonged pain, tingling, etc.)-
|
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| 2826640 | 59 | F | PA | 02/17/2025 |
FLU4 |
GLAXOSMITHKLINE BIOLOGICALS |
944445 |
Joint injury
Joint injury
|
Error: Shoulder Joint Injury (prolonged pain, tingling, etc.)-, Other Vaccines: VaccineTypeBrand: P...
Error: Shoulder Joint Injury (prolonged pain, tingling, etc.)-, Other Vaccines: VaccineTypeBrand: Prevnar; Manufacturer: Wyeth/Pfizer; LotNumber: GW7964; Route: IM; BodySite: left arm/pt states it was given in right arm; Dose: ; VaxDate: UNKNOWN
More
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| 2826641 | 63 | F | NC | 02/17/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
zsed7 |
Joint injury
Joint injury
|
Error: Shoulder Joint Injury (prolonged pain, tingling, etc.)-
Error: Shoulder Joint Injury (prolonged pain, tingling, etc.)-
|
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| 2826642 | 66 | M | OK | 02/17/2025 |
FLUA4 |
SEQIRUS, INC. |
371603 |
Limb injury
Limb injury
|
Error: Shoulder Joint Injury (prolonged pain, tingling, etc.)-
Error: Shoulder Joint Injury (prolonged pain, tingling, etc.)-
|
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| 2826644 | 69 | F | TN | 02/17/2025 |
FLUA4 |
SEQIRUS, INC. |
371203 |
Joint injury
Joint injury
|
Error: Shoulder Joint Injury (prolonged pain, tingling, etc.)-, Other Vaccines: VaccineTypeBrand: F...
Error: Shoulder Joint Injury (prolonged pain, tingling, etc.)-, Other Vaccines: VaccineTypeBrand: FLUAD; Manufacturer: seqirus; LotNumber: 371203; Route: IM; BodySite: arm; Dose: ; VaxDate: UNKNOWN
More
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| 2826645 | 47 | M | CA | 02/17/2025 |
FLUC4 |
SEQIRUS, INC. |
944456 |
Joint injury
Joint injury
|
Error: Shoulder Joint Injury (prolonged pain, tingling, etc.)-
Error: Shoulder Joint Injury (prolonged pain, tingling, etc.)-
|
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| 2826646 | 82 | F | CA | 02/17/2025 |
FLUA4 |
SEQIRUS, INC. |
370267 |
Joint injury
Joint injury
|
Error: Shoulder Joint Injury (prolonged pain, tingling, etc.)-
Error: Shoulder Joint Injury (prolonged pain, tingling, etc.)-
|