| ID | Age | Sex | State | Date โผ | Onset Days | Vaccine | Manufacturer | Lot # | Symptoms | Narrative | ๐ | ๐ฅ | ๐ | โฟ | โ ๏ธ |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2826057 | 84 | M | IA | 02/13/2025 |
COVID19 |
MODERNA |
3043159 |
Death
Death
|
Death
Death
|
โ | |||||
| 2826058 | 35 | F | VA | 02/13/2025 |
COVID19 COVID19 COVID19 COVID19 COVID19 COVID19 COVID19 COVID19 COVID19 COVID19 COVID19 COVID19 COVID19 COVID19 COVID19 COVID19 COVID19 |
PFIZER\BIONTECH PFIZER\BIONTECH PFIZER\BIONTECH PFIZER\BIONTECH PFIZER\BIONTECH PFIZER\BIONTECH PFIZER\BIONTECH PFIZER\BIONTECH PFIZER\BIONTECH PFIZER\BIONTECH PFIZER\BIONTECH PFIZER\BIONTECH PFIZER\BIONTECH PFIZER\BIONTECH PFIZER\BIONTECH PFIZER\BIONTECH PFIZER\BIONTECH |
|
Abdominal distension, Abdominal pain, Abdominal pain upper, Abdominal rigidity, ...
Abdominal distension, Abdominal pain, Abdominal pain upper, Abdominal rigidity, Abnormal faeces; Alopecia, Anal incontinence, Antibody test positive, Anxiety, Aphasia; Arthralgia, Asthenia, Blood thyroid stimulating hormone abnormal, Bone pain, Brain fog; Chest pain, Confusional state, Constipation, Cyanosis, Diarrhoea; Dizziness postural, Drug intolerance, Dyspnoea, Early satiety, Erythema; Exercise tolerance decreased, Exostosis, Faeces hard, Fatigue, Feeling hot; Food intolerance, Headache, Humidity intolerance, Hyperacusis, Hyperhidrosis; Influenza like illness, Intermenstrual bleeding, Jaundice, Kyphosis, Livedo reticularis; Loss of libido, Loss of personal independence in daily activities, Lymph node pain, Lymphadenopathy, Malaise; Menstruation irregular, Mood swings, Muscle atrophy, Muscular weakness, Myalgia; Nausea, Neck injury, Neck pain, Night sweats, Onychoclasis; Oral herpes, Oropharyngeal pain, Orthostatic hypotension, Pain, Pain in extremity; Pallor, Parosmia, Photophobia, Photosensitivity reaction, Poor quality sleep; Premenstrual syndrome, Pyrexia, Rash, Raynaud's phenomenon, Rectal haemorrhage; Sensitive skin, Skin discolouration, Skin exfoliation, Skin ulcer, Sleep disorder; Swelling, Temperature intolerance, Thirst, Thyroid disorder, Thyroxine increased; Tri-iodothyronine normal, Trichorrhexis, Victim of crime, Vomiting, Weight fluctuation
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After a couple of months I started to have strange symptoms that appeared unrelated. Here is a list...
After a couple of months I started to have strange symptoms that appeared unrelated. Here is a list: Stomach stuff: bloating (upper stomach area looks like I?m pregnant and it is hard) (pressing on it actually feels better but the release then hurts), rectal bleeding more with with firm bm?s . Constipation with hard bm?s and then diarrhea (tar like smells burnt), abdominal pain, cramping (heat pad helps a bit), feeling full after eating a small amount, nausea, weight loss and sometimes extreme weight gain from 125-189 then down again within 6 months, fatigue, exhausted all the time, feeling unwell, sometimes can?t have a bm even though I need to, other times diarrhea, (buggery), leaking of stool, feel dehydrated, Jaundice: face mostly, noticed by nurse at work a few months ago. Then I noticed it a couple of times. Flares up, I?ll be ok for a couple days-weeks and then I?ll have a really bad week or so: joint and bone pain and more recently intolerance to food (unsure what foods), end up in bathroom all night or in severe bone pain. Noticed an increase of sxs happen around my period. But my period over the last 6 months has gone from perfectly consistent every 25-27 days for about 5 days to spotting all month, no period or getting my period 2x/month while on birth control (used to help control cysts). Working on diet change but it just happens. Cannot eat greasy foods, definitely no fast food burgers, too much dairy, too many raw greens, cooked greens like broccoli or Brussels sprout. My favorite foods: traditional Colombian food or chicken curry, things with a kick, too much of anything seems to trigger stomach issues. Can?t eat, scared to eat: stomach flares, throw up after eating something, constipation mixed with diarrhea, might as well sleep in bathroom; extreme stomach pain not a normal tummy ache. Other sxs: Extreme exhaustion after physical or mental exercise or being in sun or heat. The slightest bit of activity: cleaning just the kitchen and not a deep cleaning just the dishes, counters, sink; grocery shopping; day of work (I have to lay down and rest). Taking a shower, just getting ready to shower is exhausting. I can?t turn the faucets sometimes, it?s like weakness in my hands and wrists mostly the right side. I?ll sleep (crash sleep) (not restful sleep) for 14+hrs and still be exhausted. Problems with memory or thinking skills (I will have the word in my head but can?t say it, words that I use all the time or I?ll say things backwards). Brain fog, confusion that increases my anxiety. Dizziness that worsens with moving from lying down or sitting to standing. Heat sensitivity: get dizzy, extremely hot, skin modeling, like heat exhaustion sxs. Night sweats, hot, wake up throughout the night soaking wet and joint pain. Orthostatic hypotension: happens occasionally no specific times. Brittle nails, will break on a strand of my hair. Typically my nails were never like that and were long. Brittle hair, loose clumps in shower or when brushing but this is on and off. Muscle or joint pain: my normal issue plus neck, right arm (fingers, hand, wrist, lower arm, elbow up to shoulder but no pain in shoulder). (Unsure if this is from assault at work or just more crap from my body) (slowly progressed over last 2yrs-started in right wrist and hand then up to elbow and going up towards shoulder (found bone spurs on C5-C6 and straightening of cervical spine. Now same thing is starting to happen in my right hand (hand, fingers, wrist). Reynauds syndrome: cold sensitivity, fingertips turn blueish white. Hand will also lighten in color. Unrefreshing sleep: I can sleep for 14hrs and wake up and feel exhausted or I can sleep 5hrs and feel the same. For 3 days 9/13/2022: felt fluish, bones hurt, joints hurt, swelling. Each night I was hot and sweating horribly. My own medicine wasn?t helping which normally does. Headaches (different from the migraines from the assault), sore throats, and tender lymph nodes in the neck (these don?t seem to ever really go away, mostly on my right side behind ear down to neck and jaw) or armpits (occasionally). Sensitive to light, heat (humidity), sound, smells, food and medication. Fever blisters in mouth n on lips after being in sun too long. Mood swings, feeling like I have a fever (occasionally I have a low grade fever). Swollen lymph nodes in neck off and on throughout the month. Last 6-7 months: My period is messed up. One month spotting all month except when placebo (no period), another month got period 2x. Normal me would be perfect every 27 days, normal period about 5 days minimal PMS sxs. No sex drive at all Before I hiked for hours, kayaking for hours, could clean 3-4 rooms (deep clean) pain after but not exhausted and fatigued. Could walk the beach, swim, spend the day, carry items. Now I can?t do this. Weight change after covid: went from 190lbs to 118lbs in a few months. joint pain (wrists, elbow, knuckles) this is newer (workers comp, assaulted by patient, neck injury, straightening of cervical spine and bone spurs C5-C6). This last flare up week of 9/13/2023 was the worst the pain has subsided but my muscles in my entire body feel sore and weak. Water from shower felt like I was pelted with hard rain/ice then I felt bruised for days but there was no bruising. Rashes and sores: in hair n hairline: little patches. Too much sun I get fever blisters on mouth. Red patchy skin on arms sometimes and little bumps inner side of arms. Scaly, itchy, patchy skin around nose down to corners of mouth. Modeling of the skin after exposure to sunlight Chest pain under right breast muscle comes and goes, sharp, stabbing pain Overexurstion it?s difficult to breathe thyroid issues: test in past said mild thyroid issues, recent tests showed issues with tsh but not t4: goes up and down. Recent tests confirmed antibodies attacking thyroid. But TSH, T4, T3 normal however a month prior T4 was elevated. Last few years I?ll balloon up from 130-190, 190 heaviest I?ve ever been. Then in less than a year I dropped to 115lbs, lost muscle mass and strength throughout body. White spots on skin: forehead
More
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โ | |||||
| 2826059 | 66 | M | GA | 02/13/2025 |
UNK |
UNKNOWN MANUFACTURER |
LC5482 |
Pain in extremity
Pain in extremity
|
No significant adverse events, other than sore arm
No significant adverse events, other than sore arm
|
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| 2826060 | 61 | F | MA | 02/13/2025 |
PNC21 |
MERCK & CO. INC. |
|
Chills, Decreased appetite, Fatigue, Pyrexia
Chills, Decreased appetite, Fatigue, Pyrexia
|
Fever and chills 12 hours. Extreme fatigue 2 days. Loss of appetite.
Fever and chills 12 hours. Extreme fatigue 2 days. Loss of appetite.
|
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| 2826061 | 45 | F | PA | 02/13/2025 |
TDAP |
SANOFI PASTEUR |
U8339BA |
Arthralgia
Arthralgia
|
right shoulder pain
right shoulder pain
|
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| 2826062 | 64 | M | NJ | 02/13/2025 |
FLU3 |
SEQIRUS, INC. |
388523 |
Injection site pain, Pain in extremity
Injection site pain, Pain in extremity
|
pt says the injection really hurt when it was given. Later that day the pain in the right arm became...
pt says the injection really hurt when it was given. Later that day the pain in the right arm became worse. He went to his PCP Dr and was given Naproxen and was referred to ortho Dr. Ortho doctor gave him steroid shot and prescribed PT. He is still in physical therapy but continues to have pain. He will see the doctor again in a couple of weeks and is hoping he will help him find a way to help with the pain as he continues to suffer.
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| 2826063 | 14 | F | MN | 02/13/2025 |
FLU3 HPV9 |
GLAXOSMITHKLINE BIOLOGICALS MERCK & CO. INC. |
|
Immediate post-injection reaction, Syncope; Immediate post-injection reaction, S...
Immediate post-injection reaction, Syncope; Immediate post-injection reaction, Syncope
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Patient fainted immediately after receiving influenza and HPV vaccines.
Patient fainted immediately after receiving influenza and HPV vaccines.
|
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| 2826064 | 52 | F | NV | 02/13/2025 |
COVID19 COVID19 COVID19 |
MODERNA MODERNA MODERNA |
032M20A and 001 032M20A and 001 032M20A and 001 |
Adrenal disorder, Anti-melanoma differentiation-associated protein 5 antibody po...
Adrenal disorder, Anti-melanoma differentiation-associated protein 5 antibody positive, Autoimmune disorder, Fatigue, Liver disorder; Malaise, Muscular weakness, Myalgia, Photosensitivity reaction, Pulmonary mass; Pyrexia, Rash, Renal disorder
More
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I just started not feeling well after the vaccine and it just got worse over the year. Extreme tire...
I just started not feeling well after the vaccine and it just got worse over the year. Extreme tiredness, muscle pain and weakness, I had rash on face and neck, can not be out in the sun, different organs were affected at different times (Adrenal glands, kidney, liver, lung nodules).
More
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โ | โ | ||||
| 2826065 | 78 | M | CA | 02/13/2025 |
COVID19 |
MODERNA |
3043823 |
Blood pressure immeasurable, Death, Dyspnoea, Pulse abnormal
Blood pressure immeasurable, Death, Dyspnoea, Pulse abnormal
|
on 02/06/2025 At around 620, routine rounds made and shortness of breath noted. LN tried to obtain B...
on 02/06/2025 At around 620, routine rounds made and shortness of breath noted. LN tried to obtain BP but unable to obtain. Pulse very faint and respiration at 12. Within minutes, resident was gasping for air. RN in the building called to assess resident and no vitals signs observed. Resident Expired. Son arrived and Hospice was called to send RN.
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โ | |||||
| 2826066 | 52 | F | TX | 02/13/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
KB2YT |
Injection site rash, Pruritus, Rash erythematous
Injection site rash, Pruritus, Rash erythematous
|
Patient came to pharmacy on 2/7/25 complaining of itching on arm and a reddish (not bumpy) rash on a...
Patient came to pharmacy on 2/7/25 complaining of itching on arm and a reddish (not bumpy) rash on area of injection site. The size of the rash is oval and 6 inches long protruding from injection site and down. She reported no sign of systemic side effects such as shortness of breath or wheezing. I advised her to call her doctor for approval for a second dose. Based on my professional judgment, I told her she should not get the second dose due to allergic reaction. I told her to let her know if the itching get worse or if the rash is spreading.
More
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| 2826067 | 38 | F | IL | 02/13/2025 |
TDAP |
GLAXOSMITHKLINE BIOLOGICALS |
3553T |
Fatigue, Pruritus, Pyrexia, Rash
Fatigue, Pruritus, Pyrexia, Rash
|
High fever 103.9, rash to torso, itching, increased fatigue
High fever 103.9, rash to torso, itching, increased fatigue
|
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| 2826068 | 27 | F | IL | 02/13/2025 |
HPV9 |
MERCK & CO. INC. |
Y010466 |
Arthralgia, Mobility decreased, Pain in extremity
Arthralgia, Mobility decreased, Pain in extremity
|
Patient received vaccine and began experiencing arm/shoulder pain. Patient endorses persistent soren...
Patient received vaccine and began experiencing arm/shoulder pain. Patient endorses persistent soreness that worsened over 3 weeks; patient unable to lift arm without assistance. Patient has taken Advil and rested arm/shoulder without relief. Patient was evaluated by PCP 2/7 for ongoing pain and was prescribed naproxen and referred to sports medicine.
More
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| 2826069 | 29 | M | TX | 02/13/2025 |
VARCEL VARCEL VARCEL VARCEL VARCEL VARCEL |
MERCK & CO. INC. MERCK & CO. INC. MERCK & CO. INC. MERCK & CO. INC. MERCK & CO. INC. MERCK & CO. INC. |
Y015557๏ฟฝ๏ฟฝ๏ฟฝ๏ฟฝ๏ฟฝ๏ฟฝ Y015557๏ฟฝ๏ฟฝ๏ฟฝ๏ฟฝ๏ฟฝ๏ฟฝ Y015557๏ฟฝ๏ฟฝ๏ฟฝ๏ฟฝ๏ฟฝ๏ฟฝ |
Discomfort, Erythema, Pruritus, Swelling; Erythema, Induration, Injection site e...
Discomfort, Erythema, Pruritus, Swelling; Erythema, Induration, Injection site erythema, Injection site mass, Injection site pruritus; Injection site reaction, Skin irritation; Discomfort, Erythema, Pruritus, Swelling; Erythema, Induration, Injection site erythema, Injection site mass, Injection site pruritus; Injection site reaction, Skin irritation
More
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Swelling, itching, pressure build up under the skin. Redness
Swelling, itching, pressure build up under the skin. Redness
|
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| 2826070 | 27 | M | TX | 02/13/2025 |
VARCEL VARCEL VARCEL VARCEL VARCEL VARCEL |
MERCK & CO. INC. MERCK & CO. INC. MERCK & CO. INC. MERCK & CO. INC. MERCK & CO. INC. MERCK & CO. INC. |
Y015557 Y015557 Y015557 |
Product administered to patient of inappropriate age; Erythema, Induration, Inje...
Product administered to patient of inappropriate age; Erythema, Induration, Injection site erythema, Injection site mass, Injection site pruritus; Injection site reaction, Skin irritation; Product administered to patient of inappropriate age; Erythema, Induration, Injection site erythema, Injection site mass, Injection site pruritus; Injection site reaction, Skin irritation
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Cleared by doctor
Cleared by doctor
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| 2826071 | 15 | F | OR | 02/13/2025 |
TDAP TDAP |
SANOFI PASTEUR SANOFI PASTEUR |
|
Asthenia, Cough, Dizziness, Immune system disorder, Nausea; Vertigo
Asthenia, Cough, Dizziness, Immune system disorder, Nausea; Vertigo
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Patient was a healthy girl and in one point in the middle of January she started to feel weak, and ...
Patient was a healthy girl and in one point in the middle of January she started to feel weak, and then I noticed that her immune system wasn?t strong like before, because she started to have symptoms as a sick person that last longer and harder, and then she start to have dizzy symptoms and a sensation of throwing up , also vertigo and then she started with a cough That didn?t go away and she feel weak and she want to stay in bed . For like three weeks she started with all the symptoms, some go away, but then come back sometime that you have both in the same time, and the only event that I recall that was different than normal routine was that vaccine that she take on January. I went to the doctor on February 12 and I report that to them and they don?t consider my observation and they want to give her medication for Her dizziness.. I refuse that treatment because they don?t know the cause of what happens to her they they don?t consider my opinion about all this symptom that starting after the vaccine or like a week or two weeks after the vaccine , so I don?t know if this is a side effect of the vaccine, but I think is good to report this . Thanks
More
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| 2826072 | 59 | M | KY | 02/13/2025 |
COVID19 |
PFIZER\BIONTECH |
EN6201, ER2613 |
Hepatic cirrhosis, Platelet count decreased, Transfusion, Vascular graft
Hepatic cirrhosis, Platelet count decreased, Transfusion, Vascular graft
|
Two doses were received. First on 2/20/2021, second on 3/20/2021. Blood platelets were normal unti...
Two doses were received. First on 2/20/2021, second on 3/20/2021. Blood platelets were normal until CBC on 9/13/2021. They remain low (between 135 and 93) All were within normal range as of 08/31/2021. Additional vaccinations were done on 10/12/2021 & 4/27/2022
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| 2826073 | 25 | F | 02/13/2025 |
VARZOS VARZOS |
GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS |
|
Arthralgia, Axillary pain, Chills, Fatigue, Headache; Injection site pain, Lymph...
Arthralgia, Axillary pain, Chills, Fatigue, Headache; Injection site pain, Lymphadenopathy, Myalgia, Pain, Pyrexia
More
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Chills, muscle pain, body aches, joint pain, headache, fever, fatigue, pain at injection site - abou...
Chills, muscle pain, body aches, joint pain, headache, fever, fatigue, pain at injection site - about 12 hours after second dose and lasted for 24 hours. Pain/tenderness in right armpit, swollen lymph node in right armpit- about 48 hours after the second dose lasting over 24 hours.
More
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| 2826074 | 75 | M | FL | 02/13/2025 |
RSV |
GLAXOSMITHKLINE BIOLOGICALS |
52z52 |
Extra dose administered
Extra dose administered
|
This was patient's 2nd time receiving the same vaccine and guideline recommends only 1. The fi...
This was patient's 2nd time receiving the same vaccine and guideline recommends only 1. The first vaccine was on 9/13/24 and the second on 2/11/25. Patient is having no symptoms.
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| 2826075 | 85 | M | MA | 02/13/2025 |
FLU3 FLU3 |
SANOFI PASTEUR SANOFI PASTEUR |
NDC 49281-0124- NDC 49281-0124- |
Abdominal pain upper, Chest discomfort, Decreased appetite, Dizziness, Ileus par...
Abdominal pain upper, Chest discomfort, Decreased appetite, Dizziness, Ileus paralytic; Nausea, Oropharyngeal pain, Wheezing
More
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Sequentially related symptoms and duration of same: sore throat (two days), nausea and retching (8 h...
Sequentially related symptoms and duration of same: sore throat (two days), nausea and retching (8 hours), chest tightness (two days), wheezing (one day), paralytic ileum with significant right upper quadrant colicky pain along with inability to pass gasses either upward or downward the GI tract (three days), lightheadedness (3 days), anorexia (three days.
More
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| 2826076 | 1.5 | M | MI | 02/13/2025 |
DTAPIPV |
GLAXOSMITHKLINE BIOLOGICALS |
U7838AA |
Product administered to patient of inappropriate age
Product administered to patient of inappropriate age
|
N/A
N/A
|
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| 2826077 | 18 | F | TN | 02/13/2025 |
FLU3 MENB |
GLAXOSMITHKLINE BIOLOGICALS NOVARTIS VACCINES AND DIAGNOSTICS |
39J7A 25DB5 |
Hypoaesthesia, Injected limb mobility decreased, Injection site pain; Hypoaesthe...
Hypoaesthesia, Injected limb mobility decreased, Injection site pain; Hypoaesthesia, Injected limb mobility decreased, Injection site pain
More
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Pt called clinic on 2/11/25 around 8/8:30 a.m. to report "left arm soreness at injection site, ...
Pt called clinic on 2/11/25 around 8/8:30 a.m. to report "left arm soreness at injection site, restricted movement of left arm, and left arm numbness." Pt stated she did not have numbness or tingling in her lower extremities or right arm. Encouraged pt to monitor site as all symptoms should resolve within 1-2 days but encouraged her to follow up with ER if symptoms did not resolve or if they worsened. I called pt to check on her on 2/11/25 around 4:30 p.m. and on 2/13/25 around 1:00 p.m. but pt did not answer her phone.
More
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| 2826078 | 1.08 | M | NM | 02/13/2025 |
MMR MMRV VARCEL |
MERCK & CO. INC. MERCK & CO. INC. MERCK & CO. INC. |
Y000223 UNKNOWN Y010184 |
Extra dose administered, No adverse event; Extra dose administered, No adverse e...
Extra dose administered, No adverse event; Extra dose administered, No adverse event; Extra dose administered, No adverse event
More
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Multiple people administering vaccines. Patient received Proquad (unclear of lot and administration ...
Multiple people administering vaccines. Patient received Proquad (unclear of lot and administration site), MMR II, and varicella vaccine on 1/30/2025. No adverse reactions noted.
More
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| 2826079 | 73 | F | FL | 02/13/2025 |
FLU3 TDAP |
SEQIRUS, INC. GLAXOSMITHKLINE BIOLOGICALS |
388477 l5229 |
Fall, Head injury; Fall, Head injury
Fall, Head injury; Fall, Head injury
|
after getting the vaccines, the patient walked to the bathroom, then came back to the pharmacy sayin...
after getting the vaccines, the patient walked to the bathroom, then came back to the pharmacy saying she fell forward and hit her head on the bathroom door.
More
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| 2826080 | 67 | F | CA | 02/13/2025 |
COVID19 |
MODERNA |
B0009 |
Hypoaesthesia
Hypoaesthesia
|
Patient received vaccine @2:45 pm in our clinic. Patient returned to clinic @ 4:33 pm complaining ...
Patient received vaccine @2:45 pm in our clinic. Patient returned to clinic @ 4:33 pm complaining of bilateral facial numbness, assessed by physician on site at 4:35 pm Vitals were taken on the patient BP 157/88 PULSE 107 Resp : 20 o2 sat. 99%. At 4:42 BP re-asessed BP: 147/85 ,4:47 pm,Doctor ordered epi-pen 0.3 mg injection and administered at 4:52. Vital signs re-asessed at 5:02 BP 147/76 PULSE 104 02 sat 94% reaassess in 10 min. At 5:12 pm BP 136/73 PLUSE 100 Resp: 21 02 SAT 97%. Patient feeling numbness resolved and discharged home.
More
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| 2826081 | 65 | F | SC | 02/13/2025 |
PNC21 |
MERCK & CO. INC. |
Y013009 |
Chills, Hyperhidrosis, Injection site erythema, Injection site pain, Pain
Chills, Hyperhidrosis, Injection site erythema, Injection site pain, Pain
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Patient stated that she experienced body aches, chills and sweating on the day of the vaccination 2/...
Patient stated that she experienced body aches, chills and sweating on the day of the vaccination 2/10/25. She reported to the pharmacy today 2/13/25, her injection arm is still red (complete upper arm) and still feeling achy.
More
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| 2826082 | 17 | F | CA | 02/13/2025 |
FLU3 HEP IPV MMR TDAP VARCEL |
SANOFI PASTEUR GLAXOSMITHKLINE BIOLOGICALS SANOFI PASTEUR MERCK & CO. INC. GLAXOSMITHKLINE BIOLOGICALS MERCK & CO. INC. |
u8523da 7nx57 x1d141m x004346 x449y y014511 |
Expired product administered, No adverse event; Expired product administered, No...
Expired product administered, No adverse event; Expired product administered, No adverse event; Expired product administered, No adverse event; Expired product administered, No adverse event; Expired product administered, No adverse event; Expired product administered, No adverse event
More
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No adverse reactions observed at the time of the vaccine administration. Student was given a MMR on...
No adverse reactions observed at the time of the vaccine administration. Student was given a MMR on Feb 11, 2025 that expired Feb 8, 2025.
More
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| 2826083 | 1.08 | M | NC | 02/13/2025 |
HIBV |
SANOFI PASTEUR |
UK169AC |
No adverse event, Product preparation error
No adverse event, Product preparation error
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Wrong diluent was used to mix the act Hib, diluent used was sterile water prefilled syringe for MMR...
Wrong diluent was used to mix the act Hib, diluent used was sterile water prefilled syringe for MMR/varicella. Patient had no adverse reactions.
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| 2826084 | 16 | M | MN | 02/13/2025 |
COVID19 COVID19 FLU3 FLU3 |
MODERNA MODERNA SANOFI PASTEUR SANOFI PASTEUR |
|
Antibody test negative, Blood glucose increased, Diabetic ketoacidosis, Fatigue,...
Antibody test negative, Blood glucose increased, Diabetic ketoacidosis, Fatigue, Intensive care; Vomiting; Antibody test negative, Blood glucose increased, Diabetic ketoacidosis, Fatigue, Intensive care; Vomiting
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He began to feel fatigue on 1/7/2025. He began vomiting on 1/8/2025 and I thought it was norovirus, ...
He began to feel fatigue on 1/7/2025. He began vomiting on 1/8/2025 and I thought it was norovirus, but now realize it was probably diabetic ketoacidosis. He went to ER on 1/9/2025 in diabetic ketoacidosis with a blood sugar over 600mg/dL and was emergency transferred to PICU. His test results show the absence antibodies which generally occur at onset of type 1 diabetes.
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โ | โ | โ | |||
| 2826085 | 94 | M | IL | 02/13/2025 |
COVID19 |
MODERNA |
207H23A |
Injected limb mobility decreased, Pain in extremity
Injected limb mobility decreased, Pain in extremity
|
2 days after receiving IM vaccine patient reports severe right arm pain and inability to move arm. ...
2 days after receiving IM vaccine patient reports severe right arm pain and inability to move arm. was hospitalized for 3 days. Patient has been unable to lift arm up since. Is receiving care by ortho specialist
More
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โ | โ | ||||
| 2826086 | 0.17 | F | AL | 02/13/2025 |
DTAP HEP IPV PNC15 RV5 |
SANOFI PASTEUR MERCK & CO. INC. SANOFI PASTEUR MERCK & CO. INC. MERCK & CO. INC. |
3ca11c1 x027728 x1c891m y005351 y003753 |
Emotional poverty, Feeling abnormal, Infant irritability, Mental status changes;...
Emotional poverty, Feeling abnormal, Infant irritability, Mental status changes; Emotional poverty, Feeling abnormal, Infant irritability, Mental status changes; Emotional poverty, Feeling abnormal, Infant irritability, Mental status changes; Emotional poverty, Feeling abnormal, Infant irritability, Mental status changes; Emotional poverty, Feeling abnormal, Infant irritability, Mental status changes
More
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Parents report 2-3 days of altered mental status ("zoned out", no emotion) followed by 2 d...
Parents report 2-3 days of altered mental status ("zoned out", no emotion) followed by 2 days of extreme irritability.
More
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| 2826087 | 76 | M | NJ | 02/13/2025 |
UNK |
UNKNOWN MANUFACTURER |
|
Hypoaesthesia, Paraesthesia
Hypoaesthesia, Paraesthesia
|
Tingling and numbness in fingers in same side as vaccination.
Tingling and numbness in fingers in same side as vaccination.
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| 2826088 | 18 | M | UT | 02/13/2025 |
HEPAB HEPAB IPV IPV MMR MMR TDAP TDAP |
GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS SANOFI PASTEUR SANOFI PASTEUR MERCK & CO. INC. MERCK & CO. INC. GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS |
M4B34 M4B34 X1C891M X1C891M X026330 X026330 9YB4G 9YB4G |
Dreamy state, Fatigue, Gaze palsy, Head injury, Hypoaesthesia; Injection site di...
Dreamy state, Fatigue, Gaze palsy, Head injury, Hypoaesthesia; Injection site discomfort, Limb discomfort, Pallor, Seizure like phenomena, Syncope; Dreamy state, Fatigue, Gaze palsy, Head injury, Hypoaesthesia; Injection site discomfort, Limb discomfort, Pallor, Seizure like phenomena, Syncope; Dreamy state, Fatigue, Gaze palsy, Head injury, Hypoaesthesia; Injection site discomfort, Limb discomfort, Pallor, Seizure like phenomena, Syncope; Dreamy state, Fatigue, Gaze palsy, Head injury, Hypoaesthesia; Injection site discomfort, Limb discomfort, Pallor, Seizure like phenomena, Syncope
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After receiving final injection, I was putting bandage on patient's arm and patient went pale a...
After receiving final injection, I was putting bandage on patient's arm and patient went pale and started to faint and slump forward in chair, his grandmother who was present and looking at him head on reports that his eyes rolled back. I tried to support patient to the ground but I believe he hit the side of his head on the desk when he slumped over patient came to his knees with my support but kind of nose dived and his head landed on the ground. I helped him to roll to his side and he started having uncontrolled seizure like movements for about 5-6 seconds then he sat up and asked what happened. Unsure if patient had seizure or vasovagal response. Patient was alert and oriented, able to answer all questions....after this incident but laid down for about 20-30 minutes after the incident. He reported some numbness in his left arm and his arms felt a little heavy/weird where the shots were given. The numbness in his arm resolved after a few minutes. He does not have a previous hx of seizures, but grandmother reports that patient's mother has had seizures after a TBI in 2016. Patient reports he had eaten breakfast before appt. Per report from patient's perspective he reports that he got the feeling like before he goes to bed and couldn't keep his head up anymore and then he felt like he was dreaming. The entire incident was about 10-15 seconds. Patient was monitored for about 30 minutes afterwards and reports he was feeling well but tired before leaving. He was given juice and a granola bar. Recommended patient follow up with provider regarding the incident and recommended patient lay down for future vaccines -LSW, RN.
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| 2826089 | 45 | F | CA | 02/13/2025 |
PNC20 PNC20 |
PFIZER\WYETH PFIZER\WYETH |
LG5579 LG5579 |
Erythema, Headache, Heart rate increased, Injection site erythema, Injection sit...
Erythema, Headache, Heart rate increased, Injection site erythema, Injection site pain; Pyrexia
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2/11/25 -2/1325 Head Ache, Pain at Inj site. 2/12/25-2/13/25 redness at inj sight and scattered red...
2/11/25 -2/1325 Head Ache, Pain at Inj site. 2/12/25-2/13/25 redness at inj sight and scattered redness on her chest, low grade fever today 99.1. Has felt that her HR has been fast for starting 2/11/25.
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| 2826090 | 53 | F | TX | 02/13/2025 |
MENB MNQ |
NOVARTIS VACCINES AND DIAGNOSTICS SANOFI PASTEUR |
52N4S U8271AB |
Inappropriate schedule of product administration; Inappropriate schedule of prod...
Inappropriate schedule of product administration; Inappropriate schedule of product administration
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MenA vaccine was administered to soon based on guidelines. 1st dose administered on 03/30/2023; 2n...
MenA vaccine was administered to soon based on guidelines. 1st dose administered on 03/30/2023; 2nd dose administered on 05/29/2023. Notified pharmacist and they will reach out to the MD office to notify them .
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| 2826091 | 45 | M | CA | 02/13/2025 |
COVID19 FLU3 |
MODERNA SANOFI PASTEUR |
3043837 U8509AA |
Deafness unilateral, Urticaria; Deafness unilateral, Urticaria
Deafness unilateral, Urticaria; Deafness unilateral, Urticaria
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Patient stated one month after the vaccine he devolped hives on his arms and upper chest and had a t...
Patient stated one month after the vaccine he devolped hives on his arms and upper chest and had a temporary loss of hearing in his left ear. Patient took Benadryl and is now ok. He stated this exact reaction happened after his second Moderna Vaccine.
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| 2826092 | 11 | F | CA | 02/13/2025 |
TDAP |
SANOFI PASTEUR |
U8252AA |
Pain in extremity
Pain in extremity
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Tdap vaccine was administered on 1/6/2025. Dad called office 2/13/2025 @ 11:12am to reports that she...
Tdap vaccine was administered on 1/6/2025. Dad called office 2/13/2025 @ 11:12am to reports that she has been c/o arm pain x 3 days. Upon further questioning, Dad reports that she "has been complaining of arm pain weekly". Dad will be bringing child in for eval of arm on Fri 2/14/2025.
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| 2826093 | 75 | F | OK | 02/13/2025 |
RSV |
PFIZER\WYETH |
KC7884 |
Electromyogram, Guillain-Barre syndrome, Laboratory test, Lumbar puncture, Magne...
Electromyogram, Guillain-Barre syndrome, Laboratory test, Lumbar puncture, Magnetic resonance imaging
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Patient developed guillane barre syndrome shortly after recieving RSV vaccine
Patient developed guillane barre syndrome shortly after recieving RSV vaccine
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โ | โ | ||||
| 2826094 | 48 | F | OH | 02/13/2025 |
FLU3 FLU3 |
GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS |
N737Y N737Y |
Biopsy, Breast pain, HIV test negative, Hepatitis B test negative, Hepatitis C t...
Biopsy, Breast pain, HIV test negative, Hepatitis B test negative, Hepatitis C test negative; Inflammation, Mammogram normal, Metabolic function test normal, Rash erythematous, Treponema test negative
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Red rash / bumps that started out with several and more came out all over body as month went on. The...
Red rash / bumps that started out with several and more came out all over body as month went on. These red bumps did not itch but did "feel" them when a new spot came out, felt like a slinter, once that "head" was removed I didn't feel them. This rash was not contagious. Was prescribed prednisone on Nov 6th when seen PCP, spots were better then when prednisone was done, more red spots came out, Seen Dermatologist on Nov 19th had biopsy done, blood work ordered. Left breast started hurting. Had mammogram on dec 16th. Seen dermatologist again on Dec 18th, referral was placed to rheumatologist. Rash caused internal inflammation through out body
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| 2826095 | 55 | M | VT | 02/13/2025 |
PNC20 TDAP |
PFIZER\WYETH GLAXOSMITHKLINE BIOLOGICALS |
LJ5284 9YB4G |
Product preparation error; Product preparation error
Product preparation error; Product preparation error
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nurse administered a Shingrix vaccine that was diluted with the sterile diluent provided for Merck l...
nurse administered a Shingrix vaccine that was diluted with the sterile diluent provided for Merck live vaccines, did not use adjuvant suspension component in reconstitution
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| 2826096 | 63 | F | PA | 02/13/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
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Muscle spasms
Muscle spasms
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Debilitating back spasms
Debilitating back spasms
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| 2826097 | 34 | M | CA | 02/13/2025 |
SMALLMNK |
BAVARIAN NORDIC |
96868 |
Inappropriate schedule of product administration, No adverse event
Inappropriate schedule of product administration, No adverse event
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2nd Dose Given Too Early; No physical adverse symptoms reported/observed by patient
2nd Dose Given Too Early; No physical adverse symptoms reported/observed by patient
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| 2826098 | 5 | M | IN | 02/13/2025 |
DTAPIPV |
SANOFI PASTEUR |
U8009ab |
Urticaria
Urticaria
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Large area of urticaria involving 70% of anterior thigh
Large area of urticaria involving 70% of anterior thigh
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| 2826099 | 73 | F | PA | 02/13/2025 |
FLU3 |
SANOFI PASTEUR |
U8489AA |
Extra dose administered, No adverse event
Extra dose administered, No adverse event
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Patient came to counter requesting a flu shot and stated she did not get one this season because she...
Patient came to counter requesting a flu shot and stated she did not get one this season because she missed her annual clinic that she goes to. High dose fluzone was given to the patient by pharmacist and later patient's relative (sister) called to let us know she already received the flu shot this season. After verifying with insurance, patient received flu shot in October 28,2024 and then came to the counter and got another shot in February 10,2025, so there was a duplication of vaccine administration in the same season. No adverse reactions were reported by patient or relative, just a duplication.
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| 2826133 | M | 02/13/2025 |
FLU4 |
GLAXOSMITHKLINE BIOLOGICALS |
UNK |
Influenza, Influenza A virus test positive, Vaccination failure
Influenza, Influenza A virus test positive, Vaccination failure
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vaccination failure; Developed Influenze A; This serious case was reported by a medical representati...
vaccination failure; Developed Influenze A; This serious case was reported by a medical representative via sales rep and described the occurrence of vaccination failure in a adult male patient who received Flu Seasonal QIV Quebec (FluLaval Quadrivalent 2024-2025 season) for prophylaxis. In SEP-2024, the patient received the 1st dose of FluLaval Quadrivalent 2024-2025 season. In JAN-2025, between 4 and 5 months after receiving FluLaval Quadrivalent 2024-2025 season, the patient experienced vaccination failure (Verbatim: vaccination failure) (serious criteria GSK medically significant) and influenza a virus infection (Verbatim: Developed Influenze A). The outcome of the vaccination failure was not reported and the outcome of the influenza a virus infection was not resolved. It was unknown if the reporter considered the vaccination failure and influenza a virus infection to be related to FluLaval Quadrivalent 2024-2025 season and Flulaval Tetra Pre-Filled Syringe Device. It was unknown if the company considered the vaccination failure and influenza a virus infection to be related to FluLaval Quadrivalent 2024-2025 season and Flulaval Tetra Pre-Filled Syringe Device. 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: 15-JAN-2025 The reporter stated that the patient received FluLaval Quadrivalent vaccine. The patient had a purchased rapid test that showed he had developed Influenza A on January 2025. The reporter was not his doctor.; Sender's Comments: Vaccination failure is a listed event which, due to the following criteria (insufficient information provided about the clinical description) is considered unrelated to GSK vaccine FluLaval Quadrivalent 2024-2025 season and FluLaval Tetra PRE-FILLED SYRINGE DEVICE. Influenza is a listed event which, due to the following criteria (insufficient information provided about the clinical description) is considered unrelated to GSK vaccine FluLaval Quadrivalent 2024-2025 season and FluLaval Tetra PRE-FILLED SYRINGE DEVICE.
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| 2826134 | 50 | F | 02/13/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
UNK |
Influenza like illness, Pyrexia
Influenza like illness, Pyrexia
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Flu like symtoms/fever; This non-serious case was reported by a consumer via sales rep and described...
Flu like symtoms/fever; This non-serious case was reported by a consumer via sales rep and described the occurrence of influenza-like symptoms in a 50-year-old female patient who received Herpes zoster (Shingrix) for prophylaxis. On 16-JAN-2025, the patient received Shingrix (right arm). On 17-JAN-2025, 1 days after receiving Shingrix, the patient experienced influenza-like symptoms (Verbatim: Flu like symtoms/fever). The outcome of the influenza-like symptoms was unknown. The reporter considered the influenza-like symptoms to be related to Shingrix. The company considered the influenza-like symptoms to be related to Shingrix. Additional Information: GSK Receipt Date: 17-JAN-2025 Patient received Shingrix and experienced fever of 101.2 and flu like symptoms.
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| 2826135 | U | 02/13/2025 |
VARZOS |
UNKNOWN MANUFACTURER |
UNK |
Fatigue, Malaise, Mobility decreased, Vaccine positive rechallenge
Fatigue, Malaise, Mobility decreased, Vaccine positive rechallenge
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also felt sick for; wiped me out; couldnt move my arm; This non-serious case was reported by a consu...
also felt sick for; wiped me out; couldnt move my arm; This non-serious case was reported by a consumer via interactive digital media and described the occurrence of mobility decreased in a patient who received Herpes zoster (Shingles vaccine) for prophylaxis. Previously administered products included Shingles vaccine with an associated reaction of mobility decreased (received 1st dose on an unknown date, experienced feeling unwell and fatigue, For tolerance to 1st dose, refer case US2025AMR008461). On an unknown date, the patient received the 2nd dose of Shingles vaccine. On an unknown date, an unknown time after receiving Shingles vaccine, the patient experienced mobility decreased (Verbatim: couldnt move my arm), feeling unwell (Verbatim: also felt sick for) and fatigue (Verbatim: wiped me out). Rechallenge with Shingles vaccine was positive. The outcome of the mobility decreased was resolved (duration 1 week) and the outcome of the feeling unwell and fatigue were not reported. It was unknown if the reporter considered the mobility decreased, feeling unwell and fatigue to be related to Shingles vaccine. It was unknown if the company considered the mobility decreased, feeling unwell and fatigue to be related to Shingles vaccine. Linked case(s) involving the same patient: US2025AMR008461 Additional Information: GSK Receipt Date: 16-JAN-2025 This case was reported by a patient via interactive digital media. The patient received shingles vaccine and it was wiped out, could not move arm for a week and also felt sick for that same period of time. The patient said it was a piece of cake compared to getting shingles, get vaccinated.; Sender's Comments: US-GSK-US2025AMR008461:same reporter
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| 2826136 | U | 02/13/2025 |
VARZOS |
UNKNOWN MANUFACTURER |
UNK |
Herpes zoster, Vaccination failure
Herpes zoster, Vaccination failure
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Suspected Vaccination failure; Shingles; This serious case was reported by a consumer via interactiv...
Suspected Vaccination failure; Shingles; This serious case was reported by a consumer via interactive digital media and described the occurrence of vaccination failure in a patient who received Herpes zoster (Shingles vaccine) for prophylaxis. On an unknown date, the patient received Shingles vaccine. On an unknown date, an unknown time after receiving Shingles vaccine, the patient experienced vaccination failure (Verbatim: Suspected Vaccination failure) (serious criteria GSK medically significant) and shingles (Verbatim: Shingles). The outcome of the vaccination failure and shingles were not reported. It was unknown if the reporter considered the vaccination failure and shingles to be related to Shingles vaccine. The company considered the vaccination failure to be unrelated to Shingles vaccine. It was unknown if the company considered the shingles to be related to Shingles vaccine. Additional Information: GSK Receipt Date: 29-JAN-2025 This case was reported by a patient via interactive digital media. The patient had the shot and had the Shingles anyway. This case was considered as suspected vaccination failure as details regarding completion of primary vaccination schedule, time to onset for shingles and laboratory confirmation regarding shingles were unknown at the time of reporting.; Sender's Comments: Vaccination failure is a listed event which, due to the following criteria (insufficient information provided about the clinical description, details regarding completion of primary vaccination schedule, time to onset and laboratory confirmation of disease) is considered unrelated to GSK Shingles vaccine.
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| 2826137 | U | 02/13/2025 |
VARZOS |
UNKNOWN MANUFACTURER |
UNK |
Herpes zoster, Pain, Surgery, Vaccination failure
Herpes zoster, Pain, Surgery, Vaccination failure
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Suspected vaccination failure; Surgery; I've had the vaccination and just got them again/ Three...
Suspected vaccination failure; Surgery; I've had the vaccination and just got them again/ Three weeks later I go to my PCP and she tells me that I have shingles; This serious case was reported by a consumer via interactive digital media and described the occurrence of vaccination failure in a patient who received Herpes zoster (Shingles vaccine) for prophylaxis. The patient's past medical history included shingles (worst) and pain (painful shingles). On an unknown date, the patient received Shingles vaccine. On an unknown date, an unknown time after receiving Shingles vaccine, the patient experienced vaccination failure (Verbatim: Suspected vaccination failure) (serious criteria GSK medically significant), surgery (Verbatim: Surgery) (serious criteria clinically significant/intervention required) and shingles (Verbatim: I've had the vaccination and just got them again/ Three weeks later I go to my PCP and she tells me that I have shingles). The outcome of the vaccination failure, surgery and shingles were not reported. It was unknown if the reporter considered the vaccination failure, surgery and shingles to be related to Shingles vaccine. The company considered the vaccination failure and surgery to be unrelated to Shingles vaccine. It was unknown if the company considered the shingles to be related to Shingles vaccine. Additional Information: GSK receipt Date: 01-FEB-2025 This case was reported by a patient via interactive digital media. The patient had shingles three times. The first time was the worst. The patient had the vaccination and just got shingles again. He/she thought that they injured his/her back during surgery. Three weeks later, the patient went to the PCP (primary care physician) and she told the patient that he/she had shingles. It was not nearly as painful as the first time. The patient guessed that was why the patient just thought it was sciatica. This case was considered as suspected vaccination failure since the details regarding completion of primary vaccination schedule, time to onset and laboratory confirmation of shingles were unknown at the time of reporting.; Sender's Comments: Vaccination failure is a listed event which, due to the following criteria (insufficient information provided about the clinical description, details regarding completion of primary vaccination schedule, time to onset and laboratory confirmation of disease) is considered unrelated to GSK Shingles vaccine. Surgery is an unlisted event which is considered unrelated to GSK Shingles vaccine.
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| 2826138 | U | 02/13/2025 |
RVX |
UNKNOWN MANUFACTURER |
UNK |
Cough, Sleep disorder
Cough, Sleep disorder
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Cough sometimes for 20 minutes; This non-serious case was reported by a consumer via interactive dig...
Cough sometimes for 20 minutes; This non-serious case was reported by a consumer via interactive digital media and described the occurrence of cough in a patient who received RSVPreF3 adjuvanted (RSV vaccine) for prophylaxis. On an unknown date, the patient received RSV vaccine. On an unknown date, an unknown time after receiving RSV vaccine, the patient experienced cough (Verbatim: Cough sometimes for 20 minutes). The outcome of the cough was not reported. It was unknown if the reporter considered the cough to be related to RSV vaccine. It was unknown if the company considered the cough to be related to RSV vaccine. Additional Information: GSK receipt Date: 04-FEB-2025. This case was reported by a patient via interactive digital media. The coughing spells were so brutal that you felt like your brains and gut was going to explode because you cough sometimes for 20 minutes straight and you can't stop. It keeps you awake all night. The patient got over it and caught it again back to back. The patient had the vaccine ahead of time ,but it failed the patient big time.
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| 2826139 | U | 02/13/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
UNK |
Incomplete course of vaccination
Incomplete course of vaccination
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did not received 2nd dose; This non-serious case was reported by a consumer via interactive digital ...
did not received 2nd dose; This non-serious case was reported by a consumer via interactive digital media and described the occurrence of incomplete course of vaccination in a patient who received Herpes zoster (Shingrix) for prophylaxis. Previously administered products included Shingrix (received 1st dose ??-JUN-2024). On an unknown date, the patient did not receive the 2nd dose of Shingrix. On an unknown date, an unknown time after receiving Shingrix, the patient experienced incomplete course of vaccination (Verbatim: did not received 2nd dose). The outcome of the incomplete course of vaccination was unknown. Additional Information: GSK Receipt Date: 05-FEB-2025 The reporter reported that if it has been 8 months since first dose, do you give 2nd dose or start over. Till the time of reporting the patient did not receive 2nd dose of Shingrix which led to incomplete course of vaccination.
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