| ID | Age | Sex | State | Date โผ | Onset Days | Vaccine | Manufacturer | Lot # | Symptoms | Narrative | ๐ | ๐ฅ | ๐ | โฟ | โ ๏ธ |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2825696 | 1.5 | M | AL | 02/11/2025 |
DTAP DTAP FLU3 FLU3 HEPA HEPA HIBV HIBV |
GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS MERCK & CO. INC. MERCK & CO. INC. GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS |
47Y5M 47Y5M JZ4J4 JZ4J4 X026666 X026666 27G3F 27G3F |
Dyskinesia, Influenza virus test negative, Laboratory test normal, Metabolic fun...
Dyskinesia, Influenza virus test negative, Laboratory test normal, Metabolic function test normal, Respiratory syncytial virus test negative; SARS-CoV-2 test negative, Seizure like phenomena, Tremor; Dyskinesia, Influenza virus test negative, Laboratory test normal, Metabolic function test normal, Respiratory syncytial virus test negative; SARS-CoV-2 test negative, Seizure like phenomena, Tremor; Dyskinesia, Influenza virus test negative, Laboratory test normal, Metabolic function test normal, Respiratory syncytial virus test negative; SARS-CoV-2 test negative, Seizure like phenomena, Tremor; Dyskinesia, Influenza virus test negative, Laboratory test normal, Metabolic function test normal, Respiratory syncytial virus test negative; SARS-CoV-2 test negative, Seizure like phenomena, Tremor
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Father reports grandmother got patient up from nap and while changing diaper patient stretched out l...
Father reports grandmother got patient up from nap and while changing diaper patient stretched out limbs with shaking/rhythmic jerking of limbs. Had 2-3 episodes back to back lasting only 5-30 seconds. ER evaluation 2-7-25 where COVID 19, flu, RSV testing negative and CBL and CMP labs normal. Reports no more seizure like activity since first occurance.
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| 2825697 | 0.25 | F | GA | 02/11/2025 |
DTAPHEPBIP HIBV PNC15 RV1 |
GLAXOSMITHKLINE BIOLOGICALS MERCK & CO. INC. MERCK & CO. INC. GLAXOSMITHKLINE BIOLOGICALS |
5J7EF Y005454 Y002643 32PF3 |
Skin discolouration, Urticaria; Skin discolouration, Urticaria; Skin discolourat...
Skin discolouration, Urticaria; Skin discolouration, Urticaria; Skin discolouration, Urticaria; Skin discolouration, Urticaria
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Patient had hives and face streaking after shots. Patient was monitor for one hour post injection wi...
Patient had hives and face streaking after shots. Patient was monitor for one hour post injection with no complications no meds were given
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| 2825698 | M | CA | 02/11/2025 |
TDAP TDAP |
GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS |
5YB5G 5YB5G |
Asthenia, Computerised tomogram head normal, Computerised tomogram spine abnorma...
Asthenia, Computerised tomogram head normal, Computerised tomogram spine abnormal, Disorientation, Dysstasia; Gait inability
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Reported Symptoms: 10047862:WEAKNESS; 10047865:WEAKNESS GENERALIZED; Narrative: Per provider note: 9...
Reported Symptoms: 10047862:WEAKNESS; 10047865:WEAKNESS GENERALIZED; Narrative: Per provider note: 94 year old male with PMHx of HFrEF (<20%), HTN, SSS s/p PPM, PMR, BPH, Osteoarthritis and Osteoporosis who present for weakness. Patient first presented to ED on 12/6/24 after experiencing a ground level fall. While in the ED he received a dose of the TDAP (Boostrix) vaccine. He tripped on a step and fell hitting the left side of his head on the wall. Patient's only complaint was mild headache. He was at his baseline state of health before and after the fall. CT head was negative. CT C spine revealed age indeterminate C4 fracture. No tenderness over cervical spine. Neurosurgery weighed in on imaging finding and determined no intervention since most likely present before fall. Patient was discharged from the ED with strict return precautions. Of note, he received TDAP vaccine prior to discharge. Patient went home and later developed weakness. He states around 11pm he woke up, got disoriented and couldnt find walker. He laid on the ground and crawed around home until 6pm the next day. Couldnt stand or walk. He denies falling, hitting his head or LOC. Only complaint is generalized weakness. Neurologist was consulted who stated this weakness isnt consistent with spinal cord injury or Guillain-Barre. Neurologist was concerned that the vaccine could have flared up PMR. Other Relevant HX: Other: weakness
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| 2825699 | 50 | M | FL | 02/11/2025 |
FLUX |
UNKNOWN MANUFACTURER |
XF3308 |
Rash
Rash
|
Reported Symptoms: 10037844:RASH; Narrative: Other Relevant HX: Other:
Reported Symptoms: 10037844:RASH; Narrative: Other Relevant HX: Other:
|
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| 2825700 | 80 | M | FL | 02/11/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
4H79Y |
Oedema, Pyrexia
Oedema, Pyrexia
|
Reported Symptoms: 10014210:EDEMA; 10016558:FEVER; Narrative: Other Relevant HX: Other: skin edema
Reported Symptoms: 10014210:EDEMA; 10016558:FEVER; Narrative: Other Relevant HX: Other: skin edema
|
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| 2825701 | 44 | M | FL | 02/11/2025 |
PNC10 |
GLAXOSMITHKLINE BIOLOGICALS |
JT322 |
Syringe issue
Syringe issue
|
Reported Symptoms: 10069218:SYRINGE ISSUE; Narrative: Nurse administered needle and attempted to adm...
Reported Symptoms: 10069218:SYRINGE ISSUE; Narrative: Nurse administered needle and attempted to administer flu vaccine but was unable to due to syringe plunger being stuck during injection. Nurse pulled needle out of left deltoid and notified patient. Patient was offered to administer on right deltoid, but patient declined. Other Relevant HX: Other: syringe issue
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| 2825702 | 44 | M | CA | 02/11/2025 |
FLU3 |
SANOFI PASTEUR |
UT8437AA |
Blood glucose increased, Headache, Hyperglycaemia
Blood glucose increased, Headache, Hyperglycaemia
|
Reported Symptoms: 10019211:HEADACHE; 10020639:HYPERGLYCEMIA; Narrative: Patient received influenza ...
Reported Symptoms: 10019211:HEADACHE; 10020639:HYPERGLYCEMIA; Narrative: Patient received influenza vaccine on 9/26/24. Per clinical pharmacist on 10/7/24, patient reported having high blood glucose readings which would not come down since getting the flu vaccine and also had bad headaches. Other 10/18/2012, 04/30/2012, 11/05/2010, and 11/06/2009 Other: HEADACHE; HYPERGLYCEMIA
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| 2825703 | 59 | M | MA | 02/11/2025 |
VARZOS VARZOS |
GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS |
jh255 212 jh255 212 |
Arthralgia, Dizziness, Headache, Myalgia, Nausea; Pain, Pyrexia
Arthralgia, Dizziness, Headache, Myalgia, Nausea; Pain, Pyrexia
|
Nausia, fever 101, headache, body, muscle and joint aches, dizzyness
Nausia, fever 101, headache, body, muscle and joint aches, dizzyness
|
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| 2825704 | 1.25 | U | MO | 02/11/2025 |
DTAP HIBV PNC20 |
SANOFI PASTEUR SANOFI PASTEUR PFIZER\WYETH |
C5732AA UJ857AAA DP5138 |
Chills, Lethargy, Muscle twitching, Pyrexia; Chills, Lethargy, Muscle twitching,...
Chills, Lethargy, Muscle twitching, Pyrexia; Chills, Lethargy, Muscle twitching, Pyrexia; Chills, Lethargy, Muscle twitching, Pyrexia
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Within 12 hrs had fever, chills Temp 103 & twitching @ chin & eyes, no LOC. Fever went away ...
Within 12 hrs had fever, chills Temp 103 & twitching @ chin & eyes, no LOC. Fever went away 12-24hrs. Some lethargy. Has occasional twitching around eyes & on chin Sp in arm. When she wakes up, decreasing in intensity
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| 2825705 | 43 | F | IN | 02/11/2025 |
COVID19 |
PFIZER\BIONTECH |
EW0161 |
Cold sweat, Hyperhidrosis, Malaise, Nervousness
Cold sweat, Hyperhidrosis, Malaise, Nervousness
|
Patient received her vaccination. After she was seated in the Observational area, the RN in OBS aske...
Patient received her vaccination. After she was seated in the Observational area, the RN in OBS asked how the pt was feeling. Pt stated she felt clammy and sweaty. Pt stated she felt unwell and was nervous that she was having a stroke. RN obtained pt's Vitals. BP: 147/84, Pulse: 84; Pulse OX: 100%. Pt continue to state she was concerned, so RN called a Rapid Response. The ED team came and talked with the pt. After pt was reassessed by the Rapid Response Team,. After discussion, the pt decided to leave on her own with her
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| 2825706 | 93 | F | ME | 02/11/2025 |
FLU3 |
SANOFI PASTEUR |
U8524EA |
Extra dose administered, No adverse event
Extra dose administered, No adverse event
|
Pt received flu vaccine twice within 1 month two different facilities. No adverse reaction has been ...
Pt received flu vaccine twice within 1 month two different facilities. No adverse reaction has been noted/documented Documenting per advice from vac coordinator helpline
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| 2825747 | 61 | F | OH | 02/11/2025 |
PNC20 |
PFIZER\WYETH |
LP8151 |
Cough, Intensive care, Pruritus, Throat clearing
Cough, Intensive care, Pruritus, Throat clearing
|
Pt started experiencing severe itching 45-60 minutes after vaccine administered. Allergy extender ev...
Pt started experiencing severe itching 45-60 minutes after vaccine administered. Allergy extender evaluated pt and gave the verbal order for 50 mg Benadryl. Pt then started coughing and clearing throat. and itching became worse. Adult Epi was immediately administered and pt transported to ER for further treatment and was later admitted to the ICU.
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โ | |||||
| 2825748 | 1 | M | CT | 02/11/2025 |
HEPA MMR VARCEL |
GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS MERCK & CO. INC. |
|
Decreased appetite, Lethargy, Pyrexia, Rash, Rash erythematous; Decreased appeti...
Decreased appetite, Lethargy, Pyrexia, Rash, Rash erythematous; Decreased appetite, Lethargy, Pyrexia, Rash, Rash erythematous; Decreased appetite, Lethargy, Pyrexia, Rash, Rash erythematous
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Fever, red bumpy rash on abdomen, lethargic, decreased appetite. Symptoms started just over a week a...
Fever, red bumpy rash on abdomen, lethargic, decreased appetite. Symptoms started just over a week after vaccines.
More
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| 2825749 | 4 | M | OH | 02/11/2025 |
DTAPIPV FLU3 |
SANOFI PASTEUR GLAXOSMITHKLINE BIOLOGICALS |
U7656AA KM56K |
Peripheral swelling, Rash; Peripheral swelling, Rash
Peripheral swelling, Rash; Peripheral swelling, Rash
|
Patient had swelling and a rash after receiving quadracel and fluarix intramuscular in right arm. Th...
Patient had swelling and a rash after receiving quadracel and fluarix intramuscular in right arm. The rash and swelling on right arm went from his should down to forearm.
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| 2825750 | 4 | M | MA | 02/11/2025 |
FLU3 MMRV |
GLAXOSMITHKLINE BIOLOGICALS MERCK & CO. INC. |
Y014438 |
Anaphylactic reaction, Rash, Wheezing; Anaphylactic reaction, Rash, Wheezing
Anaphylactic reaction, Rash, Wheezing; Anaphylactic reaction, Rash, Wheezing
|
Rash started directly after appointment, mom brought child back to the clinic, MD determined pt was ...
Rash started directly after appointment, mom brought child back to the clinic, MD determined pt was wheezing and had rash now present all over body, epi pen given d/t anaphylaxis, ambulance called, pt transported to ED.
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| 2825751 | 88 | F | GA | 02/11/2025 |
PNC20 RSV |
PFIZER\WYETH PFIZER\WYETH |
LC1281 HM9854 |
Extra dose administered; Extra dose administered
Extra dose administered; Extra dose administered
|
PATIENT RECEIVED RSV VACCINE TWICE. FIRST VACCINE WAS GIVEN ON 12/21/23 THE BRAND WAS AREXVY. THIS V...
PATIENT RECEIVED RSV VACCINE TWICE. FIRST VACCINE WAS GIVEN ON 12/21/23 THE BRAND WAS AREXVY. THIS VACCINE WAS NOT REPORTED TO GRITS SO PATIENT RECEIVED ANOTHER DOSE OF RSV VACCINE ON 2/8/25.
More
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| 2825753 | 13 | F | OH | 02/11/2025 |
COVID19 |
PFIZER\BIONTECH |
HM7010 |
Lymphadenopathy
Lymphadenopathy
|
Several enlarged lymph nodes
Several enlarged lymph nodes
|
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| 2825754 | 6 | M | AZ | 02/11/2025 |
HEPA IPV |
GLAXOSMITHKLINE BIOLOGICALS SANOFI PASTEUR |
Y3ME2 X1C891M |
Syncope; Syncope
Syncope; Syncope
|
Client fainted approximately 30 minutes after vaccination. Vitals checked. NP assessed. Client went ...
Client fainted approximately 30 minutes after vaccination. Vitals checked. NP assessed. Client went home.
More
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| 2825755 | 89 | F | GA | 02/11/2025 |
RSV |
GLAXOSMITHKLINE BIOLOGICALS |
29Z7E |
Injection site erythema, Injection site pain, Skin exfoliation
Injection site erythema, Injection site pain, Skin exfoliation
|
Initially when the patient's caretaker called to report she stated there was redness and pain a...
Initially when the patient's caretaker called to report she stated there was redness and pain at the injection site. She was told that could happen and was normal; but to notify us if the area got worse or looked different. The patient's caretaker called today to state that the area was still in tact but looked hollowed out (like the tissue beneath the skin was gone) and that the area was still red and had started to peel. The patient has a upcoming doctor visit and will have it looked at then.
More
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| 2825756 | 61 | F | TX | 02/11/2025 |
PNC21 |
MERCK & CO. INC. |
Y011819 |
Erythema, Skin warm
Erythema, Skin warm
|
redness about 4 inches in size, warm to the touch. adviced pt to draw a pen circumference around the...
redness about 4 inches in size, warm to the touch. adviced pt to draw a pen circumference around the redness and see if it continues to spread. keep an eye on fever. luckily no fever reported. pt went to urgent care and was given keflex for infection. we made joint decision to hold off on antibiotics unless color changes and fever appears
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| 2825757 | 78 | M | FL | 02/11/2025 |
RSV |
GLAXOSMITHKLINE BIOLOGICALS |
|
Extra dose administered, No adverse event
Extra dose administered, No adverse event
|
There were none. patient was given second dose of RSV.
There were none. patient was given second dose of RSV.
|
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| 2825758 | 49 | F | CA | 02/11/2025 |
TDAP |
GLAXOSMITHKLINE BIOLOGICALS |
9429j |
Injection site pain, Pain, Pain in extremity, Product administered at inappropri...
Injection site pain, Pain, Pain in extremity, Product administered at inappropriate site, Sleep disorder
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I was sitting in chart, MA giving shot was standing and immediately when she gave I could tell it wa...
I was sitting in chart, MA giving shot was standing and immediately when she gave I could tell it was too high on my arm, very close to top of arm and way more painful than other shots. I hoped it would be ok, but I woke at 3am in a lot of pain in arm. Had to take ibuprofen and put on heat pad. I'm two weeks out and still cannot lay on that arm and still wake up with pain in my arm that feels like I just got the shot. an ache and pain lifting arm.
More
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| 2825759 | 12 | M | WV | 02/11/2025 |
MNQ |
NOVARTIS VACCINES AND DIAGNOSTICS |
|
Extra dose administered
Extra dose administered
|
Mother brought patient to clinic for immunizations. Did not remember he had them already. Inadvert...
Mother brought patient to clinic for immunizations. Did not remember he had them already. Inadvertently given 2nd dose.
More
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| 2825760 | 50 | F | MN | 02/11/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
4H79Y |
Vision blurred
Vision blurred
|
New onset blurry vision to left eye the morning after vaccination
New onset blurry vision to left eye the morning after vaccination
|
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| 2825761 | 67 | F | SC | 02/11/2025 |
TYP |
BERNA BIOTECH, LTD. |
3004063 |
Pruritus
Pruritus
|
Client in office 02/04/2025, given box of oral typhoid. On 02/10/2025 client self administered 1st d...
Client in office 02/04/2025, given box of oral typhoid. On 02/10/2025 client self administered 1st dose oral typhoid on empty stomach. She states in approx 30-60 mins started itching to scalp which progressed to face and neck. She avoided scratching and states she had no redness or rash present. Post 3 hrs the itching started to decrease but states she still has itching ocassionally. She did not take anything to help with symptoms.
More
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| 2825762 | 45 | F | KS | 02/11/2025 |
TD |
SANOFI PASTEUR |
U8384AA |
Body temperature increased, Rash, Rash erythematous, Rash papular, Urticaria
Body temperature increased, Rash, Rash erythematous, Rash papular, Urticaria
|
Rash with slight, sporadic welt development to upper chest (approx. three inches below base of neck)...
Rash with slight, sporadic welt development to upper chest (approx. three inches below base of neck). Red, raised areas approx. 2-3 cm in diameter. The overall area is approx. 4-5 inches. Also, elevated temperature.
More
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| 2825763 | 12 | F | AZ | 02/11/2025 |
MENB MMR VARCEL |
PFIZER\WYETH MERCK & CO. INC. MERCK & CO. INC. |
Z026219 U8361AA Y005919 |
Dizziness, Injection site erythema, Visual impairment; Dizziness, Injection site...
Dizziness, Injection site erythema, Visual impairment; Dizziness, Injection site erythema, Visual impairment; Dizziness, Injection site erythema, Visual impairment
More
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Patient initially developed redness in her L arm at the injection site. She was seen at urgent care ...
Patient initially developed redness in her L arm at the injection site. She was seen at urgent care and given Keflex and Benadryl. She later developed lightheadedness and was seeing spots, but did not actually pass out. She was then evaluated at the emergency department for a syncopal episode. ED course was normal. Patient still had redness on her arm 1/31 when she was seen by the primary care doctor but no further syncopal episodes.
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| 2825764 | 72 | F | FL | 02/11/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
99y4j |
Paraesthesia, Sciatica
Paraesthesia, Sciatica
|
tingling all the way down right arm, even some sciatica on right side
tingling all the way down right arm, even some sciatica on right side
|
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| 2825765 | 34 | F | OK | 02/11/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
LL5CW |
Skin discolouration
Skin discolouration
|
The day after her vaccine, her hands turned purple. No other symptoms and it went away within 12 ho...
The day after her vaccine, her hands turned purple. No other symptoms and it went away within 12 hours. We thought it was due to her Lupus issues. It did happen after her second vaccine and since another patient reported this to me yesterday, we're submitting her details.
More
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| 2825766 | 5 | M | MI | 02/11/2025 |
MNQ |
SANOFI PASTEUR |
U7950AA |
Pain in extremity
Pain in extremity
|
PATIENT WAS COMPLAINING OF ARM PAIN THE NEXT DAY BUT THAT WAS ALL
PATIENT WAS COMPLAINING OF ARM PAIN THE NEXT DAY BUT THAT WAS ALL
|
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| 2825767 | 1.5 | M | TX | 02/11/2025 |
PNC20 |
PFIZER\WYETH |
LC5483 |
Extra dose administered, No adverse event
Extra dose administered, No adverse event
|
No known adverse effect. Per medical chart, dose given on 2/7/25 would make it 5th dose.
No known adverse effect. Per medical chart, dose given on 2/7/25 would make it 5th dose.
|
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| 2825768 | 61 | M | FL | 02/11/2025 |
COVID19 COVID19 COVID19 |
MODERNA MODERNA MODERNA |
041C21A 041C21A 041C21A |
Anxiety, Blood test, Cardiac monitoring, Computerised tomogram heart abnormal, G...
Anxiety, Blood test, Cardiac monitoring, Computerised tomogram heart abnormal, Gastric emptying study; Lethargy, Loss of personal independence in daily activities, Nausea, Palpitations, Quality of life decreased; SARS-CoV-2 antibody test positive, Self esteem decreased
More
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pt states after a month after being vaccinated he became lethargic and felt like he wasn't able...
pt states after a month after being vaccinated he became lethargic and felt like he wasn't able to do the same jobs he was able to do in the past. Lower self esteem. He would be nauseas in the morning and had high anxiety. He developed heart palpitations that would come and go. He in now being treated by cardiologist, Dr.. He was given medicine and had a calcium score test that was high. He may have to have an echo cardiogram. He has spiked protein in his blood. He is monitoring blood pressure and is wearing a heart monitor for 2 weeks. He continues with the other symptoms with the anxiety, being lethargic, and being nauseated. He saw a physiatrist and checked himself into a mental health clinic for a month. This did not help with his anxiety and he is resistant to the antidepressant medications he has been given so far. He has seen other doctors such as, gastro, endocrinologist, primary Dr., etc... but nobody can pinpoint why he is feeling like this. He no longer feels like life is worth living due to the way he is feeling. He went from going wide open to not being able to do much of anything and has lost quality of life.
More
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โ | |||||
| 2825769 | 34 | F | OK | 02/11/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
3ZT24 |
Skin disorder
Skin disorder
|
The day after her vaccine, her hands turned purple. no other symptoms and it went away within 12 ho...
The day after her vaccine, her hands turned purple. no other symptoms and it went away within 12 hours.
More
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| 2825770 | 4 | M | NY | 02/11/2025 |
PPV |
MERCK & CO. INC. |
4009239 |
Injected limb mobility decreased, Pain in extremity, Peripheral swelling
Injected limb mobility decreased, Pain in extremity, Peripheral swelling
|
Rt arm swelling and pain, can't move the arm. Given Ibuprofen and next day 3 day course of ster...
Rt arm swelling and pain, can't move the arm. Given Ibuprofen and next day 3 day course of steroids and famotidine with complete resolution of symptoms.
More
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| 2825771 | 75 | F | OK | 02/11/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
G97Y2 |
Skin discolouration
Skin discolouration
|
Shortly after her vaccine, her hands turned purple. No other symptoms and it went away before she w...
Shortly after her vaccine, her hands turned purple. No other symptoms and it went away before she went to bed.
More
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| 2825772 | 17 | F | OK | 02/11/2025 |
FLU3 FLU3 FLU3 HPV9 HPV9 HPV9 MNQ MNQ MNQ |
GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS MERCK & CO. INC. MERCK & CO. INC. MERCK & CO. INC. NOVARTIS VACCINES AND DIAGNOSTICS NOVARTIS VACCINES AND DIAGNOSTICS NOVARTIS VACCINES AND DIAGNOSTICS |
57YT7 57YT7 57YT7 Y013469 Y013469 Y013469 EK7DG EK7DG EK7DG |
Blood thyroid stimulating hormone, C-reactive protein, Chest X-ray, Human chorio...
Blood thyroid stimulating hormone, C-reactive protein, Chest X-ray, Human chorionic gonadotropin, International normalised ratio; Lumbar puncture, Magnetic resonance imaging, Metabolic function test, Muscular weakness, Paraesthesia; Prothrombin time, Red blood cell sedimentation rate, Respiratory viral panel, Syncope, Urine analysis; Blood thyroid stimulating hormone, C-reactive protein, Chest X-ray, Human chorionic gonadotropin, International normalised ratio; Lumbar puncture, Magnetic resonance imaging, Metabolic function test, Muscular weakness, Paraesthesia; Prothrombin time, Red blood cell sedimentation rate, Respiratory viral panel, Syncope, Urine analysis; Blood thyroid stimulating hormone, C-reactive protein, Chest X-ray, Human chorionic gonadotropin, International normalised ratio; Lumbar puncture, Magnetic resonance imaging, Metabolic function test, Muscular weakness, Paraesthesia; Prothrombin time, Red blood cell sedimentation rate, Respiratory viral panel, Syncope, Urine analysis
More
|
syncope < 1 hour after vaccination . In the evening developed parasthesias and intermittent musc...
syncope < 1 hour after vaccination . In the evening developed parasthesias and intermittent muscle weakness that progressively worsened. Required hospital admission with neurology work up
More
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โ | |||||
| 2825773 | 67 | F | MN | 02/11/2025 |
FLU3 |
SANOFI PASTEUR |
UT8419BA |
Paraesthesia
Paraesthesia
|
Patient reported tingling in arm during the observation period. She reported it feeling better abou...
Patient reported tingling in arm during the observation period. She reported it feeling better about 15 minutes after first reporting it. Was reported to pharmacy's nurse triage line.
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| 2825774 | 0.17 | M | NC | 02/11/2025 |
DTAPIPVHIB DTAPIPVHIB PNC20 PNC20 RV5 RV5 |
SANOFI PASTEUR SANOFI PASTEUR PFIZER\WYETH PFIZER\WYETH MERCK & CO. INC. MERCK & CO. INC. |
UK107AA UK107AA LC5484 LC5484 2032352 2032352 |
Appendicectomy, Constipation, Ileocaecal resection, Intussusception, Lethargy; U...
Appendicectomy, Constipation, Ileocaecal resection, Intussusception, Lethargy; Ultrasound scan, Vomiting; Appendicectomy, Constipation, Ileocaecal resection, Intussusception, Lethargy; Ultrasound scan, Vomiting; Appendicectomy, Constipation, Ileocaecal resection, Intussusception, Lethargy; Ultrasound scan, Vomiting
More
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Adverse event was severe vomiting, lethargy, and no bowel movements. Sent to ER for evaluation and D...
Adverse event was severe vomiting, lethargy, and no bowel movements. Sent to ER for evaluation and DX with intussusception, resulting in surgical ileocolonic resection and appendectomy.
More
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โ | โ | ||||
| 2825775 | 0.25 | F | FL | 02/11/2025 |
DTAPIPVHIB PNC15 |
SANOFI PASTEUR MERCK & CO. INC. |
|
Benign enlargement of the subarachnoid spaces, Fontanelle bulging, Ultrasound he...
Benign enlargement of the subarachnoid spaces, Fontanelle bulging, Ultrasound head abnormal; Benign enlargement of the subarachnoid spaces, Fontanelle bulging, Ultrasound head abnormal
More
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Transient Bulging Fontanelle noted the day after vaccines and resolved within 24 hours
Transient Bulging Fontanelle noted the day after vaccines and resolved within 24 hours
|
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| 2825776 | 11 | M | OK | 02/11/2025 |
FLU3 HPV9 MNQ TDAP |
GLAXOSMITHKLINE BIOLOGICALS MERCK & CO. INC. NOVARTIS VACCINES AND DIAGNOSTICS GLAXOSMITHKLINE BIOLOGICALS |
57YT7 Y012864 LN75D X449Y |
Syncope; Syncope; Syncope; Syncope
Syncope; Syncope; Syncope; Syncope
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syncope
syncope
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| 2825777 | 73 | F | 02/11/2025 |
DTAPIPV |
SANOFI PASTEUR |
U7838AA |
Product administered to patient of inappropriate age, Wrong product administered
Product administered to patient of inappropriate age, Wrong product administered
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Boostrix to be administered to the patient. Quadracel administered inadvertently. Manufacturer cons...
Boostrix to be administered to the patient. Quadracel administered inadvertently. Manufacturer consulted- if DTaP administered to a person 11 years of age or older- count this dose as Tdap dose. No revaccination with Tdap required.
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| 2825778 | 18 | F | AL | 02/11/2025 |
COVID19 COVID19 |
PFIZER\BIONTECH PFIZER\BIONTECH |
LM2210 LM2210 |
Dizziness, Heart rate decreased, Heart rate increased, Pain, Pallor; Pyrexia
Dizziness, Heart rate decreased, Heart rate increased, Pain, Pallor; Pyrexia
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2 hours after the vaccine was administered, the patient experienced an increase in Heart Rate to 140...
2 hours after the vaccine was administered, the patient experienced an increase in Heart Rate to 140 bpm then a drop to 58 bpm. She experienced light-headedness, had a fever of 101 degrees, had body aches, and was told she looked pale.
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| 2825779 | 0.33 | F | CA | 02/11/2025 |
DTPPVHBHPB PNC20 |
MSP VACCINE COMPANY PFIZER\WYETH |
U7829AA HR3650 |
Injection site abscess, Injection site urticaria, Injection site warmth; Injecti...
Injection site abscess, Injection site urticaria, Injection site warmth; Injection site abscess, Injection site urticaria, Injection site warmth
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Red warmth rash around the site of injection but also extending to involve majority of the RLE, hive...
Red warmth rash around the site of injection but also extending to involve majority of the RLE, hives like per picture
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| 2825780 | 25 | M | NC | 02/11/2025 |
ANTH JEV1 TYP YF |
EMERGENT BIOSOLUTIONS INTERCELL AG SANOFI PASTEUR SANOFI PASTEUR |
300211A jev23j01e W1A991M UK118AA |
Chest pain, Electrocardiogram, Lip swelling, Skin test, Tryptase; Chest pain, El...
Chest pain, Electrocardiogram, Lip swelling, Skin test, Tryptase; Chest pain, Electrocardiogram, Lip swelling, Skin test, Tryptase; Chest pain, Electrocardiogram, Lip swelling, Skin test, Tryptase; Chest pain, Electrocardiogram, Lip swelling, Skin test, Tryptase
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Patient states he got typhoid, anthrax, Japanese encephalitis, and yellow fever. He reports 10-15 mi...
Patient states he got typhoid, anthrax, Japanese encephalitis, and yellow fever. He reports 10-15 minutes after getting the vaccines, his upper lip started swelling and he started to get some chest pain. He received epinephrine via a epi pen and then was taken by ambulance to Medical Center ER. Patient stated his symptoms went away while he was at ER and denies any recurrence of symptoms. He stated that the site for the yellow fever vaccine was swollen and red all weekend and warm to the touch for about 4 days(vaccines administered Oct. 23, 2024); states it was the first time he received these specific vaccines. Patient reported he feels well today, Oct. 28, 2024, and has not had any reoccurrence in his symptoms.
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| 2825781 | 70 | M | CA | 02/11/2025 |
VARZOS VARZOS VARZOS |
GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS |
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Arteriogram carotid, Blood test normal, Bone densitometry, Bone pain, Disturbanc...
Arteriogram carotid, Blood test normal, Bone densitometry, Bone pain, Disturbance in attention; Fatigue, Headache, Magnetic resonance imaging neck, Magnetic resonance imaging spinal, Sleep disorder; Somnolence, X-ray normal
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On May 5, 2023 I got the vaccine, everything was normal, that day I slept well, the next day I could...
On May 5, 2023 I got the vaccine, everything was normal, that day I slept well, the next day I couldn't sleep, I woke up very sleepy, tired, with a headache, I couldn't concentrate, I went for a walk to be able to clear my head, but everything was the same, even if it happened to me for about 4 months, I don't remember when my hip and shoulder bones started to hurt, I took supplements at night to sleep, I went to see my doctor, I explained to him what I had, the bone pain was very strong, he did not understand what was happening to me, he sent me to do tests and x-rays and everything was fine, about 3 months passed the symptoms of headache, drowsiness and tiredness decreased a little, One day by carelessness I did not take the prostate pill in the afternoon I did not have bone pain, I told the doctor he changed the medicine about 5 times all of them caused bone pain, he recommended me to see the urologist I explained and I did not see the relationship of the pain with the medicine, he did an exam determined that I should stop taking the medication
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| 2825782 | 4 | M | MA | 02/11/2025 |
MMRV MMRV VARCEL VARCEL |
MERCK & CO. INC. MERCK & CO. INC. MERCK & CO. INC. MERCK & CO. INC. |
NDC 0006-4171-0 NDC 0006-4171-0 NDC 0006-4827-0 NDC 0006-4827-0 |
CSF test abnormal, Headache, Ophthalmic herpes zoster, Rash, Rash vesicular; Var...
CSF test abnormal, Headache, Ophthalmic herpes zoster, Rash, Rash vesicular; Varicella virus test positive, Vomiting; CSF test abnormal, Headache, Ophthalmic herpes zoster, Rash, Rash vesicular; Varicella virus test positive, Vomiting
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Presumably healthy patient. He received first vaccine against VZV at ~2 yrs on 12/21/2021 (Varivax ...
Presumably healthy patient. He received first vaccine against VZV at ~2 yrs on 12/21/2021 (Varivax - NDC 0006-4827-00) and second vaccine at ~4 yrs on 9/29/2023 (Proquad - NDC 0006-4171-01). At age 5 yrs, he presented to Hospital w/ right-sided herpes zoster ophthalmicus. Pt had a ~8-day prodrome of frontal HA and occasional emesis before developing a vesicular rash over his right CNV1 dermatome, which was present for ~2 days before admission. Pt had normal mental status on presentation. However, given his HA and emesis, LP was done w/ reassuring CSF indices, but VZV PCR was positive. CSF was sent to lab for wild-type vs. vaccine strain VZV PCR, and it resulted + for vaccine strain, prompting this submission. We will also do an immune work-up.
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| 2825783 | 9 | F | MI | 02/11/2025 |
DTAP |
GLAXOSMITHKLINE BIOLOGICALS |
223Y9 |
Product administered to patient of inappropriate age
Product administered to patient of inappropriate age
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None reported
None reported
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| 2825784 | 80 | F | SC | 02/11/2025 |
COVID19 FLU3 RSV |
PFIZER\BIONTECH SEQIRUS, INC. GLAXOSMITHKLINE BIOLOGICALS |
LN0589 388490 255T2 |
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
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The patient approached the pharmacy counter requesting RSV, flu, and Covid vaccines. The patient di...
The patient approached the pharmacy counter requesting RSV, flu, and Covid vaccines. The patient did not mention receiving a previous RSV shot in April 2024. There were no alerts in the pharmacy's que, nor was the prior RSV vaccine listed in the patient's vaccine record. The patient received a second RSV vaccine, however, she did not experience any adverse effects.
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| 2825785 | 43 | F | CA | 02/11/2025 |
HPV9 HPV9 |
MERCK & CO. INC. MERCK & CO. INC. |
Y007197 Y007197 |
Arthralgia, Injection site bruising, Injection site erythema, Injection site pai...
Arthralgia, Injection site bruising, Injection site erythema, Injection site pain, Injection site swelling; Injection site vesicles, Mobility decreased
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She had swelling, redness, pain and bruising at the site of injection. Later she developed some bli...
She had swelling, redness, pain and bruising at the site of injection. Later she developed some blisters surrounding the vaccine site and pain in her shoulder that limited her range of motion
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| 2825786 | 61 | F | FL | 02/11/2025 |
COVID19 COVID19 |
MODERNA MODERNA |
031M20A 031M20A |
Biopsy breast, Breast conserving surgery, Chemotherapy, Cytogenetic analysis, Ma...
Biopsy breast, Breast conserving surgery, Chemotherapy, Cytogenetic analysis, Mammogram; Pathology test, Radiotherapy, Triple positive breast cancer, Ultrasound breast
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Triple Positive Right Breast Cancer (ICD and DCIS - HER2/ER/PR positive) diagnosed on 6/10/2024
Triple Positive Right Breast Cancer (ICD and DCIS - HER2/ER/PR positive) diagnosed on 6/10/2024
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