| ID | Age | Sex | State | Date โผ | Onset Days | Vaccine | Manufacturer | Lot # | Symptoms | Narrative | ๐ | ๐ฅ | ๐ | โฟ | โ ๏ธ |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2825787 | 27 | M | NC | 02/11/2025 |
FLU3 FLU3 |
SEQIRUS, INC. SEQIRUS, INC. |
AU1078A AU1078A |
Dermatitis, Erythema, Pruritus, Pustule, Scab; Scar, Secretion discharge, Skin l...
Dermatitis, Erythema, Pruritus, Pustule, Scab; Scar, Secretion discharge, Skin lesion
More
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Service member reports AEFI of dermatitis limited to the injection arm noted upon awakening day 1 af...
Service member reports AEFI of dermatitis limited to the injection arm noted upon awakening day 1 after receipt of IIV 11/15/2023 (lot #AU1078A SEQ). He states the lesions were pruritic, painful, fixed, discrete, continued to enlarge over time, but new lesions didn?t develop, had some thin drainage when the ?popped?, ultimately scabbed and have left scarring; scattered erythematous pustules limited to the injection arm. Duration of lesions was about three weeks. Treatment was OTC topical antibiotic.
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| 2825788 | 17 | M | GA | 02/11/2025 |
HPV9 HPV9 HPV9 MNQ MNQ MNQ |
MERCK & CO. INC. MERCK & CO. INC. MERCK & CO. INC. SANOFI PASTEUR SANOFI PASTEUR SANOFI PASTEUR |
Y013712 Y013712 Y013712 U8256AB U8256AB U8256AB |
Abdominal pain, Amylase, C-reactive protein, Differential white blood cell count...
Abdominal pain, Amylase, C-reactive protein, Differential white blood cell count, Faecal calprotectin; Full blood count, Lipase, Metabolic function test, Occult blood, Rash; Red blood cell sedimentation rate, Vomiting; Abdominal pain, Amylase, C-reactive protein, Differential white blood cell count, Faecal calprotectin; Full blood count, Lipase, Metabolic function test, Occult blood, Rash; Red blood cell sedimentation rate, Vomiting
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Within a few days of receiving vaccines patient developed abd pain, vomiting, and a rash.
Within a few days of receiving vaccines patient developed abd pain, vomiting, and a rash.
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| 2825789 | 25 | M | KS | 02/11/2025 |
HEP |
GLAXOSMITHKLINE BIOLOGICALS |
MD9SL |
Extra dose administered, No adverse event
Extra dose administered, No adverse event
|
No noted ADR, but pt received extra HBV does that was not indicated. Pt has had no adverse reactions...
No noted ADR, but pt received extra HBV does that was not indicated. Pt has had no adverse reactions at this time to any vaccines.
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| 2825790 | 9 | F | TN | 02/11/2025 |
IPV |
SANOFI PASTEUR |
x1c891m |
Inappropriate schedule of product administration
Inappropriate schedule of product administration
|
pt had 2 polio vaccines (age 4 and 9) 3rd dose given on 1/17/2025, vaccine was given 5 days too so...
pt had 2 polio vaccines (age 4 and 9) 3rd dose given on 1/17/2025, vaccine was given 5 days too soon. No treatment was needed, pt will have to return for 3rd vaccine
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| 2825791 | 49 | F | KS | 02/11/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
94se2 |
Extra dose administered, No adverse event
Extra dose administered, No adverse event
|
Pt did not experience adverse event, however should not have received series at all. Pt received 2 d...
Pt did not experience adverse event, however should not have received series at all. Pt received 2 doses (complete series) prior to age 50 with no immunocompromising condition. Pt does have hx of shingles. No ADR, pt doing well even now.
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| 2825792 | 38 | F | AK | 02/11/2025 |
FLU3 MMR |
SEQIRUS, INC. MERCK & CO. INC. |
946620 x028353 |
Impaired driving ability, Loss of personal independence in daily activities, Mig...
Impaired driving ability, Loss of personal independence in daily activities, Migraine, Mobility decreased, Vision blurred; Impaired driving ability, Loss of personal independence in daily activities, Migraine, Mobility decreased, Vision blurred
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Onset of 70 hour long migraine with complete blurred vision in left eye. Proscribed Migraine medica...
Onset of 70 hour long migraine with complete blurred vision in left eye. Proscribed Migraine medication management unsuccessful in reducing migraine symptoms. Bedridden for the duration of the migraine, unable to attend work duties, unsafe to drive for treatment. Phone consultation with healthcare professional, recommended Urgent care or ER for migraine IV therapy, unable to comply with recommendation due to transportation issue and sole caregiver of young children.
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| 2825797 | 69 | M | TX | 02/11/2025 |
PNC20 |
PFIZER\WYETH |
LK6651 |
Asthenia, Chills, Diarrhoea, Nausea, Vomiting
Asthenia, Chills, Diarrhoea, Nausea, Vomiting
|
Patient wife reported her spouse symptoms about 2:33 pm today when I phoned her about her test resul...
Patient wife reported her spouse symptoms about 2:33 pm today when I phoned her about her test results. Patient states after he got vaccine and was leaving the office on elevator he started feeling nausea. After he got home, he started having vomiting, watery diarrhea, chills, and weakness. Per MD He should rest and try to maintain good hydration. I have prescribed Zofran to help minimize the nausea. He can try over the counter Pepto-Bismol or Imodium to help the diarrhea. If he develops any pains, then Tylenol would be advised. If more serious symptoms develop then ER evaluation would be advised. Patient verbalized understanding.
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| 2825798 | 51 | F | OH | 02/11/2025 |
COVID19 COVID19 |
JANSSEN JANSSEN |
|
Acute myocardial infarction, Asthenia, Back pain, Coronary arterial stent insert...
Acute myocardial infarction, Asthenia, Back pain, Coronary arterial stent insertion, Depressed mood; Feeling abnormal, Nausea, Pain in extremity
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I got the shot and i felt really weird and not right and something wasnt right and i didnt have any ...
I got the shot and i felt really weird and not right and something wasnt right and i didnt have any energy and feeling down and nauseous and I thought that i had the flu. That feeling never went away, i started have pain in my arm and in my back and went in for the widow maker. The address for the doctor.
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| 2825799 | 58 | F | MI | 02/11/2025 |
HEP |
GLAXOSMITHKLINE BIOLOGICALS |
K4JH7 |
No adverse event
No adverse event
|
no adverse event
no adverse event
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| 2825800 | 59 | F | GA | 02/11/2025 |
HEP |
GLAXOSMITHKLINE BIOLOGICALS |
92NK2 |
Headache, Heart rate increased, Palpitations
Headache, Heart rate increased, Palpitations
|
Patient received Hep B vaccine (Engerix) around 12:05pm. at 12:16 pm patient presented to front desk...
Patient received Hep B vaccine (Engerix) around 12:05pm. at 12:16 pm patient presented to front desk staff complaining of headache and feeling like her heart was racing. Patient was brought back into clinic. BP checked at 12:18pm. BP-150/73 P-73; Advised patient that her BP was elevated but heart rate is normal. Patient complain of headache in right frontal lobe. Patient is here by herself and walked to clinic for appt. Offered to contact EMS. Patient declined for me to call EMS. Stated that "she didnt want me to call EMS.". Asked patient how was she going to get home and patient stated that she may "call a taxi". Patient does not live far from the health dept. Patient has only eaten a oatmeal pie today. Advised patient to eat when she gets home and take meds as ordered ny her physician. Advised patient if headache continues to call her doctor or EMS for evaluation. BP checked again at 12:23pm BP-146/72 P-71. Advised patient to wait an additional 15 mins in lobby before she leaves . Patient voices understanding.
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| 2825801 | 63 | F | 02/11/2025 |
COVID19 |
MODERNA |
|
Injection site vesicles
Injection site vesicles
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Blister at injection site. Still present 1 month later.
Blister at injection site. Still present 1 month later.
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| 2825802 | 68 | M | MN | 02/11/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
4723S |
Unevaluable event
Unevaluable event
|
NONE
NONE
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| 2825803 | 9 | M | CA | 02/11/2025 |
HEP |
GLAXOSMITHKLINE BIOLOGICALS |
95BJ9 |
Extra dose administered, No adverse event
Extra dose administered, No adverse event
|
Patient had completed Hepatitis B series (3 shots) previously, a not needed fourth extra dose was ad...
Patient had completed Hepatitis B series (3 shots) previously, a not needed fourth extra dose was administered. No symptoms after 24 hours from vaccination.
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| 2825804 | 32 | F | MO | 02/11/2025 |
HEP |
GLAXOSMITHKLINE BIOLOGICALS |
T5D73 |
No adverse event, Wrong product administered
No adverse event, Wrong product administered
|
patient got Hep B vaccine when she wanted a meningococcal vaccine, she had no reaction to the Hep b ...
patient got Hep B vaccine when she wanted a meningococcal vaccine, she had no reaction to the Hep b vaccine.
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| 2825807 | M | UT | 02/11/2025 |
FLUX VARZOS |
UNKNOWN MANUFACTURER GLAXOSMITHKLINE BIOLOGICALS |
UNK UNK |
Bell's palsy; Bell's palsy
Bell's palsy; Bell's palsy
|
Bell's palsy; This serious case was reported by a physician via sales rep and described the occ...
Bell's palsy; This serious case was reported by a physician via sales rep and described the occurrence of bell's palsy in a male patient who received Herpes zoster (Shingrix) for prophylaxis. Co-suspect products included Influenza vaccine for prophylaxis. On an unknown date, the patient received the 1st dose of Shingrix (unknown deltoid) and Influenza vaccine. On an unknown date, an unknown time after receiving Shingrix, the patient experienced bell's palsy (Verbatim: Bell's palsy) (serious criteria GSK medically significant). The outcome of the bell's palsy was unknown. The reporter considered the bell's palsy to be related to Shingrix. The company considered the bell's palsy to be unrelated to Shingrix. Additional Information: GSK Receipt Date: 04-FEB-2025 The patient received Shingrix and Influenza vaccine at the same time and experienced bell's palsy. It was unknown if reporter considered the bell's palsy to be related to Influenza vaccine.; Sender's Comments: Bell's palsy is an unlisted event which is considered unrelated to GSK drug Shingrix.
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| 2825808 | F | PA | 02/11/2025 |
TDAP |
GLAXOSMITHKLINE BIOLOGICALS |
ET475 |
Exposure during pregnancy
Exposure during pregnancy
|
Vaccine exposure during pregnancy; This non-serious prospective pregnancy case was reported by a nur...
Vaccine exposure during pregnancy; This non-serious prospective pregnancy case was reported by a nurse and described the occurrence of vaccine exposure during pregnancy in a 35-year-old female patient who received DTPa (Reduced antigen) (Boostrix) (batch number ET475) for prophylaxis. On 23-MAY-2024, the patient received Boostrix. On an unknown date, an unknown time after receiving Boostrix, the patient experienced vaccine exposure during pregnancy (Verbatim: Vaccine exposure during pregnancy). The outcome of the vaccine exposure during pregnancy was unknown. Pregnancy exposure: Gestation time at first exposure (Boostrix): 30 Weeks Pregnancy Exposure (Boostrix): To mother in third trimester Estimated Delivery/Due date: 07-AUG-2024 Pregnancy Details (Neonate 1): Number of Fetuses/Neonates: 1 Pregnancy Outcome: Pregnancy was ongoing Additional Information: GSK receipt date: 23-MAY-2024 The Nurse reported that a patient received Boostrix vaccine during pregnancy, which led to vaccine exposure during pregnancy. The reporter consented to follow up. Upon internal review the case was updated on 10-FEB-2025 The report type was updated from PMS to Spontaneous. Summary of changes: Report type, product details and narrative were updated.
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| 2825809 | U | 02/11/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
UNK |
Diarrhoea, Headache, Lymph node pain, Mobility decreased, Nausea
Diarrhoea, Headache, Lymph node pain, Mobility decreased, Nausea
|
lymph node in that arm hurts; can't raise my arm; diarrhea; nausea; mild headache; This non-ser...
lymph node in that arm hurts; can't raise my arm; diarrhea; nausea; mild headache; This non-serious case was reported by a consumer and described the occurrence of lymph node pain in a patient who received Herpes zoster (Shingrix) for prophylaxis. On 14-JAN-2025, the patient received Shingrix. On 15-JAN-2025, 1 days after receiving Shingrix, the patient experienced lymph node pain (Verbatim: lymph node in that arm hurts) and mobility decreased (Verbatim: can't raise my arm). In JAN-2025, the patient experienced diarrhea (Verbatim: diarrhea), nausea (Verbatim: nausea) and headache (Verbatim: mild headache). The outcome of the lymph node pain and mobility decreased were resolved and the outcome of the diarrhea, nausea and headache were not reported. It was unknown if the reporter considered the lymph node pain, diarrhea, nausea, headache and mobility decreased to be related to Shingrix. It was unknown if the company considered the lymph node pain, diarrhea, nausea, headache and mobility decreased to be related to Shingrix. Additional Information: GSK Receipt Date: 15-JAN-2025 The reporter reported that patient got the vaccine a day before the reporting. The day following armpit lymph node in that arm hurts, cannot raise his/her arm, diarrhea, nausea. Mild headache but nothing compared to lymph pain.
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| 2825810 | 46 | M | 02/11/2025 |
MENB |
NOVARTIS VACCINES AND DIAGNOSTICS |
UNK |
Product administered to patient of inappropriate age
Product administered to patient of inappropriate age
|
Bexsero to a a high-risk patient who is 46 years old; This non-serious case was reported by a physic...
Bexsero to a a high-risk patient who is 46 years old; This non-serious case was reported by a physician via sales rep and described the occurrence of inappropriate age at vaccine administration in a 46-year-old male patient who received Men B NVS (Bexsero) for prophylaxis. Concomitant products included Meningococcal vaccine A/C/Y/W conj (CRM197) (Menveo). On an unknown date, the patient received Bexsero. On an unknown date, an unknown time after receiving Bexsero, the patient experienced inappropriate age at vaccine administration (Verbatim: Bexsero to a a high-risk patient who is 46 years old). 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: 14-JAN-2025 The physician reported that healthcare professional gave Bexsero to a a high-risk patient who was 46 years old which led to inappropriate age at vaccine administration.
More
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| 2825811 | U | 02/11/2025 |
VARZOS |
UNKNOWN MANUFACTURER |
UNK |
Arthralgia, Back pain
Arthralgia, Back pain
|
Patient agonizing back pain and extremely painful; shoulder pains without the rash; This non-serious...
Patient agonizing back pain and extremely painful; shoulder pains without the rash; This non-serious case was reported by a consumer via interactive digital media and described the occurrence of back pain 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 back pain (Verbatim: Patient agonizing back pain and extremely painful) and shoulder pain (Verbatim: shoulder pains without the rash). The outcome of the back pain and shoulder pain were not reported. It was unknown if the reporter considered the back pain and shoulder pain to be related to Shingles vaccine. It was unknown if the company considered the back pain and shoulder pain to be related to Shingles vaccine. Additional Information: GSK Receipt Date: 16-JAN-2025 This case was reported by a patient via interactive digital media. The reporter reported that shingles was the form of same virus as chickenpox. The vaccine introduces a virus into your system in a small dose for the purpose of minimizing the effects if contract the illness but if had chickenpox, the virus was already introduced into body and no need for a vaccine. The patient had bad complications as extreme back pain and shoulder pains without rash from this vaccine since getting it five years ago from date of reporting. The reporter reported that virus lies dormant in body and rarely comes back in most cases but this was not the case with patient just info gave was told by physician. The follow-up could not be possible as no contact details were available.
More
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| 2825812 | U | 02/11/2025 |
VARZOS |
UNKNOWN MANUFACTURER |
UNK |
Herpes zoster, Vaccination failure
Herpes zoster, Vaccination failure
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Suspected vaccination failure; still got shingles; This serious case was reported by a consumer via ...
Suspected vaccination failure; still got 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: still got 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: 28-JAN-2025 This case was reported by a patient via interactive digital media. Patient stated that he/she had the shots and still got shingles. Patient believed it would have been worse if he/she did not had the shots. Patient indicated that it was horrible. Also, asked to pray to never get them again. The follow-up could not be possible as no contact details were available. 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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| 2825813 | U | 02/11/2025 |
VARZOS |
UNKNOWN MANUFACTURER |
UNK |
Influenza like illness
Influenza like illness
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flu like symptoms; This non-serious case was reported by a consumer via interactive digital media an...
flu like symptoms; This non-serious case was reported by a consumer via interactive digital media and described the occurrence of influenza-like symptoms in a patient who received Herpes zoster (Shingles vaccine) for prophylaxis. Previously administered products included Shingles vaccine with an associated reaction of no adverse event (received 1st dose of vaccine on an unknown date,was fine). 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 influenza-like symptoms (Verbatim: flu like symptoms). The outcome of the influenza-like symptoms was resolved (duration 24 hrs). It was unknown if the reporter considered the influenza-like symptoms to be related to Shingles vaccine. It was unknown if the company considered the influenza-like symptoms 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 flu like symptoms for only 24 hours.
More
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| 2825814 | U | 02/11/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
UNK |
Erythema, Peripheral swelling
Erythema, Peripheral swelling
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my arm is still very red and swollen; my arm is still very red and swollen; This non-serious case ...
my arm is still very red and swollen; my arm is still very red and swollen; This non-serious case was reported by a consumer via call center representative and described the occurrence of erythema of extremities in a patient who received Herpes zoster (Shingrix) for prophylaxis. In FEB-2025, the patient received Shingrix. In FEB-2025, an unknown time after receiving Shingrix, the patient experienced erythema of extremities (Verbatim: my arm is still very red and swollen) and swelling arm (Verbatim: my arm is still very red and swollen). The outcome of the erythema of extremities and swelling arm were not resolved. It was unknown if the reporter considered the erythema of extremities and swelling arm to be related to Shingrix. It was unknown if the company considered the erythema of extremities and swelling arm to be related to Shingrix. Additional Information: GSK Receipt Date: 05-FEB-2025 This case was reported by a patient via (Shingrix GSK) interactive digital media. The reporter reported that a patient received Shingrix 3 days ago and patient arm was still very red and swollen.
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| 2825815 | U | 02/11/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
UNK |
Rash erythematous, Swelling
Rash erythematous, Swelling
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redness rash; swelling; This non-serious case was reported by a consumer via call center representat...
redness rash; swelling; This non-serious case was reported by a consumer via call center representative and described the occurrence of red rash in a patient who received Herpes zoster (Shingrix) for prophylaxis. On an unknown date, the patient received Shingrix. On an unknown date, an unknown time after receiving Shingrix, the patient experienced red rash (Verbatim: redness rash) and swelling (Verbatim: swelling). The outcome of the red rash and swelling were not resolved. It was unknown if the reporter considered the red rash and swelling to be related to Shingrix. It was unknown if the company considered the red rash and swelling to be related to Shingrix. Additional Information: GSK Receipt Date: 05-FEB-2025 The patient self-reported this case. The patient experienced the redness rash and swelling after receiving Shingrix vaccine and asked when will redness rash and swelling go away
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| 2825816 | U | 02/11/2025 |
VARZOS |
UNKNOWN MANUFACTURER |
UNK |
Herpes zoster, Pain, Vaccination failure
Herpes zoster, Pain, Vaccination failure
|
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, 6 weeks 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 was not reported and the outcome of the shingles was not resolved. 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: 04-FEB-2025 This case was reported by a patient via interactive digital media. Patient had the shots and still got the shingles 6 weeks in and still hurting. The patient was asking for something which would helps him/her with the pain. 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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| 2825817 | U | 02/11/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
UNK |
Pain
Pain
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it hurt like hell; This non-serious case was reported by a consumer via interactive digital media an...
it hurt like hell; This non-serious case was reported by a consumer via interactive digital media and described the occurrence of pain in a patient who received Herpes zoster (Shingrix) for prophylaxis. On an unknown date, the patient received Shingrix. On an unknown date, an unknown time after receiving Shingrix, the patient experienced pain (Verbatim: it hurt like hell). The outcome of the pain was resolved. It was unknown if the reporter considered the pain to be related to Shingrix. It was unknown if the company considered the pain to be related to Shingrix. Additional Information: GSK receipt date: 18-JAN-2025 This case was reported by a patient via interactive digital media. The reporter reported that he/she got the shot of Shingrix vaccine and experienced it hurt like hell. The reporter reported that it would not wish that on anyone.
More
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| 2825818 | 28 | F | MI | 02/11/2025 |
TDAP TDAP |
GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS |
DH382 |
Exposure during pregnancy, Extra dose administered; Exposure during pregnancy, E...
Exposure during pregnancy, Extra dose administered; Exposure during pregnancy, Extra dose administered
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pregnant accidentally received 1st dose; pregnant accidentally received a second dose; Live birth; r...
pregnant accidentally received 1st dose; pregnant accidentally received a second dose; Live birth; received a second dose of Boostrix; This non-serious prospective pregnancy case was reported by a pharmacist via call center representative and described the occurrence of live birth in a 28-year-old female patient who received DTPa (Reduced antigen) (Boostrix) for prophylaxis. Co-suspect products included DTPa (Reduced antigen) (Boostrix) (batch number DH382) for prophylaxis. On 03-AUG-2023, the patient received the 2nd dose of Boostrix. In JUL-2023, the patient received the 1st dose of Boostrix. On 03-AUG-2023, an unknown time after receiving Boostrix and not applicable after receiving Boostrix, the patient experienced extra dose administered (Verbatim: received a second dose of Boostrix). The patient experienced live birth (Verbatim: Live birth). On an unknown date, the patient experienced vaccine exposure during pregnancy (Verbatim: pregnant accidentally received 1st dose) and vaccine exposure during pregnancy (Verbatim: pregnant accidentally received a second dose). The outcome of the live birth, vaccine exposure during pregnancy, vaccine exposure during pregnancy and extra dose administered were unknown. Pregnancy exposure: Gestation time at first exposure (Boostrix): 30 Weeks Pregnancy Exposure (Boostrix): To mother in third trimester Pregnancy Exposure (Boostrix): Trimester unknown Pregnancy Details (Neonate 1): Actual Delivery Date: Delivery Type: vaginal Pregnancy Outcome: Live neonate with no apparent congenital anomaly Birth Weight: 3270 grams (7lbs 3oz) Delivery Notes: The healthy baby was born at 38 weeks, 6 days gestation, baby's length was 48.3 centimeter (19 inches) and head circumference was 31.5 centimeter 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: 03-AUG-2023 The pharmacist reported that patient was 30 weeks pregnant when she accidentally received the second dose of Boostrix. The patient administered first dose of Boostrix (batch numer DH382) two weeks prior of second dose (July2023). The vaccine administration facility is the same as primary reporter. The reporter consented to follow up. Follow-up information received on 07-MAY-2024. A previous report was received because a pregnant women received a second Boostrix dose in error. The patient and her baby was discharged on postpartum day 1. Summary of changes: The patient's pregnancy details, event details and narrative were updated. Upon internal review the case was updated on 10-FEB-2025 The report type was updated from PMS to Spontaneous. Summary of changes: Report type, product details and narrative were updated.
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| 2825819 | 27 | F | IN | 02/11/2025 |
TDAP |
GLAXOSMITHKLINE BIOLOGICALS |
M4E4A |
Exposure during pregnancy, Extra dose administered
Exposure during pregnancy, Extra dose administered
|
pregnant patient received 2 doses of Boostrix approximately 14 days apart; pregnant patient received...
pregnant patient received 2 doses of Boostrix approximately 14 days apart; pregnant patient received 2 doses of Boostrix approximately 14 days apart; pregnant patient received 2 doses of Boostrix approximately 14 days apart; This non-serious prospective pregnancy case was reported by a nurse via call center representative and described the occurrence of vaccine exposure during pregnancy in a 27-year-old female patient who received DTPa (Reduced antigen) (Boostrix) (batch number M4E4A, expiry date 05-OCT-2025) for prophylaxis. Co-suspect products included DTPa (Reduced antigen) (Boostrix) for prophylaxis. On 23-AUG-2023, the patient received Boostrix. On 09-AUG-2023, the patient received Boostrix. On 23-AUG-2023, an unknown time after receiving Boostrix and not applicable after receiving Boostrix, the patient experienced extra dose administered (Verbatim: pregnant patient received 2 doses of Boostrix approximately 14 days apart). On an unknown date, the patient experienced vaccine exposure during pregnancy (Verbatim: pregnant patient received 2 doses of Boostrix approximately 14 days apart) and vaccine exposure during pregnancy (Verbatim: pregnant patient received 2 doses of Boostrix approximately 14 days apart). The outcome of the vaccine exposure during pregnancy, vaccine exposure during pregnancy and extra dose administered were unknown. Pregnancy exposure: Gestation time at first exposure (Boostrix): 29 Weeks Pregnancy Exposure (Boostrix): Trimester unknown Gestation time at first exposure (Boostrix): 27 Weeks Pregnancy Exposure (Boostrix): Trimester unknown Last Menstrual Period Date: 01-FEB-2023 Estimated Delivery/Due date: 08-NOV-2023 Pregnancy Details (Neonate 1): Number of Fetuses/Neonates: 1 Pregnancy Outcome: Pregnancy was ongoing Additional Information: GSK receipt date 25 August 2023: A registered nurse called in to report that a pregnant patient received 2 doses of Boostrix approximately 14 days apart and wished to know how to proceed. The reporter consented to follow up. The Vaccine Administration Facility is the same as Primary Reporter. The patient received 2 doses of Boostrix approximately 14 days apart which led to extra dose administered and vaccine exposure during pregnancy. Follow up information received on 22-Sep-2023. Summary of changes: The patient tab and narrative updated Upon internal review the case was updated on 10-FEB-2025 The report type was updated from PMS to Spontaneous. Summary of changes: Report type and narrative were updated.
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| 2825820 | F | PA | 02/11/2025 |
TDAP |
GLAXOSMITHKLINE BIOLOGICALS |
M4E4A |
Exposure during pregnancy
Exposure during pregnancy
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third trimester of pregnancy (28 weeks gestation), received Boostrix; This non-serious prospective p...
third trimester of pregnancy (28 weeks gestation), received Boostrix; This non-serious prospective pregnancy case was reported by a nurse via call center representative and described the occurrence of vaccine exposure during pregnancy in a 31-year-old female patient who received DTPa (Reduced antigen) (Boostrix) (batch number M4E4A, expiry date 05-OCT-2025) for prophylaxis. On 11-DEC-2023, the patient received Boostrix. On 11-DEC-2023, an unknown time after receiving Boostrix, the patient experienced vaccine exposure during pregnancy (Verbatim: third trimester of pregnancy (28 weeks gestation), received Boostrix). The outcome of the vaccine exposure during pregnancy was unknown. Pregnancy exposure: Gestation time at first exposure (Boostrix): 28 Weeks Pregnancy Exposure (Boostrix): To mother in third trimester Pregnancy Outcome: Lost to follow up 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: 13-DEC-2023 A nurse reported that, the patient in her third trimester of pregnancy (28 weeks gestation), received Boostrix, which led to vaccine exposure during pregnancy. The date of last menstrual period and estimated delivery date were unknown. Nothing else was reported. The reporter consented to follow up. Follow-up information received on 20-SEP-2024 and 17-OCT-2024 VAERS details were updated. This pregnancy case was now considered lost to follow-up. Summary of Changes: FU Tracking memo in general tab updated, pregnancy outcome updated as lost to follow-up and narrative updated. Upon internal review the case was updated on 10-FEB-2025 The report type was updated from PMS to Spontaneous. Summary of changes: Report type, product details and narrative were updated.
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| 2825821 | F | TX | 02/11/2025 |
TDAP |
GLAXOSMITHKLINE BIOLOGICALS |
CX4HL |
Exposure during pregnancy, Extra dose administered
Exposure during pregnancy, Extra dose administered
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Drug Exposure During Pregnancy; Drug Exposure During Pregnancy; Extra dose; This non-serious prospec...
Drug Exposure During Pregnancy; Drug Exposure During Pregnancy; Extra dose; This non-serious prospective pregnancy case was reported by a other health professional via call center representative and described the occurrence of vaccine exposure during pregnancy in a 20-year-old female patient who received DTPa (Reduced antigen) (Boostrix) (batch number CX4HL, expiry date 09-NOV-2026) for prophylaxis. Co-suspect products included DTPa (Reduced antigen) (Boostrix) (batch number CX4HL, expiry date 09-NOV-2026) for prophylaxis. On 20-SEP-2024, the patient received the 2nd dose of Boostrix. On 03-SEP-2024, the patient received the 1st dose of Boostrix. On 20-SEP-2024, an unknown time after receiving Boostrix and not applicable after receiving Boostrix, the patient experienced extra dose administered (Verbatim: Extra dose). On an unknown date, the patient experienced vaccine exposure during pregnancy (Verbatim: Drug Exposure During Pregnancy) and vaccine exposure during pregnancy (Verbatim: Drug Exposure During Pregnancy). The outcome of the vaccine exposure during pregnancy, vaccine exposure during pregnancy and extra dose administered were not applicable. Pregnancy exposure: Pregnancy Exposure (Boostrix): To mother in second trimester Pregnancy Exposure (Boostrix): To mother in second trimester Estimated Delivery/Due date: 02-DEC-2024 Pregnancy Outcome: Pregnancy was ongoing 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: 24-SEP-2024 The reporter had a patient, who was pregnant, and who received the Tdap on 03-SEP-2024, and then another one on 20-SEP-2024, and reporter need to know if GSK had any research or data that know like any effects or anything like that. The reporter mentioned that both vaccines where administer during the 2nd pregnancy trimester of the patient. The vaccine administration facility was the same as primary reporter. The patient received 2nd dose of Boostrix during pregnancy, which led to extra dose administered. Upon internal review the case was updated on 10-FEB-2025 The report type was updated from PMS to Spontaneous. Summary of changes: Report type, product details and narrative were updated.
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| 2825822 | 30 | F | IL | 02/11/2025 |
TDAP TDAP |
GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS |
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Exposure during pregnancy, Extra dose administered; Exposure during pregnancy, E...
Exposure during pregnancy, Extra dose administered; Exposure during pregnancy, Extra dose administered
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pregnant woman in her 36.1 week of pregnancy, receive the Boostrix; already had the Boostrix during ...
pregnant woman in her 36.1 week of pregnancy, receive the Boostrix; already had the Boostrix during this pregnancy; However, looking back the woman already had the Boostrix during this pregnancy,; This non-serious prospective pregnancy case was reported by a other health professional via call center representative and described the occurrence of vaccine exposure during pregnancy in a 30-year-old female patient who received DTPa (Reduced antigen) (Boostrix) for prophylaxis. Co-suspect products included DTPa (Reduced antigen) (Boostrix) for prophylaxis. On 24-SEP-2024, the patient received the 2nd dose of Boostrix (intramuscular). On an unknown date, the patient received the 1st dose of Boostrix. On 24-SEP-2024, an unknown time after receiving Boostrix and not applicable after receiving Boostrix, the patient experienced extra dose administered (Verbatim: However, looking back the woman already had the Boostrix during this pregnancy,). On an unknown date, the patient experienced vaccine exposure during pregnancy (Verbatim: pregnant woman in her 36.1 week of pregnancy, receive the Boostrix) and vaccine exposure during pregnancy (Verbatim: already had the Boostrix during this pregnancy). The outcome of the vaccine exposure during pregnancy, vaccine exposure during pregnancy and extra dose administered were unknown. Pregnancy exposure: Pregnancy Exposure (Boostrix): To mother in third trimester Pregnancy Exposure (Boostrix): Trimester unknown Pregnancy Outcome: Pregnancy was ongoing 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: 24-SEP-2024 The health care professional reported that a pregnant patient in her 36.1 week of pregnancy, received the Boostrix on the day of reporting, which led to vaccine exposure during pregnancy. However, looking back the women already had Boostrix during this pregnancy, which led vaccine exposure during pregnancy and extra dose administered. The reporter was unsure of the date due to computer being down, no symptoms. Upon internal review the case was updated on 11-FEB-2025 The report type was updated from PMS to Spontaneous. Summary of changes: Report type, product details and narrative were updated.
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| 2825823 | F | CA | 02/11/2025 |
HIBV |
GLAXOSMITHKLINE BIOLOGICALS |
395JH |
Product preparation issue
Product preparation issue
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Hiberix + only diluent given; Hiberix + only diluent given; This non-serious case was reported by a ...
Hiberix + only diluent given; Hiberix + only diluent given; This non-serious case was reported by a nurse via call center representative and described the occurrence of inappropriate preparation of medication in a 4-month-old female patient who received Hib (Hiberix) (batch number 395JH) for prophylaxis. On 15-JAN-2025, the patient received Hiberix. On 15-JAN-2025, an unknown time after receiving Hiberix, the patient experienced inappropriate preparation of medication (Verbatim: Hiberix + only diluent given) and inappropriate dose of vaccine administered (Verbatim: Hiberix + only diluent given). The outcome of the inappropriate preparation of medication and inappropriate dose of vaccine administered were unknown. Additional Information: GSK Receipt Date: 22-JAN-2025 The nurse reported that the diluent portion of Hiberix vaccines was administered to a patient without the lyophilized component, which led to inappropriate preparation of medication and inappropriate dose of vaccine administered. The vaccine administration facility was the same as primary reporter.
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| 2825824 | 65 | M | NJ | 02/11/2025 |
VARZOS VARZOS |
GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS |
UNK |
Inappropriate schedule of product administration, Product prescribing error; Ina...
Inappropriate schedule of product administration, Product prescribing error; Inappropriate schedule of product administration, Product prescribing error
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Drug prescribing error; The patient received the first dose of Shingrix in 2022 and 2nd in May 2024;...
Drug prescribing error; The patient received the first dose of Shingrix in 2022 and 2nd in May 2024; This non-serious case was reported by a pharmacist via call center representative and described the occurrence of drug dose administration interval too long in a 65-year-old male patient who received Herpes zoster (Shingrix) for prophylaxis. Co-suspect products included Herpes zoster (Shingrix) for prophylaxis. Previously administered products included Shingrix (received first dose of Shingrix in 2022). In MAY-2024, the patient received the 2nd dose of Shingrix. On an unknown date, the patient did not receive the 3rd dose of Shingrix. In MAY-2024, an unknown time after receiving Shingrix and not applicable after receiving Shingrix, the patient experienced drug dose administration interval too long (Verbatim: The patient received the first dose of Shingrix in 2022 and 2nd in May 2024). On an unknown date, the patient experienced drug prescribing error (Verbatim: Drug prescribing error). The outcome of the drug dose administration interval too long and drug prescribing error were unknown. Additional Information: GSK Receipt Date: 03-FEB-2025 The pharmacist reported that she had a prescription for a patient for Shingrix, but it will be the patient's 3rd dose which led to drug prescribing error. The patient received the first dose of Shingrix in 2022 and 2nd in May 2024. The pharmacist thinks the physician may have forgotten the patient received the 1st dose in 2022 and that's why the 3rd dose was prescribed. The patient received 2nd dose of Shingrix longer than the recommended interval which led to lengthening of vaccination schedule.
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| 2825825 | F | AR | 02/11/2025 |
DTAPIPV |
GLAXOSMITHKLINE BIOLOGICALS |
42Y93 |
Inappropriate schedule of product administration, Product administered to patien...
Inappropriate schedule of product administration, Product administered to patient of inappropriate age
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A 4 months old female patient received a dose of Kinrix; Kinrix was administered for the 2nd dose of...
A 4 months old female patient received a dose of Kinrix; Kinrix was administered for the 2nd dose of DTaP and IPV; 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 4-month-old female patient who received DTPa-IPV (Kinrix) (batch number 42Y93, expiry date 05-JUN-2026) for prophylaxis. On an unknown date, the patient received the 2nd dose of Kinrix. On an unknown date, an unknown time after receiving Kinrix, the patient experienced inappropriate age at vaccine administration (Verbatim: A 4 months old female patient received a dose of Kinrix) and inappropriate schedule of vaccine administered (Verbatim: Kinrix was administered for the 2nd dose of DTaP and IPV). The outcome of the inappropriate age at vaccine administration and inappropriate schedule of vaccine administered were 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: 04-FEB-2025 The reporter reported that a 4 months old patient received Kinrix and Kinrix was administered for the 2nd dose of DTaP and IPV, which led to inappropriate age at vaccine administration and inappropriate schedule of vaccine administered. And wanted to know if there was anything if they should do.
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| 2825826 | M | IN | 02/11/2025 |
MNQ |
NOVARTIS VACCINES AND DIAGNOSTICS |
X4T99 |
Incorrect route of product administration
Incorrect route of product administration
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A 55 years old male patient received a dose of manevo; This non-serious case was reported by a pharm...
A 55 years old male patient received a dose of manevo; This non-serious case was reported by a pharmacist via call center representative and described the occurrence of intramuscular formulation administered by other route in a 55-year-old male patient who received Men ACWY-CRM NVS (Menveo) (batch number X4T99, expiry date 30-SEP-2025) for prophylaxis. On an unknown date, the patient received Menveo (subcutaneous). On an unknown date, an unknown time after receiving Menveo, the patient experienced intramuscular formulation administered by other route (Verbatim: A 55 years old male patient received a dose of manevo). The outcome of the intramuscular formulation administered by other route was unknown. Additional Information: GSK Receipt Date: 05-FEB-2025 The pharmacist reported that they administered a dose of Menveo (1 vial) subcutaneously instead of intramuscularly, which led to intramuscular formulation administered by other route. The reporter was ask what was the recommendations to follow.
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| 2825827 | 66 | M | NM | 02/11/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
|
Myalgia, Pyrexia, Rash
Myalgia, Pyrexia, Rash
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sore muscles; fever; rash; This non-serious case was reported by a consumer via call center represen...
sore muscles; fever; rash; This non-serious case was reported by a consumer via call center representative and described the occurrence of muscle soreness in a 66-year-old male patient who received Herpes zoster (Shingrix) for prophylaxis. On 05-FEB-2025, the patient received Shingrix (intramuscular). On 06-FEB-2025, 1 days after receiving Shingrix, the patient experienced muscle soreness (Verbatim: sore muscles), fever (Verbatim: fever) and rash (Verbatim: rash). The outcome of the muscle soreness, fever and rash were unknown. It was unknown if the reporter considered the muscle soreness, fever and rash to be related to Shingrix. It was unknown if the company considered the muscle soreness, fever and rash to be related to Shingrix. Additional Information: GSK Receipt Date: 06-FEB-2025 The reporter reported that a patient received his Shingrix vaccination and reporting day morning he awoke with fever, muscle aches and rash on his stomach and arms.
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| 2825828 | M | CA | 02/11/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
HA5HA |
Inappropriate schedule of product administration, Product preparation issue
Inappropriate schedule of product administration, Product preparation issue
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Only adjuvant portion; Only adjuvant portion; late 2nd dose; This non-serious case was reported by a...
Only adjuvant portion; Only adjuvant portion; late 2nd dose; This non-serious case was reported by a other health professional via call center representative and described the occurrence of inappropriate preparation of medication in a 51-year-old male patient who received Herpes zoster (Shingrix) (batch number HA5HA, expiry date 13-NOV-2026) for prophylaxis. Previously administered products included Shingrix (received 1st dose on 17-MAY-2024). On 04-FEB-2025, the patient received the 2nd dose of Shingrix. On 04-FEB-2025, an unknown time after receiving Shingrix, the patient experienced inappropriate preparation of medication (Verbatim: Only adjuvant portion), inappropriate dose of vaccine administered (Verbatim: Only adjuvant portion) and drug dose administration interval too long (Verbatim: late 2nd dose ). The outcome of the inappropriate preparation of medication, inappropriate dose of vaccine administered and drug dose administration interval too long were unknown. Additional Information: GSK Receipt Date: 06-FEB-2025 The health care professional reported that he/she asked regards the Shingles vaccine (Shingrix), if a patient was given just the diluent only and not the vaccine it self, when was safe to get the dose of vaccine, which led to inappropriate preparation of medication and inappropriate doseof vaccine administered. The vaccine administration facility was the same as primary reporter. The patient received 2nd dose of Shingrix, later than the recommended interval, which led to lengthening of vaccination schedule.
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| 2825829 | 1 | M | OK | 02/11/2025 |
DTAPIPV |
GLAXOSMITHKLINE BIOLOGICALS |
5G23D |
Product administered to patient of inappropriate age
Product administered to patient of inappropriate age
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Kinrix was administered to a 13-month-old patient instead of Pediarix; Kinrix was administered to a ...
Kinrix was administered to a 13-month-old patient instead of Pediarix; Kinrix was administered to a 13-month-old patient; This non-serious case was reported by a nurse via call center representative and described the occurrence of wrong vaccine administered in a 13-month-old male patient who received DTPa-IPV (Kinrix) (batch number 5G23D, expiry date 21-AUG-2026) for prophylaxis. Co-suspect products included DTPa-HBV-IPV (Pediarix) for prophylaxis. On 28-JAN-2025, the patient received Kinrix. On an unknown date, the patient received Pediarix. On 28-JAN-2025, an unknown time after receiving Kinrix and not applicable after receiving Pediarix, the patient experienced wrong vaccine administered (Verbatim: Kinrix was administered to a 13-month-old patient instead of Pediarix) and inappropriate age at vaccine administration (Verbatim: Kinrix was administered to a 13-month-old patient). The outcome of the wrong vaccine administered and inappropriate age at vaccine administration were 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: 06-FEB-2025 The reporter reported that the Kinrix was administered to a 13-month-old patient instead of Pediarix which led to, wrong vaccine administered and inappropriate age at vaccine administration. The reporter stated that they had always re-vaccinated after 30 days an in because it was considered an invalid dose but their stated, they did not had to re-vaccinate because it was the same dose. The vaccine administration facility was the same as primary reporter.
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| 2825830 | 59 | F | FL | 02/11/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
UNK |
Incomplete course of vaccination
Incomplete course of vaccination
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received the first dose of Shingrix almost 2 years ago and did not return for the 2nd dose; This non...
received the first dose of Shingrix almost 2 years ago and did not return for the 2nd dose; This non-serious case was reported by a pharmacist via call center representative and described the occurrence of incomplete course of vaccination in a 61-year-old female patient who received Herpes zoster (Shingrix) for prophylaxis. Previously administered products included Shingrix (received 1st dose on 20-APR-2023). 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: received the first dose of Shingrix almost 2 years ago and did not return for the 2nd dose). The outcome of the incomplete course of vaccination was unknown. Additional Information: GSK Receipt Date: 07-FEB-2025 The pharmacist stated a patient received the first dose of Shingrix almost 2 years ago and did not return for the 2nd dose. The vaccine administration facility was the same as primary reporter. Till the time of reporting, the patient did not receive 2nd dose of Shingrix which led to incomplete course of vaccination.; Sender's Comments: US-GSK-US2018187736:same reporter
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| 2825831 | 72 | F | IA | 02/11/2025 |
HEPAB |
GLAXOSMITHKLINE BIOLOGICALS |
2553X |
Inappropriate schedule of product administration
Inappropriate schedule of product administration
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patient received a first dose of Twinrix in Aug 7th 2024 and second dose was given today Feb 7th 202...
patient received a first dose of Twinrix in Aug 7th 2024 and second dose was given today Feb 7th 2025; This non-serious case was reported by a pharmacist via call center representative and described the occurrence of drug dose administration interval too long in a 72-year-old female patient who received HAB (Twinrix) (batch number 2553X, expiry date 25-SEP-2026) for prophylaxis. Previously administered products included Twinrix (received 1st dose on 07-AUG-2024, batch number 2553X, expiry date 25-SEP-2026). On 07-FEB-2025, the patient received the 2nd dose of Twinrix. On 07-FEB-2025, an unknown time after receiving Twinrix, the patient experienced drug dose administration interval too long (Verbatim: patient received a first dose of Twinrix in Aug 7th 2024 and second dose was given today Feb 7th 2025). The outcome of the drug dose administration interval too long 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: 07-FEB-2025 A pharmacist reported that a patient received 2nd dose of Twinrix, later than the recommended interval, which led to lengthening of vaccination schedule The pharmacist asked if series should be re started
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| 2825832 | M | CA | 02/11/2025 |
HEPA |
GLAXOSMITHKLINE BIOLOGICALS |
UNK |
Incomplete course of vaccination
Incomplete course of vaccination
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patient started the Havrix series in 2019 but never received the second dose.; This non-serious case...
patient started the Havrix series in 2019 but never received the second dose.; This non-serious case was reported by a pharmacist via call center representative and described the occurrence of incomplete course of vaccination in a 29-year-old male patient who received HAV (Havrix) for prophylaxis. Previously administered products included Havrix (received 1st dose in 2019). On an unknown date, the patient did not receive the 2nd dose of Havrix. On an unknown date, an unknown time after receiving Havrix, the patient experienced incomplete course of vaccination (Verbatim: patient started the Havrix series in 2019 but never received the second dose.). The outcome of the incomplete course of vaccination 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: 07-FEB-2025 The pharmacist reported that a patient started the Havrix series in 2019 but never received the second dose. Till the time of reporting, the patient did not receive the 2nd dose of Havrix, which led to an incomplete course of vaccination.
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| 2825833 | 60 | F | 02/11/2025 |
RSV |
MODERNA |
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Blood glucose increased, Pain in extremity
Blood glucose increased, Pain in extremity
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sore arms; This spontaneous case was reported by a patient and describes the occurrence of PAIN IN E...
sore arms; This spontaneous case was reported by a patient and describes the occurrence of PAIN IN EXTREMITY ("sore arms") in a 60-year-old female patient who received mRNA-1345 (mRESVIA) for Lower respiratory tract infection. Concurrent medical conditions included Diabetes. On 04-Feb-2025, the patient received dose of mRNA-1345 (mRESVIA) (Intramuscular use) 1 dosage form. On 05-Feb-2025, after starting mRNA-1345 (mRESVIA), the patient experienced PAIN IN EXTREMITY ("sore arms"). At the time of the report, PAIN IN EXTREMITY ("sore arms") outcome was unknown. Not Provided DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 05-Feb-2025, Blood glucose: high blood sugar of 185.. The action taken with mRNA-1345 (mRESVIA) (Intramuscular use) was unknown. No concomitant medication was reported. No treatment information was reported. This case was linked to MOD-2025-782121 (Patient Link).
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| 2825834 | 60 | F | 02/11/2025 |
COVID19 |
MODERNA |
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Blood glucose increased, Pain in extremity
Blood glucose increased, Pain in extremity
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"sore arms"; This spontaneous case was reported by a patient and describes the occurrence ...
"sore arms"; This spontaneous case was reported by a patient and describes the occurrence of PAIN IN EXTREMITY ("sore arms") in a 60-year-old female patient who received mRNA-1273.712 (SPIKEVAX 2024-2025 PFS) for COVID-19 prophylaxis. Concurrent medical conditions included Diabetes. On 04-Feb-2025, the patient received dose of mRNA-1273.712 (SPIKEVAX 2024-2025 PFS) (Intramuscular use) 1 dosage form. On 05-Feb-2025, after starting mRNA-1273.712 (SPIKEVAX 2024-2025 PFS), the patient experienced PAIN IN EXTREMITY ("sore arms"). At the time of the report, PAIN IN EXTREMITY ("sore arms") outcome was unknown. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 05-Feb-2025, Blood glucose increased: high blood sugar of 185. No concomitant medication was reported. No treatment information was reported. This case was linked to US-MODERNATX, INC.-MOD-2025-782124 (E2B Linked Report).; Sender's Comments: US-MODERNATX, INC.-MOD-2025-782124:mRESVIA RSV Vaccine
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| 2825835 | 59 | F | TX | 02/11/2025 |
COVID19 |
PFIZER\BIONTECH |
|
COVID-19, Vaccination failure, Weight
COVID-19, Vaccination failure, Weight
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COVID-19; COVID-19; This is a spontaneous report received from a consumer, Program ID. A 60-year-ol...
COVID-19; COVID-19; This is a spontaneous report received from a consumer, Program ID. A 60-year-old female patient received BNT162b2 Omicron (KP.2) (COMIRNATY (2024-2025 FORMULA)), on 03Oct2024 as dose 1, single (Batch/Lot number: unknown) at the age of 59 years for COVID-19 immunisation. The patient's relevant medical history included: "COVID-19", start date: 2022 (unspecified if ongoing). There were no concomitant medications. Past drug history included: Paxlovid, start date: Jul2022, for COVID-19 treatment. Vaccination history included: COVID-19 vaccine (Primary immunization series complete; unknown manufacturer), for COVID-19 immunization; Moderna (DOSE NUMBER UNKNOWN (BOOSTER)), for COVID-19 immunization. The following information was reported: VACCINATION FAILURE (medically significant), COVID-19 (medically significant) all with onset Feb2025, outcome "unknown" and all described as "COVID-19". The patient underwent the following laboratory tests and procedures: Weight: About 155. The patient had nirmatrelvir/ritonavir (PAXLOVID) before and then she started with a couple of years ago and that she got all her boosters. The patient guesses that she can get COVID-19 again. So, she had PAXLOVID before and she has COVID-19 and PAXLOVID again. Therapeutic measures included nirmatrelvir/ritonavir (300/100 mg), oral, at 3 tablets, twice daily, for 5 days from 06Feb2025 (ongoing).
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| 2825836 | 61 | F | IL | 02/11/2025 |
PNC20 |
PFIZER\WYETH |
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Injection site erythema, Injection site pain, Injection site swelling
Injection site erythema, Injection site pain, Injection site swelling
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the most painful shot I have ever gotten; near it's swollen and red where at the site of the in...
the most painful shot I have ever gotten; near it's swollen and red where at the site of the injection; near it's swollen and red where at the site of the injection; This is a spontaneous report received from a Consumer or other non HCP. A 61-year-old female patient received pneumococcal 20-val conj vac (dipht CRM197 protein) (PREVNAR 20), on 05Feb2025 as dose number unknown, 0.5ml single (Batch/Lot number: unknown) at the age of 61 years for immunisation. The patient's relevant medical history and concomitant medications were not reported. The following information was reported: VACCINATION SITE PAIN (non-serious), outcome "unknown", described as "the most painful shot I have ever gotten"; VACCINATION SITE SWELLING (non-serious), VACCINATION SITE ERYTHEMA (non-serious), outcome "unknown" and all described as "near it's swollen and red where at the site of the injection". Additional information: Consumer stated that patient actually got a Prevnar 20, 0.5 milliliter shot 05Feb2025 (yesterday) in the morning and it was the most painful shot patient had ever gotten and patient was just been living like because patient just do and may be patient should not have but right but patient have, near it's swollen and red where at the site of the injection so, patient was concerned about that. Patient did not know if there was something patient should do about it. Consumer was requested to visit nearest Health Care Professional or Pharmacist in case of emergency. The information on the batch/lot number for pneumococcal 20-val conj vac (dipht CRM197 protein) will be requested and submitted if and when received.
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| 2825837 | F | NY | 02/11/2025 |
COVID19 COVID19 |
PFIZER\BIONTECH PFIZER\BIONTECH |
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Back pain, Blood test, COVID-19, Drug ineffective, Malaise; SARS-CoV-2 test
Back pain, Blood test, COVID-19, Drug ineffective, Malaise; SARS-CoV-2 test
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I got COVID; I got COVID; I haven't been feeling well and the different symptoms I am having; p...
I got COVID; I got COVID; I haven't been feeling well and the different symptoms I am having; pain in the right side of my back; This is a spontaneous report received from a Consumer or other non HCP, Program ID. A 58-year-old female 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 included: "covid" (unspecified if ongoing), notes: this is the second time I have covid, but the first time I did not have any symptoms I didn't know I had it but when I got tested it shows that I had covid. The patient's concomitant medications were not reported. Vaccination history included: Covid-19 vaccine (DOSE 1; MANUFACTURER UNKNOWN), for COVID-19 immunization. The following information was reported: DRUG INEFFECTIVE (medically significant), COVID-19 (medically significant), outcome "unknown" and all described as "I got COVID"; MALAISE (non-serious), outcome "not recovered", described as "I haven't been feeling well and the different symptoms I am having"; BACK PAIN (non-serious), outcome "not recovered", described as "pain in the right side of my back". The events "i got covid" and "i haven't been feeling well and the different symptoms i am having" required emergency room visit. The patient underwent the following laboratory tests and procedures: Blood test: I have the antibodies; SARS-CoV-2 test: I got COVID; I had covid. Clinical course: The reporter stated that, "The doctor told me last night, you know, because he hasn't been feeling well and the different symptoms this is the second time he has covid, but the first time did not have any symptoms he didn't know he had it but when I got tested it shows that he had covid had to be quarantined but this time had vaccinations,. Reporter stated" I've had two vaccinations and I have the bloodwork showing that I have the antibodies but then I got the covid test I got Covid from a family member had a baby, I was kind of helping the baby, and somehow I get the COVID, and I started the symptoms, and like the Covid and yesterday I went to the ER (emergency room) you know I have to get an (inaudible) because I've been having a pain in the right side of my back and the lung doctor was saying I need to get the medication because it's going to help (inaudible) down so it doesn't make the symptoms worse so I can get better. " The information on the batch/lot number for BNT162b2 omicron (kp.2) will be requested and submitted if and when received.
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| 2825838 | M | 02/11/2025 |
RSV |
PFIZER\WYETH |
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Dyspnoea, Gait disturbance, Malaise, Vomiting
Dyspnoea, Gait disturbance, Malaise, Vomiting
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he was very sick; vomiting; difficulty breathing; couldn't walk 10 feet to the bathroom; This i...
he was very sick; vomiting; difficulty breathing; couldn't walk 10 feet to the bathroom; This is a spontaneous report received from a Consumer or other non HCP, Program ID. A male patient received rsv vaccine prot.subunit pref 2v (ABRYSVO), as dose 1, single (Batch/Lot number: unknown) for immunisation. The patient's relevant medical history and concomitant medications were not reported. The following information was reported: ILLNESS (non-serious), outcome "unknown", described as "he was very sick"; VOMITING (non-serious), outcome "unknown"; DYSPNOEA (non-serious), outcome "unknown", described as "difficulty breathing"; MOBILITY DECREASED (non-serious), outcome "unknown", described as "couldn't walk 10 feet to the bathroom". Additional information: he was very sick and was vomiting, had difficulty breathing, and couldn't walk 10 feet to the bathroom after receiving rsv vaccine. Batch/lot number is not provided, and it cannot be obtained.
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| 2825839 | 70 | F | ME | 02/11/2025 |
FLU3 FLU3 |
SANOFI PASTEUR SANOFI PASTEUR |
UT8437DA UT8437DA |
Basophil count increased, Contusion, Decreased appetite, Eosinophil count increa...
Basophil count increased, Contusion, Decreased appetite, Eosinophil count increased, Musculoskeletal stiffness; Pain in extremity, Peripheral swelling, Sleep disorder, Swelling, Weight decreased
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Condition aggravated; lack appetite; gained 4 to 5 pounds that came on overnight; stiff; elevated ba...
Condition aggravated; lack appetite; gained 4 to 5 pounds that came on overnight; stiff; elevated basophil count; severe inflammatory responses of very high eosinophils; feet hurt'; trouble with sleep; arm was sore; bruised; experiencing swelling in her arms, feet, and hands since receiving fluzone hd/ swelling went up my arm, over shoulder, to side of my neck; Initial information received on 31-Jan-2025 regarding an unsolicited valid non-serious case received from a Patient. This case involves, a 70 years old female patient who had condition aggravated, arm was sore, bruised, feet hurt', trouble with sleep, lack appetite, severe inflammatory responses of very high eosinophils, gained 4 to 5 pounds that came on overnight, elevated basophil count, stiff and experiencing swelling in her arms, feet, and hands since receiving fluzone hd/ swelling went up her arm, over shoulder, to side of her neck after receiving Influenza Usp Trival A-B High Dose Subvirion Vaccine [Fluzone High Dose]. The patient's past medical history included Erythema. The patient's past vaccination(s) included Fluzone High Dose Quadrivalent on 21-Oct-2021. The patient's past medical treatment(s) and family history were not provided. At the time of the event, the patient had ongoing Pain, Headache and Peripheral swelling. Concomitant medications included Diphenhydramine Hydrochloride (Benadryl [Diphenhydramine Hydrochloride]) for Insomnia and Decreased appetite; and Paracetamol (Tylenol) for Pain and Fatigue. On 15-Jan-2025, the patient received 0.5 ml dose of suspect Influenza Usp Trival A-B High Dose Subvirion Vaccine Suspension for injection in pre-filled syringe (lot UT8437DA) (unknown strength, expiry date) via intramuscular route in the left deltoid for Immunization. On 15-Jan-2025, the patient developed experiencing swelling in her arms, feet, and hands/ swelling went up her arm, over shoulder, to side of her neck (swelling), arm was sore (pain in extremity), bruised (contusion) (latency-same day); on 16-Jan-2025, the patient developed feet hurt' (pain in extremity), trouble with sleep (initial insomnia) (latency-1 day); on 28-Jan-2025, the patient developed severe inflammatory responses of very high eosinophils (eosinophil count increased), elevated basophil count (basophil count increased) (latency-13 days); on an unknown date, the patient developed lack appetite (decreased appetite), condition aggravated, stiff (musculoskeletal stiffness), gained 4 to 5 pounds that came on overnight (weight increased) (unknown latency) following the administration of Influenza Usp Trival A-B High Dose Subvirion Vaccine. Reportedly, The caller was a nurse and the patient. She stated, '' she was looking to let people know of the reaction and ask for help with how to treat it.'' She said, she had local reactions from other vaccines and that was why she did not wanted the high-dose. With Pneumovax she reacted and was told not to take any PCV in the future. With Shingrix, the same thing. As a child ''she would miss school with arm swelling, pain and redness with DTaP shots''. Her physician's office was busy doing assessments and no one asked her which flu vaccine she wanted. They administered the injection, saying they gave it to her because she is of age. She realized after the dose that it was the high dose vaccine. In the past it was written down that she had a common reaction to a flu shot but could still receive flu shots in the future. She purposely do not get my tetanus boosters because of her history. She would only get a tetanus booster if she was actually injured.'' She was able to obtain an appointment with another physician at the office. She was told Guillain-Barre was ruled out. She was told that she had a severe inflammatory reaction. Relevant laboratory test results included: Blood test - On 28-Jan-2025: [showed severe inflammatory responses of very high eosinophils and elevated basophil count.] Weight - On 28-Jan-2025: [gained 4 to 5 pounds that came on overnight] Action taken was not applicable. It was not reported if the patient received a corrective treatment for all the events. At time of reporting, the outcome was Not Recovered / Not Resolved for all the events.
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| 2825840 | F | 02/11/2025 |
UNK |
UNKNOWN MANUFACTURER |
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No adverse event, Product administered to patient of inappropriate age
No adverse event, Product administered to patient of inappropriate age
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stated her daughter's friend got flublok and she wasn't 18 yet with no reported adverse ev...
stated her daughter's friend got flublok and she wasn't 18 yet with no reported adverse event; Initial information received on 07-Feb-2025 regarding an unsolicited valid non-serious case received from a consumer. This case involves an unknown age female patient who had received Influenza Trivalent Recombinant Vaccine [Flublok TIV] and she wasn't 18 yet with no reported adverse event. The patient's past medical history, medical treatment(s), vaccination(s) and family history were not provided. On an unknown date, the less than 18 years old patient received a unknown dose of suspect Influenza Trivalent Recombinant Vaccine Solution for injection (strength, expiry date and lot number not reported) via unknown route in unknown administration site as immunization with no reported adverse event (product administered to patient of inappropriate age) (same day latency). Information regarding batch number and expiration date corresponding to the one at time of event occurrence was requested. Reportedly: "Caller refused to provide event information without her friend's approval." Action taken: not applicable. This suspected adverse reaction report is submitted and classified as a medication error solely and exclusively to ensure the marketing authorization holder's compliance with the requirements set out in the Directive 2001/83/EC and Module VI of the Good Pharmacovigilance Practices. The classification as a medical error is in no way intended, nor should it be interpreted or construed as an allegation or claim made by the marketing authorization holder that any third party has contributed to or is to be held liable for the occurrence of this medication error.
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| 2825862 | 12 | M | OR | 02/11/2025 |
DTAP MNQ |
GLAXOSMITHKLINE BIOLOGICALS SANOFI PASTEUR |
9KB9G U8375AA |
No adverse event, Product administered to patient of inappropriate age; No adver...
No adverse event, Product administered to patient of inappropriate age; No adverse event, Product administered to patient of inappropriate age
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No known adverse effects post vaccination. Pt was given Dtap instead of Tdap.
No known adverse effects post vaccination. Pt was given Dtap instead of Tdap.
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| 2825863 | 59 | F | 02/11/2025 |
PNC21 |
MERCK & CO. INC. |
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Pruritus, Urticaria
Pruritus, Urticaria
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PATIENT STARTED EXPERIENCING ITCHING AND HIVES A DAY AFTER THE VACCINE AND STILL HAD THEM 5 DAYS AFT...
PATIENT STARTED EXPERIENCING ITCHING AND HIVES A DAY AFTER THE VACCINE AND STILL HAD THEM 5 DAYS AFTER THE VACCINE.
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