| ID | Age | Sex | State | Date โผ | Onset Days | Vaccine | Manufacturer | Lot # | Symptoms | Narrative | ๐ | ๐ฅ | ๐ | โฟ | โ ๏ธ |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2825533 | 83 | M | MI | 02/10/2025 |
RSV RSV |
GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS |
ECZR9 ECZR9 |
Abdominal pain upper, Asthenia, Diarrhoea, Malaise, Pyrexia; Vomiting
Abdominal pain upper, Asthenia, Diarrhoea, Malaise, Pyrexia; Vomiting
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I got the vaccine on Thursday around 12:25PM and after about 7 hours i started to get a fever, it wa...
I got the vaccine on Thursday around 12:25PM and after about 7 hours i started to get a fever, it was 102. I began feeling weak and like someone had taken over my whole body. I went bed around 10 and woke up at 1 with gastric pain. Had the runs as well every 30 mins, i was very weak and very ill, and around 12 noon I vomited. And i still had diherra throughout the day and around 4 a i threw up again my temp was still 101/102. Throughout the whole day and evening every 15 minutes. And sunday i still had the runs every couple hours and it is still on going as of this morning. My fever is now gone.
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| 2825534 | 4 | F | AL | 02/10/2025 |
COVID19 |
PFIZER\BIONTECH |
LN8272 |
Product preparation issue
Product preparation issue
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Pt was given the entire bottle of the vaccine of three doses of 0.3 ml without the vaccine being di...
Pt was given the entire bottle of the vaccine of three doses of 0.3 ml without the vaccine being diluted.
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| 2825535 | 17 | F | MI | 02/10/2025 |
PNC20 |
PFIZER\WYETH |
hr3650 |
Extra dose administered, No adverse event
Extra dose administered, No adverse event
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Vaccine given in error. Patient had already previously received 5 doses pneumococcal vaccine in chil...
Vaccine given in error. Patient had already previously received 5 doses pneumococcal vaccine in childhood, but immunization reconciliation was not done before administering vaccine. Patient did not show any adverse effects.
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| 2825536 | 11 | F | TX | 02/10/2025 |
HPV9 MNQ TDAP |
MERCK & CO. INC. SANOFI PASTEUR GLAXOSMITHKLINE BIOLOGICALS |
Y010466 U8351BA 9YB4G |
Cellulitis, Erythema, Pain in extremity, Peripheral swelling; Cellulitis, Erythe...
Cellulitis, Erythema, Pain in extremity, Peripheral swelling; Cellulitis, Erythema, Pain in extremity, Peripheral swelling; Cellulitis, Erythema, Pain in extremity, Peripheral swelling
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REDNESS, SWELLING, AND PAIN TO BILATERAL ARMS, WORSE TO THE LEFT ARM THAT STARTED ON WEDNESDAY 2/5/2...
REDNESS, SWELLING, AND PAIN TO BILATERAL ARMS, WORSE TO THE LEFT ARM THAT STARTED ON WEDNESDAY 2/5/2025, PATIENT WAS SEEN FRIDAY AND DIAGNOSED AND TREATED FOR CELLULITIS WITH clindamycin HCL 300 mg capsule, 1 CAPSULE Q 8 HOURS X 10 DAYS, PATIENT TO FOLLOW UP ON 2/10/2025 WITH PCP
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| 2825537 | 65 | F | 02/10/2025 |
MNQ |
SANOFI PASTEUR |
U8271AB |
Extra dose administered
Extra dose administered
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Patient was administered an extra MeQuadfi dose. Please note that patient was administered MenQuadfi...
Patient was administered an extra MeQuadfi dose. Please note that patient was administered MenQuadfi on 1/2/2024 , 11/7/2024, and 1/15/2025
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| 2825538 | 74 | F | FL | 02/10/2025 |
PNC20 |
PFIZER\WYETH |
lg5579 |
Extra dose administered
Extra dose administered
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Patient received 2 prevnar 20 vaccines within 2 years of each other. out of clinical guidelines
Patient received 2 prevnar 20 vaccines within 2 years of each other. out of clinical guidelines
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| 2825539 | 54 | F | MI | 02/10/2025 |
DTAP |
SANOFI PASTEUR |
3CA11C1 |
No adverse event, Product administered to patient of inappropriate age
No adverse event, Product administered to patient of inappropriate age
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Vaccine Error. Received DTaP, instead of Tdap. No reaction noted.
Vaccine Error. Received DTaP, instead of Tdap. No reaction noted.
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| 2825540 | 0.5 | M | NY | 02/10/2025 |
RSV |
PFIZER\WYETH |
HP1193 |
Product administered to patient of inappropriate age
Product administered to patient of inappropriate age
|
6 month old patient was given Abrysvo RSV vaccine on 01/29/2025 ( wrong RSV vaccine for children rec...
6 month old patient was given Abrysvo RSV vaccine on 01/29/2025 ( wrong RSV vaccine for children received form) . Abrysvo is not indicated for children. No side effects - noted till today.
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| 2825541 | 5 | F | ME | 02/10/2025 |
DTAP HEPA IPV MMR |
SANOFI PASTEUR MERCK & CO. INC. SANOFI PASTEUR GLAXOSMITHKLINE BIOLOGICALS |
3CA11C1 Y011643 W1C741M KH2BD |
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; Extra dose administered, No adverse event
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Reporting as a vaccine administration error, no adverse event noted. ...
Reporting as a vaccine administration error, no adverse event noted. Patient had two records in system, patient was receiving vaccines at to health care centers. Clinic administered the vaccines above out of sequence. MMR, IPOL, Hep A were not needed, they were extra doses. Dtap was administered too soon and is not valid. The patient was vaccinated again at clinic on 01/21/2005 and was given another Dtap that was off schedule and an MMR that was not needed
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| 2825542 | 76 | F | MI | 02/10/2025 |
DTAP |
SANOFI PASTEUR |
3CA11C1 |
No adverse event, Wrong product administered
No adverse event, Wrong product administered
|
Incorrect vaccine. Patient received DTaP instead of Tdap. no adverse reaction.
Incorrect vaccine. Patient received DTaP instead of Tdap. no adverse reaction.
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| 2825543 | 17 | F | ME | 02/10/2025 |
DTAPHEPBIP TDAP |
GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS |
25L32 LX494 |
Inappropriate schedule of product administration, No adverse event, Product admi...
Inappropriate schedule of product administration, No adverse event, Product administered to patient of inappropriate age; Inappropriate schedule of product administration, No adverse event, Product administered to patient of inappropriate age
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NO ADVERS EVENT- REPORTING VACCINE ADMINISTRATION ERROR: PEDIARIX WAS GIVEN TO A 17 YEAR OLD PATIENT...
NO ADVERS EVENT- REPORTING VACCINE ADMINISTRATION ERROR: PEDIARIX WAS GIVEN TO A 17 YEAR OLD PATIENT, THIS SHOULD NOT BE USED BEYOND 6 YEARS, THE PATIENT SHOULD HAVE BEEN GIVEN HEP B, POLIO INDIVIDUALLY. THE TDAP WAS GIVEN TOO SOON, SHOULD NOT HAVE HAD DOSE 3 UNTIL 6 MONTHS AFTER THE LAST
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| 2825544 | 1.17 | M | SD | 02/10/2025 |
DTAP FLU3 HEPA HIBV MMRV PNC20 VARCEL |
GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS MERCK & CO. INC. MERCK & CO. INC. PFIZER\WYETH MERCK & CO. INC. |
Y97N7 72RF2 22GP3 X022982 Y009982 LC5484 Y005920 |
Wrong product administered; Wrong product administered; Wrong product administer...
Wrong product administered; Wrong product administered; Wrong product administered; Wrong product administered; Wrong product administered; Wrong product administered; Wrong product administered
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Administration error. MMRV given instead of MMR
Administration error. MMRV given instead of MMR
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| 2825545 | 76 | F | FL | 02/10/2025 |
FLU3 TDAP |
SEQIRUS, INC. GLAXOSMITHKLINE BIOLOGICALS |
946614 X357E |
Extra dose administered; Extra dose administered
Extra dose administered; Extra dose administered
|
VACCINATION DUPLICATION. PATIENT GOT FLUSHOT (FLUAD) ON 08/17/2024 AND UPON CHECKING THE IMMUNIZATIO...
VACCINATION DUPLICATION. PATIENT GOT FLUSHOT (FLUAD) ON 08/17/2024 AND UPON CHECKING THE IMMUNIZATIO N REGISTRY, IT WAS NOT LOGGED IN. PATIENT CAME TO PHARMACY TO GET A FLUSHOT AND WAS ADMINISTERED FLUSHOT (FLUCELVAX) SINCE WE DID NOT HAVE FLUAD IN STOCK, PT WAS AWARE ITS A REGULAR DOSE. AND THE 2ND SHOT WAS ADMINISTERED ON 02/08/25
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| 2825546 | 1 | F | 02/10/2025 |
COVID19 DTAPIPVHIB FLU3 HEPA MMR PNC20 VARCEL |
MODERNA SANOFI PASTEUR SANOFI PASTEUR GLAXOSMITHKLINE BIOLOGICALS MERCK & CO. INC. PFIZER\WYETH MERCK & CO. INC. |
3043023 UK109AA 7KZ9R BM4R5 X027903 HR3649 Y013347 |
Febrile convulsion, Pyrexia; Febrile convulsion, Pyrexia; Febrile convulsion, Py...
Febrile convulsion, Pyrexia; Febrile convulsion, Pyrexia; Febrile convulsion, Pyrexia; Febrile convulsion, Pyrexia; Febrile convulsion, Pyrexia; Febrile convulsion, Pyrexia; Febrile convulsion, Pyrexia
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Pt was came in to receive 2nd doses of influenza and Covid vaccines. Parents stated she had a febril...
Pt was came in to receive 2nd doses of influenza and Covid vaccines. Parents stated she had a febrile seizure after getting 1 year immunizations. Pt had mild fevers that were bring treated with meds, then spiked and she had a seizure. Pt was seen by a physician that confirmed it was a febrile seizure after immunizations.
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| 2825547 | 17 | M | 02/10/2025 |
COVID19 FLU3 HPV9 |
PFIZER\BIONTECH SEQIRUS, INC. MERCK & CO. INC. |
|
Crying, Erythema, Pain in extremity, Peripheral swelling; Crying, Erythema, Pain...
Crying, Erythema, Pain in extremity, Peripheral swelling; Crying, Erythema, Pain in extremity, Peripheral swelling; Crying, Erythema, Pain in extremity, Peripheral swelling
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pt experienced a red/swollen/painful arm - the mother administered motrin 800 mg and also applied he...
pt experienced a red/swollen/painful arm - the mother administered motrin 800 mg and also applied heat to the area - she stated that the pain was so bad that the pt was crying
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| 2825548 | 51 | F | FL | 02/10/2025 |
TDAP |
GLAXOSMITHKLINE BIOLOGICALS |
x357e |
Extra dose administered
Extra dose administered
|
duplicate shot, she received the same shot 2/25/2024
duplicate shot, she received the same shot 2/25/2024
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| 2825549 | 17 | M | AZ | 02/10/2025 |
FLU3 HPV9 MENB MNQ |
SEQIRUS, INC. MERCK & CO. INC. NOVARTIS VACCINES AND DIAGNOSTICS SANOFI PASTEUR |
946597 Y007991 A2745 U8375AA |
Feeling hot, Hyperhidrosis; Feeling hot, Hyperhidrosis; Feeling hot, Hyperhidros...
Feeling hot, Hyperhidrosis; Feeling hot, Hyperhidrosis; Feeling hot, Hyperhidrosis; Feeling hot, Hyperhidrosis
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Administered Bexsero and MenQuadfi to right deltoid and Flu vaccine and HPV Guardasil to Left deltoi...
Administered Bexsero and MenQuadfi to right deltoid and Flu vaccine and HPV Guardasil to Left deltoid. After administration of HPV minor became diaphorectic and c/o feeling hot and dizzy. Gave minor 4 cups of cool water, placed ice pack on neck and cold compress on face. After 15min he stated he felt better.
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| 2825550 | 22 | F | 02/10/2025 |
COVID19 FLU3 HPV9 |
PFIZER\BIONTECH SEQIRUS, INC. MERCK & CO. INC. |
|
Malaise, Nausea, Vomiting; Malaise, Nausea, Vomiting; Malaise, Nausea, Vomiting
Malaise, Nausea, Vomiting; Malaise, Nausea, Vomiting; Malaise, Nausea, Vomiting
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pt stated that she was sick all weekend after the vaccine with nausea and vomiting
pt stated that she was sick all weekend after the vaccine with nausea and vomiting
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| 2825551 | 66 | M | WI | 02/10/2025 |
PNC20 PNC20 |
PFIZER\WYETH PFIZER\WYETH |
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Anti-ganglioside antibody, Guillain-Barre syndrome, Imaging procedure, Laborator...
Anti-ganglioside antibody, Guillain-Barre syndrome, Imaging procedure, Laboratory test, Magnetic resonance imaging head; Magnetic resonance imaging spinal
More
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Developed Guillain-Barr๏ฟฝ Syndrome (GBS)
Developed Guillain-Barr๏ฟฝ Syndrome (GBS)
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โ | โ | โ | |||
| 2825552 | 73 | M | IA | 02/10/2025 |
COVID19 |
MODERNA |
3043332 |
Death
Death
|
Death
Death
|
โ | |||||
| 2825553 | 33 | F | NJ | 02/10/2025 |
COVID19 COVID19 COVID19 COVID19 COVID19 COVID19 COVID19 COVID19 COVID19 COVID19 |
MODERNA MODERNA MODERNA MODERNA MODERNA MODERNA MODERNA MODERNA MODERNA MODERNA |
032B21A 032B21A 032B21A 032B21A 032B21A 006B21A 006B21A 006B21A 006B21A 006B21A |
Anxiety, Bedridden, Biopsy kidney, Dialysis, Echocardiogram; Eye haemorrhage, Im...
Anxiety, Bedridden, Biopsy kidney, Dialysis, Echocardiogram; Eye haemorrhage, Impaired work ability, Insomnia, Intensive care, Myocarditis; Pericarditis, Pleurisy, Pneumonia, Post-acute COVID-19 syndrome, Post-traumatic stress disorder; Postural orthostatic tachycardia syndrome, Pulmonary function test, Pyrexia, Renal failure, Urticaria; Vomiting; Anxiety, Bedridden, Biopsy kidney, Dialysis, Echocardiogram; Eye haemorrhage, Impaired work ability, Insomnia, Intensive care, Myocarditis; Pericarditis, Pleurisy, Pneumonia, Post-acute COVID-19 syndrome, Post-traumatic stress disorder; Postural orthostatic tachycardia syndrome, Pulmonary function test, Pyrexia, Renal failure, Urticaria; Vomiting
More
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As a school teacher and state worker, I had to get the covid vaccine in order to preserve my job. If...
As a school teacher and state worker, I had to get the covid vaccine in order to preserve my job. If we came into contact with any of our hundreds of students that had covid, we had to use 10 of our sick days each time. The night I received the second dose of the vaccine, my entire body broke out into extreme hives, and I began violently vomiting, rupturing my eye vessels. I was admitted to ICU. I had KIDNEY FAILURE. I needed a kidney biopsy. As a single mom of two young children, I was bed ridden in the hospital for three weeks on DIALYSIS. After my discharge, on outpatient dialysis, I had to return and get readmitted to the hospital within days due to a fever. The doctors diagnosed me with pneumonia, MYOCARDITIS AND PERIDCARDITIS. Over the next few months and hospital stays, I was also diagnosed with PLEURISY, POTS, LONG COVID, insomnia, anxiety, PTSD and several other issues stemming from this vaccine injury. I was out of work for almost two years, with no disability. This vaccine injury completely devastated my life and the life of my two young children.
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โ | โ | โ | |||
| 2825554 | 1 | M | VA | 02/10/2025 |
MMR MMR VARCEL VARCEL |
GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS MERCK & CO. INC. MERCK & CO. INC. |
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Ear infection, Erythema, Erythema of eyelid, Eye discharge, Eyelid margin crusti...
Ear infection, Erythema, Erythema of eyelid, Eye discharge, Eyelid margin crusting; Swelling face, Swelling of eyelid; Ear infection, Erythema, Erythema of eyelid, Eye discharge, Eyelid margin crusting; Swelling face, Swelling of eyelid
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02/08/25 @0700: Red and swollen eyelids, under eyes, and cheeks. Drainage from eyes. Worse in the mo...
02/08/25 @0700: Red and swollen eyelids, under eyes, and cheeks. Drainage from eyes. Worse in the mornings and better throughout the day but never fully went away. 02/10/25 @0500: Eyes swollen and crusted shut. Taken to the pediatrician and diagnosed with an ear infection.
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| 2825555 | 1.17 | F | PA | 02/10/2025 |
MMR |
MERCK & CO. INC. |
U006488 |
Expired product administered
Expired product administered
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Expired vaccine given to patient. Vaccine expired on 2/26/2023 and was given 3/24/2023. Patient wa...
Expired vaccine given to patient. Vaccine expired on 2/26/2023 and was given 3/24/2023. Patient was re-vaccinated on 2/5/2025.
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| 2825556 | 82 | M | MO | 02/10/2025 |
RSV |
PFIZER\WYETH |
LN5496 |
Urticaria
Urticaria
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Patient presented with two patches of welts bilaterally on upper thighs that he believes are caused ...
Patient presented with two patches of welts bilaterally on upper thighs that he believes are caused by the RSV vaccine. They are significantly pruritic. Denies trouble breathing, swelling of tongue, lips, or throat. He was prescribed prednissone.
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| 2825557 | 81 | M | CT | 02/10/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
fj9a7 |
Inappropriate schedule of product administration
Inappropriate schedule of product administration
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the second shingrix dose was administered 16 days after the first dose instead of the 2-6month timin...
the second shingrix dose was administered 16 days after the first dose instead of the 2-6month timing for the second dose.
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| 2825558 | 16 | F | MN | 02/10/2025 |
MNQ |
NOVARTIS VACCINES AND DIAGNOSTICS |
3443e |
Blister, Blister rupture, Dermatitis bullous
Blister, Blister rupture, Dermatitis bullous
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Between 1/12-1/29 pt developed bullous lesions on body--right leg, right foot, bilateral lower back,...
Between 1/12-1/29 pt developed bullous lesions on body--right leg, right foot, bilateral lower back, posterior left knee, left forearm and wrist. Blisters would rupture, clear fluid would drain. She would develop new blisters where the fluid touched.
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| 2825559 | 64 | F | MS | 02/10/2025 |
PNC20 |
PFIZER\WYETH |
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Erythema, Pruritus, Skin warm, Urticaria
Erythema, Pruritus, Skin warm, Urticaria
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Wheal/Hive appears 1 day after vaccination; continued defined erythema extending to down toward elb...
Wheal/Hive appears 1 day after vaccination; continued defined erythema extending to down toward elbow, no further hive/wheals but continued erythema and warmth with intermittent itching.
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| 2825560 | 29 | F | AZ | 02/10/2025 |
COVID19 COVID19 COVID19 |
PFIZER\BIONTECH PFIZER\BIONTECH PFIZER\BIONTECH |
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Alopecia, Bone pain, Cartilage injury, Connective tissue disorder, Ehlers-Danlos...
Alopecia, Bone pain, Cartilage injury, Connective tissue disorder, Ehlers-Danlos syndrome; Herpes zoster, Joint dislocation, Migraine, Myalgia, Scapular dyskinesis; Spinal fracture, Sudden hearing loss, Sudden visual loss, Surgery
More
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About one month after recieviing the COVID-19 "vaccine", I began having severe muscle and ...
About one month after recieviing the COVID-19 "vaccine", I began having severe muscle and bone pain. My connective tissue started to degenerate. My shoulderblades rotated inside of my ribcage. My right hip labrum tore. My kneecap became permanately discloated. I broke a vertebrae doing nothing. I had and now have recurring shingles, alopecia, officially am diagnosed with a rare connective tissue disease and EDS (diagnoses I did NOT have with zero symptoms prior), daily migraines, sudden blindness, and sudden deafness. I've had countless surgeries because of this vaccine injury. It is a crime against humanity what has gone on here.
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โ | โ | ||||
| 2825561 | 76 | M | WI | 02/10/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
2f9c5 |
Guillain-Barre syndrome, Lumbar puncture, Magnetic resonance imaging
Guillain-Barre syndrome, Lumbar puncture, Magnetic resonance imaging
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Guillain Barre
Guillain Barre
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โ | โ | ||||
| 2825562 | F | WI | 02/10/2025 |
RSV |
PFIZER\WYETH |
LG9829 |
No adverse event, Product administered to patient of inappropriate age
No adverse event, Product administered to patient of inappropriate age
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Patient received Abrysvo immunization instead of Beyfortus. No reaction noted. Called Pfizer for in...
Patient received Abrysvo immunization instead of Beyfortus. No reaction noted. Called Pfizer for information of administering adult dose to 2 week old.
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| 2825563 | 50 | F | OR | 02/10/2025 |
COVID19 COVID19 FLU3 FLU3 VARZOS VARZOS |
MODERNA MODERNA GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS |
3043823 3043823 5RE93 5RE93 L22k2 L22k2 |
Headache, Injection site pain, Muscle spasms, Myalgia, Nausea; Vomiting; Headach...
Headache, Injection site pain, Muscle spasms, Myalgia, Nausea; Vomiting; Headache, Injection site pain, Muscle spasms, Myalgia, Nausea; Vomiting; Headache, Injection site pain, Muscle spasms, Myalgia, Nausea; Vomiting
More
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Patient is experiencing N/V, fever, muscle aches and pain, headache, muscle cramp in feet, burning ...
Patient is experiencing N/V, fever, muscle aches and pain, headache, muscle cramp in feet, burning at the injection site (both arms) - more painful at the covid site. Pt is still experiencing these symptoms.
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| 2825564 | 83 | F | AL | 02/10/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
334t3 |
Injection site rash, Rash erythematous, Rash pruritic
Injection site rash, Rash erythematous, Rash pruritic
|
Red itchy rash at site of injection.
Red itchy rash at site of injection.
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| 2825565 | 32 | F | NC | 02/10/2025 |
FLU3 |
SANOFI PASTEUR |
UT8038NA |
Bell's palsy, Eyelid function disorder, Facial paralysis
Bell's palsy, Eyelid function disorder, Facial paralysis
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The patient received influenza vaccine reports AEFI after receipt of IIV #10 on10/04/2023 (lot # UT8...
The patient received influenza vaccine reports AEFI after receipt of IIV #10 on10/04/2023 (lot # UT8038NA Fluzone quad.) without immediate adverse event and reports 2-3 weeks later experienced onset of right facial drooping and difficulty closing her right eye. She states she was seen in both ER and by neurology who made the diagnosis Bell's palsy describes idiopathic isolated peripheral facial paralysis. She was treated with steroids but the symptom duration lasted 3 months. She denies recalling any other illness symptoms to include herpes simplex lesions. She has no hx of AE with other vaccines. She has received IIV annually for employment consistently prior to this event.
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| 2825566 | 4 | M | SD | 02/10/2025 |
DTAPIPV MMRV |
GLAXOSMITHKLINE BIOLOGICALS MERCK & CO. INC. |
5G23D Y010930 |
Stridor, Wheezing; Stridor, Wheezing
Stridor, Wheezing; Stridor, Wheezing
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Child was well at his WCC and about 12 hours after his shots, woke in the night stridorous and wheez...
Child was well at his WCC and about 12 hours after his shots, woke in the night stridorous and wheezy. Ambulance was called and nebs were given, sats 84% so took to ED where steroid was given and monitored for a few more hours and then went home and woke completely normal next day.
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| 2825567 | 4 | F | CA | 02/10/2025 |
FLU3 |
GLAXOSMITHKLINE BIOLOGICALS |
J5T9Z |
Urticaria
Urticaria
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Patient had mild vaccine reaction. Patient started to develop a singular hive on her right cheek 10 ...
Patient had mild vaccine reaction. Patient started to develop a singular hive on her right cheek 10 minutes post vaccine administration. Patient was triaged and vitals were taken. Patient was given 7.5 mL of Benadryl. Had patient wait for 20 more minutes, and the red singular hive resolved. Patient was not in distress and her vital signs were WNL.
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| 2825568 | 15 | F | 02/10/2025 |
HEPA |
GLAXOSMITHKLINE BIOLOGICALS |
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Inappropriate schedule of product administration
Inappropriate schedule of product administration
|
Vaccine administered 2 weeks before indicated schedule.
Vaccine administered 2 weeks before indicated schedule.
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| 2825569 | 37 | F | NC | 02/10/2025 |
ANTH JEV1 TYP |
EMERGENT BIOSOLUTIONS INTERCELL AG SANOFI PASTEUR |
300214A JEV23JO1E W1A991M |
Injected limb mobility decreased, Injection site pain, Injection site swelling, ...
Injected limb mobility decreased, Injection site pain, Injection site swelling, Sleep disorder; Injected limb mobility decreased, Injection site pain, Injection site swelling, Sleep disorder; Injected limb mobility decreased, Injection site pain, Injection site swelling, Sleep disorder
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Patient received 3 vaccines 28 Jan 2025 (typhoid #1, sanofi lot #W1A991M; anthrax #1 Emergent Biosol...
Patient received 3 vaccines 28 Jan 2025 (typhoid #1, sanofi lot #W1A991M; anthrax #1 Emergent Biosolutions lot #30021A; JE-VC #1 Valneva lot #23J01E), all to her left deltoid. She reports onset of pain, tenderness, swelling to the injection site starting that night. She states it has improved but continues to be uncomfortable. She has difficulty with ROM due to pain, and disrupts sleep if lying on that side. She denies paresis or paralysis. She denies any prior AE after vaccine. She denies fever, chills, malaise, arthralgias, myalgias, CP, SOG or dermatitis. She had no immediate symptoms after receipt to suggest IgE mediated event
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| 2825570 | 9 | F | FL | 02/10/2025 |
FLU3 |
SANOFI PASTEUR |
UT8506MA |
Fall, Rash, Rash macular, Somnolence
Fall, Rash, Rash macular, Somnolence
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Parents alert physician about 20min after event that she states she was sleepy and feel to her knees...
Parents alert physician about 20min after event that she states she was sleepy and feel to her knees. Caught by parents and placed on exam table. Remained conscious, stating she was sleepy. She was alert to person, place and time. 5- 10 min later, she developed a macular rash to cheeks and upper chest, resolving within 5 min without intervention
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| 2825571 | 73 | F | MN | 02/10/2025 |
HEPAB |
GLAXOSMITHKLINE BIOLOGICALS |
D4774 |
Injection site pain
Injection site pain
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Pt stopped by to get second dose of TWINRIX on 2/10/25- stated that she was still having pain in her...
Pt stopped by to get second dose of TWINRIX on 2/10/25- stated that she was still having pain in her right arm from the last vaccination that was given to her on 1/7/25 (TWINRIX DOSE 1)- stated the pain was in her deltoid and that it was dull pain that just wasn't going away- I took a look at her arm- no redness noted or anything unusual- patient pointed to the right deltoid- location of injection to where she pointed did not appear too high or too low, was toward the center of deltoid. I informed her that if it continues to bother her she may want to follow-up with her provider and that I too would submit a VAERS report. Still wanted to get 2nd dose of TWINRIX, this time we did it on the left- I gave her the Twinrix on her left arm due to a potential injury on the right arm.
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| 2825572 | 55 | F | MA | 02/10/2025 |
VARZOS VARZOS VARZOS VARZOS VARZOS VARZOS |
GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS |
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Fatigue, Pain in extremity, Tenderness; Asthenia, Crying, Malaise, Pain in extre...
Fatigue, Pain in extremity, Tenderness; Asthenia, Crying, Malaise, Pain in extremity, Peripheral swelling; Sleep disorder; Fatigue, Pain in extremity, Tenderness; Asthenia, Crying, Malaise, Pain in extremity, Peripheral swelling; Sleep disorder
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pt says right arm is extremely sore and painful to the touch and has extreme fatigue. She continues ...
pt says right arm is extremely sore and painful to the touch and has extreme fatigue. She continues to have these symptoms after 3 days after being vaccinated. No fever and no headache. She will contact medical provider if her symptoms continue.
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| 2825573 | 78 | F | FL | 02/10/2025 |
RSV |
GLAXOSMITHKLINE BIOLOGICALS |
52Z52 |
Extra dose administered
Extra dose administered
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PATIENT RECEIVED PREVIOUS DOSE OF AREXVY ON 10/18/2023 AND THEN RECIEVED A SECOND DOSE ON 2/4/2024
PATIENT RECEIVED PREVIOUS DOSE OF AREXVY ON 10/18/2023 AND THEN RECIEVED A SECOND DOSE ON 2/4/2024
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| 2825574 | 81 | M | FL | 02/10/2025 |
RSV |
GLAXOSMITHKLINE BIOLOGICALS |
52Z52 |
Extra dose administered
Extra dose administered
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PATIENT RECEIVED PREVIOUS DOSE OF AREXVY ON 10/18/2023 AND THEN RECIEVED A SECOND DOSE ON 2/4/2024
PATIENT RECEIVED PREVIOUS DOSE OF AREXVY ON 10/18/2023 AND THEN RECIEVED A SECOND DOSE ON 2/4/2024
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| 2825575 | 50 | M | NJ | 02/10/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
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Eye pain, Headache, Pain, Rash, Tinnitus
Eye pain, Headache, Pain, Rash, Tinnitus
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he is complaining of a severe reaction to the Shingrix vaccine- started with whole-body soreness and...
he is complaining of a severe reaction to the Shingrix vaccine- started with whole-body soreness and headache then rash all over his body that has mostly resolved except for his cheeks at this time, then had ringing in the left ear and then left eye pain that he is currently still having for which he will follow-up with his ophthalmologist in regards to. he denied any other or possible cause for all of the symptoms
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| 2825576 | 41 | M | MO | 02/10/2025 |
COVID19 FLU3 TDAP |
MODERNA GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS |
3044143 4LM54 3BH5K |
Underdose; Underdose; Underdose
Underdose; Underdose; Underdose
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Moderna COVID-19, 6mos-11y was entered as administered to an adult patient.
Moderna COVID-19, 6mos-11y was entered as administered to an adult patient.
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| 2825577 | 63 | F | MO | 02/10/2025 |
FLU3 |
GLAXOSMITHKLINE BIOLOGICALS |
4S5YG |
Arthralgia, Dysstasia, Injection site pain, Loss of personal independence in dai...
Arthralgia, Dysstasia, Injection site pain, Loss of personal independence in daily activities, Myalgia
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Vaccine was received on 23Jan2025. Some localized pain at injection site. On 23Jan2025, I woke u...
Vaccine was received on 23Jan2025. Some localized pain at injection site. On 23Jan2025, I woke up with bilateral joint pain in my knees. Pain spread to other joints and I experienced deep muscle pain as well, particularly the calves. Pain steadily became worse and I was unable to do stairs or participate in my walking exercise program. On Feb 3, I was unable to get off the couch without assistance. I sent an online message to my primary care doctor. They requested I follow-up and come see them. I did reach out for an appointment but they were unable to get me on the schedule. Pain has reduced over the last week. Still present but more manageable as of 10Feb2025. I am concerned that the pain will not go away fully. Note: Did not see doctor but did reach out to the clinic to notify them. Form will not progress if "none of the above" is selected.
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| 2825578 | 70 | M | SC | 02/10/2025 |
UNK UNK UNK RSV RSV RSV |
UNKNOWN MANUFACTURER UNKNOWN MANUFACTURER UNKNOWN MANUFACTURER GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS |
44TR9 44TR9 44TR9 |
Arthralgia, Blood test, Gait disturbance, Muscle spasms, Myalgia; Neck pain, Nig...
Arthralgia, Blood test, Gait disturbance, Muscle spasms, Myalgia; Neck pain, Night sweats, Pain in extremity, Sleep disorder; Antinuclear antibody negative, Blood creatine phosphokinase normal, C-reactive protein increased, Red blood cell sedimentation rate increased, Systemic inflammatory response syndrome; Arthralgia, Blood test, Gait disturbance, Muscle spasms, Myalgia; Neck pain, Night sweats, Pain in extremity, Sleep disorder; Antinuclear antibody negative, Blood creatine phosphokinase normal, C-reactive protein increased, Red blood cell sedimentation rate increased, Systemic inflammatory response syndrome
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Three days from Vaccine have had muscle and bone soreness starting at shoulders then to neck. Pain ...
Three days from Vaccine have had muscle and bone soreness starting at shoulders then to neck. Pain was getting worse and then started down right calf . When walking short distance in room would cramp and severe pain like a Charlie horse. At night would have night sweats, For ten days I have taken Tylenol every 4-6 hours to reduce pain. Pain also gets me up at night and effects my walking gait. Tried stretching exercises to no avail. As days went pain increased but no swelling of legs or muscles.
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| 2825579 | 11 | F | GA | 02/10/2025 |
HEP HEPA IPV MMR MNQ TDAP VARCEL |
GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS SANOFI PASTEUR MERCK & CO. INC. SANOFI PASTEUR GLAXOSMITHKLINE BIOLOGICALS MERCK & CO. INC. |
GC3N4 22GP3 X1C891M X027447 U8361AA CX4HL Y013073 |
Lethargy; Lethargy; Lethargy; Lethargy; Lethargy; Lethargy; Lethargy
Lethargy; Lethargy; Lethargy; Lethargy; Lethargy; Lethargy; Lethargy
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Patient received 7 doses of vaccine. After last dose of vaccine was given it was noted that patient ...
Patient received 7 doses of vaccine. After last dose of vaccine was given it was noted that patient seemed lethargic. Asked patient via interpreter if she was okay. Patient told interpreter yes. I didn't feel comfortable with the patients answer as I could tell there was a change in her status. Interpreter asked patient again was she okay and patient stated "I just feel like I want to close my eyes." At that time we place child's feet up in a chair and placed a cool cloth around neck. Blood pressure taken at 3:32 pm was 106/68 P-84. Patient was given some peanut butter crackers and coke. After 5 mins patients BP was checked again (at 3:37pm) with results of BP-107/74 P-81. Patient stated to interpreter that "she felt better." Patient was more responsive that previously noted. Advised mom via interpreter for child to wait an additional 15 mins in the lobby before they left. Mom voiced understanding.
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| 2825580 | 67 | F | MI | 02/10/2025 |
FLU3 |
SANOFI PASTEUR |
UT8419CA |
Device leakage
Device leakage
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The vaccine had a cracked hub causing it to spill out of the syringe when the vaccine was administer...
The vaccine had a cracked hub causing it to spill out of the syringe when the vaccine was administered. Patient had to receive a second dose .
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| 2825581 | 73 | M | NM | 02/10/2025 |
VARZOS VARZOS |
GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS |
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Asthenia, Influenza like illness, Mobility decreased, Muscle spasms, Neck pain; ...
Asthenia, Influenza like illness, Mobility decreased, Muscle spasms, Neck pain; Swelling
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About five minutes after getting the shot, I started feeling a pain in the right side of my neck. Ov...
About five minutes after getting the shot, I started feeling a pain in the right side of my neck. Over the course of 24 hours the pain became so severe that I could barely turn my head. I had less than 3% mobility in all directions. Due to the neck pain swallowing was very difficult (it was not an anaphylactic reaction). I also had flu like symptoms which were tolerable. Approximately two weeks later I had severe painful spasms in my neck within an hour after waking for two consecutive days. After about 4 weeks all neck pain resolved. It took an additional week to get back my normal energy levels.
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| 2825582 | 43 | M | OH | 02/10/2025 |
FLU3 FLU3 |
SANOFI PASTEUR SANOFI PASTEUR |
UT8496MA UT8496MA |
Asthenia, Computerised tomogram head, Computerised tomogram spine, Fall, Guillai...
Asthenia, Computerised tomogram head, Computerised tomogram spine, Fall, Guillain-Barre syndrome; Immunoglobulin therapy, Laboratory test, Lumbar puncture, Magnetic resonance imaging, Neuropathy peripheral
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Guillan Barre affecting all 4 extremities. Patient currently hospitalized and receiving IVIG. Will r...
Guillan Barre affecting all 4 extremities. Patient currently hospitalized and receiving IVIG. Will require rehab due to peripheral neuropathy and weakness.
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