| ID | Age | Sex | State | Date โผ | Onset Days | Vaccine | Manufacturer | Lot # | Symptoms | Narrative | ๐ | ๐ฅ | ๐ | โฟ | โ ๏ธ |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2824169 | 28 | M | CA | 02/03/2025 |
COVID19 |
MODERNA |
025B21A |
Vertigo, Vomiting
Vertigo, Vomiting
|
Reported Symptoms: 10047340:VERTIGO; 10047700:VOMITING; Narrative: Other Relevant: HX: VERTIGO
Reported Symptoms: 10047340:VERTIGO; 10047700:VOMITING; Narrative: Other Relevant: HX: VERTIGO
|
||||||
| 2824170 | 64 | M | AZ | 02/03/2025 |
COVID19 COVID19 |
PFIZER\BIONTECH PFIZER\BIONTECH |
EN6205 EN6205 |
Breakthrough COVID-19, Chest X-ray, Computerised tomogram abdomen, Computerised ...
Breakthrough COVID-19, Chest X-ray, Computerised tomogram abdomen, Computerised tomogram thorax, SARS-CoV-2 test positive; Sepsis, Systemic inflammatory response syndrome
More
|
Reported Symptoms: 10054112:HOSPITALISATON; 10067923:VACCINE BREAKTHROUGH INFECTION; 10084401:COVID-...
Reported Symptoms: 10054112:HOSPITALISATON; 10067923:VACCINE BREAKTHROUGH INFECTION; 10084401:COVID-19 RESPIRATORY INFECTION; Narrative: 68 year old male with PMH of ESRD s/p renal transplant in 2005 on MM, tacrolimus, and daily prednisone admitted for acute covid infection w/o hypoxia. Patient with sepsis by SIRS criteria, likely secondary to acute covid infection per 8/7/24 hospitalist note. Given the risk of progression/severe disease in chronically immunosuppressed patient, patient was started on empiric remdesivir. Patient discharged home after completing 5 days of IV antiviral. Other Relevant HX: PMH significant for Afib, DM2, HTN, hyperlipidemia, HFpEF, gout, BPH, IDA, and CKD s/p kidney transplant in 2008 on immunosuppression Other: Hospitalization for treatment of Covid infection s/p vaccination
More
|
โ | |||||
| 2824171 | 69 | M | AZ | 02/03/2025 |
COVID19-2 COVID19-2 FLUA4 FLUA4 |
PFIZER\BIONTECH PFIZER\BIONTECH SEQIRUS, INC. SEQIRUS, INC. |
GL0446 GL0446 346378 346378 |
Breakthrough COVID-19, Chest X-ray normal, Computerised tomogram thorax normal, ...
Breakthrough COVID-19, Chest X-ray normal, Computerised tomogram thorax normal, Dyspnoea, Hypoxia; SARS-CoV-2 test positive, Scan with contrast normal, Wheezing; Breakthrough COVID-19, Chest X-ray normal, Computerised tomogram thorax normal, Dyspnoea, Hypoxia; SARS-CoV-2 test positive, Scan with contrast normal, Wheezing
More
|
Reported Symptoms: 10054112:HOSPITALISATION; 10067923:VACCINE BREAKTHROUGH INFECTION; 10084401:COVID...
Reported Symptoms: 10054112:HOSPITALISATION; 10067923:VACCINE BREAKTHROUGH INFECTION; 10084401:COVID-19 RESPIRATORY INFECTION; Narrative: Patient is a 71 year old MALE with PMH of recent CAP PNA treated with inpatient stay and antibiotics presented to ED from assisted care facility for 4-5 days of increasing work of breathing, SOB, and wheezing. Patient found to be Covid positive and hypoxic to the mid 80s. H&P from 8/9/24 expressed concern for potential undiagnosed COPD based on extensive tobacco use history. Patient treated with remdesivir and dexamethasone and discharged back to assisted living facility. Other Relevant HX: PMH of recent CAP PNA treated with inpatient stay and antibiotics, persistent leukocytosis, mechanical aortic valve, mitral valve stenosis, HTN, HLD, renal cysts, BPH, GERD, CKDstage 3, Ulcerative colitis, and paroxysmal a-fib with extensive tobacco use history, concern for COPD. Other: Hospitalization for treatment of Covid infection s/p vaccination
More
|
โ | |||||
| 2824172 | 66 | M | AZ | 02/03/2025 |
COVID19-2 COVID19-2 |
PFIZER\BIONTECH PFIZER\BIONTECH |
GJ6796 GJ6796 |
Blood gases abnormal, Breakthrough COVID-19, COVID-19 pneumonia, Computerised to...
Blood gases abnormal, Breakthrough COVID-19, COVID-19 pneumonia, Computerised tomogram thorax, Dyspnoea; Headache, Malaise, SARS-CoV-2 test positive
More
|
Reported Symptoms: 10054112:HOSPITALISATION; 10067923:VACCINE BREAKTHROUGH INFECTION; 10084401:COVID...
Reported Symptoms: 10054112:HOSPITALISATION; 10067923:VACCINE BREAKTHROUGH INFECTION; 10084401:COVID-19 RESPIRATORY INFECTION; Narrative: 67 y/o male who presented to the ED on 8/17/24 w/ shortness of breath, malaise, and headache of one day's duration and was found to have COVID pneumonia. His ABG O2 on initial presentation was 58 and he was initially requiring O2 in order to maintain his oxygen saturations. He was admitted for management of his suspected COVID pneumonia. Patient discharged to home after completing treatment with remdesivir. Other Relevant HX: PMHx of T2DM w/ diabetic nephropathy, HTN, HLD, PTSD, GERD, OSA, and osteoarthritis of the knees s/p left TKA on 6/24/24 Other: Hospitalization for treatment of Covid infection s/p vaccination
More
|
โ | |||||
| 2824173 | 72 | M | MT | 02/03/2025 |
COVID19 |
MODERNA |
029L20A |
Breakthrough COVID-19, COVID-19 pneumonia, SARS-CoV-2 test positive, Treatment n...
Breakthrough COVID-19, COVID-19 pneumonia, SARS-CoV-2 test positive, Treatment noncompliance
More
|
Reported Symptoms: 10067923:VACCINE BREAKTHROUGH INFECTION; Narrative: Patient was living independen...
Reported Symptoms: 10067923:VACCINE BREAKTHROUGH INFECTION; Narrative: Patient was living independently for approximately one month following being a resident at a long term facility. Patient received two doses of the Moderna Covid-19 vaccine (12/29/2020 & 01/26/2021). On 09/28/2021 patient presented to an emergency department at a different facility where he tested positive for the COVID-19 infection. Patient had stopped taking all his home medications (including but limited to carbidopa/levodopa, quetiapine and ropinirole) without tapering or under the advisement of a physician due to his caretaker also being sick with the infection. Patient was transferred to the local facility for quarantine and supportive care. All medications were re-initiated. The COVID-19 pneumonia infection did not require any treatment. Patient had no where to discharge to until 10/14/2021 when he returned back to the long term care facility he had lived at previously. Other Relevant HX: Past medical history relevant for: T2DM, deep brain stimulation, GERD, parkinsonism, anxiety disorder, hyperlipidemia Other: COVID-19 Breakthrough Infection
More
|
โ | |||||
| 2824174 | 97 | M | MT | 02/03/2025 |
COVID19 COVID19 COVID19 |
MODERNA MODERNA MODERNA |
031L20A 031L20A 031L20A |
Acute myocardial infarction, Anuria, Blood glucose increased, Blood lactic acid ...
Acute myocardial infarction, Anuria, Blood glucose increased, Blood lactic acid increased, Blood pressure decreased; Breakthrough COVID-19, Death, Decreased appetite, Dyspnoea, Heart rate increased; Hypoxia, Renal impairment, SARS-CoV-2 test positive, Troponin increased
More
|
Reported Symptoms: 10011906:DEATH; 10067923:VACCINE BREAKTHROUGH INFECTION; Narrative: patient livin...
Reported Symptoms: 10011906:DEATH; 10067923:VACCINE BREAKTHROUGH INFECTION; Narrative: patient living at home with wife and had four daughters as caretakers. Patient received two doses of Moderna COVID-19 vaccine (01/13/2021 & 02/10/2021). At presentation to emergency department (10/03/2021), patient had elevated heart rate, elevated blood sugars, appeared short of breath, not eating and requiring 6L of oxygen. COVID-19 test came back positive, along with elevated troponin, elevated lactate and worsening kidney function from baseline. Patient's kidney function did not support treatment with remdesivir, was was treated solely with dexamethasone. Patient's oxygen needs continued to escalate, blood pressure dropped, and was anuria throughout his stay in the hospital prior to expiring 10/05/2021. Other Relevant HX: Problem list significant for: CKD stage 4, T2DM, HTN, Troponin positive on admission for non-STMI Acute hypoxemia Other: COVID-19 Breakthrough Infection
More
|
โ | |||||
| 2824175 | 83 | M | MT | 02/03/2025 |
COVID19 COVID19 |
MODERNA MODERNA |
019B21A 019B21A |
Asthenia, Breakthrough COVID-19, Condition aggravated, Cough, Death; Dyspnoea, H...
Asthenia, Breakthrough COVID-19, Condition aggravated, Cough, Death; Dyspnoea, Hypoxia, Respiratory failure, SARS-CoV-2 test positive
More
|
Reported Symptoms: 10011906:DEATH; 10067923:VACCINE BREAKTHROUGH INFECTION; Narrative: Patient who l...
Reported Symptoms: 10011906:DEATH; 10067923:VACCINE BREAKTHROUGH INFECTION; Narrative: Patient who lives in an assisted living facility received two COVID-19 immunizations (05/06/2021 & 06/10/2021). Patient has a medical history significant for COPD, OSA, pulmonary hypertension, and hypoxia requiring 3-4L of oxygen at baseline. While at home, patient developed a cough and shortness of breath. Caregiver administered an at-home COVID test on 09/24/2021. His condition worsened, and was escorted the emergency department on 10/01/2021 where diagnosis of COVID was confirmed with a PCR test. Patient was admitted to floor with hypoxemic respiratory failure and started on IV dexamethasone and CA-pneumonia antibiotics. Remdesivir and baricitinib were added to his treatment regimen as well. Patient returned to baseline oxygen needs and was discharged back to the assisted living home. Primary care notes indicate continued worsening condition over the next weeks. Patient presented back to the ED 10/22/2021 for increasing hypoxia (oxygen requirements up to 6L/min), weakness and dyspnea. Patient was admitted to the floor, and expired a few hours after admission. Other Relevant HX: Lives in assisted living facility on 3-4L oxygen at baseline Problem list significant for: COPD, hypoxia, pulmonary hypertension, OSA Other: Breakthrough COVID-19 infection
More
|
โ | โ | ||||
| 2824176 | 70 | M | MT | 02/03/2025 |
COVID19 COVID19 |
PFIZER\BIONTECH PFIZER\BIONTECH |
en9581 en9581 |
Asthenia, Back pain, Breakthrough COVID-19, Fall, Respiratory depression; SARS-C...
Asthenia, Back pain, Breakthrough COVID-19, Fall, Respiratory depression; SARS-CoV-2 test positive
More
|
Reported Symptoms: 10038678:RESPIRATORY DEPRESSION; 10067923:VACCINE BREAKTHROUGH INFECTION; Narrati...
Reported Symptoms: 10038678:RESPIRATORY DEPRESSION; 10067923:VACCINE BREAKTHROUGH INFECTION; Narrative: Patient received two doses of Pfizer COVID-19 vaccine (01/27/2021 & 02/19/2021). On 09/20/2021 patient presented to the ED for chief complain of back pain due to frequent falls. Patient was sent home with Tylenol and cyclobenzaprine. A COVID-19 sample was taken at this time. Patient presented to the ED again on 09/24/2021 with a chief complain of weakness. Labs were reviewed, patient was COVID positive. Patient was admitted, received a four day course of dexamethasone 6mg daily, 2L of oxygen and was empirically treated with ceftriaxone 2g. Patient returned to baseline and was discharged 10/01/2021. Other Relevant HX: Pfizer COVID-19 vaccine dose #1 (01/27/2021) Pfizer COVID-19 vaccine dose #2 (02/19/2021) Problem list significant for: CHF, COPD, CAD, OSA, HTN, obesity Other: Breakthrough COVID-19 infection
More
|
โ | |||||
| 2824177 | 94 | M | MT | 02/03/2025 |
COVID19 |
PFIZER\BIONTECH |
|
COVID-19, COVID-19 pneumonia, Computerised tomogram thorax abnormal, Cough, SARS...
COVID-19, COVID-19 pneumonia, Computerised tomogram thorax abnormal, Cough, SARS-CoV-2 test positive
More
|
Reported Symptoms: 10084401:COVID-19 RESPIRATORY INFECTION; Narrative: Vaccinated patient (received...
Reported Symptoms: 10084401:COVID-19 RESPIRATORY INFECTION; Narrative: Vaccinated patient (received both doses of Pfizer COVID vaccine 1/2021) was a resident of an assisted living facility that experienced a COVID-19 outbreak. He tested positive for COVID on 9/15/21, and noted increased oxygen requirements (2L at baseline up to 5L), along with cough (no fever or other symptoms reported). Admitted to the medical facility and treated with dexamethasone 6mg daily. Repeated COVID testing on 9/21/21 also positive). Chest CT was consistent w/ COVID-19 pneumonia. He improved to baseline and was discharged back to the assisted living facility. Dates of admission 9/21-9/27/21. Other Relevant HX: Problem list includes hypertension, diabetes, dyspnea Other: COVID-19 infection
More
|
โ | |||||
| 2824178 | 77 | M | MT | 02/03/2025 |
COVID19 |
MODERNA |
025B21A |
Extra dose administered, Wrong product administered
Extra dose administered, Wrong product administered
|
Reported Symptoms: 10063978: WRONG VACCINE ADMINISTERED; Narrative: On 04/10/2021 Patient was admin...
Reported Symptoms: 10063978: WRONG VACCINE ADMINISTERED; Narrative: On 04/10/2021 Patient was administered one dose of the Janssen COVID-19 Vaccine. Patient returned on 05/08/2021 requesting his second dose. Moderna COVID-19 vaccine was then administered. The individual administering the vaccine did not review the chart prior to injection. The chart accurately showed the patient received Janssen the month prior, thus a second dose of any COVID-19 vaccine would have been inappropriate. Other Relevant HX: Other: Dose of Moderna COVID-19 vaccine given following a dose of Janssen COVID-19 vaccine
More
|
||||||
| 2824179 | M | NV | 02/03/2025 |
COVID19 |
PFIZER\BIONTECH |
|
Syncope
Syncope
|
Reported Symptoms: 10042772:SYNCOPE; Narrative: Other Relevant HX:
Reported Symptoms: 10042772:SYNCOPE; Narrative: Other Relevant HX:
|
|||||||
| 2824180 | M | NV | 02/03/2025 |
COVID19 |
MODERNA |
|
Cough
Cough
|
Reported Symptoms: 10011232:COUGHING; Narrative: Other relevant H: COUGH
Reported Symptoms: 10011232:COUGHING; Narrative: Other relevant H: COUGH
|
|||||||
| 2824181 | 55 | M | NV | 02/03/2025 |
COVID19 |
MODERNA |
3031707 |
Expired product administered, No adverse event, Product storage error
Expired product administered, No adverse event, Product storage error
|
Reported Symptoms: 10058327:EXPIRED DRUG USED; 10081576:PRODUCT ADMINISTRATION ERROR; Narrative: Vac...
Reported Symptoms: 10058327:EXPIRED DRUG USED; 10081576:PRODUCT ADMINISTRATION ERROR; Narrative: Vaccine administration errors, not associated with an adverse event. On 4/26/2024, nurse administered covid-19 vaccine past the expiration/beyond use date. Covid-19 vaccine beyond use date was labeled as 4/24/2024, but was administered on 4/26/2024. No adverse effect to report. Other Relevant HX: Other: Dose administered past the expiration/beyond-use date
More
|
||||||
| 2824182 | 65 | M | NV | 02/03/2025 |
COVID19 COVID19 |
MODERNA MODERNA |
030h21b 030h21b |
Acute myocardial infarction, Coronary artery bypass, Cough, Dyspnoea, Hyperhidro...
Acute myocardial infarction, Coronary artery bypass, Cough, Dyspnoea, Hyperhidrosis; Syncope, Tachypnoea
More
|
Reported Symptoms: 10011232:COUGHING; 10042772:SYNCOPE; 10043088:TACHYPNEA; Narrative: Patient recei...
Reported Symptoms: 10011232:COUGHING; 10042772:SYNCOPE; 10043088:TACHYPNEA; Narrative: Patient received Moderna COVID booster (monovalent) as he was due at PCP office. Several hours later her reported to the ED. This was the providers report: "This 65 yr. old male presents with a history of shortness of breath, sudden onset 1 hours ago, associated with cough, and diaphoresis, patient thought it was pneumonia and came in. he had his Covid 19 booster earlier today. Otherwise well prior to onset, he relates simialr symptoms when 'I had my heart attack'. Was treated at Medical Center.' -Patient found to have STEMI and transferred to hospital where CABG x 3 was performed. Other Relevant HX: Other:
More
|
โ | |||||
| 2824183 | 11 | F | ID | 02/03/2025 |
COVID19 HPV9 MNQ TDAP |
PFIZER\BIONTECH MERCK & CO. INC. SANOFI PASTEUR SANOFI PASTEUR |
LM2221 Y012864 U8361AA 3CA22C1 |
Incorrect dose administered, Pain in extremity; Incorrect dose administered, Pai...
Incorrect dose administered, Pain in extremity; Incorrect dose administered, Pain in extremity; Incorrect dose administered, Pain in extremity; Incorrect dose administered, Pain in extremity
More
|
Patient left office with only sore arms which is typical for post injection administration. No other...
Patient left office with only sore arms which is typical for post injection administration. No other adverse reactions were noted. Patient was administered COVID Pfizer for the age group of 12+ instead of 5-11 years. Grandmother accompanied patient to her wellness exam on 1/31/2025. Consent was obtained from mother via phone while in office. Dose does not need to be repeated. System accepted the dose for COVID for the season.
More
|
||||||
| 2824184 | 60 | F | MT | 02/03/2025 |
PNC20 |
PFIZER\WYETH |
LK6650 |
Erythema, Fatigue, Headache, Tinnitus
Erythema, Fatigue, Headache, Tinnitus
|
arm redness 2-3'', fatigue, headache, tinnitus for 6 days
arm redness 2-3'', fatigue, headache, tinnitus for 6 days
|
||||||
| 2824185 | 73 | M | MD | 02/03/2025 |
TDAP |
UNKNOWN MANUFACTURER |
|
Bursitis, Injection site pain, Product administered at inappropriate site, Ultra...
Bursitis, Injection site pain, Product administered at inappropriate site, Ultrasound joint
More
|
On December 3, 2024 I received a tetanus vaccination where the needle was inserted too high on my sh...
On December 3, 2024 I received a tetanus vaccination where the needle was inserted too high on my shoulder and was later diagnosed to have hit my bursa sac. I thought the technician was prepping an injection location too high on my shoulder but didn't say anything. The vaccination itself was uneventful but within 2 days. I had near constant pain in the L shoulder around the injection site. Icing and Advil/Alleve did not resolve the issue. I met with Nurse Practitioner on December 10, and she referred me to Dr. who I saw on December 17. He gave me ultrasound and suggested a cortisone shot but I declined on the grounds that I did not want anymore needles in my shoulder. He referred me to another Dr for further treatment. I saw Dr. on December 18. He used ultrasound to diagnos bursitis and suggested a cortisone shot. I declined the shot. He prescribed Meloxicam (Mobic) which I took for almost 3 weeks as the pain symptoms subsided. After about 6 weeks I felt my left shoulder had been relieved of pain and was back to normal.
More
|
||||||
| 2824186 | 69 | F | WI | 02/03/2025 |
TDAP TDAP |
GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS |
3335K 3335K |
Chills, Diarrhoea, Hyperhidrosis, Loss of consciousness, Pyrexia; Tinnitus, Vomi...
Chills, Diarrhoea, Hyperhidrosis, Loss of consciousness, Pyrexia; Tinnitus, Vomiting
More
|
1/13 chills in afternoon 1/14 Low grade fever all day 1/15 About 5 am - woke to soaking wet nightgow...
1/13 chills in afternoon 1/14 Low grade fever all day 1/15 About 5 am - woke to soaking wet nightgown, hair was wet, ringing in my ears - stood up to go to bathroom and ringing increased ten fold - passed out. Then throwing up + diarrhea. Finally stopped about 6:15 am
More
|
||||||
| 2824187 | 0.17 | M | MI | 02/03/2025 |
DTAPHEPBIP HIBV PNC20 |
GLAXOSMITHKLINE BIOLOGICALS MERCK & CO. INC. PFIZER\WYETH |
2G273 Y008355 LK6651 |
Infant irritability, Pyrexia, Somnolence; Infant irritability, Pyrexia, Somnolen...
Infant irritability, Pyrexia, Somnolence; Infant irritability, Pyrexia, Somnolence; Infant irritability, Pyrexia, Somnolence
More
|
Fever of 101, increased fussiness, sleepy
Fever of 101, increased fussiness, sleepy
|
||||||
| 2824236 | 93 | F | IA | 02/03/2025 |
COVID19 |
MODERNA |
3043159 |
Death
Death
|
Death
Death
|
โ | |||||
| 2824237 | 4 | F | NY | 02/03/2025 |
DTAPIPV MMRV |
SANOFI PASTEUR MERCK & CO. INC. |
U8209CB Y014307 |
Injection site erythema, Injection site urticaria, Rash, Urticaria; Injection si...
Injection site erythema, Injection site urticaria, Rash, Urticaria; Injection site erythema, Injection site urticaria, Rash, Urticaria
More
|
Patient returned to clinic at 3 pm following DTaP/Polio and MMR/Varicella vaccinations reaction. Lef...
Patient returned to clinic at 3 pm following DTaP/Polio and MMR/Varicella vaccinations reaction. Left arm site where DTaP/Polio was given was severely red and had hives present. Chest, behind ears and hands had some minor hives. benadryl (12.5/5) 7 ml given in office. Patient observed for 2 hours with minor improvement in rash. No difficulty breathing, O2 95%, no vomiting, no diarrhea. Patient's mother confirms epipen (up to date) in care. Informed of anaphlyaxis sx, if appears to give epipen and call 911. Mother understood and left office with child.
More
|
||||||
| 2824238 | 10 | M | NY | 02/03/2025 |
HEPA |
GLAXOSMITHKLINE BIOLOGICALS |
22GP3 |
Nausea, Pallor, Vomiting
Nausea, Pallor, Vomiting
|
Patient became pale and nauseous, patient had 1 episode of emesis and had to sit down. Patient was g...
Patient became pale and nauseous, patient had 1 episode of emesis and had to sit down. Patient was given apple juice and crackers, 0940 BP was taken with results being 80s over 40s. Pulse oximeter was placed for monitoring purposes. 0942 BP taken 100/62, patient stated they felt better. 0952 BP taken again 100/62 SPO2 98-100%, HR sustained in 90s-100s. Patient stated they felt much better.
More
|
||||||
| 2824239 | 16 | M | NJ | 02/03/2025 |
HPV9 |
MERCK & CO. INC. |
Y007322 |
Extra dose administered
Extra dose administered
|
Patient was given Gardasil vaccine on 1/29/25 by error .Patient had already received the Gardasil v...
Patient was given Gardasil vaccine on 1/29/25 by error .Patient had already received the Gardasil vaccine series on 7/18/20 & 8/3/19
More
|
||||||
| 2824240 | 35 | F | IL | 02/03/2025 |
PNC20 |
PFIZER\WYETH |
Ig5579 |
No adverse event, Vaccination error
No adverse event, Vaccination error
|
Pt inadvertently received Prevnar 20 vaccine. No adverse side effects noted.
Pt inadvertently received Prevnar 20 vaccine. No adverse side effects noted.
|
||||||
| 2824241 | 81 | F | WV | 02/03/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
D5AP5 |
Myalgia
Myalgia
|
Patient reports muscle soreness that started 1 day post vaccine and has persisted for over 2 months....
Patient reports muscle soreness that started 1 day post vaccine and has persisted for over 2 months. Patient says that she still feels some muscle pain and that it "comes and goes", especially with movement.
More
|
||||||
| 2824242 | 38 | M | 02/03/2025 |
FLU3 FLU3 MMR MMR TD TD VARCEL VARCEL |
GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS MERCK & CO. INC. MERCK & CO. INC. SANOFI PASTEUR SANOFI PASTEUR MERCK & CO. INC. MERCK & CO. INC. |
|
Abdominal distension, Asthenia, Blood test normal, Diarrhoea, Disturbance in att...
Abdominal distension, Asthenia, Blood test normal, Diarrhoea, Disturbance in attention; Dizziness, Fatigue, Malaise; Abdominal distension, Asthenia, Blood test normal, Diarrhoea, Disturbance in attention; Dizziness, Fatigue, Malaise; Abdominal distension, Asthenia, Blood test normal, Diarrhoea, Disturbance in attention; Dizziness, Fatigue, Malaise; Abdominal distension, Asthenia, Blood test normal, Diarrhoea, Disturbance in attention; Dizziness, Fatigue, Malaise
More
|
No immediate symptoms following immunization, it was weeks later he felt extremely sick. Couldn'...
No immediate symptoms following immunization, it was weeks later he felt extremely sick. Couldn't wake up and had weakness, diarrhea, bloating, and dizziness. Unable to concentrate and fatigue followed. Gut issues persist to this day.
More
|
|||||||
| 2824243 | 10 | F | VA | 02/03/2025 |
COVID19 FLU3 |
PFIZER\BIONTECH SANOFI PASTEUR |
ln7302 u8531ba |
Expired product administered, No adverse event; Expired product administered, No...
Expired product administered, No adverse event; Expired product administered, No adverse event
More
|
None- covid vaccine expired 1/23/25 (10 weeks in refrigerator) and was administered 2/1/25
None- covid vaccine expired 1/23/25 (10 weeks in refrigerator) and was administered 2/1/25
|
||||||
| 2824244 | 67 | M | MD | 02/03/2025 |
COVID19 COVID19 |
PFIZER\BIONTECH PFIZER\BIONTECH |
paa226428 paa226428 |
Abdominal pain, Chills, Malaise, Myalgia, Nausea; Syncope
Abdominal pain, Chills, Malaise, Myalgia, Nausea; Syncope
|
myalgias, chills, malaise. nausea (no vomiting), abdominal cramping and 1 large loose stool and subs...
myalgias, chills, malaise. nausea (no vomiting), abdominal cramping and 1 large loose stool and subsequent syncopal episode felt to be a vagal reaction. symptomatic treatment, recovered in 2 days
More
|
||||||
| 2824245 | 66 | F | AR | 02/03/2025 |
COVID19 |
PFIZER\BIONTECH |
|
Death
Death
|
Patient admitted 1/29. Expired 2/1
Patient admitted 1/29. Expired 2/1
|
โ | โ | ||||
| 2824246 | 65 | M | FL | 02/03/2025 |
PNC20 PNC20 |
PFIZER\WYETH PFIZER\WYETH |
|
Abdominal pain, Arthralgia, C-reactive protein, Pain in extremity, Polymyalgia r...
Abdominal pain, Arthralgia, C-reactive protein, Pain in extremity, Polymyalgia rheumatica; Red blood cell sedimentation rate
More
|
The vaccine that caused the autoimmune response was Capvaxive but that was not available as a choice...
The vaccine that caused the autoimmune response was Capvaxive but that was not available as a choice above so I selected other vaccine. Within 24 hours I had severe pain in the shoulders/upper arms and waist. I initially went to a neurologist who diagnosed my problem as Polymyalgia Rhumatica (PMR). This was confirmed today 2/3/25 by a Rhumatologist.
More
|
||||||
| 2824247 | 36 | M | FL | 02/03/2025 |
FLU3 FLU3 |
SEQIRUS, INC. SEQIRUS, INC. |
AU1059A AU1059A |
Computerised tomogram thorax, Differential white blood cell count, Feeling hot, ...
Computerised tomogram thorax, Differential white blood cell count, Feeling hot, Flushing, Full blood count; Headache, Liver function test, Paraesthesia, Scan with contrast
More
|
3 days after vaccine developed severe and frequent headaches. Then on day 5 developed intermittent s...
3 days after vaccine developed severe and frequent headaches. Then on day 5 developed intermittent stinging sensation (pins and needles) on the entire left side of his body as well as warmth and flushing on the the left side of his face. These sensations lasted for a couple weeks.
More
|
||||||
| 2824248 | 68 | F | PA | 02/03/2025 |
FLU3 RSV |
SANOFI PASTEUR GLAXOSMITHKLINE BIOLOGICALS |
388490 255t2 |
Injection site reaction, Rash, Rash erythematous; Injection site reaction, Rash,...
Injection site reaction, Rash, Rash erythematous; Injection site reaction, Rash, Rash erythematous
More
|
Patient expresses that they noticed a large red rash at the site of injection the day following immu...
Patient expresses that they noticed a large red rash at the site of injection the day following immunization. Over the course of the next few days, the rash spread from the injection site to a full body rash. The patient denies any other symptoms such as difficulty breathing or painful rash sites. The patient returned to the pharmacy on January 27th, 2025 to discuss this event and says the rash was gone when they returned. The patient claims they experience similar full body rashes when exposed to respiratory illnesses. The patient did not express that they treated the rash with any medication or seek medical treatment.
More
|
||||||
| 2824249 | 0.5 | F | KS | 02/03/2025 |
DTPPVHBHPB PNC20 |
MSP VACCINE COMPANY PFIZER\WYETH |
U7829AA LC5483 |
Infant irritability, Pyrexia, Swelling, Urticaria, Vomiting; Infant irritability...
Infant irritability, Pyrexia, Swelling, Urticaria, Vomiting; Infant irritability, Pyrexia, Swelling, Urticaria, Vomiting
More
|
Reported to me by mother that approx. 6 hours later, child developed high fever, hives, bumps that l...
Reported to me by mother that approx. 6 hours later, child developed high fever, hives, bumps that looked similar to chicken pox, neck started to swell, fussy and vomiting.
More
|
||||||
| 2824250 | 87 | F | NJ | 02/03/2025 |
RSV RSV RSV RSV RSV RSV |
GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS |
UNK UNK UNK |
Arthralgia, Immediate post-injection reaction, Nausea, Walking aid user; Arthral...
Arthralgia, Immediate post-injection reaction, Nausea, Walking aid user; Arthralgia, Back pain, Full blood count normal, Gait inability, Mobility decreased; Myalgia, Nausea, Pain in extremity; Arthralgia, Immediate post-injection reaction, Nausea, Walking aid user; Arthralgia, Back pain, Full blood count normal, Gait inability, Mobility decreased; Myalgia, Nausea, Pain in extremity
More
|
Nausea immediately following vaccine which lasted at least 20 minutes. Followed by immediate pain i...
Nausea immediately following vaccine which lasted at least 20 minutes. Followed by immediate pain in right knee which accelerated during the day, requiring a cane and avoidance of walking. Pain was intense. Went to bed and approximately 7 hours later was able to walk normally with no pain. Anticipated reaction regarding joint pain needs to be emphasized under "possible side effects. It was very alarming!
More
|
||||||
| 2824251 | 56 | F | NY | 02/03/2025 |
FLU3 PNC20 |
GLAXOSMITHKLINE BIOLOGICALS PFIZER\WYETH |
AW1696A LJ5284 |
Injection site erythema, Injection site pain, Injection site pruritus, Injection...
Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling, Injection site warmth; Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling, Injection site warmth
More
|
PATIENT REPORTS REDNESS, SWELLING, WARMTH, PAIN AND EXTREME ITCHING TO IMMUNIZATION SITE
PATIENT REPORTS REDNESS, SWELLING, WARMTH, PAIN AND EXTREME ITCHING TO IMMUNIZATION SITE
|
||||||
| 2824252 | 12 | M | MI | 02/03/2025 |
COVID19 |
MODERNA |
3043409 |
Expired product administered, No adverse event
Expired product administered, No adverse event
|
Client received Covid vaccine that was thawed over the allowable time frame. No adverse events repo...
Client received Covid vaccine that was thawed over the allowable time frame. No adverse events reported. Phone call was made to parents to recommend a repeat vaccine per CDC guidelines.
More
|
||||||
| 2824253 | 68 | F | ID | 02/03/2025 |
FLU3 PNC20 |
SEQIRUS, INC. PFIZER\WYETH |
388488 LK6650 |
Unevaluable event; Unevaluable event
Unevaluable event; Unevaluable event
|
Patient reports going to the hospital after receiving the two vaccines in the same arm.
Patient reports going to the hospital after receiving the two vaccines in the same arm.
|
||||||
| 2824254 | 29 | M | TN | 02/03/2025 |
COVID19 COVID19 |
MODERNA MODERNA |
062e21a 076c21a |
Epilepsy, Focal dyscognitive seizures, Generalised tonic-clonic seizure, Pain, P...
Epilepsy, Focal dyscognitive seizures, Generalised tonic-clonic seizure, Pain, Pyrexia; Epilepsy, Focal dyscognitive seizures, Generalised tonic-clonic seizure, Pain, Pyrexia
More
|
I took my first dose on 09/11/2021 at a store while still on work travel. I took My second somewhere...
I took my first dose on 09/11/2021 at a store while still on work travel. I took My second somewhere else. I took the vaccine and came home sick with a fever and body aches for multiple days. I began to having tonic clonic seizures on December 7 and was medicated then began having complex partial seizures until medicine was balanced. I am now diagnosed epileptic. I have seen multiple other individuals who are saying similar things. This was a life changing condition.
More
|
โ | โ | ||||
| 2824255 | 78 | F | AL | 02/03/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
334T3 |
Erythema, Skin burning sensation, Swelling face
Erythema, Skin burning sensation, Swelling face
|
Swelling, redness and burning to the face 2 days after vaccine. Continues through today. Improvement...
Swelling, redness and burning to the face 2 days after vaccine. Continues through today. Improvement in swelling, but redness and minimal swelling continues. Denies any involvement of mouth or throat.
More
|
||||||
| 2824256 | 68 | F | TX | 02/03/2025 |
COVID19 |
PFIZER\BIONTECH |
EWO185 |
Atrial fibrillation, Cardiac ablation, Cardiac monitoring
Atrial fibrillation, Cardiac ablation, Cardiac monitoring
|
A few weeks after my second covid vaccine I began having Atrial Fibrillation episodes. ( I took the...
A few weeks after my second covid vaccine I began having Atrial Fibrillation episodes. ( I took the first dose on May 13, 2021 at the same store; Pfizer EW0168) I saw a cardiologist who had me monitored for several weeks. He diagnosed me with Afib somewhere around September 2021. While I previously did have arrythmia (well-controlled through a small dosage of metoprolol) I had never had Afib before I took the Covid vaccine. I continued having Afib episodes approximately every 5-6 weeks, each lasting 24-36 hours, until June 2023, when I had an episode that lasted 5 days. I went to the ER after the first 2 days and they encouraged me to follow up with my cardiologist. He encouraged me to be cardioverted, but my Afib episode ended on its own. However, I did begin taking Multaq, an anti-arrythmic medicated to control the Afib, which it did quite well, but caused some unpleasant side effects. In April 2023 I received an ablation by a different cardiologist (by this time we had moved to Texas.) After the ablation, as of this date, I have had no more episodes of Afib.
More
|
||||||
| 2824257 | 81 | F | MO | 02/03/2025 |
FLU3 |
SANOFI PASTEUR |
UT8409BA |
Chills, Diplegia, Muscular weakness, Tremor
Chills, Diplegia, Muscular weakness, Tremor
|
A few hours after injection, patient had severe shaking chills and reports BL leg paralysis. Symptom...
A few hours after injection, patient had severe shaking chills and reports BL leg paralysis. Symptoms lasted until the next morning. Legs still had some weakness but she returned to her baseline the next day.
More
|
||||||
| 2824258 | 75 | F | AL | 02/03/2025 |
PNC20 |
PFIZER\WYETH |
lc5482 |
Extra dose administered
Extra dose administered
|
No verification prompted pharmacist to notify her that patient had received Prevnar 20 previously. F...
No verification prompted pharmacist to notify her that patient had received Prevnar 20 previously. First dose was not listed in system.
More
|
||||||
| 2824259 | 4 | F | MA | 02/03/2025 |
TDAP |
SANOFI PASTEUR |
3CA22C1 |
Product administered to patient of inappropriate age, Wrong product administered
Product administered to patient of inappropriate age, Wrong product administered
|
A Tdap was given to the patient when it should have been a Dtap
A Tdap was given to the patient when it should have been a Dtap
|
||||||
| 2824261 | 78 | F | FL | 02/03/2025 |
RSV |
GLAXOSMITHKLINE BIOLOGICALS |
52z52 |
Extra dose administered
Extra dose administered
|
Patient got two vaccines one in 2023 one in 2025 this should be a one time only vaccine
Patient got two vaccines one in 2023 one in 2025 this should be a one time only vaccine
|
||||||
| 2824262 | 0.58 | F | NY | 02/03/2025 |
COVID19 |
PFIZER\BIONTECH |
LN8272 |
Inappropriate schedule of product administration
Inappropriate schedule of product administration
|
Of the Series, dose 2 of COVID vaccine given earlier than due at nursing visit.
Of the Series, dose 2 of COVID vaccine given earlier than due at nursing visit.
|
||||||
| 2824263 | 52 | F | CA | 02/03/2025 |
UNK |
UNKNOWN MANUFACTURER |
|
Unevaluable event
Unevaluable event
|
None stated.
None stated.
|
||||||
| 2824264 | 1.67 | M | MO | 02/03/2025 |
COVID19 |
PFIZER\BIONTECH |
LN7305 |
Syringe issue
Syringe issue
|
As vaccine was being administered some of the vaccine leaked out
As vaccine was being administered some of the vaccine leaked out
|
||||||
| 2824265 | 58 | M | MN | 02/03/2025 |
FLU3 PNC21 TDAP VARZOS |
SANOFI PASTEUR MERCK & CO. INC. GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS |
UT8408JA Y013009 XN575 7ZM55 |
Hypoaesthesia; Hypoaesthesia; Hypoaesthesia; Hypoaesthesia
Hypoaesthesia; Hypoaesthesia; Hypoaesthesia; Hypoaesthesia
|
The patient came into the pharmacy and stated that in two outer fingers on his left hand have numbne...
The patient came into the pharmacy and stated that in two outer fingers on his left hand have numbness since the date of the vaccine. He had not had it evaluated by a doctor and I recommended him to do that.
More
|
||||||
| 2824266 | 42 | M | CA | 02/03/2025 |
FLU3 |
GLAXOSMITHKLINE BIOLOGICALS |
79K45 |
Extra dose administered, No adverse event
Extra dose administered, No adverse event
|
The patient received a second dose of flulaval (influenza vaccine) there was no observed immediate s...
The patient received a second dose of flulaval (influenza vaccine) there was no observed immediate side effects. We contacted the patient again the next day on 1/31/2025 and RN assessment was done via telephone, the patient has no delayed reaction nor any side effects from the Flulaval that was given.
More
|
||||||
| 2824267 | 0.17 | M | AZ | 02/03/2025 |
DTPPVHBHPB DTPPVHBHPB DTPPVHBHPB DTPPVHBHPB DTPPVHBHPB DTPPVHBHPB DTPPVHBHPB DTPPVHBHPB DTPPVHBHPB DTPPVHBHPB UNK UNK UNK UNK UNK UNK UNK UNK UNK UNK UNK UNK UNK UNK UNK UNK UNK UNK UNK UNK |
MSP VACCINE COMPANY MSP VACCINE COMPANY MSP VACCINE COMPANY MSP VACCINE COMPANY MSP VACCINE COMPANY MSP VACCINE COMPANY MSP VACCINE COMPANY MSP VACCINE COMPANY MSP VACCINE COMPANY MSP VACCINE COMPANY UNKNOWN MANUFACTURER UNKNOWN MANUFACTURER UNKNOWN MANUFACTURER UNKNOWN MANUFACTURER UNKNOWN MANUFACTURER UNKNOWN MANUFACTURER UNKNOWN MANUFACTURER UNKNOWN MANUFACTURER UNKNOWN MANUFACTURER UNKNOWN MANUFACTURER UNKNOWN MANUFACTURER UNKNOWN MANUFACTURER UNKNOWN MANUFACTURER UNKNOWN MANUFACTURER UNKNOWN MANUFACTURER UNKNOWN MANUFACTURER UNKNOWN MANUFACTURER UNKNOWN MANUFACTURER UNKNOWN MANUFACTURER UNKNOWN MANUFACTURER |
U7295AA U7295AA U7295AA U7295AA U7295AA U7295AA U7295AA U7295AA U7295AA U7295AA 1918226 1918226 1918226 1918226 1918226 1918226 1918226 1918226 1918226 1918226 W036242 W036242 W036242 W036242 W036242 W036242 W036242 W036242 W036242 W036242 |
Abdominal discomfort, Anaemia, Blood test normal, Body temperature decreased, Br...
Abdominal discomfort, Anaemia, Blood test normal, Body temperature decreased, Bradycardia; Bronchiolitis, Cardiac murmur, Cerebral haemorrhage, Coagulation factor, Computerised tomogram head abnormal; Cough, Decorticate posture, Discoloured vomit, Dyspnoea, Food refusal; Gaze palsy, Generalised tonic-clonic seizure, Head injury, Imaging procedure, Infant irritability; Irregular breathing, Laboratory test normal, Lactic acidosis, Laryngomalacia, Lethargy; Magnetic resonance imaging head abnormal, Magnetic resonance imaging spinal abnormal, Malaise, Pain, Partial seizures; Peripheral coldness, Poor quality sleep, Respiratory acidosis, Respiratory tract congestion, Resuscitation; Retinal haemorrhage, Rhinorrhoea, Spinal epidural haematoma, Spinal subdural haematoma, Subdural haematoma; Tachycardia, Thrombocytosis, Toxicologic test normal, Unresponsive to stimuli, Urine analysis; Victim of child abuse, Vomiting; Abdominal discomfort, Anaemia, Blood test normal, Body temperature decreased, Bradycardia; Bronchiolitis, Cardiac murmur, Cerebral haemorrhage, Coagulation factor, Computerised tomogram head abnormal; Cough, Decorticate posture, Discoloured vomit, Dyspnoea, Food refusal; Gaze palsy, Generalised tonic-clonic seizure, Head injury, Imaging procedure, Infant irritability; Irregular breathing, Laboratory test normal, Lactic acidosis, Laryngomalacia, Lethargy; Magnetic resonance imaging head abnormal, Magnetic resonance imaging spinal abnormal, Malaise, Pain, Partial seizures; Peripheral coldness, Poor quality sleep, Respiratory acidosis, Respiratory tract congestion, Resuscitation; Retinal haemorrhage, Rhinorrhoea, Spinal epidural haematoma, Spinal subdural haematoma, Subdural haematoma; Tachycardia, Thrombocytosis, Toxicologic test normal, Unresponsive to stimuli, Urine analysis; Victim of child abuse, Vomiting; Abdominal discomfort, Anaemia, Blood test normal, Body temperature decreased, Bradycardia; Bronchiolitis, Cardiac murmur, Cerebral haemorrhage, Coagulation factor, Computerised tomogram head abnormal; Cough, Decorticate posture, Discoloured vomit, Dyspnoea, Food refusal; Gaze palsy, Generalised tonic-clonic seizure, Head injury, Imaging procedure, Infant irritability; Irregular breathing, Laboratory test normal, Lactic acidosis, Laryngomalacia, Lethargy; Magnetic resonance imaging head abnormal, Magnetic resonance imaging spinal abnormal, Malaise, Pain, Partial seizures; Peripheral coldness, Poor quality sleep, Respiratory acidosis, Respiratory tract congestion, Resuscitation; Retinal haemorrhage, Rhinorrhoea, Spinal epidural haematoma, Spinal subdural haematoma, Subdural haematoma; Tachycardia, Thrombocytosis, Toxicologic test normal, Unresponsive to stimuli, Urine analysis; Victim of child abuse, Vomiting
More
|
Summary from Medical Records 1. On Tuesday, Jan. 23, 2024, patient was cleared for bronchiolitis by ...
Summary from Medical Records 1. On Tuesday, Jan. 23, 2024, patient was cleared for bronchiolitis by his Primary Care Physician (PCP) but proceeded to vomit yellow fluid 3 times during the subsequent overnight period with vomiting NOT occurring with feeds. Mom reported that patient was fussier through that night. 2. On Wednesday, Jan. 24, 2024, patient was brought back to his PCP for vomiting at which time routine recommendations were made. Mom reported that patient was acting ?lethargic? and not wanting to take formula, but did take 4 oz of ?hydration drink.? As per medical records reported by Physician, ?Mom reported that patient was fussier throughout Wednesday night, he was hard to consoled (sic) but eventually consoled for dad. Mom reported that patient acted like he was in pain and did not sleep well. 3. Thursday morning, patient was smiling and appeared to be back to his normal self prior to being dropped off at daycare. 4. Thursday evening, around 7 pm, the caretaker called parents and informed them that ?the baby is not well, baby is not breathing well.? EMS was called and the adult son of the caretaker initiated CPR. 5. As per EMR and review of EMS documentation: ?they arrived at the house to find the baby being held by MPD; he was lethargic, unresponsive, had irregular respirations and was cool to touch. They lad the baby on the couch for assessment; the baby subsequently had ?decorticate posturing? with Left gaze deviation GCS =3. He had a total of 3 of these spells and was given midazolam. En route to the ED the baby had intermittent bradycardia, then tachycardia and irregular respirations. On arrival to ED the baby was being bagged BVM. He subsequently had bradycardia and a rapid response was called; he required full resuscitation. He had intermittent generalized tonic/clonic seizures and was given lorazepam followed by a bolus of levetiracetam 50 mg/kg x1. He then had Right focal seizures and was given bolus of fosphenytoin 20 mg/kg x1. He was able to maintain an airway with adequate saturation and did not require intubation. Initial temperature = 35.6 rectal Routine laboratory diagnostics revealed anemia, thrombocytosis, lactic/respiratory acidosis. Routine neuroimaging [head CT] revealed mixed density bilateral SDH R> L; there was acute bleed in the bilateral cerebral convexities L > R. ? 6. Patient arrived at the hospital unresponsive, receiving assisted breaths via BVM. Patient became bradycardic-chest compressions were started and epi x2 and bicarb given. The patient was not intubated and was put on high flow NC. Patient was taken to the CT scanner where he was noted to have acute intracranial bleeding. 7. MRIs revealed that patient had stable subacute bilateral subdural hematomas as well as a predominantly dorsal subdural hematoma extending from the level of the lower thoracic spine through the sacrum. A smaller ventral bleed was also present in the lumbar spine. Ophthalmology exam revealed bilateral retinal hemorrhages. All tests for underlying blood and clotting disorders were negative. 8. No signs of external trauma were found. No bone fractures were found. No accidents or intentional trauma were noticed by any caregivers of the child. 9. Due to the brain bleeding, spinal bleeding and retinal hemorrhages, physicians determined that patient?s presentation was consistent with abusive head trauma (sometimes referred to as ?Shaken Baby Syndrome?) and law enforcement was called to investigate.
More
|
โ | โ |