| ID | Age | Sex | State | Date โผ | Onset Days | Vaccine | Manufacturer | Lot # | Symptoms | Narrative | ๐ | ๐ฅ | ๐ | โฟ | โ ๏ธ |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2823495 | 94 | F | OH | 01/29/2025 |
PNC20 |
PFIZER\WYETH |
LJ5283 |
Death, Seizure like phenomena
Death, Seizure like phenomena
|
Vaccine received on 1/21- had 30 sec seizure like activity that evening. Remained alert and oriented...
Vaccine received on 1/21- had 30 sec seizure like activity that evening. Remained alert and oriented per baseline. Sitting in recliner after evening meal when staff found already deceased. Had extensive health history and comorbidities.
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โ | |||||
| 2823496 | 46 | F | FL | 01/29/2025 |
COVID19 |
PFIZER\BIONTECH |
Fh8030 |
Aphasia, Cerebrovascular accident, Intracranial aneurysm
Aphasia, Cerebrovascular accident, Intracranial aneurysm
|
Began to suffer from aphasia, eventually hospitalized for stroke and then brain aneurysm
Began to suffer from aphasia, eventually hospitalized for stroke and then brain aneurysm
|
โ | |||||
| 2823497 | 64 | F | WV | 01/29/2025 |
TDAP VARZOS |
GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS |
4b47k 74nc9 |
Arthralgia, Breast pain; Arthralgia, Breast pain
Arthralgia, Breast pain; Arthralgia, Breast pain
|
patient has been experiencing pain in arm from shoulder to elbow down around breast, started with v...
patient has been experiencing pain in arm from shoulder to elbow down around breast, started with vaccine and has continued, she has take tylenol
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| 2823498 | 59 | M | MN | 01/29/2025 |
COVID19 |
PFIZER\BIONTECH |
LN0558 |
Pain
Pain
|
Soreness. No treatment
Soreness. No treatment
|
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| 2823499 | 1.25 | M | PA | 01/29/2025 |
MMR |
MERCK & CO. INC. |
Y010046 |
Syringe issue
Syringe issue
|
Unknown dose of MMR administered due to defective sterile diluent prefilled syringe
Unknown dose of MMR administered due to defective sterile diluent prefilled syringe
|
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| 2823500 | 1.5 | F | VA | 01/29/2025 |
COVID19 HEPA |
MODERNA GLAXOSMITHKLINE BIOLOGICALS |
3044211 DN273 |
Idiopathic urticaria, Injection site erythema; Idiopathic urticaria, Injection s...
Idiopathic urticaria, Injection site erythema; Idiopathic urticaria, Injection site erythema
More
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Idiopathic urticaria that lasted for 2 weeks after administration with erythema that started at the ...
Idiopathic urticaria that lasted for 2 weeks after administration with erythema that started at the right thigh (site of the HepA vaccine). I am a pediatric allergist and reaction was immunologic related to the innate response to these rather than IgE
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| 2823501 | 45 | F | 01/29/2025 |
TD |
MASS. PUB HLTH BIOL LAB |
A146A |
Inappropriate schedule of product administration
Inappropriate schedule of product administration
|
Patient had vaccines on 2/22/22 not sure for one
Patient had vaccines on 2/22/22 not sure for one
|
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| 2823502 | 1.33 | M | 01/29/2025 |
MNQ |
NOVARTIS VACCINES AND DIAGNOSTICS |
M23G5 |
No adverse event, Product administered to patient of inappropriate age
No adverse event, Product administered to patient of inappropriate age
|
Menveo - 1 vial was ordered by Physician and given by Medical Assistant, but is meant for patients a...
Menveo - 1 vial was ordered by Physician and given by Medical Assistant, but is meant for patients aged 10-55 years, and this patient was 1 when he received the vaccine. Should have received the 2-vial formulation for patients aged 2-10. No harm to the patient as dosing is the same, however, not FDA approved for single vial to be given to patients under 10.
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| 2823503 | 4 | M | AZ | 01/29/2025 |
DTAPIPV MMRV |
GLAXOSMITHKLINE BIOLOGICALS MERCK & CO. INC. |
3RT93 Y015989 |
Injection site cellulitis; Injection site cellulitis
Injection site cellulitis; Injection site cellulitis
|
Cellulitis on L upper arm. Rx Keflex
Cellulitis on L upper arm. Rx Keflex
|
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| 2823504 | 30 | F | MT | 01/29/2025 |
COVID19 FLU3 HPV9 |
MODERNA GLAXOSMITHKLINE BIOLOGICALS MERCK & CO. INC. |
3043335 N737Y X020725 |
Syncope; Syncope; Syncope
Syncope; Syncope; Syncope
|
After completing IM Vx administration of Flu, Moderna, and HPV (1) Pt experienced textbook syncopal ...
After completing IM Vx administration of Flu, Moderna, and HPV (1) Pt experienced textbook syncopal episode. Pt regained full level of consciousness within seconds. This nurse had Pt in laying position for 5 mins prior to coming to sitting position for additional 10 mins. At that time the Pt was escorted to front desk area to check out. Pt had continued monitoring for another 15 mins. Pt stated they felt safe to leave after checkout was complete. Education was given on S/S to watch for over the next few days.
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| 2823505 | 1.25 | M | PA | 01/29/2025 |
HIBV HIBV HIBV SMALL SMALL SMALL |
SANOFI PASTEUR SANOFI PASTEUR SANOFI PASTEUR EMERGENT BIOSOLUTIONS EMERGENT BIOSOLUTIONS EMERGENT BIOSOLUTIONS |
|
Autism spectrum disorder, Brain lobectomy, Developmental regression, Ear infecti...
Autism spectrum disorder, Brain lobectomy, Developmental regression, Ear infection, Electroencephalogram; Epilepsy, Laboratory test, Magnetic resonance imaging, Magnetoencephalography, Scan; Seizure, Speech disorder developmental, Surgery, Whole-genome sequencing; Autism spectrum disorder, Brain lobectomy, Developmental regression, Ear infection, Electroencephalogram; Epilepsy, Laboratory test, Magnetic resonance imaging, Magnetoencephalography, Scan; Seizure, Speech disorder developmental, Surgery, Whole-genome sequencing
More
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Patient began regressing in cognition. His speech did not develop and he began having repeated ear ...
Patient began regressing in cognition. His speech did not develop and he began having repeated ear infections. He had his first seizure 4 months later and was diagnosed with epilepsy. He has had his whole genome sequenced with no findings that would suggest congenital abnormalities.
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โ | โ | โ | |||
| 2823506 | 77 | M | OK | 01/29/2025 |
PNC20 RSV |
PFIZER\WYETH GLAXOSMITHKLINE BIOLOGICALS |
HE6171 HF5022 |
Extra dose administered; Extra dose administered
Extra dose administered; Extra dose administered
|
Patient had already received the same RSV vaccine on 1/9/2024.
Patient had already received the same RSV vaccine on 1/9/2024.
|
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| 2823507 | 37 | M | ID | 01/29/2025 |
COVID19 COVID19 |
PFIZER\BIONTECH PFIZER\BIONTECH |
EL3240 eh9899 |
Demyelination, Nerve degeneration, Neuropathy peripheral; Demyelination, Nerve d...
Demyelination, Nerve degeneration, Neuropathy peripheral; Demyelination, Nerve degeneration, Neuropathy peripheral
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Late onset of Peripheral neuropathy bilaterally in both feet that was gradual over the next year(202...
Late onset of Peripheral neuropathy bilaterally in both feet that was gradual over the next year(2022) to the point currently. I have confirmed demyelination and degeneration of the nerves in my feet bilaterally, requiring me to start gabapentin (which I did not tolerate)
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โ | |||||
| 2823508 | 37 | M | VA | 01/29/2025 |
COVID19 |
JANSSEN |
|
Alopecia areata, Dermatitis atopic, Dermatosis, Hidradenitis, Psoriasis
Alopecia areata, Dermatitis atopic, Dermatosis, Hidradenitis, Psoriasis
|
Developed psoriasis, atopic dermatitis, hidradenitis suppurativa, alopecia areata and dermatoses on ...
Developed psoriasis, atopic dermatitis, hidradenitis suppurativa, alopecia areata and dermatoses on the chest, trunk, back, arms and inner thighs.
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โ | |||||
| 2823509 | 46 | F | CA | 01/29/2025 |
COVID19 COVID19 |
PFIZER\BIONTECH PFIZER\BIONTECH |
ER2613 ER2613 |
Biopsy lymph gland abnormal, Lymphoedema, Malignant melanoma in situ, Melanocyti...
Biopsy lymph gland abnormal, Lymphoedema, Malignant melanoma in situ, Melanocytic naevus, Pathology test; Skin neoplasm excision
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Within a few weeks of the COVID shots I had noticed a congenital mole on my left calf starting to ch...
Within a few weeks of the COVID shots I had noticed a congenital mole on my left calf starting to change. This was a mole I was told would never cause me problems and that it was just ugly. I continued to watch it for a few weeks until I reached out to my doctor in May 2021 and I was diagnosed with melanoma in June. I had SLNB and then WLE surgery with clear margins. As a result of the lymph node testing I was left with severe lymphedema in the left leg which is still problematic. I have since had more melanoma - forehead in-situ and then the original calf melanoma spread as in-transit melanoma to my shin in 2023. Now stage 3b. I now have a 4th melanoma on my back that I have WLE for next week.
More
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โ | |||||
| 2823510 | 3 | F | CA | 01/29/2025 |
MNQ PPV |
NOVARTIS VACCINES AND DIAGNOSTICS MERCK & CO. INC. |
NR394 X022827 |
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
More
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Menveo for age 10-55 was given to a 3-year old. There was no adverse reaction and no harm reached t...
Menveo for age 10-55 was given to a 3-year old. There was no adverse reaction and no harm reached the patient.
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| 2823511 | 25 | F | SC | 01/29/2025 |
HEP |
GLAXOSMITHKLINE BIOLOGICALS |
AZ453 |
Peripheral swelling, Pruritus, Rash
Peripheral swelling, Pruritus, Rash
|
On January 16, 2025, donor received first Anti-HBS immunization. Within 15 minutes of the immunizati...
On January 16, 2025, donor received first Anti-HBS immunization. Within 15 minutes of the immunization, the donor started to experience itchy and swelling on the left hand. A rash developed on the donor's hand and finger. Donor was monitored and ice pack placed on hand. Donors breathing and heart rate remained normal and denied any other symptoms. Donor's vital signs remained within normal limits. Donor was monitored for approximately 20 minutes in which the hand color returned to normal. The itching and swelling subsided almost immediately after ice pack was placed.
More
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| 2823512 | 31 | M | MN | 01/29/2025 |
VARCEL |
MERCK & CO. INC. |
Y010374 |
Erythema, Skin warm, Swelling
Erythema, Skin warm, Swelling
|
Raised reddened area warm to touch and 2 small
Raised reddened area warm to touch and 2 small
|
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| 2823513 | 61 | M | CA | 01/29/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
9tlj7 |
Herpes zoster
Herpes zoster
|
Patient reported that 1 week after receiving their first dose of Shingrix they developed shingles an...
Patient reported that 1 week after receiving their first dose of Shingrix they developed shingles and required treatment.
More
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โ | |||||
| 2823514 | 82 | F | TX | 01/29/2025 |
RSV |
PFIZER\WYETH |
|
Cerebrovascular accident, Injection site erythema, Injection site swelling
Cerebrovascular accident, Injection site erythema, Injection site swelling
|
injection site redness and swelling, stroke 24-48 hours after vaccine, no history of stroke
injection site redness and swelling, stroke 24-48 hours after vaccine, no history of stroke
|
โ | โ | โ | |||
| 2823515 | 73 | M | WA | 01/29/2025 |
RAB |
SANOFI PASTEUR |
W1D211M |
Arthralgia, Injection site bruising, Injection site pain, Pain
Arthralgia, Injection site bruising, Injection site pain, Pain
|
Pt received 4 doses of rabies post-exposure treatment, 3 in the R deltoid and the final dose in the ...
Pt received 4 doses of rabies post-exposure treatment, 3 in the R deltoid and the final dose in the L deltoid. Pt reports soreness at the injection site since the vaccines were administered, but last weekend (1/25) began experiencing intense pain with movement and bruising on the right bicep. The bruising is new, but the soreness has been ongoing on his right shoulder since the vaccines were administered. Hook test performed, negative for tear. Will see sports medicine for medical management/therapy. Ice/heat for relief. Topical lidocaine and diclofenac.
More
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| 2823516 | 90 | F | CA | 01/29/2025 |
COVID19 |
MODERNA |
8080750 |
Injection site erythema, Injection site swelling
Injection site erythema, Injection site swelling
|
Swelling and redness to site where COVID vaccine was previously administered, new order to apply war...
Swelling and redness to site where COVID vaccine was previously administered, new order to apply warm compress and administer Tylenol as needed for pain.
More
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| 2823517 | 24 | F | WA | 01/29/2025 |
RSV |
PFIZER\WYETH |
kc7884 |
Exposure during pregnancy, Extra dose administered, No adverse event
Exposure during pregnancy, Extra dose administered, No adverse event
|
Patient was given 2 RSV vaccines 1/8 and 1/22, provider noted no harm to patient was caused. patient...
Patient was given 2 RSV vaccines 1/8 and 1/22, provider noted no harm to patient was caused. patient did not seek emergency care as none was needed per provider
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| 2823518 | 1.08 | F | OH | 01/29/2025 |
HEPA MMR VARCEL |
GLAXOSMITHKLINE BIOLOGICALS MERCK & CO. INC. MERCK & CO. INC. |
tf27t X022986 Y006522 |
Muscle twitching; Muscle twitching; Muscle twitching
Muscle twitching; Muscle twitching; Muscle twitching
|
twitching for a day after getting the vaccines
twitching for a day after getting the vaccines
|
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| 2823519 | 25 | M | VA | 01/29/2025 |
ANTH |
EMERGENT BIOSOLUTIONS |
300214A |
Laboratory test normal, Lymph nodes scan abnormal, Lymphadenopathy, Pain in jaw,...
Laboratory test normal, Lymph nodes scan abnormal, Lymphadenopathy, Pain in jaw, Swelling face
More
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In subsequent evening going into the AM, patient developed submandibular swelling with pain, and no ...
In subsequent evening going into the AM, patient developed submandibular swelling with pain, and no systemic symptoms. Worsening, and showing obvious swelling to that area of his face, without erythema.
More
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โ | |||||
| 2823520 | 52 | M | MN | 01/29/2025 |
PNC21 |
MERCK & CO. INC. |
Y011819 |
Dizziness, Head injury, Seizure
Dizziness, Head injury, Seizure
|
The patient had a seizure four minutes after received a vaccine. The seizure lasted around 10 minut...
The patient had a seizure four minutes after received a vaccine. The seizure lasted around 10 minutes. At first patient felt light headed and was sitting down then stood up right before he slowly went to the floor but head slowly hit the floor. Paramedics were called and patient came out of seizure while they were there present. Patient went with paramedics to run some tests. Patient discussed prior fainting with vaccinations but only happened a few times and has received vaccinations at pharmacy in past. Also discussed epilepsy but controlled on medications
More
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| 2823521 | 68 | F | FL | 01/29/2025 |
PNC21 |
MERCK & CO. INC. |
y013009 |
Erythema, Hyperhidrosis, Swelling
Erythema, Hyperhidrosis, Swelling
|
On 01/29/2025 Patient came back to pharmacy complaining about local adverse reaction (redness,sorene...
On 01/29/2025 Patient came back to pharmacy complaining about local adverse reaction (redness,soreness, swelling ) from capvaxive vaccine from 01/24/2025. I advised her to take over the counter benadryl and do ice compression. If it does not get better then it needs to have provider's attention.
More
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| 2823522 | 12 | F | TX | 01/29/2025 |
HPV9 HPV9 MNQ MNQ TDAP TDAP |
MERCK & CO. INC. MERCK & CO. INC. SANOFI PASTEUR SANOFI PASTEUR GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS |
Y008843 Y008843 U8271AB U8271AB CX4HL CX4HL |
Cold sweat, Confusional state, Dyskinesia, Musculoskeletal stiffness, Nausea; Pa...
Cold sweat, Confusional state, Dyskinesia, Musculoskeletal stiffness, Nausea; Pallor; Cold sweat, Confusional state, Dyskinesia, Musculoskeletal stiffness, Nausea; Pallor; Cold sweat, Confusional state, Dyskinesia, Musculoskeletal stiffness, Nausea; Pallor
More
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Adolscent female became pale and confused after walking to the waiting area at the completion of vac...
Adolscent female became pale and confused after walking to the waiting area at the completion of vaccinations. Her mother reports She leaned back in her chair and became stiff, then her arms began to jerk for approximately 15 seconds. Nurse had her sit bent over with her head down over her knees, cold compress was applied to her neck and under her chin. She complained of a sharp headache across her forehead at a 10 on a 1-10 scale. Student remained pale and clammy for the next 10-15 minutes. Headache went to a 5 on 1-10 scale after five minutes. Observed a full 30 minutes more. Student began to feel better with some nausea and dull headache. Mother decline a ride to the emergency department. Hard candy was offered. Student left alert, oriented and ambulated out of the lobby with her parent. Follow up to the mother the following day and she reports that the student is doin fine now.
More
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| 2823523 | 4 | F | MI | 01/29/2025 |
DTAPIPV |
GLAXOSMITHKLINE BIOLOGICALS |
5G23D |
Extra dose administered
Extra dose administered
|
client received a dtap and a IPV on 10/18/2024 a fourth dose in each series. I misread the record a...
client received a dtap and a IPV on 10/18/2024 a fourth dose in each series. I misread the record and gave an additional dose of DI today to client that wasn't necessary. dose was not due until 04/18/2025. Explained the error to patients mother and she verbalized understanding . Mom stated she will return on 07/29/2025 for appropriate dose.
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| 2823524 | 2 | M | WA | 01/29/2025 |
HEPA VARCEL |
MERCK & CO. INC. MERCK & CO. INC. |
Y011643 Y010184 |
Fatigue, Inappropriate schedule of product administration, Lethargy; Fatigue, In...
Fatigue, Inappropriate schedule of product administration, Lethargy; Fatigue, Inappropriate schedule of product administration, Lethargy
More
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Vaccine Administration Error- Patient was given Hep A and Varicella before recommended administratio...
Vaccine Administration Error- Patient was given Hep A and Varicella before recommended administration dates. Patient reported no abnormal reaction or response. Parents stated he had his "typical reaction" of feeling run down and lethargic.
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| 2823525 | 58 | F | TX | 01/29/2025 |
FLU3 FLU3 |
SANOFI PASTEUR SANOFI PASTEUR |
UT8506MA UT8506MA |
Asthenia, Dizziness, Eye swelling, Facial pain, Feeling hot; Head discomfort, He...
Asthenia, Dizziness, Eye swelling, Facial pain, Feeling hot; Head discomfort, Headache, Nausea, Somnolence
More
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Patient developed the following symptoms after the vaccine: dizziness, feeling warmth throughout her...
Patient developed the following symptoms after the vaccine: dizziness, feeling warmth throughout her body, sensation of left eyeball swelling, nausea, drowsiness, left face pain, head feeling weird, headache, weakness.
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| 2823526 | 65 | F | CA | 01/29/2025 |
COVID19 COVID19 COVID19 |
MODERNA MODERNA MODERNA |
|
Abdominal pain upper, Asthenia, Dizziness, Gait disturbance, Gastritis; Headache...
Abdominal pain upper, Asthenia, Dizziness, Gait disturbance, Gastritis; Headache, Loss of consciousness, Loss of personal independence in daily activities, Malaise, Mobility decreased; Pain, Pain in extremity, Thirst
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pt says her arm was little sore the day of the vaccine but the next day she was running errands she ...
pt says her arm was little sore the day of the vaccine but the next day she was running errands she bacame weak and her walking became slower. Her gait was getting worse. She became thirsty and felt like she was going to pass out. She was at a store and needed to drive home but was worried about getting home. Once she got home she had to climb stairs to get into her room. She wanted to email her son to let him know she was not feeling well but was so weak she could not type. Her entire body was hurting. She passed out and slept for hours but stayed in the bed for 5 days total. She only got out of the bed to urinate. She could hear the phone ringing but couldn't answer it. Her stomach was so inflammed she had to stay laying down. She had headach with the stomach ache. After the 5th day she was able to start functioning more normally. By the 6th day she felt normal. She contacted the pharmacy to let them know. She saw her PCP on Dec 24th and notated her reactions.
More
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| 2823528 | 73 | F | ME | 01/29/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
4m472 |
Injection site erythema, Injection site swelling, Injection site warmth
Injection site erythema, Injection site swelling, Injection site warmth
|
Pt called ~4pm in Wednesday 1/29/25 asking about what to do with swelling, redness and heat of upper...
Pt called ~4pm in Wednesday 1/29/25 asking about what to do with swelling, redness and heat of upper right arm. Recommended going to Walk-in care, trying cold compress for swelling (about 4 inches in diameter) as well as taking some ibuprofen (not to exceed 32oomg/day). She mentioned a similar reaction when receiving the first Shingrix but not as expansive in area.
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| 2823529 | 4 | M | GA | 01/29/2025 |
DTAPIPV MMR VARCEL |
GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS MERCK & CO. INC. |
3RT93 KH2BD Y005921 |
Injection site pruritus, Injection site rash; Injection site pruritus, Injection...
Injection site pruritus, Injection site rash; Injection site pruritus, Injection site rash; Injection site pruritus, Injection site rash
More
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Patient had a rash develop the day after vaccines on the right thigh. No leg pain, but parents repor...
Patient had a rash develop the day after vaccines on the right thigh. No leg pain, but parents reported patient had been scratching at leg. Parents gave a singular dose of Benadryl but no apparent improvement. Patient was brought in to the office to be seen by his pediatrician. on 1/29/2025
More
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| 2823530 | 63 | F | MA | 01/29/2025 |
COVID19 FLU3 |
PFIZER\BIONTECH SANOFI PASTEUR |
LM2219 UT8468JA |
Blood iron decreased, Fluid retention, Protein total decreased, Swelling, Vitami...
Blood iron decreased, Fluid retention, Protein total decreased, Swelling, Vitamin D decreased; Blood iron decreased, Fluid retention, Protein total decreased, Swelling, Vitamin D decreased
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COVID19 vaccine and flu vaccine given concurrently. Patient has received these vaccines in the past ...
COVID19 vaccine and flu vaccine given concurrently. Patient has received these vaccines in the past but not given concurrently. Developed fluid retention/swelling after vaccinations, and was hospitalized in 1/2025 for fluid retention, swelling, low protein, low iron, low vitamin D.
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โ | |||||
| 2823531 | 64 | F | GA | 01/29/2025 |
COVID19 |
MODERNA |
3030340 |
Breast cancer female, Radiotherapy, Surgery
Breast cancer female, Radiotherapy, Surgery
|
Patient states that she received covid19 vaccine on November 18, 2023 and in December 2023 she was d...
Patient states that she received covid19 vaccine on November 18, 2023 and in December 2023 she was diagnosed with breast cancer. She had surgery in 1/2024 and radiation. She states she is currently fine
More
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โ | |||||
| 2823532 | 65 | F | NM | 01/29/2025 |
COVID19 |
NOVAVAX |
6024MF021 |
Incorrect route of product administration
Incorrect route of product administration
|
PATIENT CALLED THE PHARMACY WANTING TO TELL THE PHARMACY THAT SHE THINKS THE NOVAVAX VACCINE WAS ADM...
PATIENT CALLED THE PHARMACY WANTING TO TELL THE PHARMACY THAT SHE THINKS THE NOVAVAX VACCINE WAS ADMINISTERED INCORRECTLY. SHE STATES THAT THE VACCINATOR PINCHED HER SKIN WHILE INJECTING, AND THAT SHE DID NOT FEEL THE NEEDLE. SHE ALSO STATES THAT SHE DID NOT HAVE TYPICAL VACCINE SIDE EFFECTS FOR 2 DAYS, INSTEAD OF 1 DAY THAT SHE IS USED TO. PHARMACIST TRIED TO RATIONALIZE WITH PATIENT THAT WE USE THE APPROPRIATE NEEDLES FOR IM INJECTION (1 INCH ) AND THE SIDE EFFECTS DOES NOT SOUND ATYPICAL. THE PATIENT WAS ADAMENT THAT SHE THOUGHT IT WAS ADMINISTERED SUBCUTANEOUSLY AND THAT THIS IS REPORTED TO MAKE SURE EVERYONE IS AWARE.
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| 2823533 | 73 | F | TX | 01/29/2025 |
COVID19 PNC21 |
MODERNA MERCK & CO. INC. |
8080799 Y011819 |
Injection site erythema, Injection site pruritus; Injection site erythema, Injec...
Injection site erythema, Injection site pruritus; Injection site erythema, Injection site pruritus
More
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PATIENT HAD 2 VACCINES ON 01/15/25, SPIKEVAX AND CAPVAXIVE, SINCE THEN PT HAS REPORTED OF RED AND IC...
PATIENT HAD 2 VACCINES ON 01/15/25, SPIKEVAX AND CAPVAXIVE, SINCE THEN PT HAS REPORTED OF RED AND ICTCHING ON THE INJECTION SITE, PT CALLED TODAY AND REPORTED OF THE SYMPTOMS THAT STARTED ON 1/15/25 EVENING AND LAST UNTIL NOW.
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| 2823561 | U | GA | 01/29/2025 |
MMRV |
MERCK & CO. INC. |
y014306 |
No adverse event, Product storage error
No adverse event, Product storage error
|
HCP called to report a T/E and reports improperly stored PROQUAD was given to 2 patients on 1/17/202...
HCP called to report a T/E and reports improperly stored PROQUAD was given to 2 patients on 1/17/2025. No symptoms or side effects reported. Related AE case filed in 02738574. No additional AE/no PQC. ? Names of vaccines involved (including lot; No additional AE; This spontaneous report was received from a nurse and refers to a patient of unknown age and gender. The patient's pertinent medical history, drug reactions or allergies, or concomitant medication were not reported. On an unknown date, the patient was vaccinated with an improperly stored vaccine of measles, mumps, rubella and varicella (oka-merck) virus vaccine live (rHA) (PROQUAD) injection (lot number wheter Y014306 or Y015990 has been verified to be a valid lot number, with expiration date 18-FEB-2026 and 23-MAR-2026, respectively) administered as prophylaxis (dosage, route of administration and anatomical location were not reported) for prophylaxis, which underwent a temperature excursion, at -13.4 ๏ฟฝC (-14 ๏ฟฝC up to 10 ๏ฟฝC ) for 4 hours 30 minutes and 0 seconds. There was no previous temperature excursion. No additional adverse event reported. This is one of two reports received from the same reporter.; Sender's Comments: US-009507513-2501USA006018:
More
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| 2823562 | U | IL | 01/29/2025 |
VARCEL |
MERCK & CO. INC. |
Y006522 |
No adverse event, Product storage error
No adverse event, Product storage error
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No symptomatic adverse events were reported. No additional AE; The HCP reports that VARIVAX was inad...
No symptomatic adverse events were reported. No additional AE; The HCP reports that VARIVAX was inadvertently administered after suffering from a Temperature Excursion.; This spontaneous report was received from a nurse and refers to a patient of an unknown age and gender. The patient's pertinent medical history, concurrent conditions, drug reactions or allergies, and concomitant therapies were not reported. Concomitant medications included sterile diluent (MERCK STERILE DILUENT). On 17-DEC-2024, the patient was vaccinated with an improperly stored dose of varicella virus vaccine live (Oka/Merck) (VARIVAX) injection, 0.5 milliliter, lot # Y006522; which has been verified to be valid lot # for varicella virus vaccine live (Oka/Merck), expiration date: 25-MAR-2026, administered as prophylaxis (strength, dose number, route, anatomical location of administration and vaccination scheme frequency were not provided) (product storage error) after a temperature excursion (TE) occurred at a temperature of -11.6 C degrees Celsius during a time frame of 3 hours 5 minutes and 0 seconds. Previous temperature excursions could not be confirmed. No additional adverse event (AE) was reported (no adverse event). This is one of several reports received from the same reporter.; Sender's Comments: US-009507513-2501USA008877: US-009507513-2501USA009045: US-009507513-2501USA008880: US-009507513-2501USA008882:02740767 US-009507513-2501USA007446: US-009507513-2501USA008935: US-009507513-2501USA007047: US-009507513-2501USA008861:
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| 2823563 | 16 | M | KY | 01/29/2025 |
HPV9 |
MERCK & CO. INC. |
W029724 |
Expired product administered, No adverse event
Expired product administered, No adverse event
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No additional AE; FBE called on behalf of nurse to report an expired dose of GARDASIL 9 was administ...
No additional AE; FBE called on behalf of nurse to report an expired dose of GARDASIL 9 was administered to 1 patient. Per FBE, nurse stated dose expired on 1/8/2025 and was administered on 1/22/2025. FBE stated the nurse did not report any patient symptoms or provide; This spontaneous report was received from a registered nurse referring to a 16-year-old male patient. The patient's historical medications, medical history, concurrent conditions and concomitant medications were not reported. On 22-JAN-2025, the patient was vaccinated with an expired dose of hpv rl1 6 11 16 18 31 33 45 52 58 vlp vaccine (yeast)(GARDASIL 9) lot number W029724, expiration date 08-JAN-20225 (dose and route of administration not reported) for prophylaxis (expired product administered). No adverse event was reported.
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| 2823564 | 4 | U | SC | 01/29/2025 |
MMRV |
MERCK & CO. INC. |
X018814 |
Expired product administered, No adverse event
Expired product administered, No adverse event
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The HCP stated the patient did no experience any adverse issues or side effects from the administere...
The HCP stated the patient did no experience any adverse issues or side effects from the administered dose of PROQUAD; A HCP called to inquire about the viability of an expired dose of PROQUAD (X018814 01/07/2025) that was administered to a patient on 01/24/2025.; The HCP was unsure if the PROQUAD had ever undergone a temperature excursion (TE).; This spontaneous report was received from a nurse and refers to a 4-year-old patient of an unknown gender. The patient's pertinent medical history, concurrent conditions, drug reactions or allergies were not reported. Concomitant medications included sterile diluent (MERCK STERILE DILUENT). On 24-JAN-2025, the patient was vaccinated with an expired and potentially improper storage dose of measles, mumps, rubella and varicella (oka-merck) virus vaccine live ([rHA recombinant human albumin]) (PROQUAD) injection, lot #X018814; which has been verified to be valid for measles, mumps, rubella and varicella (oka-merck) virus vaccine live, expiration date: 07-JAN-2025, administered for prophylaxis (strength, vaccination schedule, exact quantity volume, route and anatomical site of administration were not provided) (Expired product administered; Product storage error). The reporter inquired about the viability of this expired dose. In addition, she stated she was not sure if it had ever undergone a temperature excursion (TE) and could not provide more information related to it. The patient did not experience any adverse issues or side effects (no adverse event).
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| 2823565 | U | NC | 01/29/2025 |
HPV9 |
MERCK & CO. INC. |
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Influenza virus test positive
Influenza virus test positive
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tested positive for flu; received their second dose of GARDASIL 9 dose 3 weeks after their first dos...
tested positive for flu; received their second dose of GARDASIL 9 dose 3 weeks after their first dose, instead of the four weeks minimal interval; This spontaneous report has been received from a nurse practitioner regarding a 23-year-old patient of unknown gender. Information regarding medical history, concurrent conditions and concomitant therapies was not reported. On an unspecified date, the patient received their second dose of HPV rL1 6 11 16 18 31 33 45 52 58 VLP vaccine (yeast) (GARDASIL 9) injection for prophylaxis (strength, dose, scheme, route of administration, anatomical site, lot number and expiration date not reported) 3 weeks after their first dose, instead of the four weeks minimal interval (Inappropriate schedule of vaccine administered). On an unknown date (also reported as today), the caller stated that the patient tested positive for flu (Influenza virus test positive). The outcome of the events was unknown. The causal relationship between the suspect vaccine and the events was unknown.
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| 2823566 | 35 | F | CA | 01/29/2025 |
HPV4 HPV4 HPV4 HPV4 HPV4 |
MERCK & CO. INC. MERCK & CO. INC. MERCK & CO. INC. MERCK & CO. INC. MERCK & CO. INC. |
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Abdominal pain, Arthralgia, Dysphagia, Endometriosis, Fatigue; Gastrointestinal ...
Abdominal pain, Arthralgia, Dysphagia, Endometriosis, Fatigue; Gastrointestinal tube insertion, Histoplasmosis, Hypersensitivity, Hysterectomy, Inappropriate schedule of product administration; Loss of personal independence in daily activities, Mass excision, Mobility decreased, Pain, Pain in extremity; Peripheral swelling, Pharyngeal mass, Swollen tongue, Systemic lupus erythematosus, Thrombectomy; Thrombosis, Weight decreased
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patient continued to experience swelling as the weeks went by. Her entire body was hurting due to sw...
patient continued to experience swelling as the weeks went by. Her entire body was hurting due to swelling, especially in her hands, fingers, and ankles. Physician prescribed steroids, but she continued to experience pain for months; histoplasmosis; feeding tube placed; full hysterectomy; endometriosis/Abdominal pain; clots removed from her legs; lumps removed from her throat; had lost significant weight; difficulty swallowing; patient's palms began to swell. Within 12 hours, patient's tongue was enlarged and she could no longer swallow. Her husband took her to the emergency room for an allergic reaction to the vaccine; Patient was 35 years old when she received her first dosage of Gardasil; This initial spontaneous report was received from a lawyer on 24-JAN-2025 regarding a case in litigation and refers to a female patient (pt) of 35 years old. No information was provided regarding concomitant medications, concurrent conditions or medical history. On 15-DEC-2020, the patient was vaccinated with the first dose of quadrivalent human papillomavirus (types 6,11,16,18) recomb. vaccine (GARDASIL), intramuscular Injection route of administration, lot number and expiration date were not reported) for preventing cervical cancer (Product administered to patient of inappropriate age). The second dose of quadrivalent human papillomavirus (types 6,11,16,18) recomb. vaccine (GARDASIL), intramuscular Injection route of administration, lot number and expiration date were not reported) for preventing cervical cancer was administered on 28-JAN-2021. It was reported that on 28-JAN-2021 within two hours of receiving the second dose of quadrivalent human papillomavirus (types 6,11,16,18) recomb. vaccine (GARDASIL)vaccine, pt.'s palms began to swell. Within 12 hours, pt.'s tongue was enlarged and she could no longer swallow. Her husband took her to the emergency room for an allergic reaction to the quadrivalent human papillomavirus (types 6,11,16,18) recomb. vaccine (GARDASIL)vaccine (Allergy to vaccine). Pt. was given intravenous medication to reduce the swelling and was eventually discharged with an emergency EpiPen. Pt. continued to experience swelling as the weeks went by. Her entire body was hurting due to swelling, especially in her hands, fingers, and ankles. Physician prescribed steroids, but she continued to experience pain for months. Pt. was eventually diagnosed with autoimmune Lupus (Systemic lupus erythematosus). She had also been diagnosed with histoplasmosis, endometriosis, and had had a full hysterectomy. She continued to experience severe daily pain and fatigue. She has had clots removed from her legs several times (Thrombectomy), as well as lumps removed from her throat (Mass excision). She experienced abdominal pain and difficulty swallowing (Dysphagia) and had lost significant weight (Weight decreased). She had had a feeding tube placed (Gastrointestinal tube insertion) and must use it to take her daily medications. Before Vaccination, pt. was very active outdoors. She jogged every morning and was always at their children's school functions. She would go swimming and work out at her local GYM. She enjoyed having fun with her family. They would take trips to theme parks. Since the Gardasil vaccine, Pt's life had changed from a normal, healthy, active person to barely being able to get out of bed to go to the bathroom. She had a long-term goal of starting her own restaurant, but that has changed due to her health. She could no longer participate in her children's school functions, go on trips, or do fun things with her family. As a direct and proximate result of her quadrivalent human papillomavirus (types 6,11,16,18) recomb. Vaccine (GARDASIL)-induced injuries, patient had suffered and continues to suffer economic losses, including considerable financial expenses for medical care and treatment, and diminished income capacity, and she would continue to incur these losses and expenses in the future. The outcome of the events was reported as not recovered. Causality between the events and quadrivalent human papillomavirus (types 6,11,16,18) recomb. vaccine (GARDASIL) was related. Upon internal review the events of Systemic lupus erythematosus, Histoplasmosis, Gastrointestinal tube insertion, hysterectomy, allergy to vaccine treated with given intravenous medication to reduce the swelling and was eventually discharged with an emergency EpiPen were considered medically significant. The events were considered disabling by the reporter.
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| 2823567 | 30 | F | MO | 01/29/2025 |
MMR |
MERCK & CO. INC. |
X026222 |
Foreign body in skin or subcutaneous tissue, Occupational exposure to product, S...
Foreign body in skin or subcutaneous tissue, Occupational exposure to product, Syringe issue
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No additional adverse event was reported; the needle and it instead came off the syringe and caused ...
No additional adverse event was reported; the needle and it instead came off the syringe and caused a needle stick in the staff members left hand.; CALLER CONFIRMED JUST THE NEEDLE CAME OFF, NO PART OF THE SYRINGE CAME OFF/ needle pooped off; Was the product administered or exposed to patient's bodily fluids (i.e. biohazardous)? YES; Was the product administered or exposed to patient's bodily fluids (i.e. biohazardous)? YES; device connection issue; Poor quality device used; This spontaneous report was received from registered nurse and refers to a 30-year-old female. The patient's medical history was not reported. The patient's concurrent conditions were not reported. Concomitant therapies were not reported. On 21-JAN-2025, the patient was vaccinated with sterile diluent (BAXTER STERILE DILUENT) solution for injection/infusion, unk, lot #1973259, expiration date: 03-MAR-2026 (strength, route of administration, and indication were not provided); and measles, mumps, and rubella (wistar ra 27-3) virus vaccine, live (M-M-R II) injection, unk, lot #X026222, expiration date: 06-NOV-2025, administered for prophylaxis (strength, and route of administration were not provided). The reporter stated that the needle popped off a diluent syringe after it was used to administered a vaccine. The problem occurred when the staff member tried to engage the safety on the needle and it instead came off the syringe and caused a needle stick in the staff member left hand (Injury associated with device, needle issue, device connection issue and poor quality device used). The product was administered to the patients body fluids (Occupational exposure to product and accidental exposure to product). No additional adverse event was reported.
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| 2823568 | U | CA | 01/29/2025 |
MMRV |
MERCK & CO. INC. |
Y013583 |
No adverse event, Product storage error
No adverse event, Product storage error
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No adverse event; HCP calling to report T/E. HCP stated PROQUAD (s) are not back in range. PROQUAD w...
No adverse event; HCP calling to report T/E. HCP stated PROQUAD (s) are not back in range. PROQUAD was administered during a temperature excursion on 1/23/2025. No additional AE reported. NO PQC reported. Was the product administered? YES, PROQUAD Y013583 2/03/2; This spontaneous report was received from medical assistant refers to a patient of unknown age and gender. The patient's medical history, concurrent conditions and concomitant therapies were not provided. On 23-JAN-2025, the patient was vaccinated with the first, improperly stored dose of measles, mumps, rubella and varicella (oka-merck) virus vaccine live, rHA (recombinant Human albumin) (PROQUAD), formulation: injection, lot # Y013583 has been verified to be a valid lot number, expiration date was not provided, but upon internal validation was established as 03-FEB-2026 (exact dose, route of administration and anatomical location were nor provided) for prophylaxis. On 23-JAN-2025, administered dose of vaccine was exposed to the temperature excursion (product storage error). No more information available. No previous temperature excursion had occurred. There were no additional adverse events reported (no adverse event).
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| 2823569 | U | CA | 01/29/2025 |
MMRV |
MERCK & CO. INC. |
Y013583 |
No adverse event, Product storage error
No adverse event, Product storage error
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No additional AE; PROQUAD was administered during a temperature excursion on 1/23/2025.; This sponta...
No additional AE; PROQUAD was administered during a temperature excursion on 1/23/2025.; This spontaneous report was received from a medical assistant, concerning to a patient of unknown age and gender. The patient's medical history, concurrent conditions and concomitant therapies were not reported. On an unknown date, the vaccine measles, mumps, rubella and varicella (oka-merck) virus vaccine live (PROQUAD) injection experienced a temperature excursion (TE), for unknown time at unknown temperature. No previous TE reported. On 23-JAN-2025, the patient was vaccinated with the first dose of the vaccine involved in the TE measles, mumps, rubella and varicella (oka-merck) virus vaccine live (PROQUAD) injection, administered for prophylaxis (strength, dose, and route of administration were not provided; lot #Y013583 has been verified to be valid for this vaccine, expiration date reported and confirmed as 03-FEB-2026). (Product use issue). No additional adverse event was reported (No adverse event).
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| 2823570 | F | NY | 01/29/2025 |
VARZOS VARZOS VARZOS |
UNKNOWN MANUFACTURER UNKNOWN MANUFACTURER UNKNOWN MANUFACTURER |
UNK UNK UNK |
Extra dose administered, Fatigue, Herpes zoster, Vaccination failure; Extra dose...
Extra dose administered, Fatigue, Herpes zoster, Vaccination failure; Extra dose administered, Fatigue, Herpes zoster, Vaccination failure; Extra dose administered, Fatigue, Herpes zoster, Vaccination failure
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after 3 vaccines I still get outbreaks on my lower back / suspected vaccination failure; outbreaks o...
after 3 vaccines I still get outbreaks on my lower back / suspected vaccination failure; outbreaks on my lower back; extra dose administered; This serious case was reported by a other health professional and described the occurrence of vaccination failure in a 72-year-old female patient who received Herpes zoster (Shingles vaccine) for prophylaxis. Co-suspect products included Herpes zoster (Shingles vaccine) for prophylaxis and Herpes zoster (Shingles vaccine) for prophylaxis. The patient's past medical history included hip replacement (The patient underwent hip replacement surgery 5 years ago.). Concomitant products included valaciclovir (Valacyclovir). On an unknown date, the patient received the 3rd dose of Shingles vaccine, the 2nd dose of Shingles vaccine and the 1st dose of Shingles vaccine. On an unknown date, an unknown time after receiving Shingles vaccine, Shingles vaccine and Shingles vaccine, the patient experienced vaccination failure (Verbatim: after 3 vaccines I still get outbreaks on my lower back / suspected vaccination failure) (serious criteria GSK medically significant), shingles (Verbatim: outbreaks on my lower back) and extra dose administered (Verbatim: extra dose administered). The outcome of the vaccination failure and shingles were not reported and the outcome of the extra dose administered was unknown. It was unknown if the reporter considered the vaccination failure and shingles to be related to Shingles vaccine, Shingles vaccine and Shingles vaccine. The company considered the vaccination failure to be unrelated to Shingles vaccine, Shingles vaccine and Shingles vaccine. It was unknown if the company considered the shingles to be related to Shingles vaccine, Shingles vaccine and Shingles vaccine. Additional Information: GSK Receipt Date: 14-JAN-2025 The drug dosage for Shingles was reported as 30mg. It was reported that after the patient had a hip replacement 5 years ago and after 3 vaccines, the patient still got outbreaks on her lower back (exhaustion), which led to extra dose administered. The outcome for exhaustion was reported as resolved with sequelae. The symptoms were treated. This case was considered as suspected vaccination failure as details regarding time to onset for shingles and laboratory confirmation regarding herpes zoster 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, completion of primary vaccination schedule, time to onset of shingles and laboratory confirmation of disease) is considered unrelated to GSK vaccine Shingles vaccine (Dose 1, 2 & 3).
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| 2823571 | F | 01/29/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
UNK |
Malaise
Malaise
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General malaise; This non-serious case was reported by a consumer via sales rep and described the oc...
General malaise; This non-serious case was reported by a consumer via sales rep and described the occurrence of general malaise in a 50-year-old female patient who received Herpes zoster (Shingrix) for prophylaxis. On 11-JAN-2025, the patient received the 1st dose of Shingrix (left arm). On 12-JAN-2025, 1 days after receiving Shingrix, the patient experienced general malaise (Verbatim: General malaise). On 13-JAN-2025, the outcome of the general malaise was resolved (duration 1 day). The reporter considered the general malaise to be related to Shingrix. The company considered the general malaise to be related to Shingrix. Additional Information: GSK Receipt Date: 15-JAN-2025 The reporter reported that the patient received receive first dose of Shingrix. The patient had general malaise.
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| 2823572 | F | 01/29/2025 |
VARZOS VARZOS |
GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS |
UNK UNK |
Herpes zoster, Vaccination failure; Herpes zoster, Vaccination failure
Herpes zoster, Vaccination failure; Herpes zoster, Vaccination failure
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Suspected vaccination failure; DID NOT ELIMINATE SHINGLES, IN FACT MOVED TO OTHER SIDE OF MY BODY; T...
Suspected vaccination failure; DID NOT ELIMINATE SHINGLES, IN FACT MOVED TO OTHER SIDE OF MY BODY; This serious case was reported by a consumer and described the occurrence of vaccination failure in a 74-year-old female patient who received Herpes zoster (Shingrix) for prophylaxis. Co-suspect products included Herpes zoster (Shingrix) for prophylaxis. On an unknown date, the patient received the 2nd dose of Shingrix and the 1st dose of Shingrix. On an unknown date, an unknown time after receiving Shingrix and Shingrix, the patient experienced vaccination failure (Verbatim: Suspected vaccination failure) (serious criteria GSK medically significant) and shingles (Verbatim: DID NOT ELIMINATE SHINGLES, IN FACT MOVED TO OTHER SIDE OF MY BODY). 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 Shingrix and Shingrix. The company considered the vaccination failure to be unrelated to Shingrix and Shingrix. It was unknown if the company considered the shingles to be related to Shingrix and Shingrix. Additional Information: GSK Receipt Date: 18-JAN-2025 The reporter reported that the patient received the 2 shots of Shingrix vaccine and experienced the Shingles. Shingles did not eliminate in fact they moved to other side of body. 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 vaccine Shingrix dose 1 and Shingrix dose 2.
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