| ID | Age | Sex | State | Date โผ | Onset Days | Vaccine | Manufacturer | Lot # | Symptoms | Narrative | ๐ | ๐ฅ | ๐ | โฟ | โ ๏ธ |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2822671 | 0.67 | F | TX | 01/24/2025 |
DTAPIPVHIB HEP PNC13 |
SANOFI PASTEUR GLAXOSMITHKLINE BIOLOGICALS PFIZER\WYETH |
UK036A8 PE9G5 GD1168 |
Incorrect dose administered; Incorrect dose administered; Incorrect dose adminis...
Incorrect dose administered; Incorrect dose administered; Incorrect dose administered
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Adult Hep B dose administered to pediatric patient instead of pediatric dose. No treatment needed. O...
Adult Hep B dose administered to pediatric patient instead of pediatric dose. No treatment needed. Outcome N/A.
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| 2822672 | 69 | M | FL | 01/24/2025 |
PNC20 |
PFIZER\WYETH |
lc5482 |
Extra dose administered, No adverse event
Extra dose administered, No adverse event
|
Not an adverse event- just a duplicate shot- patient already received this shot in the past 11/19/20...
Not an adverse event- just a duplicate shot- patient already received this shot in the past 11/19/2023
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| 2822673 | 1.5 | M | 01/24/2025 |
PNC20 |
PFIZER\WYETH |
|
Wrong product administered
Wrong product administered
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MD ordered the wrong vaccine and it was administered to patient.
MD ordered the wrong vaccine and it was administered to patient.
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| 2822674 | 1.5 | F | 01/24/2025 |
PNC20 |
PFIZER\WYETH |
|
Wrong product administered
Wrong product administered
|
MD ordered the wrong vaccine and it was administered to patient.
MD ordered the wrong vaccine and it was administered to patient.
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| 2822675 | 7 | M | VA | 01/24/2025 |
DTAP IPV MMRV |
GLAXOSMITHKLINE BIOLOGICALS SANOFI PASTEUR MERCK & CO. INC. |
BH57H W1B511M Y015356 |
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; No adverse event, Product administered to patient of inappropriate age
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No adverse events - Dtap given to 7 year old patient instead of Tdap
No adverse events - Dtap given to 7 year old patient instead of Tdap
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| 2822676 | 66 | F | AL | 01/24/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
|
Facial paralysis
Facial paralysis
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Right side of mouth drooping
Right side of mouth drooping
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| 2822677 | 83 | F | MI | 01/24/2025 |
COVID19 COVID19 COVID19 COVID19 COVID19 COVID19 FLU3 FLU3 FLU3 FLU3 FLU3 FLU3 |
NOVAVAX NOVAVAX NOVAVAX NOVAVAX NOVAVAX NOVAVAX SEQIRUS, INC. SEQIRUS, INC. SEQIRUS, INC. SEQIRUS, INC. SEQIRUS, INC. SEQIRUS, INC. |
6024MF020 6024MF020 6024MF020 6024MF020 6024MF020 6024MF020 388489 388489 388489 388489 388489 388489 |
Acute respiratory failure, Areflexia, CSF culture negative, CSF glucose increase...
Acute respiratory failure, Areflexia, CSF culture negative, CSF glucose increased, CSF lactate decreased; CSF protein increased, CSF red blood cell count positive, CSF white blood cell count negative, Clotting factor transfusion, Cytology abnormal; Cytomegalovirus test negative, Endotracheal intubation, Enterovirus test negative, Gram stain, Gram stain negative; Guillain-Barre syndrome, Herpes simplex test negative, Muscular weakness, Mycobacterium test negative, Plasmapheresis; Potassium hydroxide preparation negative, Quadriplegia, Toxic encephalopathy, Treponema test negative, Varicella virus test negative; West Nile virus test negative; Acute respiratory failure, Areflexia, CSF culture negative, CSF glucose increased, CSF lactate decreased; CSF protein increased, CSF red blood cell count positive, CSF white blood cell count negative, Clotting factor transfusion, Cytology abnormal; Cytomegalovirus test negative, Endotracheal intubation, Enterovirus test negative, Gram stain, Gram stain negative; Guillain-Barre syndrome, Herpes simplex test negative, Muscular weakness, Mycobacterium test negative, Plasmapheresis; Potassium hydroxide preparation negative, Quadriplegia, Toxic encephalopathy, Treponema test negative, Varicella virus test negative; West Nile virus test negative
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83 y.o. female with relevant past medical history of hypertension, hyperlipidemia and hypothyroidism...
83 y.o. female with relevant past medical history of hypertension, hyperlipidemia and hypothyroidism presented to an OSH on 12/26 with complaint of significant lower extremity weakness. Pt was found to have AIDP, acute respiratory failure (extubated 1/5), and acute toxic metabolic encephalopathy, now s/p plasmapheresis (completed on 1/15) and cryoprecipitate (1/16) now presenting with incomplete tetraplegia with LE much more affected than UE. Admitted to for AIDP on 1/17/2025. AIDP -consistent with GBS, especially given elevated CSF protein, absent DTRs and recent influenza and COVID vaccines about 1 month ago -CSF studies to date reviewed: -Protein 124.6, glucose 101 -Lactic acid 2.2 -WBC 1, RBC 1 -Gram stain no organisms, Cx NGTD -VDRL not detected -VZV, HSV, CMV, WNV, enterovirus PCR negative -KOH prep reveals no mycelia or yeast forms; ABF smear negative -Cytology revealed increased white cells with a few neutrophils, lymphocytes and many monocytes -Completed 5 sessions of plasmapheresis last on 1/15.
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โ | |||||
| 2822678 | 64 | F | KY | 01/24/2025 |
TDAP TDAP |
SANOFI PASTEUR SANOFI PASTEUR |
U8264AA U8264AA |
Arthralgia, Atrial fibrillation, Dizziness, Dyspnoea, Electrocardiogram; Heart r...
Arthralgia, Atrial fibrillation, Dizziness, Dyspnoea, Electrocardiogram; Heart rate increased, Injection site pain, Malaise, Pain, Pain in extremity
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Patient had constant sore left arm with throbbing with shooting pains from the left elbow to the wri...
Patient had constant sore left arm with throbbing with shooting pains from the left elbow to the wrist and fingers ("feels like a lightning bolt"), arm feels like it is bruised and aching ("like someone punched you in the arm that never stops"), sore all the way around her arm at the injection site (anterior and posterior), dizziness, went into Atrial Fibrillation on 12/8/2024, still has dizziness and at times has increased heart rate and shortness of air without any exertion, just feels unwell.
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| 2822679 | 58 | F | GA | 01/24/2025 |
COVID19 |
PFIZER\BIONTECH |
Fc3184, FE3594, |
Computerised tomogram venography head, Macrocytosis, Venogram abnormal
Computerised tomogram venography head, Macrocytosis, Venogram abnormal
|
Left transverse sinus, sigmoid sinus, and jugular vein show small caliber and intraluminal filling d...
Left transverse sinus, sigmoid sinus, and jugular vein show small caliber and intraluminal filling defect noted consistent with chronic thrombus.
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โ | โ | ||||
| 2822680 | 65 | M | MI | 01/24/2025 |
COVID19 COVID19 COVID19 COVID19 COVID19 |
PFIZER\BIONTECH PFIZER\BIONTECH PFIZER\BIONTECH PFIZER\BIONTECH PFIZER\BIONTECH |
GJ2524 GJ2524 GJ2524 GJ2524 GJ2524 |
Atrial fibrillation, Brain natriuretic peptide increased, C-reactive protein inc...
Atrial fibrillation, Brain natriuretic peptide increased, C-reactive protein increased, COVID-19, COVID-19 pneumonia; Cardiac failure acute, Cardiac failure congestive, Chest pain, Condition aggravated, Cough; Diabetic foot, Dyspnoea, Electrocardiogram abnormal, Gastrointestinal disorder, Hyperglycaemia; Hypocalcaemia, Hypoxia, Myocardial ischaemia, Pyrexia, Red blood cell sedimentation rate increased; Respiratory viral panel, SARS-CoV-2 test positive, Troponin increased, Viral infection
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BRIEF OVERVIEW: Admission Date: 1/14/2025 Discharge Date: Jan 16, 2025 Discharge Disposition: home ...
BRIEF OVERVIEW: Admission Date: 1/14/2025 Discharge Date: Jan 16, 2025 Discharge Disposition: home health care svc DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Hypocalcemia [E83.51] Elevated C-reactive protein (CRP) [R79.82] Elevated sed rate [R70.0] Hypoxia [R09.02] Elevated troponin [R79.89] Atrial fibrillation with RVR [I48.91] Elevated brain natriuretic peptide (BNP) level [R79.89] Diabetic ulcer of toe of right foot associated with diabetes mellitus of other type, unspecified ulcer stage [E13.621, L97.519] Acute on chronic congestive heart failure, unspecified heart failure type [I50.9] Hyperglycemia due to diabetes mellitus [E11.65] Pneumonia due to COVID-19 virus [U07.1, J12.82] COVID-19 [U07.1] COVID [U07.1] HOSPITAL COURSE: Patient is a 67-year-old male history of diabetes, diabetic neuropathy, peripheral vascular disease status post left AKA, coronary artery disease, AFib on Xarelto, depression anxiety and chronic pain. Presents for chief complaint of cough shortness for breath chest pain. Admission EKGs chronic AFib without ST segment or T-wave changes. Troponins were noted to be elevated with negative delta likely related to demand ischemia from hypoxia. Patient was on 2 L at admission febrile. RVP was obtained and positive for COVID-19. Patient was started on remdesivir and Decadron for COVID treatment. Initially requiring supplemental oxygen titrated to room air. Patient was complete course of steroids at discharge. During stay patient was noted to have right 1st toe chronic wound. He was seen by wound care team without obvious signs of infection although some concern for long-term healing. Patient was not seen Cardiothoracic surgery in 3-4 years she will be referred on outpatient basis for further workup. We will follow up with wound care team and have home health for wound nursing. Patient was recurrent episodes of chest pain during his stay all associated with morning meals and self resolving. EKGs were obtained and normal at those times likely deemed related to viral syndrome versus GI based. Discharged to Home Health Services
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โ | |||||
| 2822681 | 63 | F | CO | 01/24/2025 |
COVID19 COVID19 |
MODERNA MODERNA |
|
Arthralgia, Axillary pain, Bundle branch block right, Electrocardiogram abnormal...
Arthralgia, Axillary pain, Bundle branch block right, Electrocardiogram abnormal, Injection site mass; Ligament sprain, Pain in extremity, Rotator cuff syndrome, X-ray normal
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pt says her left arm became very sore and developed a lump around the injection site. The soreness s...
pt says her left arm became very sore and developed a lump around the injection site. The soreness started to move into the armpit and down into the elbow. It continued to get worse so she went to Urgent Care. They did an Xray and EKG. Xray was negative. The EKG showed some right bundle branch block. She was told to follow up with cardiologist. She was referred to an Orthopedic doctor for a suspected shoulder sprain or rotator cuff injury. She went to Ortho Dr. She was given 2 cortisone shots in the left shoulder. She is suspected to have a torn rotator cuff that is possibily turning into a frozen shoulder and was prescribed physical therapy. She will start on Feb 5th. She is scheduled to have a MRI and will FU w/ Ortho Dr. on Jan 29th after MRI.
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โ | |||||
| 2822682 | 1.25 | M | ID | 01/24/2025 |
FLUN3 |
MEDIMMUNE VACCINES, INC. |
WL2006B |
Inappropriate schedule of product administration, No adverse event
Inappropriate schedule of product administration, No adverse event
|
Pt given Flumist 7 months to early. No actual adverse effects. Pt on 1 year 3 months.
Pt given Flumist 7 months to early. No actual adverse effects. Pt on 1 year 3 months.
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| 2822683 | 12 | M | NH | 01/24/2025 |
FLU3 HPV9 |
SANOFI PASTEUR MERCK & CO. INC. |
5Z977 X024251 |
No adverse event; No adverse event
No adverse event; No adverse event
|
There was no reaction to the vaccine
There was no reaction to the vaccine
|
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| 2822684 | 8 | F | IL | 01/24/2025 |
COVID19 |
MODERNA |
3044079 |
Chest pain, Electrocardiogram, Expired product administered
Chest pain, Electrocardiogram, Expired product administered
|
Covid vaccine expired. Chest pain 2 minutes after receiving vaccine
Covid vaccine expired. Chest pain 2 minutes after receiving vaccine
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| 2822685 | 49 | M | MA | 01/24/2025 |
COVID19 |
NOVAVAX |
|
CSF protein increased, Computerised tomogram, Hypoaesthesia, Magnetic resonance ...
CSF protein increased, Computerised tomogram, Hypoaesthesia, Magnetic resonance imaging
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i started losing feeling in my arms and legs shortly after my covid vaccine
i started losing feeling in my arms and legs shortly after my covid vaccine
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โ | โ | ||||
| 2822686 | 80 | M | MS | 01/24/2025 |
PNC21 |
MERCK & CO. INC. |
Y013009 |
Arthralgia, Cough, Malaise, Myalgia
Arthralgia, Cough, Malaise, Myalgia
|
GENERAL MALAISE, COUGHING, WHOLE BODY MUSCLES AND JOINTS SORENESS.
GENERAL MALAISE, COUGHING, WHOLE BODY MUSCLES AND JOINTS SORENESS.
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| 2822687 | 0.17 | M | NV | 01/24/2025 |
PNC20 |
PFIZER\WYETH |
|
Pyrexia, Supraventricular tachycardia
Pyrexia, Supraventricular tachycardia
|
Patient received Prevnar 20 on Jan 14, 2025. On 1/15, patient had fever induced SVT requiring adeno...
Patient received Prevnar 20 on Jan 14, 2025. On 1/15, patient had fever induced SVT requiring adenosine, acetaminophen, and ice packs. Once the fever came down, so did the HR
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โ | |||||
| 2822688 | 90 | F | MO | 01/24/2025 |
PNC20 |
PFIZER\WYETH |
GH4082 |
No adverse event
No adverse event
|
No adverse events noted
No adverse events noted
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| 2822689 | 12 | F | CA | 01/24/2025 |
HPV9 |
MERCK & CO. INC. |
Y008640 |
Abdominal distension, Eczema, Eczema eyelids, Rash erythematous, Rash pruritic
Abdominal distension, Eczema, Eczema eyelids, Rash erythematous, Rash pruritic
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Came back home on 12/21/2024, received MMR#2 (MMR-II), Tdap (Adacel) and IPV#5 in left upper arm at ...
Came back home on 12/21/2024, received MMR#2 (MMR-II), Tdap (Adacel) and IPV#5 in left upper arm at HC on 12/24/2024 without reaction. On 1/06/2025 received MCV (Menveo) and HPV (Gardasil 9) in left upper arm, developed swelling in left upper arm along with itchy red rash over shoulders, in folds of arms, wrists, over MCPs of hands, upper eyelids and flexural ankles. Patient started over-the-counter Benadryl 25mg tab oral and hydrocortisone 1% cream since 1/06 without relief. Constantly itching, picked red bumps over wrists. Never has had a history of eczema in the past. Examined by MD on 1/23/25 and placed on tacrolimus 0.03% ointment for eyelid eczema; triamcinolone acetonide 0.1% ointment for flexural eczema and hydroxyzine 25mg oral tab QID PRN itching
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| 2822690 | 0.33 | M | GA | 01/24/2025 |
DTPPVHBHPB PNC20 RV5 |
MSP VACCINE COMPANY PFIZER\WYETH MERCK & CO. INC. |
U7921AA LG5574 Y003754 |
Rash; Rash; Rash
Rash; Rash; Rash
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Child awakened the day after the vaccines with a rash compatable with erythema multiforme.
Child awakened the day after the vaccines with a rash compatable with erythema multiforme.
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| 2822692 | 21 | F | GA | 01/24/2025 |
UNK UNK |
UNKNOWN MANUFACTURER UNKNOWN MANUFACTURER |
N7CX5 N7CX5 |
Cough, Endotracheal intubation, Intensive care, Pallor, Throat tightness; Wheezi...
Cough, Endotracheal intubation, Intensive care, Pallor, Throat tightness; Wheezing
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WITHIN MINUTES OF RECEIVING FLU VACCINE, EMPLOYEE DEVELOPED A COUGH, ASKED FOR WATER, NO RELIEF, DEV...
WITHIN MINUTES OF RECEIVING FLU VACCINE, EMPLOYEE DEVELOPED A COUGH, ASKED FOR WATER, NO RELIEF, DEVELOPED AUDIBLE WHEEZING, CHEST AUSCULTAION BILAT WHEEZING ALL LOBES; EMPLOYEE COMPLAINED OF THROAT FEELING FEELING CONSTRICTING; COLOR PALE; EMPLOYEE HAD EPI-PEN WITH HER, GAVE IM RIGHT THIGH, CALLED EMS, TRANSPORTED TO ED. INTUBATED, ADMITTED OVERNIGHT TO INTENSIVE CARE.
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โ | |||||
| 2822693 | 8 | M | FL | 01/24/2025 |
IPV |
SANOFI PASTEUR |
X1C891M |
Immediate post-injection reaction, Injection site reaction, Rash papular
Immediate post-injection reaction, Injection site reaction, Rash papular
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Immediately following injection the injection site developed a raised round area 1 cm in diameter. W...
Immediately following injection the injection site developed a raised round area 1 cm in diameter. Within 1-2 minutes a raised red rash developed from the injection site out to the side approximately and inch on each side and down the arm to the elbow. Within 10 minutes the rash diminished to about half the size and was no longer raised.
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| 2822694 | 32 | F | 01/24/2025 |
COVID19 |
PFIZER\BIONTECH |
|
Bacterial infection, Upper respiratory tract infection
Bacterial infection, Upper respiratory tract infection
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Several weeks after vaccination, developed upper respiratory tract infection (COVID-19 negative) whi...
Several weeks after vaccination, developed upper respiratory tract infection (COVID-19 negative) which then developed into a secondary bacterial infection. Unlikely to be related to vaccination.
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| 2822695 | 68 | M | MA | 01/24/2025 |
COVID19 COVID19 PNC20 |
MODERNA MODERNA PFIZER\WYETH |
3043023 3042648 LK6650 |
Underdose; Underdose; Underdose
Underdose; Underdose; Underdose
|
Patient given pediatric dose of vaccine instead of adult strength vaccine. Returned a few hours lat...
Patient given pediatric dose of vaccine instead of adult strength vaccine. Returned a few hours later to receive the adult dose of vaccine (only -.25 to make it collectively a full dose)
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| 2822696 | 80 | F | GA | 01/24/2025 |
COVID19 FLU3 |
PFIZER\BIONTECH SANOFI PASTEUR |
LM2216 UT8470BA |
Tendon injury; Tendon injury
Tendon injury; Tendon injury
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Patient reports tendon tear in the left arm starting two weeks after receiving the Covid vaccine
Patient reports tendon tear in the left arm starting two weeks after receiving the Covid vaccine
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| 2822697 | 81 | M | OH | 01/24/2025 |
COVID19 |
MODERNA |
P-3043924 |
Mobility decreased, Pain in extremity
Mobility decreased, Pain in extremity
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relates that has had a reaction since day given. never reacted to a shot before. Denies redness, fev...
relates that has had a reaction since day given. never reacted to a shot before. Denies redness, fever, illness relates Pain dsown arm is the reaction , DO NOT have full range of motion. Been since I received shot.
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| 2822698 | 61 | M | GA | 01/24/2025 |
COVID19 FLU3 |
MODERNA SEQIRUS, INC. |
3043391 388484 |
Dyspnoea, Myasthenia gravis; Dyspnoea, Myasthenia gravis
Dyspnoea, Myasthenia gravis; Dyspnoea, Myasthenia gravis
|
After approximately 3 days, patient showed up to doctor's office complaining of difficulties br...
After approximately 3 days, patient showed up to doctor's office complaining of difficulties breathing. He was diagnosed as having Myasthenia Gravis. He had no previous symptoms nor diagnoses of MG. It is unknown if the vaccine was a trigger, but given the disease mechanisms, it is possible that the vaccine(s) triggered an undiagnosed condition.
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โ | |||||
| 2822699 | 0.5 | F | 01/24/2025 |
DTAP HIBV RV5 |
SANOFI PASTEUR MERCK & CO. INC. MERCK & CO. INC. |
|
Aggression, Dyskinesia, Head banging, Strabismus; Aggression, Dyskinesia, Head b...
Aggression, Dyskinesia, Head banging, Strabismus; Aggression, Dyskinesia, Head banging, Strabismus; Aggression, Dyskinesia, Head banging, Strabismus
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Baby started aggressively banging head on everything especially hard surfaces, began squinting eyes,...
Baby started aggressively banging head on everything especially hard surfaces, began squinting eyes, and having whole body jerks
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โ | ||||||
| 2822700 | 41 | F | PA | 01/24/2025 |
COVID19 |
MODERNA |
|
Alopecia, Condition aggravated
Alopecia, Condition aggravated
|
Significant hair loss
Significant hair loss
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| 2822701 | 10 | F | 01/24/2025 |
COVID19 |
MODERNA |
|
Erythema
Erythema
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Redness to arm 2 weeks later, measuring 30x20cm
Redness to arm 2 weeks later, measuring 30x20cm
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| 2822702 | 64 | F | FL | 01/24/2025 |
UNK |
UNKNOWN MANUFACTURER |
388499 |
No adverse event, Product administered to patient of inappropriate age
No adverse event, Product administered to patient of inappropriate age
|
No adverse event took place but patient received vaccine for over 65 year old before reaching that a...
No adverse event took place but patient received vaccine for over 65 year old before reaching that age. Patient is only 64 years and 9 month old.
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| 2822703 | 1 | M | MA | 01/24/2025 |
COVID19 COVID19 COVID19 COVID19 |
PFIZER\BIONTECH PFIZER\BIONTECH PFIZER\BIONTECH PFIZER\BIONTECH |
LP1776 LP1776 LP1776 LP1776 |
Incorrect dose administered, Pyrexia; Full blood count, Overdose, Product admini...
Incorrect dose administered, Pyrexia; Full blood count, Overdose, Product administered to patient of inappropriate age, Pyrexia; Incorrect dose administered, Pyrexia; Full blood count, Overdose, Product administered to patient of inappropriate age, Pyrexia
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Patient was given a covid vaccine (Pfizer Comirnaty for age 12+) when he should have received the co...
Patient was given a covid vaccine (Pfizer Comirnaty for age 12+) when he should have received the covid vaccine (Moderna for age 6m-11yr). Patient did develop a fever that night after receiving the wrong vaccine for his age.
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| 2822705 | 4 | F | MI | 01/24/2025 |
DTAPIPVHIB MMRV |
SANOFI PASTEUR MERCK & CO. INC. |
UJ984AA Y013573 |
Wrong product administered; Wrong product administered
Wrong product administered; Wrong product administered
|
Pt received incorrect vaccine, Quadracel ordered, but pentacel given which is not accurate product f...
Pt received incorrect vaccine, Quadracel ordered, but pentacel given which is not accurate product for patient's need.
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| 2822706 | 3 | F | MA | 01/24/2025 |
COVID19 COVID19 COVID19 COVID19 |
PFIZER\BIONTECH PFIZER\BIONTECH PFIZER\BIONTECH PFIZER\BIONTECH |
LP1776 LP1776 LP1776 LP1776 |
Product administered to patient of inappropriate age, Pyrexia; Overdose, Product...
Product administered to patient of inappropriate age, Pyrexia; Overdose, Product administered to patient of inappropriate age, Pyrexia; Product administered to patient of inappropriate age, Pyrexia; Overdose, Product administered to patient of inappropriate age, Pyrexia
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Patient was given a covid vaccine (Pfizer Comirnaty for age 12+) when she should have received the c...
Patient was given a covid vaccine (Pfizer Comirnaty for age 12+) when she should have received the covid vaccine (Moderna for age 6m-11yr). Patient did develop a fever that night after receiving the wrong vaccine for her age.
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| 2822707 | 10 | F | 01/24/2025 |
COVID19 COVID19 |
PFIZER\BIONTECH PFIZER\BIONTECH |
|
Alopecia, Condition aggravated; Alopecia, Condition aggravated
Alopecia, Condition aggravated; Alopecia, Condition aggravated
|
Excessive hair loss
Excessive hair loss
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| 2822708 | 11 | F | NV | 01/24/2025 |
MNQ TDAP |
NOVARTIS VACCINES AND DIAGNOSTICS GLAXOSMITHKLINE BIOLOGICALS |
3E99M M77CC |
Head injury, Seizure like phenomena, Syncope; Head injury, Seizure like phenomen...
Head injury, Seizure like phenomena, Syncope; Head injury, Seizure like phenomena, Syncope
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PATIENT HAD WHAT LOOKED LIKE A SEIZURE BEFORE FAINTING AND HITTING HER HEAD.
PATIENT HAD WHAT LOOKED LIKE A SEIZURE BEFORE FAINTING AND HITTING HER HEAD.
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| 2822709 | 10 | F | MI | 01/24/2025 |
COVID19 |
PFIZER\BIONTECH |
LN7302 |
Expired product administered
Expired product administered
|
This vaccine was beyond use date. Vaccine was being stored in refrigerator between temperatures of 3...
This vaccine was beyond use date. Vaccine was being stored in refrigerator between temperatures of 36-46 degrees Fahrenheit, which means this vaccine is good for 10 weeks after receiving it. Date would have been 12/25/2024
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| 2822710 | 11 | M | MN | 01/24/2025 |
MNQ MNQ |
NOVARTIS VACCINES AND DIAGNOSTICS NOVARTIS VACCINES AND DIAGNOSTICS |
7GF79 7GF79 |
Eschar, Injection site erythema, Injection site oedema, Injection site rash, Inj...
Eschar, Injection site erythema, Injection site oedema, Injection site rash, Injection site reaction; Livedo reticularis, Sensitive skin
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Left deltoid superior aspect with small eschar and no local redness, inferior aspect of deltoid, sma...
Left deltoid superior aspect with small eschar and no local redness, inferior aspect of deltoid, small eschar with local redness and mild edema, pink/violaceous irregular rash inferior to deltoid but congrunet with inferior injection site. Superficial tactile sensitivy but no significant induration, no soft tissue or bony defect. Distal to mid portion of upper arm is slightly pale lacey purplish/mottled area. Distal forearm and hand normal. Notes: MCV-4 appears to be the presumed trigger for this fixed local reaction. It's expected to diffuse in the next 3-4 days. May migrate with gravity. May treat locally with ice/heat if needed, may continue experience sensory sensitivity of skin until rash is resolved. Discussed okay to tentatively plan to repeat vaccine when due at 16 years. Fixed local reaction does not appear to be in the spectrum of allergy with risk of systemic allergy or dangerous consequences. Patient is uniquie in circumstances as his liklihood of reaction may be a reflection of the pooled immunoglobulin he gets for his hypogammaglobulinemia. May address with Immunologist if parents wish. VAERS report to be filed.
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| 2822711 | 27 | F | 01/24/2025 |
COVID19 FLU3 |
PFIZER\BIONTECH SANOFI PASTEUR |
|
Arthralgia, Bone marrow oedema, Immediate post-injection reaction, Magnetic reso...
Arthralgia, Bone marrow oedema, Immediate post-injection reaction, Magnetic resonance imaging joint; Arthralgia, Bone marrow oedema, Immediate post-injection reaction, Magnetic resonance imaging joint
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L shoulder pain immediately after vaccine administration and chronically for months following.
L shoulder pain immediately after vaccine administration and chronically for months following.
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| 2822712 | 32 | F | VA | 01/24/2025 |
FLU3 |
SANOFI PASTEUR |
UT8514KA |
Extra dose administered, No adverse event
Extra dose administered, No adverse event
|
The nursing assistant gave a second flu shot to this member. No adverse effects.
The nursing assistant gave a second flu shot to this member. No adverse effects.
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| 2822713 | 2 | M | TX | 01/24/2025 |
DTAPIPV |
GLAXOSMITHKLINE BIOLOGICALS |
3RT93 |
No adverse event, Product administered to patient of inappropriate age
No adverse event, Product administered to patient of inappropriate age
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No adverse reactions.
No adverse reactions.
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| 2822714 | 21 | F | WI | 01/24/2025 |
HPV9 |
MERCK & CO. INC. |
Y003462 |
Extra dose administered, No adverse event
Extra dose administered, No adverse event
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Patient received 3rd dose of HPV, when only needed the 2 dose series. No symptoms or side effects no...
Patient received 3rd dose of HPV, when only needed the 2 dose series. No symptoms or side effects noted.
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| 2822715 | 44 | M | KS | 01/24/2025 |
FLU3 FLU3 FLU3 FLU3 FLU3 |
SEQIRUS, INC. SEQIRUS, INC. SEQIRUS, INC. SEQIRUS, INC. SEQIRUS, INC. |
AW1620A AW1620A AW1620A AW1620A AW1620A |
Arthralgia, Asthenia, Chest X-ray, Chest discomfort, Chest pain; Cold sweat, Dec...
Arthralgia, Asthenia, Chest X-ray, Chest discomfort, Chest pain; Cold sweat, Decreased appetite, Dizziness, Electrocardiogram, Fatigue; Flushing, Full blood count, Influenza virus test, Insomnia, Metabolic function test; Nausea, Nervousness, Pallor, Respiratory syncytial virus test, SARS-CoV-2 test; Sluggishness, Syncope, Tinnitus, Troponin, Tunnel vision
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Patient presented to ER at outlying facility complaining of chest pain, vision changes (tunnel visio...
Patient presented to ER at outlying facility complaining of chest pain, vision changes (tunnel vision), ears ringing, near syncope, dizziness, pale, clammy, flushing of skin, chest tightness, weak, sluggish, and fatigue. He was evaluated at ER on 1/16/25 and everything on exam reported to be benign. Patient has since followed up with us to be evaluated by his PCP on 1/17/25 and again 1/24/25 and is still continuing to have lingering symptoms, reporting lightheaded, joint pain, shaky, dizzy, nausea, decreased appetite, and difficulty sleeping. PCP Dr. is suspicious this is post influenza vaccination reaction with neurological involvement and encephalopathy. We will continue to follow up with patient and his symptoms.
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| 2822716 | 8 | F | OH | 01/24/2025 |
COVID19 FLU3 |
MODERNA SANOFI PASTEUR |
3044210 U8531AA |
Eye swelling, Pyrexia, Urticaria; Eye swelling, Pyrexia, Urticaria
Eye swelling, Pyrexia, Urticaria; Eye swelling, Pyrexia, Urticaria
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fever, facial hives and eye swelling approximately 5 minutes after vaccine administration. Patient g...
fever, facial hives and eye swelling approximately 5 minutes after vaccine administration. Patient given Benadryl and Ibuprofen. Observed for 20 minutes after medication administration with resolution of facial hives and eye swelling. One hour later, fever resolved per parent report over the phone.
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| 2822717 | 52 | F | UT | 01/24/2025 |
HEPAB IPV |
GLAXOSMITHKLINE BIOLOGICALS SANOFI PASTEUR |
M4B34 X1D141M |
Arthralgia, Mobility decreased, Pain; Arthralgia, Mobility decreased, Pain
Arthralgia, Mobility decreased, Pain; Arthralgia, Mobility decreased, Pain
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Pt complains of increasing pain and decreased movement of R shoulder, with symptoms starting to wors...
Pt complains of increasing pain and decreased movement of R shoulder, with symptoms starting to worsen 48 hours after injection. No redness, swelling, or rash at site. States that it has been painful as she moves her shoulder from body and when she raises her arm above her head.
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| 2822718 | 64 | F | MT | 01/24/2025 |
COVID19 |
PFIZER\BIONTECH |
LM2222 |
Hyperhidrosis, Injection site pain, Nausea
Hyperhidrosis, Injection site pain, Nausea
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PT STATED THAT WITHIN ABOUT 2 HOURS AFTER RECEIVING THE SHINGRIX IMMUNIZATION, HER UPPER ARM STARTED...
PT STATED THAT WITHIN ABOUT 2 HOURS AFTER RECEIVING THE SHINGRIX IMMUNIZATION, HER UPPER ARM STARTED HURTING A LOT ABOUT 2 INCHES BELOW THE AREA OF THE SHOT. SHE WAS ALSO SWEATING AND HAD SIGNIFICANT NAUSEA.
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| 2822719 | F | IN | 01/24/2025 |
COVID19 |
MODERNA |
3044143 |
Pyrexia, Vomiting
Pyrexia, Vomiting
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Well on the same day she vomited, had a fever I feel like that COVID 19 vaccine made her sick, and f...
Well on the same day she vomited, had a fever I feel like that COVID 19 vaccine made her sick, and for me that's not right
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| 2822720 | 19 | F | IL | 01/24/2025 |
MNQ |
SANOFI PASTEUR |
U8369AA |
Induration, Injection site erythema, Injection site warmth, Pyrexia, Swelling
Induration, Injection site erythema, Injection site warmth, Pyrexia, Swelling
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induration, swelling, warmth and redness of injection site, fever up to 101F
induration, swelling, warmth and redness of injection site, fever up to 101F
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| 2822721 | 0.67 | M | CA | 01/24/2025 |
COVID19 |
PFIZER\BIONTECH |
ln8272 |
Underdose
Underdose
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During the administration of the Pfizer COVID-19 vaccine, it was noted that the vaccine was diluted ...
During the administration of the Pfizer COVID-19 vaccine, it was noted that the vaccine was diluted with 1.8 mL of diluent instead of the recommended 1.1 mL.
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| 2822722 | 38 | F | CA | 01/24/2025 |
HEPA |
GLAXOSMITHKLINE BIOLOGICALS |
772YT |
Dizziness, Dry skin
Dizziness, Dry skin
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At around 10:30 am on 01/24/2025 patient approached Team (PHN Team) - (RN, PHN and RN, PHN and requ...
At around 10:30 am on 01/24/2025 patient approached Team (PHN Team) - (RN, PHN and RN, PHN and requested a Hepatitis A vaccine. RN, PHN reviewed patient eligibility and confirmed vaccine history in the Immunization Registry database. Patient denied having a history of allergies or adverse reactions to vaccines. Patient denied syncope after receiving vaccines in the past. At 10:55 am, RN, PHN administered Havrix (Lot # 772YT, Expiration date 9/23/2025) in the right deltoid, intramuscularly. At 11:00 am patient reported she ?felt dizzy?. Patient appeared sitting calmly in the chair, RN, PHN provided patient with a juice box. RN, PHN, offered to lie patient down on the yoga mat. Patient denied moving and requested to stay sitting. Patient began drinking the juice box. Patient's skin was dry and appropriate color for Ethinicy. At 11:05 am patient gave verbal consent for RN, PHN to measure vitals. Vital signs measured as follows: blood pressure 102/68 mm Hg, heart rate 75 beats per minute, respiratory rate 18 breaths per minute, oxygen saturation 98%. Patient stated she was "feeling better". At 11:08 am patient reported symptom had resolved completely. PHN, educated patient about risk for syncope with vaccinations. PHN, referred patient to primary care clinic for follow up and future vaccines. Patient stood up at 11:10 am to go to her appointment at clinic. Patient denied any return of symptoms and walked away with a steady gait and balance to the next resource tent.
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