| ID | Age | Sex | State | Date โผ | Onset Days | Vaccine | Manufacturer | Lot # | Symptoms | Narrative | ๐ | ๐ฅ | ๐ | โฟ | โ ๏ธ |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2822028 | 60 | F | AZ | 01/21/2025 |
FLUC4 |
SEQIRUS, INC. |
388533 |
Fatigue, Headache, Influenza like illness, Lethargy, Malaise
Fatigue, Headache, Influenza like illness, Lethargy, Malaise
|
Systemic: Exhaustion / Lethargy-Mild, Systemic: Feeling "not well". Flu-like symptoms.-Mil...
Systemic: Exhaustion / Lethargy-Mild, Systemic: Feeling "not well". Flu-like symptoms.-Mild, Systemic: Headache-Mild
More
|
||||||
| 2822029 | 70 | M | MN | 01/21/2025 |
COVID19 |
MODERNA |
3043823 |
Chills, Headache, Influenza like illness, Pain, Pyrexia
Chills, Headache, Influenza like illness, Pain, Pyrexia
|
Systemic: Body Aches Generalized-Medium, Systemic: Chills-Mild, Systemic: Fever-Mild, Systemic: flu ...
Systemic: Body Aches Generalized-Medium, Systemic: Chills-Mild, Systemic: Fever-Mild, Systemic: flu like symptoms-Mild, Systemic: Headache-Medium, Other Vaccines: VaccineTypeBrand: Fluzone HD; Manufacturer: Flu Trivalent HD PZF; LotNumber: ; Route: ; BodySite: ; Dose: ; VaxDate: UNKNOWN
More
|
||||||
| 2822030 | 57 | F | NJ | 01/21/2025 |
FLU4 |
GLAXOSMITHKLINE BIOLOGICALS |
9p74a |
Cellulitis, Injection site bruising, Injection site erythema, Injection site pai...
Cellulitis, Injection site bruising, Injection site erythema, Injection site pain
More
|
Site: Bruising at Injection Site-Severe, Site: Pain at Injection Site-Severe, Site: Redness at Injec...
Site: Bruising at Injection Site-Severe, Site: Pain at Injection Site-Severe, Site: Redness at Injection Site-Severe, Additional Details: Pt claims that she got cellulitis after getting immunization in her left arm which caused her to be hospitalized at 1/7/2025 for 7 days.
More
|
โ | |||||
| 2822031 | 66 | F | MD | 01/21/2025 |
COVID19 |
PFIZER\BIONTECH |
LM221 |
Arthralgia, Limb injury, Paraesthesia
Arthralgia, Limb injury, Paraesthesia
|
Error: Shoulder Joint Injury (prolonged pain, tingling, etc.)-
Error: Shoulder Joint Injury (prolonged pain, tingling, etc.)-
|
||||||
| 2822032 | 75 | F | IN | 01/21/2025 |
COVID19 |
MODERNA |
071F21A |
Asthenia, Feeding disorder, Pyrexia
Asthenia, Feeding disorder, Pyrexia
|
Systemic: Fever-Medium, Systemic: Unable to eat-Medium, Systemic: Weakness-Medium, Additional Detail...
Systemic: Fever-Medium, Systemic: Unable to eat-Medium, Systemic: Weakness-Medium, Additional Details: Patient also reported that this happened every time she received the COVID vaccine. The 2 previous doses of COVID 02/05/21 and 03/05/21 were from a place
More
|
||||||
| 2822034 | 19 | F | NY | 01/21/2025 |
FLU4 |
SANOFI PASTEUR |
ut8506na |
Fall, Nervousness, Skin abrasion, Syncope, Unresponsive to stimuli
Fall, Nervousness, Skin abrasion, Syncope, Unresponsive to stimuli
|
Systemic: Fainting / Unresponsive-Medium, Systemic: Mild abrasion to nose due to fall-Mild, Addition...
Systemic: Fainting / Unresponsive-Medium, Systemic: Mild abrasion to nose due to fall-Mild, Additional Details: Vaccination log in and adminstration was completed. Patient was nervous throughout the adminstration. Afterwards, patient asked for a few minutes in the vaccination area by herself and was given that. Mins after vac, she fainted. Staff immediately tended to the patient and I called 911.While on the phone with 911, patient gained conscious and was asked if she was fine which she answered yes. She denied EMS dispatch. PharmD cleared pt to leave with caregiver afterwards.
More
|
||||||
| 2822035 | 7 | F | VA | 01/21/2025 |
FLUC4 FLUC4 |
SEQIRUS, INC. SEQIRUS, INC. |
946638 946638 |
Confusional state, Dizziness, Flushing, Hyperhidrosis, Pallor; Syncope, Unrespon...
Confusional state, Dizziness, Flushing, Hyperhidrosis, Pallor; Syncope, Unresponsive to stimuli
More
|
Systemic: Confusion-Medium, Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unrespo...
Systemic: Confusion-Medium, Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Medium, Systemic: Flushed / Sweating-Medium, Additional Details: Patient received both flu and covid at the same time. mom said she got light headed in the aisle and confused. sat her down, gave her some water and chocolate and color returned to her face. sat for a bit and returned to baseline, Other Vaccines: VaccineTypeBrand: Pfizer COVID; Manufacturer: Pfizer; LotNumber: LN7302; Route: IM; BodySite: Left Arm; Dose: ; VaxDate: UNKNOWN
More
|
||||||
| 2822036 | 67 | F | TX | 01/21/2025 |
FLU4 |
SANOFI PASTEUR |
u8524da |
Headache, Pruritus, Rash, Rash pruritic
Headache, Pruritus, Rash, Rash pruritic
|
Systemic: Allergic: Itch Generalized-Medium, Systemic: Allergic: Rash Generalized-Medium, Systemic: ...
Systemic: Allergic: Itch Generalized-Medium, Systemic: Allergic: Rash Generalized-Medium, Systemic: Headache-Medium, Additional Details: Patient reports a reaction that she is not certain is linked to the vaccine. She experienced a headache on the day of vaccination and on and off since. She has an itchy rash on her neck and chest that appeared a couple days after. She also mentions experiencing severe pain. Patient has taken Zyrtec.
More
|
||||||
| 2822038 | 74 | M | FL | 01/21/2025 |
COVID19 |
MODERNA |
3032262 |
Chills
Chills
|
Systemic: Chills-Severe
Systemic: Chills-Severe
|
||||||
| 2822039 | 24 | F | TX | 01/21/2025 |
FLUC4 |
SEQIRUS, INC. |
946637 |
Injection site pain
Injection site pain
|
Site: Pain at Injection Site-Mild, Additional Details: The incident not happened to patient, but to ...
Site: Pain at Injection Site-Mild, Additional Details: The incident not happened to patient, but to her toddler that accompanied her. He reached his hand into the sharp container while we were preparing for vaccination. We both tried to stop him as fast as we could. There were about 10 syringes on the bottom of container. Upon examine his hand, there is no sign of cut or blood. Howere, mom was concerning about risk of accidental needle prick. Mom contacted pediatrician, and pharmacy customer will contact mom for further plan of action, Other Vaccines: VaccineTypeBrand: flucelvax trivalent 2024-2025; Manufacturer: Seqirus, Inc; LotNumber: ; Route: ; BodySite: ; Dose: ; VaxDate: UNKNOWN
More
|
||||||
| 2822040 | 63 | M | FL | 01/21/2025 |
PNC20 |
PFIZER\WYETH |
LK6650 |
Injection site erythema, Injection site pain, Injection site pruritus, Injection...
Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling
More
|
Site: Itching at Injection Site-Medium, Site: Pain at Injection Site-Medium, Site: Redness at Inject...
Site: Itching at Injection Site-Medium, Site: Pain at Injection Site-Medium, Site: Redness at Injection Site-Medium, Site: Swelling at Injection Site-Medium, Additional Details: Redness, swelling, tenderness at injection site and cover an area of about 3 to 5 inches in diameter. symptoms have not gone away 6 days post administration. Pt was advised to seek further care either from his PCP or an urgent care.
More
|
||||||
| 2822041 | 68 | M | MI | 01/21/2025 |
VARZOS VARZOS |
GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS |
445tk 445tk |
Anxiety, Herpes zoster, Injection site bruising, Insomnia, Neuralgia; Pain
Anxiety, Herpes zoster, Injection site bruising, Insomnia, Neuralgia; Pain
|
Site: Bruising at Injection Site-Severe, Systemic: Unable to Sleep-Severe, Additional Details: pt de...
Site: Bruising at Injection Site-Severe, Systemic: Unable to Sleep-Severe, Additional Details: pt describes shingles like severe nerve pain burning/ shooting pain extreme anxiety and difficulty sleeping since vaccinatuion
More
|
||||||
| 2822042 | 21 | F | TX | 01/21/2025 |
FLU4 FLU4 |
GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS |
5zg92 5zg92 |
Dizziness, Dysphagia, Dyspnoea, Hypoaesthesia, Loss of consciousness; Syncope, T...
Dizziness, Dysphagia, Dyspnoea, Hypoaesthesia, Loss of consciousness; Syncope, Throat tightness, Unresponsive to stimuli, Vision blurred
More
|
Systemic: Allergic: Difficulty Breathing-Medium, Systemic: Allergic: Difficulty Swallowing, Throat T...
Systemic: Allergic: Difficulty Breathing-Medium, Systemic: Allergic: Difficulty Swallowing, Throat Tightness-Mild, Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Severe, Additional Details: patient passed out after getting the flu vaccine. After approx 1 minute she became responsive, then several minutes later she passed out a second time. At that time 911 was called and paramedics arrived shortly after. patient became responsive shortly after and reported feeling numbness in her arm and had difficulty taking a deep breath and blurred vision. Paramedics monitored vital signs and stayed until patient was feeling better. Pt's mother came in several days after and said pt was better , Other Vaccines: VaccineTypeBrand: moderna spikevax; Manufacturer: moderna; LotNumber: 3043823; Route: intramuscular; BodySite: Left Deltoid; Dose: ; VaxDate: UNKNOWN
More
|
||||||
| 2822043 | 50 | F | NV | 01/21/2025 |
TDAP TDAP TDAP |
GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS |
M77CC M77CC M77CC |
Headache, Injection site bruising, Injection site erythema, Injection site pain,...
Headache, Injection site bruising, Injection site erythema, Injection site pain, Injection site pruritus; Injection site swelling, Injection site warmth, Insomnia, Lymphadenopathy, Pruritus; Rash
More
|
Site: Bruising at Injection Site-Medium, Site: Itching at Injection Site-Medium, Site: Pain at Injec...
Site: Bruising at Injection Site-Medium, Site: Itching at Injection Site-Medium, Site: Pain at Injection Site-Medium, Site: Redness at Injection Site-Medium, Site: Swelling at Injection Site-Medium, Systemic: Allergic: Itch Generalized-Medium, Systemic: Allergic: Rash Generalized-Medium, Systemic: Headache-Medium, Systemic: Lymph Node Swelling-Medium, Systemic: Unable to Sleep-Medium, Additional Details: Incident occurred 24 hours after vaccine, patient experienced redness, swollen, hot to touch, and pain around the injection area and 4 inches down the arm from the injection site. Additionally, patient experienced headaches and swollen lymph nodes as well. Patient has been icing the area and taking benadryl to help with the reaction at the recommendation of her PCP when she visited also for this reason., Other Vaccines: VaccineTypeBrand: Prevnar 20; Manufacturer: ; LotNumber: LP8151; Route: Intramuscular; BodySite: Left Arm; Dose: 1; VaxDate: 01/13/2025
More
|
||||||
| 2822044 | 65 | M | NY | 01/21/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
g2xe5 |
Arthralgia, Injection site pain
Arthralgia, Injection site pain
|
Site: Pain at Injection Site-Severe, Additional Details: Patient experiencing shoulder pain
Site: Pain at Injection Site-Severe, Additional Details: Patient experiencing shoulder pain
|
||||||
| 2822045 | 60 | F | KY | 01/21/2025 |
COVID19 COVID19 |
MODERNA MODERNA |
01202024 01202024 |
Chills, Fatigue, Lethargy, Malaise, Pyrexia; Vomiting
Chills, Fatigue, Lethargy, Malaise, Pyrexia; Vomiting
|
Systemic: Chills-Severe, Systemic: Exhaustion / Lethargy-Severe, Systemic: Fever-Severe, Systemic: C...
Systemic: Chills-Severe, Systemic: Exhaustion / Lethargy-Severe, Systemic: Fever-Severe, Systemic: Covid symptoms-Severe, Systemic: Vomiting-Severe
More
|
||||||
| 2822046 | 13 | M | MI | 01/21/2025 |
MNQ PNC20 TDAP |
NOVARTIS VACCINES AND DIAGNOSTICS PFIZER\WYETH SANOFI PASTEUR |
JT347 LC5484 3CA22C1 |
Wrong product administered; Wrong product administered; Wrong product administer...
Wrong product administered; Wrong product administered; Wrong product administered
More
|
Administered PCV 20 instead of ordered vaccine HPV 9
Administered PCV 20 instead of ordered vaccine HPV 9
|
||||||
| 2822047 | 80 | F | IL | 01/21/2025 |
FLU3 RSV |
SANOFI PASTEUR GLAXOSMITHKLINE BIOLOGICALS |
ut8419ba zd3gz |
Mobility decreased, Pain; Mobility decreased, Pain
Mobility decreased, Pain; Mobility decreased, Pain
|
starting a week after administration, patient started experiencing occasional pain , sometimes havin...
starting a week after administration, patient started experiencing occasional pain , sometimes having to take tylenol to relieve the pain. During times of pain, patient stated she has trouble lifting her arm
More
|
||||||
| 2822048 | 66 | M | GA | 01/21/2025 |
PNC20 |
PFIZER\WYETH |
LG5577 |
Extra dose administered
Extra dose administered
|
Patient was given a Prevnar 20 shot who already had it back in 2023. I remember checking registry my...
Patient was given a Prevnar 20 shot who already had it back in 2023. I remember checking registry myself and thought that his last dose was 2019. I have already reached out to the patient. He is currently fine and was not upset.
More
|
||||||
| 2822049 | 0.17 | M | WA | 01/21/2025 |
DTPPVHBHPB PNC20 |
MSP VACCINE COMPANY PFIZER\WYETH |
u7899aa hn5980 |
Injection site discolouration, Injection site erythema, Injection site hypertric...
Injection site discolouration, Injection site erythema, Injection site hypertrichosis, Injection site nodule, Injection site swelling; Injection site discolouration, Injection site erythema, Injection site hypertrichosis, Injection site nodule, Injection site swelling
More
|
Right thigh swelling and redness at injection site that began the same day vaccine was given. Progr...
Right thigh swelling and redness at injection site that began the same day vaccine was given. Progressed to a small nodule noted 3 days after and darkened overlying skin. Nodule has gradually decreased in size, mild hyperpigmentation continues along with localized hypertrichosis in area - about 8 mm.
More
|
||||||
| 2822050 | 82 | M | VA | 01/21/2025 |
COVID19 |
MODERNA |
3044091 |
Underdose
Underdose
|
PATIENT GIVEN MODERNA COVID-19 6MO-11YR DOSE INSTEAD OF SPIKEVAX 12+. REVACCINATED WITH SPIKEVAX 12+...
PATIENT GIVEN MODERNA COVID-19 6MO-11YR DOSE INSTEAD OF SPIKEVAX 12+. REVACCINATED WITH SPIKEVAX 12+ ON 1/21/2025 TO ENSURE FULL COVERAGE
More
|
||||||
| 2822051 | 1 | M | NJ | 01/21/2025 |
MMRV PNC20 |
MERCK & CO. INC. PFIZER\WYETH |
Y014435 LJ5284 |
Wrong product administered; Wrong product administered
Wrong product administered; Wrong product administered
|
MMR ordered; MMRV given
MMR ordered; MMRV given
|
||||||
| 2822052 | 58 | M | IA | 01/21/2025 |
COVID19 |
MODERNA |
3043332 |
Death, Diarrhoea
Death, Diarrhoea
|
Death
Death
|
โ | |||||
| 2822053 | 92 | M | IA | 01/21/2025 |
COVID19 |
MODERNA |
3044202 |
Death
Death
|
Death
Death
|
โ | |||||
| 2822054 | 69 | F | WV | 01/21/2025 |
VARZOS VARZOS |
GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS |
|
Diarrhoea, Dizziness, Headache, Nausea, Pain; Palpitations
Diarrhoea, Dizziness, Headache, Nausea, Pain; Palpitations
|
pt says she the next day after getting the 2nd shot she wasn't able to get out of bed because s...
pt says she the next day after getting the 2nd shot she wasn't able to get out of bed because she had a bad headache and body aches. The following days diarrehea, was light headed, and was nauseated. She developed heart palpatations on and off for the next few days. The once again she would get light headed and feel like she was going to pass out and would also experience heart palpatations on and off. She is feeling better today and will let her cardiologist know about these symptoms next month at her appt.
More
|
||||||
| 2822055 | 66 | F | FL | 01/21/2025 |
RSV |
GLAXOSMITHKLINE BIOLOGICALS |
52Z52 |
Extra dose administered, Injection site pain
Extra dose administered, Injection site pain
|
Patient received a second dose of RSV (Arexy) because we didn't realize she had previously rece...
Patient received a second dose of RSV (Arexy) because we didn't realize she had previously received a dose in August 2024. Patient has some soreness at the injection site but reports no other adverse effects.
More
|
||||||
| 2822056 | 2 | M | NC | 01/21/2025 |
DTAPIPVHIB |
SANOFI PASTEUR |
UJ983AA |
Product preparation issue
Product preparation issue
|
This child was seen on 01/15/2025 and received only the DTaP/IPV(liquid) portion of the Pentacel bec...
This child was seen on 01/15/2025 and received only the DTaP/IPV(liquid) portion of the Pentacel because it was not reconstituted with the HIB portion (lyophilized powder).
More
|
||||||
| 2822057 | 80 | F | 01/21/2025 |
FLU3 |
SANOFI PASTEUR |
|
Injection site discolouration, Injection site haemorrhage, Injection site pain, ...
Injection site discolouration, Injection site haemorrhage, Injection site pain, Musculoskeletal disorder, Pain
More
|
left arm black and blue at injection site with blood trail down arm. loss full use of hand and fing...
left arm black and blue at injection site with blood trail down arm. loss full use of hand and fingers on left hand. went to clinic for evaluation and referred to physical therapy. exercises that required lifting arm increased pain. after almost 5 months still have pain at injection site. pain worse at night when arm is at rest. full use of left hand and fingers has returned.
More
|
|||||||
| 2822058 | 42 | F | 01/21/2025 |
COVID19 |
PFIZER\BIONTECH |
LN0589 |
Wrong product administered
Wrong product administered
|
Pt may have accidentally been given a flu vaccine instead of the COVID vaccine
Pt may have accidentally been given a flu vaccine instead of the COVID vaccine
|
|||||||
| 2822059 | 61 | M | OK | 01/21/2025 |
COVID19 |
MODERNA |
8080469 |
Blood test, Electrocardiogram, Pulmonary embolism, Urine analysis, X-ray
Blood test, Electrocardiogram, Pulmonary embolism, Urine analysis, X-ray
|
Pulmonary Embolism on Dec 4 2024
Pulmonary Embolism on Dec 4 2024
|
โ | โ | ||||
| 2822060 | 79 | F | SC | 01/21/2025 |
RSV RSV |
GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS |
255t2 4hy3a |
Extra dose administered, Injected limb mobility decreased, Musculoskeletal stiff...
Extra dose administered, Injected limb mobility decreased, Musculoskeletal stiffness, Pain, Peripheral swelling; Extra dose administered, Injected limb mobility decreased, Musculoskeletal stiffness, Pain, Peripheral swelling
More
|
Our pharmacy received an email on 01/21/2025 from our clinical team stating the patient received the...
Our pharmacy received an email on 01/21/2025 from our clinical team stating the patient received the RSV vaccine on 10/17/2023 and on 01/20/2025. Our system did not flag that she had previously had this vaccine. The patient did not know she received the vaccine before and came in to receive it on 01/20/25 since her MD recommended it. According the VAERS reporting procedures we must report since this was a "vaccine administration error." When I talked to the patient at 3:30pm on 01/21/2025 she said she early this morning her body felt stiff and sore, her left arm was swollen/stiff/could barely move it. At the current time when I talked to her, she said she is feeling much better and the stiffness and movement is a lot better.
More
|
||||||
| 2822061 | 66 | M | 01/21/2025 |
COVID19 |
PFIZER\BIONTECH |
LN0589 |
Wrong product administered
Wrong product administered
|
Pt may have accidentally been given a flu vaccine instead of a COVID vaccine.
Pt may have accidentally been given a flu vaccine instead of a COVID vaccine.
|
|||||||
| 2822062 | 63 | M | CA | 01/21/2025 |
COVID19 FLU3 |
PFIZER\BIONTECH SANOFI PASTEUR |
LM2224 TFAA2433 |
Arthralgia; Arthralgia
Arthralgia; Arthralgia
|
Patient reports having shoulder pain after getting both vaccinations. Patient will be seen by PCP on...
Patient reports having shoulder pain after getting both vaccinations. Patient will be seen by PCP on 2/11/2025 to check if the pain is due to vaccinations.
More
|
||||||
| 2822063 | 42 | M | 01/21/2025 |
COVID19 |
PFIZER\BIONTECH |
LN0589 |
Wrong product administered
Wrong product administered
|
Pt may have accidentally been given a flu vaccine instead of a COVID vaccine.
Pt may have accidentally been given a flu vaccine instead of a COVID vaccine.
|
|||||||
| 2822064 | 38 | F | 01/21/2025 |
COVID19 |
PFIZER\BIONTECH |
LN0589 |
Wrong product administered
Wrong product administered
|
Pt may have accidentally been given a flu vaccine instead of a COVID vaccine.
Pt may have accidentally been given a flu vaccine instead of a COVID vaccine.
|
|||||||
| 2822065 | 16 | M | 01/21/2025 |
COVID19 |
PFIZER\BIONTECH |
LN0589 |
Wrong product administered
Wrong product administered
|
Pt may have accidentally been given a flu vaccine instead of a COVID vaccine.
Pt may have accidentally been given a flu vaccine instead of a COVID vaccine.
|
|||||||
| 2822066 | 57 | F | 01/21/2025 |
COVID19 |
PFIZER\BIONTECH |
LN0589 |
Wrong product administered
Wrong product administered
|
Pt may have accidentally been given a flu vaccine instead of a COVID vaccine.
Pt may have accidentally been given a flu vaccine instead of a COVID vaccine.
|
|||||||
| 2822067 | 58 | M | 01/21/2025 |
COVID19 |
PFIZER\BIONTECH |
LN0589 |
Wrong product administered
Wrong product administered
|
Pt may have accidentally been given a flu vaccine instead of a COVID vaccine.
Pt may have accidentally been given a flu vaccine instead of a COVID vaccine.
|
|||||||
| 2822068 | 8 | M | 01/21/2025 |
COVID19 FLU3 |
PFIZER\BIONTECH SEQIRUS, INC. |
|
Unevaluable event; Unevaluable event
Unevaluable event; Unevaluable event
|
none
none
|
|||||||
| 2822069 | 49 | M | 01/21/2025 |
COVID19 |
PFIZER\BIONTECH |
LN0589 |
Wrong product administered
Wrong product administered
|
Pt may have accidentally been given a flu vaccine instead of a COVID vaccine.
Pt may have accidentally been given a flu vaccine instead of a COVID vaccine.
|
|||||||
| 2822070 | 82 | F | TN | 01/21/2025 |
COVID19 |
PFIZER\BIONTECH |
LP1776 |
Influenza like illness, Injection site erythema, Ocular hyperaemia
Influenza like illness, Injection site erythema, Ocular hyperaemia
|
LEFT ARM WAS RED (ELBOW TO INJECTION SITE). LOOKED LIKE A RASH. FLU LIKE SYMPTOMS. RED EYES
LEFT ARM WAS RED (ELBOW TO INJECTION SITE). LOOKED LIKE A RASH. FLU LIKE SYMPTOMS. RED EYES
|
||||||
| 2822071 | 69 | M | MA | 01/21/2025 |
COVID19 COVID19 UNK UNK |
MODERNA MODERNA UNKNOWN MANUFACTURER UNKNOWN MANUFACTURER |
|
Disturbance in attention, Dizziness, Echocardiogram, Electrocardiogram, Electroc...
Disturbance in attention, Dizziness, Echocardiogram, Electrocardiogram, Electrocardiogram ambulatory; Laboratory test; Disturbance in attention, Dizziness, Echocardiogram, Electrocardiogram, Electrocardiogram ambulatory; Laboratory test
More
|
Around 10-12 days following the vaccination I began experiencing lightheartedness & dizziness. M...
Around 10-12 days following the vaccination I began experiencing lightheartedness & dizziness. Mild difficulty concentrating, particularly late morning. The symptoms typically improved some by late afternoon or early evening. As time progressed, the symptoms lessened but are still present as of this writing.
More
|
||||||
| 2822072 | 18 | F | IL | 01/21/2025 |
MMR |
GLAXOSMITHKLINE BIOLOGICALS |
9594A |
Expired product administered
Expired product administered
|
Expired vaccine
Expired vaccine
|
||||||
| 2822073 | 64 | F | OR | 01/21/2025 |
TDAP |
GLAXOSMITHKLINE BIOLOGICALS |
235d2 |
Arthralgia
Arthralgia
|
Patient called 1/21/25 stating she has had shoulder pain for months post vaccination, saw doctor and...
Patient called 1/21/25 stating she has had shoulder pain for months post vaccination, saw doctor and was told to report adverse event to pharmacy
More
|
||||||
| 2822074 | 1.25 | M | TN | 01/21/2025 |
UNK UNK UNK |
UNKNOWN MANUFACTURER UNKNOWN MANUFACTURER UNKNOWN MANUFACTURER |
x027903 24y92 7pk53 |
Extra dose administered, No adverse event; Extra dose administered, No adverse e...
Extra dose administered, No adverse event; Extra dose administered, No adverse event; Extra dose administered, No adverse event
More
|
Vaccine was given erroneously by nursing staff. Provider and parent aware. Provider does not expect ...
Vaccine was given erroneously by nursing staff. Provider and parent aware. Provider does not expect any significant adverse reactions based on the CDC review. Nursing staff repeated 12 month vaccines Patient was here for 15 month well child. Patient received 1st MMR, Havrix, Hiberix on 10/16/2024. Provider plans to give varivax, Infanrix, Prevnar at 18 month visit.
More
|
||||||
| 2822075 | 67 | F | TX | 01/21/2025 |
PNC20 |
PFIZER\WYETH |
LJ5281 |
Rash, Urticaria
Rash, Urticaria
|
HIVES AND RASH OVER CHEST STARTED 1 WEEK AFTER VACCINE
HIVES AND RASH OVER CHEST STARTED 1 WEEK AFTER VACCINE
|
||||||
| 2822076 | 71 | F | CA | 01/21/2025 |
PNC20 PNC20 |
PFIZER\WYETH PFIZER\WYETH |
Lk6650 Lk6650 |
Computerised tomogram head, Dysarthria, Gait disturbance, Hemiparesis, Ischaemic...
Computerised tomogram head, Dysarthria, Gait disturbance, Hemiparesis, Ischaemic stroke; Magnetic resonance imaging head
More
|
Ischemic stroke resulting in slurred speech, left sided weakness, unsteady gait
Ischemic stroke resulting in slurred speech, left sided weakness, unsteady gait
|
โ | โ | ||||
| 2822077 | 31 | M | ID | 01/21/2025 |
COVID19 FLU3 |
PFIZER\BIONTECH SEQIRUS, INC. |
LNO589 391417 |
No adverse event; No adverse event
No adverse event; No adverse event
|
Patient did not have any adverse reactions.
Patient did not have any adverse reactions.
|
||||||
| 2822078 | 17 | F | MA | 01/21/2025 |
MMRV |
MERCK & CO. INC. |
X021131 |
Product administered to patient of inappropriate age
Product administered to patient of inappropriate age
|
Patient is not in the recommended age group for the MMRV vaccine. Mother reported day after vaccine ...
Patient is not in the recommended age group for the MMRV vaccine. Mother reported day after vaccine given that Patient is over the recommended age group to receive this vaccine and is inquiring about adverse effects and how to move forward with vaccine series.
More
|
||||||
| 2822079 | 44 | F | OH | 01/21/2025 |
COVID19 COVID19 |
MODERNA MODERNA |
029H21B 029H21B |
Anxiety, Asthenia, Autoimmune thyroiditis, Brain fog, Thyroid function test abno...
Anxiety, Asthenia, Autoimmune thyroiditis, Brain fog, Thyroid function test abnormal; Tinnitus
More
|
A week after the shot I noticed my ears were constantly ringing and I began having extreme low energ...
A week after the shot I noticed my ears were constantly ringing and I began having extreme low energy and anxiety.
More
|
โ |