| ID | Age | Sex | State | Date โผ | Onset Days | Vaccine | Manufacturer | Lot # | Symptoms | Narrative | ๐ | ๐ฅ | ๐ | โฟ | โ ๏ธ |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1413779 | 63 | F | NY | 06/21/2021 |
COVID19 COVID19 COVID19 COVID19 COVID19 COVID19 COVID19 |
MODERNA MODERNA MODERNA MODERNA MODERNA MODERNA MODERNA |
0171321A 0171321A 0171321A 0171321A 0171321A 0171321A 010A21A |
Anion gap, Anti-GAD antibody, Anti-islet cell antibody, Blood glucose increased,...
Anion gap, Anti-GAD antibody, Anti-islet cell antibody, Blood glucose increased, Blood insulin; Blood pH decreased, Blood phosphorus, Carbon dioxide, Diabetic ketoacidosis, Differential white blood cell count normal; Feeling abnormal, Full blood count normal, Hyperphagia, Infusion, Intensive care; Laboratory test, Oral candidiasis, Polydipsia, Polyuria, SARS-CoV-2 test negative; Scab, Skin lesion, Type 1 diabetes mellitus, Urine analysis, Urine ketone body present; Weight decreased; Type 1 diabetes mellitus
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pt was admitted on 6/19 with DKA, metabolic acidosis, severe oral thrush and non healing ear lesions...
pt was admitted on 6/19 with DKA, metabolic acidosis, severe oral thrush and non healing ear lesions secondary to new onset type 1 diabetes. she has had no recent illnesses or infections. she takes no medications and has no known medical problems. she sees her primary care regularly and never had problems with her blood sugars before. she is very active and eats well. she has never smoked. she noticed about 2 months ago not feeling herself. she noticed 2 scabs and sores on the outside of her ears that would not heal and sudden weight loss. she then noticed polydipsia, polyuria and polyphagia and thrush in her mouth. she went to urgent care on 6/19 and her blood sugar was 474 and she was directed to the ER for evaluation where she was found to be in DKA with new type 1 diabetes and admitted to the icu on an insulin drip. She had her covid 19 vaccines on 3/3 and 3/31. No hx illnesses or infections. she takes no medications. she has never had covid 19 to her knowledge. with iv fluids, insulin and treatment for her thrush her blood sugars were better controlled and she was transferred out of the icu to the medical floor for further education on management of new diabetes and placed on lantus, humalog with meals and sliding scale. she was seen by the diabetes educator and will be following up with endocrinology after discharge. autoimmune antibody panel for LADA pending.
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โ | โ | ||||
| 2821386 | 61 | M | NY | 01/16/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
N77J2 |
Atrial fibrillation, Condition aggravated
Atrial fibrillation, Condition aggravated
|
Developed afib 2 days after receiving the 2nd dose of Shingrix
Developed afib 2 days after receiving the 2nd dose of Shingrix
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| 2821387 | 77 | M | NY | 01/16/2025 |
COVID19-2 |
PFIZER\BIONTECH |
lm2223 |
Injection site pain
Injection site pain
|
Site: Pain at Injection Site-Medium
Site: Pain at Injection Site-Medium
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| 2821388 | 62 | F | TX | 01/16/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
B4942 |
Fatigue, Lethargy
Fatigue, Lethargy
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Systemic: Exhaustion / Lethargy-Medium, Additional Details: Patient reported feeling extremely tired...
Systemic: Exhaustion / Lethargy-Medium, Additional Details: Patient reported feeling extremely tired for a day after getting the shot
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| 2821389 | 62 | M | TX | 01/16/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
B4942 |
Fatigue, Lethargy
Fatigue, Lethargy
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Systemic: Exhaustion / Lethargy-Medium, Additional Details: Patient reported feeling extremely tired
Systemic: Exhaustion / Lethargy-Medium, Additional Details: Patient reported feeling extremely tired
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| 2821390 | 71 | F | IL | 01/16/2025 |
PNC20 |
PFIZER\WYETH |
LG5577 |
Dermatitis allergic, Injection site erythema, Injection site pain, Rash
Dermatitis allergic, Injection site erythema, Injection site pain, Rash
|
Site: Pain at Injection Site-Medium, Site: Redness at Injection Site-Medium, Systemic: Allergic: Ras...
Site: Pain at Injection Site-Medium, Site: Redness at Injection Site-Medium, Systemic: Allergic: Rash Generalized-Medium
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| 2821391 | 78 | F | AZ | 01/16/2025 |
COVID19 |
MODERNA |
208H23A |
Abdominal discomfort, Dizziness
Abdominal discomfort, Dizziness
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Systemic: Dizziness / Lightheadness-Medium, Systemic: Upset stomach-Medium, Additional Details: Pati...
Systemic: Dizziness / Lightheadness-Medium, Systemic: Upset stomach-Medium, Additional Details: Patient reported that she feels upset stomach and light headed after receiving all vaccines, Other Vaccines: VaccineTypeBrand: PREVNAR 20; Manufacturer: PFIZER; LotNumber: ; Route: ; BodySite: ; Dose: 1; VaxDate: 04/04/2024
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| 2821392 | 74 | M | MA | 01/16/2025 |
RSV |
GLAXOSMITHKLINE BIOLOGICALS |
a9kr2 |
Fatigue, Injection site erythema, Injection site pruritus, Lethargy, Nausea
Fatigue, Injection site erythema, Injection site pruritus, Lethargy, Nausea
|
Site: Itching at Injection Site-Medium, Site: Redness at Injection Site-Medium, Systemic: Exhaustion...
Site: Itching at Injection Site-Medium, Site: Redness at Injection Site-Medium, Systemic: Exhaustion / Lethargy-Medium, Systemic: Nausea-Medium, Additional Details: got on the same day as boostrix but that was given in the right deltoid muscle
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| 2821393 | 58 | F | FL | 01/16/2025 |
FLUC4 |
SEQIRUS, INC. |
391416 |
Injection site erythema, Pruritus, Pruritus allergic
Injection site erythema, Pruritus, Pruritus allergic
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Site: Redness at Injection Site-Medium, Systemic: Allergic: Itch (specify: facial area, extremeties)...
Site: Redness at Injection Site-Medium, Systemic: Allergic: Itch (specify: facial area, extremeties)-Medium, Systemic: Allergic: Itch Generalized-Medium
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| 2821396 | 18 | M | MO | 01/16/2025 |
COVID19 |
PFIZER\BIONTECH |
LM2212 |
Dizziness, Fall, Pallor, Syncope, Unresponsive to stimuli
Dizziness, Fall, Pallor, Syncope, Unresponsive to stimuli
|
Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Medium, Additional Det...
Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Medium, Additional Details: Just a few minutes following vaccine administration, patient began to stand up from chair and fainted (fell backwards into privacy wall, knocking it over). Pt quickly regained consciousness and face/lips looked pale. Pt was helped back into seated position where he remained for approximately 15-20 minutes. EMS was not needed and pt walked out of pharmacy recovered. Pt did indicate on questionaire/consent form that he has gotten dizzy or fainted before, during or after immunization., Other Vaccines: VaccineTypeBrand: Influenza seasonal Flucelvax Trivalent; Manufacturer: Seqirus, INC.; LotNumber: 946606; Route: intramuscular; BodySite: left deltoid; Dose: ; VaxDate: UNKNOWN
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| 2821397 | 65 | M | RI | 01/16/2025 |
COVID19 |
MODERNA |
3043822 |
Burning sensation, Injection site erythema, Injection site pruritus, Injection s...
Burning sensation, Injection site erythema, Injection site pruritus, Injection site swelling
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Site: Itching at Injection Site-Medium, Site: Redness at Injection Site-Medium, Site: Swelling at In...
Site: Itching at Injection Site-Medium, Site: Redness at Injection Site-Medium, Site: Swelling at Injection Site-Medium, Additional Details: Patient stated burning, itchiness, redness and swelling started about 5 to 6 hours after injection. Patient went to urgent care and was given prednisone and cephalexin.
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| 2821398 | 61 | M | MA | 01/16/2025 |
RSV RSV |
PFIZER\WYETH PFIZER\WYETH |
kd0161 kd0161 |
Confusional state, Dizziness, Flushing, Hyperhidrosis, Pallor; Presyncope, Synco...
Confusional state, Dizziness, Flushing, Hyperhidrosis, Pallor; Presyncope, Syncope, Unresponsive to stimuli
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Systemic: Confusion-Severe, Systemic: Dizziness / Lightheadness-Severe, Systemic: Flushed / Sweating...
Systemic: Confusion-Severe, Systemic: Dizziness / Lightheadness-Severe, Systemic: Flushed / Sweating-Medium, Additional Details: wife noticed patient's face went pale after the second shot was given (Abrysvo in right arm), and recognized signs of syncope and vasovagal response which patient has a hx of in response to pain. Pt became confused, & non responsive verbally. Rx tech and wife assisted patient to the floor for safety. A instant cold pack was given to put on back of his neck (trick that worked for family during previous episodes). After about 15 min patient pt became verbal, but still confused, called EMS., Other Vaccines: VaccineTypeBrand: Prevnar; Manufacturer: Pfizer; LotNumber: LG5579; Route: IM; BodySite: Left Arm; Dose: 0; VaxDate: UNKNOWN
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| 2821399 | 61 | F | PA | 01/16/2025 |
COVID19 |
MODERNA |
8058877 |
Malaise, Pyrexia
Malaise, Pyrexia
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Systemic: Fever-Mild, Additional Details: patient stated she always gets sick for a few days after t...
Systemic: Fever-Mild, Additional Details: patient stated she always gets sick for a few days after taking the vaccine.
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| 2821400 | 34 | M | CT | 01/16/2025 |
FLUR4 |
PROTEIN SCIENCES CORPORATION |
tfaa2420 |
Injection site pain
Injection site pain
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Site: Pain at Injection Site-Mild, Additional Details: Pharm. D gave Patient pfizer comirnaty and fl...
Site: Pain at Injection Site-Mild, Additional Details: Pharm. D gave Patient pfizer comirnaty and flublock influenza vaccine. When patient recieved vaccinations, the rph hand shook while administering the vaccine. Patient still recieved both vaccinations in the correct location of the left deltioid. , Other Vaccines: VaccineTypeBrand: comirnaty; Manufacturer: pfizer; LotNumber: ln0589; Route: im; BodySite: left; Dose: ; VaxDate: UNKNOWN
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| 2821401 | 35 | M | CA | 01/16/2025 |
HEP |
DYNAVAX TECHNOLOGIES CORPORATION |
945658 |
Hypoaesthesia, Rash
Hypoaesthesia, Rash
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Systemic: Allergic: Rash (specify: facial area, extremeties)-Medium, Systemic: Numbness (specify: fa...
Systemic: Allergic: Rash (specify: facial area, extremeties)-Medium, Systemic: Numbness (specify: facial area, extremities)-Medium, Additional Details: Received a call from the mother (2:06pm) several hrs after pt received the vaccine, stating that his son's elbow has a rash and pt's arm and hands are numb. Informed the mother to take pt to the ER or urgent care. I called at 4:55pm to see the condition of the pt, but mother states that they just arrived to ER and pt's symptoms are still the same. Informed mother to keep us informed or I will call back the following day.
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| 2821402 | 50 | F | CA | 01/16/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
4KG45 |
Chills, Fatigue, Lethargy, Pain
Chills, Fatigue, Lethargy, Pain
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Systemic: Body Aches Generalized-Mild, Systemic: Chills-Mild, Systemic: Exhaustion / Lethargy-Mild
Systemic: Body Aches Generalized-Mild, Systemic: Chills-Mild, Systemic: Exhaustion / Lethargy-Mild
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| 2821403 | 61 | M | PA | 01/16/2025 |
COVID19 |
MODERNA |
au3832b |
Butterfly rash, Injection site pruritus, Lyme disease, Rash pruritic, Systemic l...
Butterfly rash, Injection site pruritus, Lyme disease, Rash pruritic, Systemic lupus erythematosus
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Site: Itching at Injection Site-Medium, Systemic: Butterfly rash, itchy - was told lyme then lupus-M...
Site: Itching at Injection Site-Medium, Systemic: Butterfly rash, itchy - was told lyme then lupus-Medium
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| 2821404 | 36 | F | AZ | 01/16/2025 |
VARCEL |
MERCK & CO. INC. |
y005922 |
Injection site erythema, Injection site swelling
Injection site erythema, Injection site swelling
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Site: Redness at Injection Site-Mild, Site: Swelling at Injection Site-Mild
Site: Redness at Injection Site-Mild, Site: Swelling at Injection Site-Mild
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| 2821405 | 71 | F | FL | 01/16/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
9L5P2 |
Injection site erythema, Injection site pain, Injection site swelling
Injection site erythema, Injection site pain, Injection site swelling
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Site: Pain at Injection Site-Mild, Site: Redness at Injection Site-Mild, Site: Swelling at Injection...
Site: Pain at Injection Site-Mild, Site: Redness at Injection Site-Mild, Site: Swelling at Injection Site-Mild
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| 2821406 | 46 | M | FL | 01/16/2025 |
PPV |
MERCK & CO. INC. |
Y009239 |
Deafness unilateral
Deafness unilateral
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Systemic: Hearing loss in right ear (about 10% hearing)-Medium
Systemic: Hearing loss in right ear (about 10% hearing)-Medium
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| 2821407 | 68 | F | AL | 01/16/2025 |
FLU4 FLU4 |
SANOFI PASTEUR SANOFI PASTEUR |
ut8470ca ut8470ca |
Injection site bruising, Injection site erythema, Injection site necrosis, Injec...
Injection site bruising, Injection site erythema, Injection site necrosis, Injection site nodule, Injection site pain; Injection site swelling
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Site: Bruising at Injection Site-Medium, Site: Pain at Injection Site-Medium, Site: Redness at Injec...
Site: Bruising at Injection Site-Medium, Site: Pain at Injection Site-Medium, Site: Redness at Injection Site-Medium, Site: Swelling at Injection Site-Medium, Additional Details: local swelling, knot, necrosis - likely to leave a scar
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| 2821408 | 87 | F | IN | 01/16/2025 |
COVID19 |
PFIZER\BIONTECH |
Unknown |
Chills, Malaise, Pyrexia
Chills, Malaise, Pyrexia
|
Systemic: Chills-Severe, Systemic: Fever-Severe, Additional Details: Date is approximate because pat...
Systemic: Chills-Severe, Systemic: Fever-Severe, Additional Details: Date is approximate because patient stated it was the 4th or 5th dose of the Covid vaccine that caused her symptoms. Patient reports also not feeling well after her recent (8/26/24) Fluzone High Dose Triv but could not provide any details other than she felt "sick"
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| 2821409 | 55 | F | AZ | 01/16/2025 |
COVID19 |
MODERNA |
AU3920B |
Chills, Fatigue, Lethargy, Pain
Chills, Fatigue, Lethargy, Pain
|
Systemic: Body Aches Generalized-Medium, Systemic: Chills-Medium, Systemic: Exhaustion / Lethargy-Me...
Systemic: Body Aches Generalized-Medium, Systemic: Chills-Medium, Systemic: Exhaustion / Lethargy-Medium, Additional Details: Patient states similar effects for the last 3 Covid vaccinations received
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| 2821410 | 65 | F | FL | 01/16/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
74NC9 |
Injection site erythema
Injection site erythema
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Site: Redness at Injection Site-Mild
Site: Redness at Injection Site-Mild
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| 2821411 | 71 | F | CA | 01/16/2025 |
VARZOS VARZOS |
GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS |
9r397 9r397 |
Erythema, Eye swelling, Mouth swelling, Rash, Rash pruritic; Swelling face, Swol...
Erythema, Eye swelling, Mouth swelling, Rash, Rash pruritic; Swelling face, Swollen tongue
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Systemic: Allergic: Itch (specify: facial area, extremeties)-Medium, Systemic: Allergic: Rash (speci...
Systemic: Allergic: Itch (specify: facial area, extremeties)-Medium, Systemic: Allergic: Rash (specify: facial area, extremeties)-Medium, Systemic: Allergic: Swelling of Face / Eyes / Mouth / Tongue-Medium, Additional Details: Patient stated start having swelling of eyes and rash on face. She came in the pharmacy today and said gotten better but wanted cream to relieve the itching and benadryl since doctor told patient to go to the pharmacy to get OTC meds. No more swelling but redness on face is still present.
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| 2821412 | 14 | F | MA | 01/16/2025 |
COVID19 |
PFIZER\BIONTECH |
LM2216 |
Dizziness, Syncope, Unresponsive to stimuli
Dizziness, Syncope, Unresponsive to stimuli
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Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Mild
Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Mild
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| 2821413 | 56 | F | FL | 01/16/2025 |
COVID19 |
MODERNA |
Unknown |
Chills, Influenza like illness, Pyrexia
Chills, Influenza like illness, Pyrexia
|
Systemic: Chills-Medium, Systemic: Fever-Medium, Additional Details: Flu-like symptoms
Systemic: Chills-Medium, Systemic: Fever-Medium, Additional Details: Flu-like symptoms
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| 2821414 | 8 | M | AL | 01/16/2025 |
FLUC4 |
SEQIRUS, INC. |
388522 |
Chills, Dizziness, Flushing, Hyperhidrosis
Chills, Dizziness, Flushing, Hyperhidrosis
|
Systemic: Chills-Mild, Systemic: Dizziness / Lightheadness-Mild, Systemic: Flushed / Sweating-Mild
Systemic: Chills-Mild, Systemic: Dizziness / Lightheadness-Mild, Systemic: Flushed / Sweating-Mild
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| 2821415 | 60 | M | CA | 01/16/2025 |
COVID19 |
MODERNA |
3030371 |
Chills, Nasopharyngitis, Pyrexia
Chills, Nasopharyngitis, Pyrexia
|
Systemic: Chills-Mild, Systemic: Fever-Mild, Systemic: Cold-Mild, Additional Details: Patient report...
Systemic: Chills-Mild, Systemic: Fever-Mild, Systemic: Cold-Mild, Additional Details: Patient reported having bad reaction such as a cold, fever, chills and it last for a couple of days.
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| 2821416 | 37 | F | CA | 01/16/2025 |
COVID19 |
MODERNA |
3043823 |
Muscle spasms
Muscle spasms
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Systemic: pt complained about severe muscle spasm and pharmacy called EMS-Severe, Additional Details...
Systemic: pt complained about severe muscle spasm and pharmacy called EMS-Severe, Additional Details: pt complained about severe muscle spasm throughout her body and she complained about feeling it the most in her throat and chest. Pharmacy called EMS with pt consent., Other Vaccines: VaccineTypeBrand: influenza vaccine; Manufacturer: seqirus; LotNumber: 946619; Route: im; BodySite: right arm; Dose: 1; VaxDate: 01/10/2025
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| 2821418 | 23 | F | OH | 01/16/2025 |
MMR |
GLAXOSMITHKLINE BIOLOGICALS |
3d72s |
Injection site erythema, Injection site pruritus, Injection site swelling
Injection site erythema, Injection site pruritus, Injection site swelling
|
Site: Itching at Injection Site-Mild, Site: Redness at Injection Site-Mild, Site: Swelling at Inject...
Site: Itching at Injection Site-Mild, Site: Redness at Injection Site-Mild, Site: Swelling at Injection Site-Mild, Other Vaccines: VaccineTypeBrand: varvivax with diluent; Manufacturer: merck; LotNumber: Y011020; Route: subcutaneous; BodySite: right arm; Dose: ; VaxDate: UNKNOWN
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| 2821419 | 4 | M | IL | 01/16/2025 |
FLUC4 |
SEQIRUS, INC. |
388533 |
Vomiting
Vomiting
|
Systemic: Vomiting-Mild, Additional Details: This was for the flucelevax trivalent-quadravalent was ...
Systemic: Vomiting-Mild, Additional Details: This was for the flucelevax trivalent-quadravalent was only formulation listed
More
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| 2821420 | 68 | M | FL | 01/16/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
4y2p4 |
Chills, Pyrexia
Chills, Pyrexia
|
Systemic: Chills-Mild, Systemic: Fever-Mild, Additional Details: Patient stated that symptoms just l...
Systemic: Chills-Mild, Systemic: Fever-Mild, Additional Details: Patient stated that symptoms just lasted a few hours
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| 2821421 | 36 | M | NY | 01/16/2025 |
FLUC4 |
SEQIRUS, INC. |
946635 |
Dermatitis contact, Injection site vesicles, Wound
Dermatitis contact, Injection site vesicles, Wound
|
Systemic: PATIENT REPORTED OPEN WOUND BLISTER FROM ADHESIVE FROM BANDAID USED-Medium, Additional Det...
Systemic: PATIENT REPORTED OPEN WOUND BLISTER FROM ADHESIVE FROM BANDAID USED-Medium, Additional Details: PATIENT REPORTED RX COMPLAINT IN MY CUSTOMER CONNECTION 01/10/2025 THAT HE EXPERIENCED AN OPEN WOUND BLISTER FROM ADHESIVE. I CALLED HIM AS A FOLLOW UP 01/13/2025 TO GET MORE DETAIL AND FIND OUT IF THERE WAS ANYTHING ELSE HE WOULD LIKE ME TO ADD TO ADVERSE EVENT REPORT. HE DID NOT SEEK ANY ADDITIONAL MEDICAL CARE OR REQUIRED ANY URGENT CARE VISIT. IN SPEAKING HE SAID IT WAS BETTER TODAY. I ASKED HIM IF IN THE FUTURE HE USES PHARMACY FOR ANY ADDITIONAL VACCINES TO PLEASE MAKE SURE WE ARE AWARE., Other Vaccines: VaccineTypeBrand: COVID; Manufacturer: PFIZER; LotNumber: LN0588; Route: IM; BodySite: LEFT ARM; Dose: 1; VaxDate: 01/06/2025
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| 2821422 | 50 | M | PA | 01/16/2025 |
PNC21 |
MERCK & CO. INC. |
Y011819 |
Dizziness, Malaise, Syncope
Dizziness, Malaise, Syncope
|
Patient received 2 vaccines Capvaxive and Flublok. Patient fainted and was not feeling well for abou...
Patient received 2 vaccines Capvaxive and Flublok. Patient fainted and was not feeling well for about 15 minutes post vaccines. We gave patient a cold pack to put on his neck and gave him a soda to drink to increase blood sugar. We also had patient sit on floor after he started feeling dizzy and faint.
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| 2821423 | 17 | F | ID | 01/16/2025 |
MNQ |
SANOFI PASTEUR |
U8361AA |
Dyspnoea, Pallor, Tremor
Dyspnoea, Pallor, Tremor
|
Pt was sitting in the upright position, prepared left deltoid, IM injection given, spot band-aid app...
Pt was sitting in the upright position, prepared left deltoid, IM injection given, spot band-aid applied. pt was sitting calmly. I proceeded to prepare right deltoid area and pt stated she needed to lay back. Pt was directed to lay down, I proceeded to elevate her feet. I noticed pt became very pale, started to shake, gasping for breaths were noted. Mother was immediately by her side as I continued to talk to the patient. approximately 10 seconds passed and pt awoke startled, she tried to jump up to her feet, her mother and myself calmly held her and stopped her from standing. pt was able to understand us at that time and we were able to get her to lay down, provider was called immediately, mother remained next to her. provider came to the room, an ice pack was placed to the back of pt neck, cold wet towels placed to her forehead and abdomen area. pt slowly became aware of what had happened. pt remained laying as provider talked to her and mother. 2 4 ounce containers of juice were given to the pt. pt tolerated and was able to regain color back in her face. Pt mother, at that time declined/refused that she receive the Meningococcal B vaccine, which would have been #1 in the series. pt recovered approximately 15 min after vaccine administration, she ambulated on her own, with her mother nearby with no further concerns noted.
More
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| 2821424 | 7 | F | UT | 01/16/2025 |
COVID19 |
PFIZER\BIONTECH |
LM2045 |
Expired product administered, No adverse event
Expired product administered, No adverse event
|
Vaccine expired, no none adverse reactions
Vaccine expired, no none adverse reactions
|
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| 2821425 | 81 | F | CA | 01/16/2025 |
UNK |
UNKNOWN MANUFACTURER |
LN0589 |
Musculoskeletal pain
Musculoskeletal pain
|
persistent musculoskeletal pain
persistent musculoskeletal pain
|
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| 2821426 | 79 | M | CA | 01/16/2025 |
COVID19 |
PFIZER\BIONTECH |
LM2210 |
Ageusia, Lethargy, Myalgia
Ageusia, Lethargy, Myalgia
|
The patient's symptoms included myalgia, lethargy, and a loss of taste, which has persisted for...
The patient's symptoms included myalgia, lethargy, and a loss of taste, which has persisted for seven weeks.
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| 2821427 | 33 | F | TX | 01/16/2025 |
COVID19 COVID19 FLU3 FLU3 |
PFIZER\BIONTECH PFIZER\BIONTECH SEQIRUS, INC. SEQIRUS, INC. |
LN0589 LN0589 388532 388532 |
Butterfly rash, Chills, Diarrhoea, Fatigue, Headache; Injection site pain, Pain ...
Butterfly rash, Chills, Diarrhoea, Fatigue, Headache; Injection site pain, Pain in extremity; Butterfly rash, Chills, Diarrhoea, Fatigue, Headache; Injection site pain, Pain in extremity
More
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Chills, headache, fatigue, diarrhea, soreness of butt and thighs, soreness at injection site
Chills, headache, fatigue, diarrhea, soreness of butt and thighs, soreness at injection site
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| 2821428 | 44 | F | OR | 01/16/2025 |
COVID19 |
PFIZER\BIONTECH |
LN0589 |
Joint range of motion decreased, Magnetic resonance imaging abnormal, Pain in ex...
Joint range of motion decreased, Magnetic resonance imaging abnormal, Pain in extremity, Periarthritis, X-ray
More
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left arm pain, reduced range of motion. MRI in December revealed Adhesive Capsulitis.
left arm pain, reduced range of motion. MRI in December revealed Adhesive Capsulitis.
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| 2821435 | 43 | F | TX | 01/16/2025 |
FLU3 |
SEQIRUS, INC. |
|
Injection site pain, Product administered at inappropriate site
Injection site pain, Product administered at inappropriate site
|
Patient states her Left arm still hurts/aches from time to time in the area where she received her ...
Patient states her Left arm still hurts/aches from time to time in the area where she received her Flu vaccine. She was given vaccine on October 23rd, 2024. She is able to move and use her Left arm. She has not had another vaccine since in that arm. She has not contacted her doctor as of yet. She states vaccine was giving lower than she is used to.
More
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| 2821436 | 37 | F | LA | 01/16/2025 |
TDAP |
GLAXOSMITHKLINE BIOLOGICALS |
333SK |
Headache, Pain, Pain in jaw
Headache, Pain, Pain in jaw
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Patient reported Headaches, Jaw pain, and pains throughout body. Patient took Fioricet, Ibuprofe...
Patient reported Headaches, Jaw pain, and pains throughout body. Patient took Fioricet, Ibuprofen, and Ajovy Injection to get pain to subside but will only last for a couple of hours before reoccurring.
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| 2821437 | 33 | F | ND | 01/16/2025 |
FLU3 FLU3 FLU3 |
SANOFI PASTEUR SANOFI PASTEUR SANOFI PASTEUR |
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Arthralgia, Bursitis, Hypoaesthesia, Immediate post-injection reaction, Joint ra...
Arthralgia, Bursitis, Hypoaesthesia, Immediate post-injection reaction, Joint range of motion decreased; Ligament pain, Mobility decreased, Pain, Paraesthesia, Product administered at inappropriate site; Shoulder injury related to vaccine administration, Sleep disorder, Tendonitis, X-ray limb normal
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Nurse administered the vaccine into subacromial space rather than the deltoid muscle. This caused im...
Nurse administered the vaccine into subacromial space rather than the deltoid muscle. This caused immediate pain on administration and inability to move. Left shoulder within 20 minutes following the injection. Have experienced ongoing left shoulder pain, left arm numbness and tingling, and restricted range of motion due to pain since that time. Three weeks after initial injection, range of motion significantly worsened as well as the pain, which also affected ability to sleep. Was evaluated on 11/15/24, diagnosed with SIRVA, tendonitis, and bursitis. X-ray completed 11/15/24 was normal. Took Medrol dosepak at that time. Continued use of Aleve twice daily. Multiple visits with occupational medicine since then and physical therapy, and this has continued since that time. Dry needling has been helpful in reducing the numbness and tingling in the arm. Continued pain deep in the shoulder joint and ligaments. Pain persists with flexion, extension, and external rotation of the shoulder. Evaluated by orthopedics 1/15/25, received Kenalog 80mg injection into shoulder joint. MRI to follow in a couple weeks. The influenza vaccine is not to blame for the injury, incorrect administration of the vaccine into the subacromial space is what caused the injury.
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| 2821438 | 4 | F | CA | 01/16/2025 |
DTAPIPV |
GLAXOSMITHKLINE BIOLOGICALS |
42Y93 |
Injection site erythema, Injection site pain, Injection site swelling
Injection site erythema, Injection site pain, Injection site swelling
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Mom stated swelling and warmth noted on left arm almost down to the elbow the next day after receivi...
Mom stated swelling and warmth noted on left arm almost down to the elbow the next day after receiving vaccine. Mom stated there was a circle of redness like an raised doughnut that spread down towards the elbow. Mom stated this redness and swelling was painful for the child and the child was given Motrin then in a few hours Tylenol. Mom stated today the area is slightly fading and there is less of a complaint from the child. Mom denies child having a bug or insect bite. Mom stated definitely from the shot.
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| 2821439 | 74 | F | GA | 01/16/2025 |
RSV |
GLAXOSMITHKLINE BIOLOGICALS |
52z52 |
Extra dose administered
Extra dose administered
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Patient was accidentally given a second dose of Arexvy, First dose was administered 4/25/2024
Patient was accidentally given a second dose of Arexvy, First dose was administered 4/25/2024
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| 2821440 | 10 | F | CA | 01/16/2025 |
IPV |
SANOFI PASTEUR |
X1D141M |
Cough, Hypersensitivity, Swelling face, Urticaria
Cough, Hypersensitivity, Swelling face, Urticaria
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Within hours of receiving polio vaccine patient "start cough, swelling face, hives generalized....
Within hours of receiving polio vaccine patient "start cough, swelling face, hives generalized." Patient was seen at Urgent Care facility and urticarial rash was noted. Patient was treated for allergic reaction with signs concerning for evolving anaphylaxis per review of Urgent Care note. Patient was treated with prednisone, diphenhydramine, albuterol treatment. Symptoms resolved.
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| 2821441 | 0.17 | F | NV | 01/16/2025 |
DTPPVHBHPB HPV9 RV5 |
MSP VACCINE COMPANY MERCK & CO. INC. MERCK & CO. INC. |
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Infant irritability, Product administered to patient of inappropriate age, Pyrex...
Infant irritability, Product administered to patient of inappropriate age, Pyrexia, Vomiting, Wrong product administered; Infant irritability, Product administered to patient of inappropriate age, Pyrexia, Vomiting, Wrong product administered; Infant irritability, Product administered to patient of inappropriate age, Pyrexia, Vomiting, Wrong product administered
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was suppose to receive PCV20, instead received HPV9. had fever on vomiting the night of. was irritab...
was suppose to receive PCV20, instead received HPV9. had fever on vomiting the night of. was irritable for 2 days after. on 01/16/2025 was stable and better
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| 2821442 | 77 | F | AK | 01/16/2025 |
FLU3 |
SANOFI PASTEUR |
UT8425DA |
Anaphylactic reaction, Dyspnoea, Rash, Rash macular, Urticaria
Anaphylactic reaction, Dyspnoea, Rash, Rash macular, Urticaria
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PATIENT EXPERIENCED NEAR ANAPHYLAXIS, HAD BLOTCHY NECK WITH RASH AND HIVES, BEGAN TO HAVE TROUBLE BR...
PATIENT EXPERIENCED NEAR ANAPHYLAXIS, HAD BLOTCHY NECK WITH RASH AND HIVES, BEGAN TO HAVE TROUBLE BREATHING AND TOOK BENADRYL IMMEDIATELY. REACTION OCCURED 3HRS POST IMMUNIZATION
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| 2820931 | 4 | U | MD | 01/15/2025 |
MMRV |
MERCK & CO. INC. |
X018580 |
Expired product administered, No adverse event
Expired product administered, No adverse event
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the patient involved has not experienced any medical concerns or symptoms as of the time of this int...
the patient involved has not experienced any medical concerns or symptoms as of the time of this interaction; A dose of PROQUAD had a labeled expiration date of 1/5/2025 and was inadvertently administered to a patient today, 1/10/2025; This spontaneous report was received from a medical assistance and refers to a 4-year-old patient of unknown gender. The patient's medical history, concurrent conditions and concomitant therapies were not reported. On 10-JAN-2025, the patient was inadvertently vaccinated with a dose of two-dose series of measles, mumps, rubella and varicella (oka-merck) virus vaccine live (PROQUAD), 0.5 milliliter, lot #X018580, (labeled expiration date: 05-JAN-2025), administered for prophylaxis (strength, and route of administration were not provided) (Expired product administered). The patient involved had not experienced any medical concerns or symptoms as of the time of this report. No additional information provided. No additional adverse event (AE) reported.
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