๐Ÿฅ VAERS Vaccine Data Browser

๐Ÿ”’ Privacy & Data Disclaimer

About This Site

This is a public data browser for the Vaccine Adverse Event Reporting System (VAERS). By using this site, you acknowledge and agree to the following:

Data Source & Accuracy

  • Public Data: All data displayed comes from the publicly available VAERS database maintained by the CDC and FDA.
  • No Verification: VAERS accepts all reports without verifying medical accuracy. Reports do not prove causation between vaccines and adverse events.
  • Anyone Can Report: Healthcare providers, patients, family members, and anyone else can submit reports to VAERS.
  • Research Purpose: This data is for transparency, research, and monitoring vaccine safety signals only.

Your Privacy

  • No Personal Data Collection: This site does not collect, store, or track any personal information about visitors.
  • No Cookies: We do not use cookies except for remembering that you've seen this disclaimer (stored locally in your browser).
  • No Analytics: We do not use Google Analytics or any other tracking services.
  • Search Privacy: Your searches and filters are not logged or stored on our servers.
  • Public Data Only: The VAERS data shown here is already public and contains no personally identifiable information.

Medical Disclaimer

  • Not Medical Advice: This tool is for informational purposes only and does not provide medical advice.
  • Consult Healthcare Providers: Always consult qualified healthcare professionals for medical decisions.
  • No Liability: We are not responsible for decisions made based on this data.

Data Interpretation

  • The presence of a report does not mean the vaccine caused the adverse event.
  • Coincidental events are often reported (e.g., a heart attack that happened to occur after vaccination).
  • Serious adverse events must be reported by law, even if unrelated to the vaccine.
  • The database is useful for detecting safety signals that require further investigation.

๐Ÿ“– Help & Search Guide

Column Icons Legend

๐Ÿ’€ Death
๐Ÿฅ Hospitalized
๐Ÿš‘ Emergency Room
โ™ฟ Disability
โš ๏ธ Life Threatening

How to Search

๐Ÿ’ก Search Tips:
  • Select Year: Choose a specific year OR "All Years" to search across all data
  • All Years requires filters: When searching all years, you must select at least one filter (lot number, vaccine type, outcome, etc.) for performance
  • Lot number tracking: Use "All Years" + Lot Number to track lots across multiple years
  • Combine filters: Use multiple filters together to narrow results (e.g., Age + Vaccine Type + Death)
  • VAERS ID: Search for specific report by ID number
  • Age: Enter exact age (e.g., 25) or decimal (e.g., 0.5 for 6 months)
  • State: Enter 2-letter state code (e.g., CA, NY, TX)
  • Vaccine Type: Search partial names (e.g., "COVID19", "FLU", "HPV")
  • Manufacturer: Search by company (e.g., "PFIZER", "MODERNA")
  • Lot Number: Search specific vaccine lot (works great with "All Years")
  • Symptoms: Search for any symptom keyword (e.g., "fever", "rash")
  • Death/Hospitalized: Filter to only show cases with these outcomes

Understanding the Data

  • Reports are unverified: VAERS accepts all reports without medical verification
  • Not proof of causation: A report does not mean the vaccine caused the event
  • Anyone can report: Healthcare providers, patients, and family members can submit reports
  • Multiple vaccines: One report may list multiple vaccines given at the same time
  • Blank fields: Not all fields are required, so some data may be missing

Using the Table

  • Sort columns: Click column headers (ID, Age, Sex, Date, Died) to sort
  • Expand text: Click "More" to see full narrative or symptom text
  • Navigate pages: Use pagination controls at top and bottom of table
  • Export results: Click "๐Ÿ“ฅ Export CSV" to download filtered data (max 10,000 records)

๐Ÿ’ก Frequently Asked Questions (FAQ)

What is this site?

๐Ÿฅ VAERS Vaccine Data Browser is an independent, third-party data browser for publicly available VAERS (Vaccine Adverse Event Reporting System) data.

Important: This site is NOT affiliated with, endorsed by, or operated by the CDC, FDA, or any government agency. We are an independent service that makes public VAERS data easier to search and analyze.

What is VAERS?

VAERS (Vaccine Adverse Event Reporting System) is a national early warning system established in 1990 to detect possible safety problems with vaccines. It's co-managed by the CDC (Centers for Disease Control and Prevention) and FDA (Food and Drug Administration).

VAERS accepts and analyzes reports of adverse events (possible side effects) after a person has received a vaccination.

Official VAERS website: vaers.hhs.gov

Is this data HIPAA compliant?

Yes, absolutely. All VAERS data displayed here is:

  • Publicly available - Published by the CDC/FDA on their official website
  • De-identified - Contains no personally identifiable information (names, addresses, contact info removed)
  • Legally accessible - Available to researchers, media, and the general public under FOIA (Freedom of Information Act)
  • Not protected health information - Once de-identified and published by the government, it's no longer covered by HIPAA restrictions

This site displays the same public data available at vaers.hhs.gov/data.

Why does this site exist?

We believe in transparency and public access to health data. While the CDC/FDA provide VAERS data, their official site:

  • Is difficult to search and filter
  • Requires downloading large CSV files and technical knowledge
  • Is not user-friendly for the average person

This independent site makes the same publicly available data easier to search, filter, and understand for researchers, journalists, healthcare workers, and concerned citizens.

Where does the data come from?

All data is downloaded directly from the official CDC/FDA VAERS website at vaers.hhs.gov/data.

The data is:

  • Publicly released by the CDC/FDA every week
  • Available as downloadable CSV files
  • Imported into this site's database for easier searching
  • Displayed exactly as provided (no modifications or filtering)

This site does not collect, modify, or add to the official VAERS data.

My vaccine lot number matches one with deaths/serious events - should I be worried?

Important context:

  • VAERS reports do NOT prove causation - A report means an event occurred after vaccination, but doesn't mean the vaccine caused it
  • Anyone can report - Reports are not verified for medical accuracy before being published
  • Coincidences happen - When millions of people get vaccinated, some will experience unrelated medical events afterward
  • Large lot numbers - Popular vaccines may have hundreds of thousands of doses from one lot number
  • More vaccinations = more reports - Lots used widely will naturally have more reports

What to do:

  • Don't panic - VAERS data requires expert analysis to interpret
  • Talk to your doctor if you have concerns
  • Check official CDC/FDA safety communications for genuine safety signals
  • Remember: billions of vaccine doses have been safely administered

Can I trust VAERS data?

VAERS is valuable but has limitations:

Strengths:

  • โœ… Early warning system for potential safety signals
  • โœ… Open and transparent - publicly accessible
  • โœ… Accepts all reports regardless of likelihood of causation
  • โœ… Monitored by CDC/FDA experts who investigate concerning patterns

Limitations:

  • โš ๏ธ Reports are unverified - not investigated before publication
  • โš ๏ธ Cannot determine if vaccine caused the event
  • โš ๏ธ Underreporting - not all adverse events are reported
  • โš ๏ธ Overreporting - coincidental events may be reported
  • โš ๏ธ Incomplete data - not all fields are required

Bottom line: VAERS is an important tool for safety monitoring, but individual reports should not be used as proof that a vaccine caused harm.

What are "adverse events"?

An adverse event is any undesirable health occurrence that happens after vaccination, including:

  • Common reactions: Sore arm, mild fever, fatigue (usually expected)
  • Serious events: Hospitalization, disability, life-threatening illness, death
  • Coincidental events: Medical conditions that would have occurred anyway

Important: An adverse event doesn't mean the vaccine caused it - only that it occurred after vaccination. Many reported events are coincidental or unrelated.

Why are some lot numbers listed multiple times?

This is normal and expected! A person may receive multiple doses of the same vaccine from the same lot number:

  • COVID vaccines require 2-3 doses
  • HPV, Hepatitis B, and other vaccines have multi-dose schedules
  • Each dose is recorded as a separate entry

Example: Person receives Pfizer COVID dose 1 (lot ABC123) and dose 2 (lot ABC123) - lot ABC123 appears twice in their report.

How often is this data updated?

The CDC/FDA releases new VAERS data every Friday. This site is typically updated:

  • Weekly or bi-weekly for recent data
  • Check the available years to see what data is currently loaded
  • During updates, the site may be in maintenance mode temporarily

Where can I learn more?

โš ๏ธ DISCLAIMER: This data is from the Vaccine Adverse Event Reporting System (VAERS). Reports do not establish causation between vaccines and adverse events. Anyone can submit a report, and reports are not verified. This is raw data for transparency and research purposes only.
34,052
Total Reports (2025)
500
Deaths Reported
1,634
Hospitalizations
30
ER Visits
1,191
Disabilities
570
Life Threatening
๐Ÿ”„ Reset ๐Ÿ“ฅ Export CSV
ID Age Sex State Date โ–ผ Onset Days Vaccine Manufacturer Lot # Symptoms Narrative ๐Ÿ’€ ๐Ÿฅ ๐Ÿš‘ โ™ฟ โš ๏ธ
2820944 0.17 F VI 01/15/2025 DTAPHEPBIP
HIBV
RV1
 GLAXOSMITHKLINE BIOLOGICALS
MERCK & CO. INC.
GLAXOSMITHKLINE BIOLOGICALS
 B532G
Y003144
5N2AN
High-pitched crying, Infant irritability, Infantile diarrhoea, Nuchal rigidity, ... High-pitched crying, Infant irritability, Infantile diarrhoea, Nuchal rigidity, Vomiting; High-pitched crying, Infant irritability, Infantile diarrhoea, Nuchal rigidity, Vomiting; High-pitched crying, Infant irritability, Infantile diarrhoea, Nuchal rigidity, Vomiting More
Baby presented to clinic on 1/15/2025 with a history of vomiting, diarrhea and irritability since 1/... Baby presented to clinic on 1/15/2025 with a history of vomiting, diarrhea and irritability since 1/10/2025. Mother reports symptom onset was after the vaccines were given on 1/10/2025. On exam, baby was irritable with neucal rigidity and high-pitched cry. Baby was referred to the Emergency Room for further evaluation. More
2820945 41 M OH 01/15/2025 FLU3
PNC20
 SANOFI PASTEUR
PFIZER\WYETH
 U8465AA
LJ5283
Fatigue, Herpes zoster, Pyrexia, Rash; Fatigue, Herpes zoster, Pyrexia, Rash Fatigue, Herpes zoster, Pyrexia, Rash; Fatigue, Herpes zoster, Pyrexia, Rash
Rash (shingles), fever, fatigue within 24 hours, Rx Valtrex. Rash (shingles), fever, fatigue within 24 hours, Rx Valtrex.
2820947 72 M MI 01/15/2025 MEN
MEN
 UNKNOWN MANUFACTURER
UNKNOWN MANUFACTURER

Arthritis bacterial, Aspiration joint abnormal, C-reactive protein increased, Jo... Arthritis bacterial, Aspiration joint abnormal, C-reactive protein increased, Joint fluid drainage, Meningitis meningococcal; Red blood cell sedimentation rate increased, Synovial fluid analysis abnormal More
Patient developed invasive Meningococcal disease (septic joint) on Ultomiris therapy on 1/6/25. He w... Patient developed invasive Meningococcal disease (septic joint) on Ultomiris therapy on 1/6/25. He was hospitalized and underwent a right ankle I&D on 1/6/25 with the orthopedic service. Patient started Ultomiris on 9/13/23. He received both MenB and MenACWY vaccinations on 8/30/23 and 10/23/24. More
โœ“
2820948 M UT 01/15/2025 FLUX
FLUX
FLUX
 UNKNOWN MANUFACTURER
UNKNOWN MANUFACTURER
UNKNOWN MANUFACTURER


Abdominal pain upper, Angiogram, Aphasia, Cardiac imaging procedure, Computerise... Abdominal pain upper, Angiogram, Aphasia, Cardiac imaging procedure, Computerised tomogram head; Diarrhoea, Magnetic resonance imaging head, Malaise, Nausea, Quality of life decreased; Vertebrobasilar stroke More
Family Dr. prescribed an Ozempic Compound for weight loss and also gave a flu shot on Thursday, Jan.... Family Dr. prescribed an Ozempic Compound for weight loss and also gave a flu shot on Thursday, Jan. 3, 2024. Within 24 hours My husband was so ill. He had severe stomach pain, and diarrhea. He was given Zofran for nausea with no relief. Within 30 hours of having the flu vaccine and weight loss shot he had an Acute L PCA stroke due to ischemia. He had at least 2 MRI scans of the brain, CT Scan of the brain, Scan of the arteries, scan of the heart and the doctors at the hospital could not find the cause of the stroke. We believe that the stroke was caused by the medication. The medication came from a compounding pharmacy. My husband had Asphasia due to the stroke and will required months of therapy. He is 64 years old this has greatly impacted his quality of life and may have lifelong effects. More
โœ“ โœ“
2820949 68 F WA 01/15/2025 VARZOS
VARZOS
VARZOS
 GLAXOSMITHKLINE BIOLOGICALS
GLAXOSMITHKLINE BIOLOGICALS
GLAXOSMITHKLINE BIOLOGICALS


Amnesia, Anxiety, Aphasia, Asthenia, Hypotension; Loss of consciousness, Malaise... Amnesia, Anxiety, Aphasia, Asthenia, Hypotension; Loss of consciousness, Malaise, Mental status changes, Mobility decreased, Nausea; Pallor, Panic attack, Unresponsive to stimuli More
I am a healthy women, who has had flue shots for year and several Covid shots with no effects or min... I am a healthy women, who has had flue shots for year and several Covid shots with no effects or minor (a little tired or sore at the injection site). I had my first Shingles Shot (Shingrex) at my local pharmacy at 3:20 pm on Sunday, September 29. I felt fine the rest of the day and went to bed as normal. I woke up at about 1:00 am (Sept. 30) and told my husband I was very ill. He could see that I was very pale and out of it. He laid me down on the floor and I was unresponsive with eyes open. I could not talk and could not move. He called EMS. I was unconscious but vaguely remember hearing the medics arrive, they carried me to the ambulance and took me to the ER. I have vague memory of the ambulance ride, I was very nauseous and weak. My blood pressure was extremely low. They hooked my to an IV and gave me fluids and anti nausea medicine. I was discharged about 3 hours later and went home. I was weak and sick the entire next day and for several days after. My side effects after that incident have been anxiety and panic attacks. I am 5'3", 112 lbs. The doctor at the ER told me it was a "viral overload". I will not get the 2nd Shingles shot. Also, I spoke to the pharmacist after all of this, a young woman, and she told me she had a very similar experience when she had the shot. She said she was so sick she went out to her car and almost passed out and was sick for several days after. This was definitely a reaction to the Shingrex Shingles shot. More
โœ“
2820951 M CA 01/15/2025 DTAPIPVHIB
FLUX
PNC20
RVX
 SANOFI PASTEUR
UNKNOWN MANUFACTURER
PFIZER\WYETH
UNKNOWN MANUFACTURER



Rash papular; Rash papular; Rash papular; Rash papular Rash papular; Rash papular; Rash papular; Rash papular
ON 12/12/2024, infant received beyfortis, Pentacel, prevnar 20, rotavirus and influenza vaccine. Abo... ON 12/12/2024, infant received beyfortis, Pentacel, prevnar 20, rotavirus and influenza vaccine. About 2-3 days later, he developed fine red papular rash and no other symptoms. he is otherwise fine. More
2820952 53 M IL 01/15/2025 VARZOS
 GLAXOSMITHKLINE BIOLOGICALS
Asthenia, Injection site pain, Injection site swelling, Lymphadenopathy, Pain in... Asthenia, Injection site pain, Injection site swelling, Lymphadenopathy, Pain in jaw More
Major swelling at injection site and severe tenderness. Intense, debilitating mandibular pain, proba... Major swelling at injection site and severe tenderness. Intense, debilitating mandibular pain, probably due to lymph glands, at back of jaw. More
โœ“
2820953 M 01/15/2025 FLU3
FLU3
 SANOFI PASTEUR
SANOFI PASTEUR

Erythema, Joint swelling, Peripheral swelling, Pharyngeal swelling, Rash; Swelli... Erythema, Joint swelling, Peripheral swelling, Pharyngeal swelling, Rash; Swelling face, Urticaria More
10002424---ANGIOEDEMA^ 10037844--RASH Pt has a long history of receiving an annual flu shot (since a... 10002424---ANGIOEDEMA^ 10037844--RASH Pt has a long history of receiving an annual flu shot (since at least 2007) with no prior severe reaction documented. Pt received high dose flu shots since 2020. Pt was administered his annual shot on 10/8/24. The next day (10/9/24) the pt presented to urgent care reporting that he thought he was having a reaction to the flu shot. Per pt, he had hives to his beltline and posterior neck that started the evening he received the shot. It was also noted the left side of his face was swollen with slight redness, hands/wrist slightly swollen, no redness noted on hands, and redness and rash noted on belt waist line. Pt was then sent to the emergeny room in an ambulance due to severe swelling in his throat. He was treated at the ER with solu medrol, benadryl, and NS. He was sent home with prednisone and an epi pen. ER provider recommended to hold lisinopril should it be the causative agent until f/u with primary care. Pt stated he woke up with left face swelling and hives on his left leg. Pt reported using his epi pen at home, but that it did not help his facial swelling. Pt noted he went to a new restaurant the night before, started magnesium 2 weeks prior, and started glipizide 2 months ago. Pt was given benadryl, solu medrol and famotidine. Facial swelling improved and pt was discharged with prednisone x 5 days. Lisinopril was discontinued by PCP. More
2820954 65 F KS 01/15/2025 RSV
 PFIZER\WYETH
 HY1811
Injection site nodule, Injection site pain Injection site nodule, Injection site pain
1-15-25 Pt called this morning stated rolled over in bed onto Lt arm noticed a knot where shot was g... 1-15-25 Pt called this morning stated rolled over in bed onto Lt arm noticed a knot where shot was given, sore to touch. Pt stated the knot is "larger than an egg", I told her to put ice on the knot and to take some Benadryl and she said she had topical Benadryl she will apply as well. Then soreness started this am about 02:00 in the morning. Instructed Pt to draw a line with a marker around the knot (remaining is not legible). More
2821014 57 F MN 01/15/2025 VARZOS
VARZOS
 GLAXOSMITHKLINE BIOLOGICALS
GLAXOSMITHKLINE BIOLOGICALS

Abdominal discomfort, Diarrhoea, Dizziness, Headache, Influenza; Malaise Abdominal discomfort, Diarrhoea, Dizziness, Headache, Influenza; Malaise
I started to not feel well within a few hours, as if I had the flu. Within a day, I had an upset sto... I started to not feel well within a few hours, as if I had the flu. Within a day, I had an upset stomach and diarrhea, and then I developed a severe headache last night. This morning I woke up with dizziness. More
2821015 39 M MN 01/15/2025 COVID19
 PFIZER\BIONTECH
Delusion, Psychotic disorder Delusion, Psychotic disorder
My brother is a very smart civil engineer. After he received the Covid vaccine he has become very pa... My brother is a very smart civil engineer. After he received the Covid vaccine he has become very paranoid with delusion thoughts. More
โœ“ โœ“
2821017 43 F MI 01/15/2025 DTAPIPV
 GLAXOSMITHKLINE BIOLOGICALS
 MZ379
No adverse event, Product administered to patient of inappropriate age No adverse event, Product administered to patient of inappropriate age
No adverse events to report. Reporting administration error. Dtap + IPV (Kinrix) administered inste... No adverse events to report. Reporting administration error. Dtap + IPV (Kinrix) administered instead of Tdap. More
2821018 75 F IN 01/15/2025 FLU3
FLU3
FLU3
FLU3
FLU3
FLU3
FLU3
FLU3
FLU3
FLU3
FLU3
FLU3
 SANOFI PASTEUR
SANOFI PASTEUR
SANOFI PASTEUR
SANOFI PASTEUR
SANOFI PASTEUR
SANOFI PASTEUR
SANOFI PASTEUR
SANOFI PASTEUR
SANOFI PASTEUR
SANOFI PASTEUR
SANOFI PASTEUR
SANOFI PASTEUR
 u8515ea
u8515ea
u8515ea
u8515ea
u8515ea
u8515ea
u8515ea
u8515ea
u8515ea
u8515ea
u8515ea
u8515ea
Acute respiratory failure, Anaemia of chronic disease, Anion gap, Atelectasis, A... Acute respiratory failure, Anaemia of chronic disease, Anion gap, Atelectasis, Atrial fibrillation; Basophil count decreased, Basophil percentage decreased, Blood calcium normal, Blood chloride decreased, Blood creatinine normal; Blood glucose normal, Blood lactic acid normal, Blood potassium normal, Blood sodium decreased, Blood urea normal; Brain natriuretic peptide increased, Carbon dioxide increased, Cardiomegaly, Central venous catheterisation, Chest X-ray abnormal; Chest pain, Coma scale normal, Condition aggravated, Cough, Creatinine renal clearance decreased; Dyspnoea, Eosinophil count normal, Eosinophil percentage, Fibrin D dimer increased, Glomerular filtration rate normal; Haematocrit decreased, Haemoglobin decreased, Immunodeficiency, Influenza A virus test negative, Influenza B virus test; Influenza virus test negative, Lung consolidation, Lymphocyte count normal, Lymphocyte percentage decreased, Mean cell haemoglobin concentration normal; Mean cell haemoglobin increased, Mean cell volume increased, Mean platelet volume decreased, Monocyte count increased, Monocyte percentage increased; Neutrophil count increased, Neutrophil percentage increased, Platelet count increased, Pleural effusion, Pneumonia; Pulmonary congestion, Pyrexia, Red blood cell count decreased, Red cell distribution width increased, Respiratory failure; SARS-CoV-2 test negative, Sepsis, Troponin I increased, White blood cell count increased More
Document Type: History and Physical Document Subject: History & Physical Note Performed By: ... Document Type: History and Physical Document Subject: History & Physical Note Performed By: MD on January 07, 2025 14:07 EST Verified By: MD on January 07, 2025 14:26 EST Encounter Info: Hospital, Emergency, 01/07/25 - 01/07/25 * Final Report * Document Has Been Revised History of Present Illness/Subjective 75-year-old female with a history of A-fib on Eliquis, COPD, non-small cell lung cancer status postchemotherapy, anemia presents emerged department via EMS with complaint of chest pain and shortness of breath x 3 days Patient was seen and evaluated while still in the ER. She states for the past 3 days she has been having intermittent chest pain and nonproductive cough. Associated with fever and shortness of breath. She notes that she has been taking her breathing treatments more frequently than usual. Chest pain is mid chest in location and does not radiate. She denies any palpitations, headache, blurry vision, excessive sweating, abdominal pain, or dysuria. No leg swelling or pain She has a history of non-small cell lung cancer and follows up with Dr. at the cancer center. Reports that she has recently finished her chemotherapy treatments for her lung cancer but is getting ready start immunotherapy. No recent travel or sick contacts. She is up-to-date with her pneumonia vaccines In the ER Vitals blood pressure 142/82, heart rate 107, respiratory rate 19, SpO2 94% on 4 L of nasal cannula Labs WBC 11.5, hemoglobin 8.8, platelet 4 1, D-dimer 422, sodium 135, potassium 3.9, chloride 96, bicarb 31, BUN/creatinine 16/0.85, glucose 166, BNP 292, lactic venous 1.3 COVID-negative Flu AB- Radiology 1.Central venous access port. 2. Cardiomegaly with mild pulmonary vascular congestion. 3. Increasing atelectasis and consolidation in the right middle and lower lung fields. 4. Small right pleural effusion. Review of Systems All 13 point review of systems were reviewed with the patient and are negative except as specified in the HPI??????? Physical Exam/Objective Vitals & Measurements most recent past 24 hours T: 37.2 ๏ฟฝC (Route Not Specified) BP: 142/82 HR: 107 (Monitored) RR: 19 SpO2: 94% Oxygen Therapy: Nasal Cannula Oxygen Flow Rate: 4 (L/min) WT: 70.30 kg (WFC) BMI: 25 Hemodynamics Neurologic Glasgow Coma Score: 15 Patient Weight Current Daily Weight: 70.3 kg 01/07/25 BMI: 25 01/07/25 Overweight (BMI 25-29.9) Patient Height Current Height: 167.6 cm 01/07/25 General: Alert and oriented, No acute distress. Eye: Normal conjunctiva. Cardiovascular: Regular rate, Normal rhythm, No murmur. Respiratory: Reduced air entry to auscultation, Respirations are non-labored. Gastrointestinal: Soft, Non-tender, Non-distended, Normal bowel sounds, No organomegaly. Neurologic: Alert, Oriented, non focal Psychiatric: Cooperative, Appropriate mood & affect. Musculoskeletal: No swelling, ??????? Assessment/Plan 1. Sepsis A41.9 Inpatient Sepsis Bundle Care: Sepsis Bundle was Started in the Emergency Department Sepsis with End Organ dysfunction NO, Criteria NOT met for Sepsis with End Organ Dysfunction (previously severe sepsis). Patient met critiera for sepsis only (known or suspected infection +2 SIRS), NO acute organ dysfunction at this time. Source Pneumonia Associated End Organ Dysfunction None Associated Underlying Device Other Central Line Drug Resistance Unknown at this time Patient has chronic organ dysfunction as evidenced by None Initial Lactate Done IF Initial Lactate >2, Repeat Lactate Auto ordered if applicable IF 2nd lactate greater than initial, continue to trend Lactate Levels, Auto Ordered if applicable Antibiotics Started in the Emergency Department, YES Blood Cultures Collected prior to Antibiotic start, YES Target Volume=30mg/kg Crystalloid Fluids 30mg/kg Crystalloid Fluids were given in the Emergency Department YES. IF NO, reason _ , Instead _ Septic Shock is present on admission NO Vasopressor(S) were initiated in the Emergency Department,N/A Sepsis Reassessment/Review of Systems completed at N/A Follow-up blood culture and other sepsis workup ??????? 2. Acute hypoxic on chronic hypercapnic respiratory failure J96.01 From ongoing pneumonia. she requires 3 L nasal cannula however EMS reports she was satting in the mid 80s on her baseline O2 and is currently requiring 6 L to maintain sats above 90 We will treat pneumonia and wean oxygen back to baseline as needed. RT evaluation 3. PNA (pneumonia) J18.9 Seen on chest x-ray. Will start broad-spectrum antibiotics and send pneumonia labs. Given patient's immunocompromise status, will cover for MRSA Follow-up pneumonia labs 4. Anemia due to multiple mechanisms D64.89 Likely anemia of chronic disease. Trend daily. No signs of ongoing losses. 5. Atrial fibrillation with rapid ventricular response I48.0 Likely exaggerated by ongoing sepsis and pneumonia. Will monitor closely. Telemetry monitoring Will resume her home beta blocker and anticoagulation 6. Chronic obstruct airways disease J44.9 Not in acute exacerbation. Resume home inhaler. 7. NSCLC of right lung C34.2 Reports that she has recently finished her chemotherapy treatments for her lung cancer but is getting ready start immunotherapy. Will hold off on any cancer directed treatments until sepsis is resolved -Outpatient follow-up with oncology 8. Port-A-Cath in place Z95.828 Noted. 9. Elevated brain natriuretic peptide (BNP) level R79.89 Noted. Chest x-ray demonstrates mild pulmonary vascular congestion. We will careful with fluid resuscitation. If respiratory failure does not improve in the next few days, will consider Lasix 10. Elevated d-dimer R79.89 Noted. Likely from pneumonia. Patient is on apixaban at home. Will resume here. If respiratory failure is not improving, will obtain CT PE to rule out PE Greater than 60??????? minutes total with greater than 50% of time face-to-face with patient reviewing course, plan of care, and in care coordination Code Status None Recorded Chronic Problem List Anemia due to multiple mechanisms Atrial fibrillation with rapid ventricular response Chronic obstruct airways disease Former smoker Low bone mass NSCLC of right lung Osteoporosis Port-A-Cath in place Port-A-Cath in place Sepsis Procedure/Surgical History ?port placement (10/21/2024) ?Biopsy (07/02/2024) ?Tubal ligation Surgical History Internal 10/21/2024 Portacath Insertion MD Medications Home Medications (18) Active albuterol 2.5 mg/3 mL (0.083%) inhalation solution 2.5 mg = 3 mL, PRN, Neb Inhale, Q6H albuterol-ipratropium inh soln 2.5 mg-0.5 mg/3 mL 3 mL, Neb Inhal, 4 Times Daily amiodarone 200 mg oral tablet 200 mg = 1 Tablet, Orally, BID, BID for 30 days, then 1 daily Calcium Plus Vitamin D3 600 mg-10 mCg (400 intl units) oral tablet 1 Tablet, Orally, BID diltiaZEM 360 mg/24 hours oral tablet, extended release 360 mg = 1 Tablet, Orally, Daily DME (Vendor) Oxygen See DME Order Details or printed requisition for more information., This is a print requisition order, cannot be ePrescribed. Eliquis 5 mg oral tablet 5 mg = 1 Tablet, Orally, BID famotidine 20 mg oral tablet 20 mg = 1 Tablet, Orally, BID ferrous sulfate 160 mg (50 mg elemental iron) oral tablet, extended release 160 mg = 1 Tablet, Orally, Daily furosemide 40 mg oral tablet 40 mg = 1 Tablet, Orally, Daily lidocaine-prilocaine 2.5%-2.5% topical cream See Instructions, Dab 1 App Topical 60 minutes prior to port access; cover with plastic wrap metoPROLOL succinate 100 mg oral tablet, extended release 100 mg = 1 Tablet, Orally, Daily ondansetron 8 mg oral tablet, disintegrating See Instructions, PRN, May use tablets if patient preference/less expensive first dose scheduled on night of chemotherapy. 8mg PO/sl q12h PRN chemo days 1,2,and 3 and as needed thereafter for nausea Potassium Chloride (Eqv-K-Tab) 10 mEq oral tablet, extended release See Instructions, 2 in AM, 1 in evening. prochlorperazine 10 mg oral tablet See Instructions, PRN, 0.5-1 Tablet Orally Q6H prn nausea Trelegy Ellipta 200 mCg-62.5 mCg-25 mCg inhalation powder 1 Puff, Inhalation, Daily Ventolin HFA 90 mCg/inh inhalation aerosol 2 Puff, PRN, Inhalation, Q4H Vitamin B12 5000 mCg oral tablet, disintegrating 5,000 mCg = 1 Tablet, Orally, Daily Active Scheduled Inpatient Medications ampicillin-sulbactam, Injection, 3 GM, IVPB, ONCE, Indication: Pneumonia - CAP, Start: 01/07/25 16:00:00 Sodium Chloride 0.9% 500 mL IV Continuous 42 mL/hr Days 1, 15 One-Time Medications Given 01/06/25 00:00:00 TO 01/07/25 14:07:08 albuterol (albuterol 2.5 mg/0.5 mL (0.5%) inhalation solution), Inhalation SOLN, 5 mg, Neb Inhale, ONCE, (1 DOSE 01/07/25 10:54:00) ampicillin-sulbactam, Injection, 3 GM, IVPB, ONCE, (1 DOSE 01/07/25 12:20:00) doxycycline, Injection, 100 mg, IVPB, ONCE, (1 DOSE 01/07/25 12:56:00) Sodium Chloride 0.9% (Sodium Chloride 0.9% Bolus), Infusion, 1,000 mL, IVPB, ONCE, (1 DOSE 01/07/25 13:02:00) PRN Medications (0600 - 0559) from 01/06 - 01/07 None Reported Allergies Contrast Dye (anaphylactic) Social History Alcohol Current, 1-2 times per month Electronic Cigarette/Vaping E-Cigarette Use Never. Employment/School Retired, Unemployed, Previous employment/school: Worked at a Dr Office. Home/Environment Lives with Alone. Nutrition/Health Diet: Regular. Sexual Sexually active: No. Sexually active at age 16 Years. Number of current partners 0. Number of lifetime partners 3. Sexual orientation: Heterosexual. Uses condoms: No. History of sexual abuse: No. Sexual Orientation and Gender Identity Which of the following do you identify most closely with? (check all that apply) Heterosexual (or straight). What is your current gender identity? (check all that apply) Female. Substance Abuse Denies Tobacco Tobacco Use: Former smoker, quit more than 30 days ago. Family History Arrhythmia..: Mother. COPD: Mother and Father. Cancer: Father and Aunt/Uncle. Congestive heart failure..: Mother. Heart failure..: Mother. High blood pressure..: Mother. Pulmonary edema..: Mother. Lab Results All Labs Last 24 hours (No Micro or Pathology) Hematology: WBC: 11.5 k/cumm High (01/07/25 10:49:00) RBC: 2.53 million/cumm Low (01/07/25 10:49:00) Hgb: 8.8 GM/dL Low (01/07/25 10:49:00) Hct: 25.6 % Low (01/07/25 10:49:00) MCV: 101 fL High (01/07/25 10:49:00) MCH: 34.8 pg High (01/07/25 10:49:00) MCHC: 34.4 GM/dL (01/07/25 10:49:00) RDW: 16.4 % High (01/07/25 10:49:00) Platelet: 401 k/cumm (01/07/25 10:49:00) MPV: 7.2 fL (01/07/25 10:49:00) Neutrophils %: 81 % (01/07/25 10:49:00) Lymphocytes %: 8 % (01/07/25 10:49:00) Monocytes %: 9 % (01/07/25 10:49:00) Eosinophils %: 1 % (01/07/25 10:49:00) Basophils %: 0 % (01/07/25 10:49:00) Absolute Neutrophil: 9.3 k/cumm High (01/07/25 10:49:00) Absolute Lymphocyte: 1 k/cumm (01/07/25 10:49:00) Absolute Monocyte: 1.1 k/cumm (01/07/25 10:49:00) Absolute Eosinophil: 0.1 k/cumm (01/07/25 10:49:00) Absolute Basophil: 0 k/cumm (01/07/25 10:49:00) Chemistry: Sodium SerPl QN: 135 mmol/L (01/07/25 10:49:00) Potassium SerPl QN: 3.9 mmol/L (01/07/25 10:49:00) Chloride SerPl QN: 96 mmol/L Low (01/07/25 10:49:00) Carbon Dioxide SerPl QN: 31 mmol/L High (01/07/25 10:49:00) Anion Gap: 8 mmol/L (01/07/25 10:49:00) BUN SerPl QN: 16 mg/dL (01/07/25 10:49:00) Creatinine SerPl QN: 0.85 mg/dL (01/07/25 10:49:00) Estimated GFR (CKD-EPI, no race): 71 mL/min/1.73m2 (01/07/25 10:49:00) Estimated CRCL (CG): 57 mL/min Low (01/07/25 10:49:00) Glucose SerPl QN: 166 mg/dL High (01/07/25 10:49:00) Calcium Total SerPl QN: 9.2 mg/dL (01/07/25 10:49:00) Troponin-I High Sensitivity: 10 ng/L (01/07/25 11:58:00) BNP Pl QN: 292 pg/mL High (01/07/25 10:49:00) Lactate Venous Pl QN: 1.3 mmol/L (01/07/25 11:56:00) Coagulation: D-Dimer Pl QN: 422 ng/mL DDU High (01/07/25 10:49:00) All Other Labs: COVID 19 Specimen Source: Nasal (01/07/25 10:49:00) Coronavirus SARS-CoV2 Rapid: Not Detected (01/07/25 10:49:00) Micro - Last 7 days Rapid Influenza Method: PCR - Liat (01/07/25 10:49:00) Rapid Influenza A PCR: Not Detected (01/07/25 10:49:00) Rapid Influenza B PCR: Not Detected (01/07/25 10:49:00) Diagnostics Radiology Results - Last 24 hours Across Visits 01/07/2025 11:27 - XR Chest PA or AP Portable IMPRESSION:1. Central venous access port.2. Cardiomegaly with mild pulmonary vascular congestion.3. Increasing atelectasis and consolidation in the right middle andlower lung fields.4. Small right pleural effusion. Signature Line Electronically Signed on 01/07/25 14:26 EST ________________________________________________________ MD Electronically Signed on 01/07/25 14:38 EST ________________________________________________________ MD More
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2821019 92 M IN 01/15/2025 RSV
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 KD0161
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Abdominal pain upper, Alanine aminotransferase normal, Anaemia, Anion gap, Aspar... Abdominal pain upper, Alanine aminotransferase normal, Anaemia, Anion gap, Aspartate aminotransferase normal; Bacterial test negative, Basophil count decreased, Basophil percentage decreased, Blood albumin normal, Blood alkaline phosphatase normal; Blood bilirubin normal, Blood calcium normal, Blood chloride decreased, Blood creatinine increased, Blood glucose normal; Blood potassium normal, Blood sodium decreased, Blood urea normal, Blood urine absent, Carbon dioxide increased; Chest X-ray abnormal, Coma scale normal, Computerised tomogram abdomen abnormal, Constipation, Electrocardiogram normal; Eosinophil count normal, Eosinophil percentage, Glomerular filtration rate decreased, Glucose urine absent, Haematocrit decreased; Haemoglobin decreased, Hyperlipidaemia, Hypertension, Inguinal hernia, Interstitial lung disease; Lipase normal, Lymphocyte count normal, Lymphocyte percentage, Mean cell haemoglobin concentration normal, Mean cell haemoglobin normal; Mean cell volume normal, Mean platelet volume normal, Monocyte count normal, Monocyte percentage, Musculoskeletal pain; Neutrophil count normal, Neutrophil percentage, Nitrite urine absent, Normocytic anaemia, Osteoarthritis; Pain, Pain in extremity, Platelet count normal, Protein total normal, Protein urine absent; Red blood cell count decreased, Red blood cells urine, Red cell distribution width normal, Scan with contrast abnormal, Specific gravity urine normal; Troponin I increased, Troponin increased, Urine analysis normal, Urine bilirubin decreased, Urine ketone body absent; Urobilinogen urine, White blood cell count normal, White blood cells urine, White blood cells urine negative, X-ray limb abnormal; pH urine normal More
Document Type: History and Physical Document Subject: History & Physical Note Performed By: ... Document Type: History and Physical Document Subject: History & Physical Note Performed By: MD on January 14, 2025 22:48 EST Verified By: MD on January 14, 2025 22:48 EST Encounter Info: Observation, 01/14/25 - * Final Report * Chief Complaint L arm pain History of Present Illness/Subjective Patient is a 92 year old man who presents to the ER w/ intermittent pain in his L arm. Patient states that earlier today he had a sharp shooting pain in his L arm. The pain occurs every 15 minutes and only lasts for a second or two. He denies any aggravating or alleviating factors. He denies any associated symptoms such as chest pain, palpitations and diaphoresis. Upon arrival to the ER his BP was 149/82. Temp was normal. HR was 91. He was satting normally on RA. Labs were notable for a Hgb of 12. Trop was 31 then repeat was 34 and 41. EKG showed no acute ST-T changes. CxR showed some chronic interstitial changes. L arm XR showed osteoarthritis. CT abd/pelvis showed no acute findings. Given c/f L arm pain as a possible anginal equivalent and uptrending trop patient was admitted to the medicine service for further management. Review of Systems With the exception of that noted in the HPI all systems were reviewed and were negative. Physical Exam/Objective Vitals & Measurements most recent past 24 hours T: 36.4 ๏ฟฝC (Temporal Artery) BP: 149/82 HR: 91 (Monitored) HR: 89 (Peripheral) RR: 16 SpO2: 98% Oxygen Therapy: Room air WT: 60.90 kg (WFC) BMI: 21 Neurologic Glasgow Coma Score: 15 Patient Weight Current Daily Weight: 60.9 kg 01/14/25 BMI: 21 01/14/25 Normal Weight (BMI 18.5-24.9) Patient Height Current Height: 170.18 cm 01/14/25 Constitutional: No acute distress, well-nourished Eyes: no scleral icterus ENMT: Moist oral mucosa Respiratory: CTAB Cardiovascular: Regular rate and rhythm, no MGR Gastrointestinal: non-distended Musculoskeletal: intact ROM Integumentary: no rashes Neurologic: no focal deficits Psychiatric: Cooperative, appropriate mood and affect Assessment/Plan 1. Elevated troponin R79.89 -Serial troponin -Ensure patient is CP free -Telemetry -TTE -Consider Cardiology consultation and stress testing 2. Left arm pain M79.602 -Likely MSK but will rule out cardiac cause -See problem #1 3. Left upper quadrant pain R10.12 -Possible due to constipation or inguinal hernia -Now resolved 4. Constipation K59.00 -CT noted large stool burden however patient reports having regular BMs and had two earlier today 5. Hyperlipidemia E78.5 -Continue statin 6. Hypertension I10 -Relatively normotensive and stable, continue to trend, continue home regimen with titration as appropriate 7. Anemia D64.9 -The patient presents with anemia chronic and normocytic due to other chronic disease at present is stable. Continue to trend serial analysis as appropriate with nutritional or blood product supplementation as required. Code Status Full Code Chronic Problem List Arthropathy Chronic renal disease, stage III Constipation Diffuse abdominal pain Hyperlipidemia Hypertension Lumbar back pain OA (osteoarthritis) of knee Upper abdominal pain Procedure/Surgical History ?colonoscopy (04/20/2018) ?Appendectomy ?Hernia repair Surgical History Internal 04/20/2018 Colonoscopy Diagnostic/Screen MD Medications Home Medications (5) Active gabapentin 100 mg oral capsule See Instructions, 1 PO QHS PRN with food lisinopril 10 mg oral tablet 10 mg = 1 Tablet, Orally, Daily magnesium oxide 250 mg, Orally, Daily Vitamin C 250 mg, Orally, Daily Vitamin D3 (cholecalciferol) 125 mCg, Orally, Daily Active Scheduled Inpatient Medications None Reported One-Time Medications Given 01/13/25 00:00:00 TO 01/14/25 22:40:51 aspirin, Tab, Chewable, 324 mg, Orally, ONCE, (1 DOSE 01/14/25 21:00:00) PRN Medications (0600 - 0559) from 01/13 - 01/14 None Reported Allergies NKA Social History Alcohol Denies Electronic Cigarette/Vaping E-Cigarette Use Never. Employment/School Retired Home/Environment MARRIED, 4 CHILDREN, Lives with Spouse. Substance Abuse Denies Tobacco Tobacco Use: Never (less than 100 in lifetime). Family History CVA (cerebral vascular accident)...: Father. Hypertension..: Mother. Lab Results All Labs Last 24 hours (No Micro or Pathology) Hematology: WBC: 7.5 k/cumm (01/14/25 15:51:00) RBC: 4.56 million/cumm (01/14/25 15:51:00) Hgb: 12.8 GM/dL Low (01/14/25 15:51:00) Hct: 38.6 % Low (01/14/25 15:51:00) MCV: 85 fL (01/14/25 15:51:00) MCH: 28.1 pg (01/14/25 15:51:00) MCHC: 33.2 GM/dL (01/14/25 15:51:00) RDW: 13.4 % (01/14/25 15:51:00) Platelet: 271 k/cumm (01/14/25 15:51:00) MPV: 8.1 fL (01/14/25 15:51:00) Neutrophils %: 69 % (01/14/25 15:51:00) Lymphocytes %: 22 % (01/14/25 15:51:00) Monocytes %: 8 % (01/14/25 15:51:00) Eosinophils %: 1 % (01/14/25 15:51:00) Basophils %: 0 % (01/14/25 15:51:00) Absolute Neutrophil: 5.1 k/cumm (01/14/25 15:51:00) Absolute Lymphocyte: 1.7 k/cumm (01/14/25 15:51:00) Absolute Monocyte: 0.6 k/cumm (01/14/25 15:51:00) Absolute Eosinophil: 0.1 k/cumm (01/14/25 15:51:00) Absolute Basophil: 0 k/cumm (01/14/25 15:51:00) Chemistry: Sodium SerPl QN: 135 mmol/L (01/14/25 15:51:00) Potassium SerPl QN: 4.1 mmol/L (01/14/25 15:51:00) Chloride SerPl QN: 100 mmol/L (01/14/25 15:51:00) Carbon Dioxide SerPl QN: 31 mmol/L High (01/14/25 15:51:00) Anion Gap: 4 mmol/L (01/14/25 15:51:00) BUN SerPl QN: 16 mg/dL (01/14/25 15:51:00) Creatinine SerPl QN: 1.3 mg/dL (01/14/25 15:51:00) Estimated GFR (CKD-EPI, no race): 52 mL/min/1.73m2 Low (01/14/25 15:51:00) Estimated CRCL (CG): 31 mL/min Low (01/14/25 15:51:00) Glucose SerPl QN: 115 mg/dL High (01/14/25 15:51:00) Calcium Total SerPl QN: 9.9 mg/dL (01/14/25 15:51:00) Alkaline Phos SerPl QN: 72 Units/L (01/14/25 15:51:00) ALT SerPl QN: 9 Units/L (01/14/25 15:51:00) AST SerPl QN: 18 Units/L (01/14/25 15:51:00) Bilirubin Total SerPl QN: 0.3 mg/dL (01/14/25 15:51:00) Total Protein SerPl QN: 6.8 GM/dL (01/14/25 15:51:00) Albumin SerPl QN: 4.1 GM/dL (01/14/25 15:51:00) Lipase SerPl QN: 21 Units/L (01/14/25 15:51:00) Troponin-I High Sensitivity: 41 ng/L High (01/14/25 19:15:00) Urine Studies: Color: Light-Yellow (01/14/25 15:59:00) Clarity: Clear (01/14/25 15:59:00) Specific Gravity: 1.007 (01/14/25 15:59:00) pH: 7 (01/14/25 15:59:00) Protein: NEGATIVE (01/14/25 15:59:00) Glucose: Normal (01/14/25 15:59:00) Ketones: NEGATIVE (01/14/25 15:59:00) Bilirubin: NEGATIVE (01/14/25 15:59:00) Hgb Ur: NEGATIVE (01/14/25 15:59:00) Nitrite: NEGATIVE (01/14/25 15:59:00) Urobilinogen: Normal (01/14/25 15:59:00) Leukocyte Esterase Ur: NEGATIVE (01/14/25 15:59:00) WBC: 0-5 (01/14/25 15:59:00) RBC: 0-2 (01/14/25 15:59:00) Bacteria: NONE (01/14/25 15:59:00) Squamous Epithelial: NONE (01/14/25 15:59:00) Diagnostics Radiology Results - Last 24 hours Across Visits 01/14/2025 18:21 - XR Radius/Ulna Left IMPRESSION:1. Severe radiocarpal osteoarthritis. Thank you for consulting our team of subspecialty radiologists at Radiology. Please contact us at xxx-xxx-xxxx with any questions. 01/14/2025 18:21 - XR Chest PA or AP Portable IMPRESSION: 1. Bilateral infrahilar interstitial thickening, right more thanleft, which could be due to atypical infection or chronicinterstitial lung changes. Thank you for consulting our team of subspecialty radiologists at Radiology. Please contact us at xxx-xx-xxxx(xxx-xxx-xxxx) with any questions. 01/14/2025 18:46 - CT Abd/Pelvis W/IV Contrast IMPRESSION:1. No acute findings in the abdomen or pelvis.2. Left inguinal hernia containing short segment of nonobstructedcolonic segment.3. Significant amount of diffuse colonic and rectal stool burden. Thank you for consulting our team of subspecialty radiologists at Radiology. Please contact us at xxx-xx-xxxx(xxx-xxx-xxxx) with any questions. Signature Line Electronically Signed on 01/14/25 22:48 EST ________________________________________________________ MD More
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2821020 80 F IN 01/15/2025 RSV
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 LN5489
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Abdominal pain, Alanine aminotransferase normal, Anion gap, Appendicolith, Aspar... Abdominal pain, Alanine aminotransferase normal, Anion gap, Appendicolith, Aspartate aminotransferase normal; Bacterial test negative, Basophil count normal, Basophil percentage decreased, Blood albumin normal, Blood alkaline phosphatase normal; Blood bilirubin normal, Blood calcium normal, Blood chloride normal, Blood creatinine normal, Blood glucose normal; Blood potassium decreased, Blood sodium decreased, Blood urea normal, Carbon dioxide normal, Computerised tomogram abdomen abnormal; Constipation, Creatinine renal clearance decreased, Eosinophil count decreased, Eosinophil percentage decreased, Glomerular filtration rate normal; Glucose urine absent, Haematochezia, Haematocrit normal, Haemoglobin normal, Haemoglobin urine present; Hypokalaemia, International normalised ratio increased, Leukocytosis, Lymphocyte count normal, Lymphocyte percentage decreased; Mean cell haemoglobin concentration normal, Mean cell haemoglobin increased, Mean cell volume normal, Mean platelet volume normal, Monocyte count normal; Monocyte percentage, Neutrophil count increased, Neutrophil percentage increased, Nitrite urine absent, Occult blood negative; Osteoarthritis, Platelet count normal, Protein total normal, Protein urine present, Prothrombin time prolonged; Radius fracture, Red blood cell count normal, Red blood cells urine positive, Red cell distribution width normal, Scan with contrast abnormal; Specific gravity urine normal, Troponin I, Urinary casts, Urinary squamous epithelial cells increased, Urine bilirubin decreased; Urine ketone body present, Urobilinogen urine decreased, Vomiting, White blood cell count increased, White blood cells urine abnormal; White blood cells urine negative, X-ray limb abnormal, pH urine normal More
Document Type: History and Physical Document Subject: History & Physical Note Performed By: ... Document Type: History and Physical Document Subject: History & Physical Note Performed By: MD on January 15, 2025 06:18 EST Verified By: MD on January 15, 2025 06:18 EST Encounter Info: Hospital, Inpatient, 01/15/25 - * Final Report * Chief Complaint Vomiting and blood in stool History of Present Illness/Subjective Patient is an 80 year old woman w/ HTN who presents to the ER w/ bloody stool and vomiting. Patient states that she has been constipated for the last 9 days. Yesterday she noticed bright red blood in her stool when she was straining to use the bathroom. She also reports some vomiting. She has pain in her abd as well. Upon arrival to the ER her vitals notable for a BP of 149/61. Labs were notable for a WBC count of 13. K was 3.4. CT abd/pelvis showed a fluid filled appendix w/ multiple appendicoliths but no abscess or inflammation. Patient was given pain meds and fluids and admitted to the medicine service for further management. Review of Systems With the exception of that noted in the HPI all systems were reviewed and were negative. Physical Exam/Objective Vitals & Measurements most recent past 24 hours Constitutional: No acute distress, well-nourished Eyes: no scleral icterus ENMT: Moist oral mucosa Respiratory: CTAB Cardiovascular: Regular rate and rhythm, no MGR Gastrointestinal: non-distended Musculoskeletal: intact ROM Integumentary: no rashes Neurologic: no focal deficits Psychiatric: Cooperative, appropriate mood and affect Assessment/Plan 1. Abdominal pain R10.9 -Possibly appendicitis although CT does not show this -Dr. consult in the AM -Zosyn for now 2. Hypokalemia E87.6 -The patient presents with a electrolyte imbalance including hypokalemia. Continue to trend serial analysis as appropriate with replenishment of electrolyte imbalance as required for stabilization. 3. Leukocytosis D72.829 -Unclear cause but covering w/ Zosyn for now -Daily CBC 4. Vomiting R11.10 -No obvious obstruction on CT -PRN anti-emetics -Possible a viral gastroenteritis 5. Hypertension I10 -Relatively normotensive and stable, continue to trend, continue home regimen with titration as appropriate 6. Hematochezia -Possibly hemorrhoidal in nature -Dr. consulted -Hgb stable and c/f UGIB is low Code Status Full Code Chronic Problem List No qualifying data Medications Home Medications (8) Active aspirin 81 mg oral capsule 81 mg = 1 Capsule, Orally, Q24H atenolol 50 mg, Orally, Daily buPROPion 12 hour extended release , Orally, BID calcium (as carbonate) 600 mg oral tablet 1,200 mg = 2 Tablet, Orally, Daily hydroCHLOROthiazide 25 mg, Orally, Daily losartan 100 mg oral tablet 100 mg = 1 Tablet, Orally, Daily Multi Vitamin+ Vitamin D3 25 mCg (1,000 intl units) oral capsule 25 mCg = 1 Capsule, Orally, Daily Active Scheduled Inpatient Medications None Reported One-Time Medications Given 01/14/25 00:00:00 TO 01/15/25 06:12:05 None Reported PRN Medications (0600 - 0559) from 01/14 - 01/15 None Reported Allergies NKA Social History Electronic Cigarette/Vaping E-Cigarette Use Never. Sexual Orientation and Gender Identity Which of the following do you identify most closely with? (check all that apply) Heterosexual (or straight). What is your current gender identity? (check all that apply) Female. Tobacco Tobacco Use: Never (less than 100 in lifetime). Family History Non-contributory Lab Results All Labs Last 24 hours (No Micro or Pathology) Hematology: WBC: 13.2 k/cumm High (01/14/25 22:27:00) RBC: 4.23 million/cumm (01/14/25 22:27:00) Hgb: 13.6 GM/dL (01/14/25 22:27:00) Hct: 40.2 % (01/14/25 22:27:00) MCV: 95 fL (01/14/25 22:27:00) MCH: 32.2 pg (01/14/25 22:27:00) MCHC: 33.9 GM/dL (01/14/25 22:27:00) RDW: 13.6 % (01/14/25 22:27:00) Platelet: 200 k/cumm (01/14/25 22:27:00) MPV: 9.8 fL (01/14/25 22:27:00) Neutrophils %: 87 % (01/14/25 22:27:00) Lymphocytes %: 8 % (01/14/25 22:27:00) Monocytes %: 5 % (01/14/25 22:27:00) Eosinophils %: 0 % (01/14/25 22:27:00) Basophils %: 0 % (01/14/25 22:27:00) Absolute Neutrophil: 11.5 k/cumm High (01/14/25 22:27:00) Absolute Lymphocyte: 1 k/cumm (01/14/25 22:27:00) Absolute Monocyte: 0.6 k/cumm (01/14/25 22:27:00) Absolute Eosinophil: 0 k/cumm (01/14/25 22:27:00) Absolute Basophil: 0.1 k/cumm (01/14/25 22:27:00) Chemistry: Sodium SerPl QN: 135 mmol/L (01/14/25 22:27:00) Potassium SerPl QN: 3.4 mmol/L Low (01/14/25 22:27:00) Chloride SerPl QN: 98 mmol/L (01/14/25 22:27:00) Carbon Dioxide SerPl QN: 26 mmol/L (01/14/25 22:27:00) Anion Gap: 11 mmol/L (01/14/25 22:27:00) BUN SerPl QN: 14 mg/dL (01/14/25 22:27:00) Creatinine SerPl QN: 0.86 mg/dL (01/14/25 22:27:00) Estimated GFR (CKD-EPI, no race): 68 mL/min/1.73m2 (01/14/25 22:27:00) Estimated CRCL (CG): 45 mL/min Low (01/14/25 22:27:00) Glucose SerPl QN: 136 mg/dL High (01/14/25 22:27:00) Calcium Total SerPl QN: 9.4 mg/dL (01/14/25 22:27:00) Alkaline Phos SerPl QN: 62 Units/L (01/14/25 22:27:00) ALT SerPl QN: 17 Units/L (01/14/25 22:27:00) AST SerPl QN: 24 Units/L (01/14/25 22:27:00) Bilirubin Total SerPl QN: 0.5 mg/dL (01/14/25 22:27:00) Total Protein SerPl QN: 6.8 GM/dL (01/14/25 22:27:00) Albumin SerPl QN: 4.3 GM/dL (01/14/25 22:27:00) Troponin-I High Sensitivity: 3 ng/L (01/14/25 22:27:00) Coagulation: PT: 14.1 seconds High (01/14/25 22:27:00) INR: 1.22 (01/14/25 22:27:00) Urine Studies: Color: Yellow (01/14/25 23:34:00) Clarity: Clear (01/14/25 23:34:00) Specific Gravity: 1.03 (01/14/25 23:34:00) pH: 6 (01/14/25 23:34:00) Protein: 20 Abnormal (01/14/25 23:34:00) Glucose: Normal (01/14/25 23:34:00) Ketones: 150 Abnormal (01/14/25 23:34:00) Bilirubin: NEGATIVE (01/14/25 23:34:00) Hgb Ur: Small 1+ Abnormal (01/14/25 23:34:00) Nitrite: NEGATIVE (01/14/25 23:34:00) Urobilinogen: Normal (01/14/25 23:34:00) Leukocyte Esterase Ur: Small75 Abnormal (01/14/25 23:34:00) WBC: 0-5 (01/14/25 23:34:00) RBC: 11-20 Abnormal (01/14/25 23:34:00) Bacteria: NONE (01/14/25 23:34:00) Squamous Epithelial: Few (01/14/25 23:34:00) Hyaline Casts: 0-2 (01/14/25 23:34:00) Misc UA Micro: Misc UA Micro (01/14/25 23:34:00) All Other Labs: Specimen Type Occult Blood: Stool (01/15/25 01:25:00) Occult Blood Stool: Negative (01/15/25 01:25:00) Diagnostics Radiology Results - Last 24 hours Across Visits 01/14/2025 08:27 - XR Wrist 3 View Right IMPRESSION: 1. Healing, mildly impacted and angulated fracture of the distalright radius.2. Old fracture deformities of the distal right radius and ulna.3. Osteoarthrosis of the first carpometacarpal joint. 01/15/2025 01:59 - CT Abd/Pelvis W/IV Contrast IMPRESSION:1. The appendix is dilated and fluid-filled with multiple calcifiedappendicoliths in the lumen. No obvious periappendiceal inflammatorychange. Negative for periappendiceal abscess. Findings are equivocalfor early acute appendicitis. Recommend correlation with physicalexam and laboratory values.Thank you for consulting our team of subspecialty radiologists at Radiology. Please contact us at XXX-XXX-XXXX(XXX-XXX-XXX) with any questions. Signature Line Electronically Signed on 01/15/25 06:18 EST ________________________________________________________ MD More
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2821021 71 M FL 01/15/2025 FLU3
RSV
 SEQIRUS, INC.
PFIZER\WYETH
 388468
HR4390
Extra dose administered, No adverse event; Extra dose administered, No adverse e... Extra dose administered, No adverse event; Extra dose administered, No adverse event More
No adverse event, however this patient received RSV vaccine (Arexvy) at different pharmacy Jan 9,202... No adverse event, however this patient received RSV vaccine (Arexvy) at different pharmacy Jan 9,2024. ACIP only recommends one RSV vaccine. This was discovered Jan 14, 2025. More
2821022 72 F MN 01/15/2025 FLU3
 SANOFI PASTEUR
 TFAA2409
Asthenia, General physical health deterioration, Loss of personal independence i... Asthenia, General physical health deterioration, Loss of personal independence in daily activities, Pain, Walking aid user More
Patient reports that since getting vaccine has had weakness and physical decline where now needing h... Patient reports that since getting vaccine has had weakness and physical decline where now needing help with all cares. Patient and spouse reports prior to this, patient not needing any assistance. Has to use walker due to weakness, help getting dressed, help in and out of bed, assistance with bathing and other cares. Pain has increased as well. More
2821023 77 F MD 01/15/2025 COVID19
COVID19
FLU3
FLU3
 PFIZER\BIONTECH
PFIZER\BIONTECH
SANOFI PASTEUR
SANOFI PASTEUR



Condition aggravated, Magnetic resonance imaging spinal abnormal, Muscular weakn... Condition aggravated, Magnetic resonance imaging spinal abnormal, Muscular weakness, Myelomalacia, Pain; Restless legs syndrome, Rheumatoid arthritis; Condition aggravated, Magnetic resonance imaging spinal abnormal, Muscular weakness, Myelomalacia, Pain; Restless legs syndrome, Rheumatoid arthritis More
Following the administration of the vaccines was predominated by body aches and a weakness which pro... Following the administration of the vaccines was predominated by body aches and a weakness which progressed rather quickly until she presented to Urgent Care on 11/13/24 (Five days after the vaccinations). She was sent home after the Urgent Care visit. The next day (11/14/24) she called for an ambulance and was taken and she was admitted to hospital with the diagnoses of LE weakness, RA, RLS. Neurology was consulted. --- MRI of her Cervical spine was notable for demonstrating 'prominent hyperintense T2/STIR Signal at the central C3-C4 cord likely myelomalacia. Additional Foci of hyperintesne T2/STIR Signal at C4-5, C5, C6, C7 cord. but no abnormal enhancement. ---- Followed by Neurology and with improvement in her symptoms the patient was discharged to clinic on Saturday 11/23/24 with the diagnoses of Myelomalacia, LE weakness, RA, RLS, and discussion in the D/C summary included the possibility of an AIDP. Neurology follow up was advised and the patient was advised for rehab. More
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2821024 6 F GA 01/15/2025 MNQ
 SANOFI PASTEUR
 U8351CA
Extra dose administered Extra dose administered
The patient had received 2 previous MenQuadfi in another country, which were entered in the registry... The patient had received 2 previous MenQuadfi in another country, which were entered in the registry system. Because of receiving 2 of a 6 series immunizations, a "check box" in the registry system indicated that it was due (despite her age and ACIP guidelines) along with several others based on the vaccines entered into the system previously. A newer nurse working in immunizations gave the MenQuadfi ( 3 rd dose) to the patient, which is outside of the guidelines for ACIP, which we follow here in our clinic. More
2821025 45 M NY 01/15/2025 COVID19
FLU3
 MODERNA
SANOFI PASTEUR
 3043924
UT8475ju
Dysstasia, Hyperhidrosis, Pallor, Syncope; Dysstasia, Hyperhidrosis, Pallor, Syn... Dysstasia, Hyperhidrosis, Pallor, Syncope; Dysstasia, Hyperhidrosis, Pallor, Syncope More
patient was at register after receiving both vaccines and patient was sweating and color didnt look ... patient was at register after receiving both vaccines and patient was sweating and color didnt look good I asked him to sit down and he said he couldnt and started to look like he was going to pass out I grabbed him and put him in a chair he said he was feeling better and asked if he could just have some soda I yelled to the pharmacist on duty to wait with patient while I went to get soda while I was gone patient tried to stand up and droped to the floor when I got back patient was on floor I proceeded to call amublance they came and took vitals and sat patient in chair again and said he was fine. I made patient wait another 15 min in chair before he left. More
2821026 33 F CT 01/15/2025 PNC20
PNC20
 PFIZER\WYETH
PFIZER\WYETH
 LG5577
LG5577
Injection site pain, Mobility decreased, Muscular weakness, Neuralgia, Pain; Par... Injection site pain, Mobility decreased, Muscular weakness, Neuralgia, Pain; Paraesthesia, Rotator cuff syndrome, Tenderness More
Within several hours of receiving this injection, my arm was sore and I experienced weakness. The pa... Within several hours of receiving this injection, my arm was sore and I experienced weakness. The pain lingered for a few weeks and then became more severe, leading to weakness in the arm, pain to the touch, nerve pain shooting down to the fingers, and "pins and needles" in hand. My arm is currently very weak. I'm having trouble lifting my arm and I cannot put pressure on it (ex: cannot lean on arm) or it will give out. I saw my doctor about this issue on 1/10/2025 and received a cortisone injection. I was diagnosed with rotator cuff tendinitis. I've never had any issues with my shoulder prior to this, nor have I ever had any adverse events associated with an injection. More
2821027 75 F MD 01/15/2025 FLU3
TDAP
 SANOFI PASTEUR
SANOFI PASTEUR
 ut8470bs
u8264aa
Extra dose administered, No adverse event; Extra dose administered, No adverse e... Extra dose administered, No adverse event; Extra dose administered, No adverse event More
pt received a second flu shot, was notified by the RN of the mistake, no adverse events/symptoms rep... pt received a second flu shot, was notified by the RN of the mistake, no adverse events/symptoms reported More
2821028 54 F ND 01/15/2025 VARZOS
 GLAXOSMITHKLINE BIOLOGICALS
 M7G39
Malaise, Nausea, Pain in extremity, Sleep disorder Malaise, Nausea, Pain in extremity, Sleep disorder
Patient reports very sore arm, unable to sleep through the night, nauseous, and just "not feeli... Patient reports very sore arm, unable to sleep through the night, nauseous, and just "not feeling well. More
2821029 1.75 F TN 01/15/2025 HEPA
HIBV
TDAP
 GLAXOSMITHKLINE BIOLOGICALS
SANOFI PASTEUR
GLAXOSMITHKLINE BIOLOGICALS
 DN273
UJ996AA
CX4HL
Product administered to patient of inappropriate age; Product administered to pa... Product administered to patient of inappropriate age; Product administered to patient of inappropriate age; Product administered to patient of inappropriate age More
Pt came in for her WCC and it was administered Tdap instead Dtap Pt came in for her WCC and it was administered Tdap instead Dtap
2821030 34 M WV 01/15/2025 HEPA
HEPA
 GLAXOSMITHKLINE BIOLOGICALS
GLAXOSMITHKLINE BIOLOGICALS
 HR4RB
HR4RB
Asthenia, Dizziness, Headache, Injection site pain, Nausea; Rash macular, Vaccin... Asthenia, Dizziness, Headache, Injection site pain, Nausea; Rash macular, Vaccination site reaction, Vomiting More
Client states within 24 hours of receiving the vaccine he began to experience dizziness, nausea/vomi... Client states within 24 hours of receiving the vaccine he began to experience dizziness, nausea/vomiting, headache and weakness. He stated his arm was sore around the injection site which has gone away, but he now has red blotchy areas on his arm below the vaccination site. More
2821031 69 M MO 01/15/2025 RSV
 MODERNA
 3041770
Wrong product administered Wrong product administered
Patient was supposed to receive COVID-19 booster but received RSV in error. He had already received ... Patient was supposed to receive COVID-19 booster but received RSV in error. He had already received the RSV vaccine in Jan 2024. He reports no ADR and will schedule to receive COVID-19 booster More
2821032 30 F KY 01/15/2025 COVID19
COVID19
 JANSSEN
JANSSEN

Blister, Dry skin, Dyshidrotic eczema, Furuncle, Hidradenitis; Pruritus, Psorias... Blister, Dry skin, Dyshidrotic eczema, Furuncle, Hidradenitis; Pruritus, Psoriasis, Skin disorder More
About a month after receiving the vaccine I developed psoriasis on the sides of my feet, dyshidrotic... About a month after receiving the vaccine I developed psoriasis on the sides of my feet, dyshidrotic eczema covers my hands, and hidradenitis suppurativa in several spots on my body. I developed this skin conditions and had not had them previously. I have had blisters on my hands for 4 years, develop boils in my armpits, stomach, groin, and thighs, and have dry itchy patches of skin on the side of both of my feet. I have tried creams and steroids to no avail. More
2821033 0.33 F MI 01/15/2025 DTAP
 GLAXOSMITHKLINE BIOLOGICALS
 5ST5M
Needle issue, Syringe issue Needle issue, Syringe issue
Patient received a Dtap vaccine and the needle used was cracked resulting in the vaccine leaking out... Patient received a Dtap vaccine and the needle used was cracked resulting in the vaccine leaking out of the syringe. Patient had to receive a second dose of the vaccine. More
2821034 60 F WA 01/15/2025 COVID19
 MODERNA
 8062120
Discontinued product administered Discontinued product administered
I accidentally gave the patient the vaccine on 08/28/2024 shortly after the DOH discontinued it. I accidentally gave the patient the vaccine on 08/28/2024 shortly after the DOH discontinued it.
2821035 22 F RI 01/15/2025 COVID19
 MODERNA
 3043000
Product administered to patient of inappropriate age Product administered to patient of inappropriate age
Pediatric vaccine given to adult Pediatric vaccine given to adult
2821036 29 F NY 01/15/2025 FLU3
HPV9
 GLAXOSMITHKLINE BIOLOGICALS
MERCK & CO. INC.
 T74KG
Y012864
Chest discomfort, Chills, Dizziness, Electrocardiogram normal, Nausea; Chest dis... Chest discomfort, Chills, Dizziness, Electrocardiogram normal, Nausea; Chest discomfort, Chills, Dizziness, Electrocardiogram normal, Nausea More
Pt visited PCP office on 09/27/2024 for vaccines only. After vaccines given by RN, nursing was notif... Pt visited PCP office on 09/27/2024 for vaccines only. After vaccines given by RN, nursing was notified by facility staff that pt feels dizzy and nausea. Brought pt back to exam room, checked BP, HR, SpO2 and EKG all normal. MD assessed patient at about 4:25pm. pt reported that no reaction with HPV#1, never had flu vaccine before. c/o dizziness, nausea and mid-chest discomfort when seen; felt "shivers", denies dyspnea. Pt was alert, in mild discomfort when seen and examined. No abnormal finding in cardiac or lungs, no swelling or hives noted. Diphenhydramine 25mg PO given per MD's order. MD reassessed pt at about 5:05pm, pt appeared much better and reported feeling improved with resolving chest discomfort. patient More
2821037 34 F TN 01/15/2025 HEP
 GLAXOSMITHKLINE BIOLOGICALS
No adverse event No adverse event
No adverse event No adverse event
2821038 81 M WA 01/15/2025 COVID19
 MODERNA
 8062120
Discontinued product administered Discontinued product administered
I accidentally gave the patient the Moderna vaccine shortly after the DOh discontinued it. The vacci... I accidentally gave the patient the Moderna vaccine shortly after the DOh discontinued it. The vaccine was not expired. More
2821039 19 F VA 01/15/2025 RSV
 PFIZER\WYETH
 HY1812
Chills, Headache, Tachycardia Chills, Headache, Tachycardia
severe headache, tachycardia to 130 bpm, chills within 12 hours of vaccination severe headache, tachycardia to 130 bpm, chills within 12 hours of vaccination
2821040 1.17 M NY 01/15/2025 MMRV
VARCEL
 MERCK & CO. INC.
MERCK & CO. INC.
 Y014436
Y011020
Extra dose administered, No adverse event; Extra dose administered, No adverse e... Extra dose administered, No adverse event; Extra dose administered, No adverse event More
unknown effect- no adverse event reported by parent unknown effect- no adverse event reported by parent
2821041 1 F ID 01/15/2025 HEPA
HIBV
MMR
VARCEL
 GLAXOSMITHKLINE BIOLOGICALS
MERCK & CO. INC.
MERCK & CO. INC.
MERCK & CO. INC.
 7PK53
X020942
X000178
X021281
Expired product administered, No adverse event; Expired product administered, No... Expired product administered, No adverse event; Expired product administered, No adverse event; Expired product administered, No adverse event; Expired product administered, No adverse event More
MMR was given with expired expiration date. Vaccine given on 1/09/2025 and expiration date was 01/02... MMR was given with expired expiration date. Vaccine given on 1/09/2025 and expiration date was 01/02/2025. no adverse outcome related to event. State immunization specialist contacted for advice- vaccine will still provide protection. Did not recommend redosing unless parent requested. Parent and physician notified. More
2821043 19 F WI 01/15/2025 FLU3
 GLAXOSMITHKLINE BIOLOGICALS
 33G3M
Extra dose administered, No adverse event Extra dose administered, No adverse event
Two flu shots given in same season, 10/2024 and 1/2025. No adverse reactions. Two flu shots given in same season, 10/2024 and 1/2025. No adverse reactions.
2821045 29 F OK 01/15/2025 RAB
 SANOFI PASTEUR
 X1B611M
Injection site erythema, Injection site pain Injection site erythema, Injection site pain
Donor reported erythema and tenderness at injection site starting approximately 8 hours post injecti... Donor reported erythema and tenderness at injection site starting approximately 8 hours post injection. Donor reported that she treated herself with ibuprofen, acetaminophen, and warm/cold compresses to site. More
2821046 65 M MI 01/15/2025 FLU3
 GLAXOSMITHKLINE BIOLOGICALS
 B9CX9
No adverse event No adverse event
No adverse events reported by patient at this time. No adverse events reported by patient at this time.
2821047 69 F IN 01/15/2025 COVID19
COVID19
 PFIZER\BIONTECH
PFIZER\BIONTECH

Bladder injury, Chest X-ray, Computerised tomogram abdomen, Culture urine, Cysto... Bladder injury, Chest X-ray, Computerised tomogram abdomen, Culture urine, Cystoscopy abnormal; Electrocardiogram, Haematuria, Laboratory test, Thrombosis More
Gross hematuria with egg sized clots. Went to the ER. Was there for 12 hours. Many diagnostics done ... Gross hematuria with egg sized clots. Went to the ER. Was there for 12 hours. Many diagnostics done . Sent home on antibiotics. Hematuria returned on 10-17-24. Called Dr.'s answering service. Was told to go back to the ER. Many tests done. Sent home again on antibiotics. Dr. did an in office cystoscope on 10/22/24. Nothing found except many small abrasions on the walls of my entire bladder. He suggested it was a post vaccine adverse reaction but gave me no further plan of care. I doubt he reported it. More
2821048 28 F MI 01/15/2025 PNC20
 PFIZER\WYETH
 lg5579
Wrong product administered Wrong product administered
The patient was in today to get the Menquadfi vaccine but was given the Prevnar 20 vaccine instead b... The patient was in today to get the Menquadfi vaccine but was given the Prevnar 20 vaccine instead by the pharmacy technician More
2821049 63 M NY 01/15/2025 COVID19
 MODERNA
 304647
Dizziness, Nausea Dizziness, Nausea
Patient complained of dizziness and nausea two days after receiving vaccine Patient complained of dizziness and nausea two days after receiving vaccine
2821050 21 F GA 01/15/2025 VARCEL
VARCEL
 MERCK & CO. INC.
MERCK & CO. INC.
 Y004555
Y004555
Brain fog, Injection site discolouration, Injection site pain, Injection site pr... Brain fog, Injection site discolouration, Injection site pain, Injection site pruritus, Product administered at inappropriate site; Rash erythematous, Throat irritation More
Received varicella #2 on 12/9/24 at Pharmacy. The injection was administered to back of left arm nea... Received varicella #2 on 12/9/24 at Pharmacy. The injection was administered to back of left arm near triceps area, subcutaneous. Alcohol was rubbed on for a while before administering. The next day, noticed very bright raised patch to injection site area. The area was itching intermittently for a few days and was painful to the touch. Felt brain fog for a day or two. Had scratchy throat on 12/12, but no other symptoms. Family has pictures documenting rash - when she was seen in the office on 12/13/24, it was minor discoloration to skin in area where bright erythematous rash previously was. More
2821051 M CO 01/15/2025 DTAPIPVHIB
DTAPIPVHIB
DTPPVHBHPB
DTPPVHBHPB
DTAPIPVHIB
DTAPIPVHIB
DTPPVHBHPB
DTPPVHBHPB
 SANOFI PASTEUR
SANOFI PASTEUR
MSP VACCINE COMPANY
MSP VACCINE COMPANY
SANOFI PASTEUR
SANOFI PASTEUR
MSP VACCINE COMPANY
MSP VACCINE COMPANY
 UK017AA
UK017AA
UT899AA
UT899AA
UK017AA
UK017AA
Extra dose administered; Extra dose administered, No adverse event; Extra dose a... Extra dose administered; Extra dose administered, No adverse event; Extra dose administered; Extra dose administered, No adverse event; Extra dose administered; Extra dose administered, No adverse event; Extra dose administered; Extra dose administered, No adverse event More
Medical Assiten reported On Wednesday January 8, 2025, patient DOB: 06/XX/2022 Acct# XXX came in to ... Medical Assiten reported On Wednesday January 8, 2025, patient DOB: 06/XX/2022 Acct# XXX came in to the office for a WCC. Patient was due for a total of 8 vaccines. Mop did not want to have child be poked more than 3 times so I tried to find a way to do some combo vaccines. To avoid less injections. I had spoke with our IZ coordinator to figure out if any of the vaccines listed for patient could be combined and we had agreed on giving pt Pentacel, Hep A, ??and MMRV. Unfortunately I must have been distracted and grabbed an extra vaccine (Vaxelis) which already includes Dtap, IPV, & HIB same as the Pentacel dose. Causing me to give patient double of those doses. I have called MOP and left her a voicemail advising her to call the office back to notify of situation. I also advised Dr. of the situation. More
2821052 12 F IL 01/15/2025 MENB
 NOVARTIS VACCINES AND DIAGNOSTICS
 ZH7SN
No adverse event, Wrong product administered No adverse event, Wrong product administered
Dr ordered HPV vaccine to be given and a Meningococcal Group B vaccine was given instead. No known a... Dr ordered HPV vaccine to be given and a Meningococcal Group B vaccine was given instead. No known adverse reaction. More
2821053 15 F NY 01/15/2025 IPV
 SANOFI PASTEUR
 X1C891M
Extra dose administered Extra dose administered
Patient was given Vaccine at HD on 12/6/2025 Vaccine did not appear on State System Printed for Visi... Patient was given Vaccine at HD on 12/6/2025 Vaccine did not appear on State System Printed for Visit on 12/10/24 Per Providers order Vaccine was Given on 12/10/24 More
2821054 1.83 M TN 01/15/2025 DTAP
FLU3
HEPA
 GLAXOSMITHKLINE BIOLOGICALS
GLAXOSMITHKLINE BIOLOGICALS
GLAXOSMITHKLINE BIOLOGICALS
 9KB9G
AE2J7
C24B9
Rash, Rash papular, Rash pruritic; Rash, Rash papular, Rash pruritic; Rash, Rash... Rash, Rash papular, Rash pruritic; Rash, Rash papular, Rash pruritic; Rash, Rash papular, Rash pruritic More
About 15 minutes following his vaccination, he had small raised bumps on his left foot. He was obse... About 15 minutes following his vaccination, he had small raised bumps on his left foot. He was observed for 45 minutes after the reaction and spots were resolving. There were no additional symptoms or rashes at the time. After leaving clinic, through the night he continued to have intermittent breakouts over his entire body which were itchy. No difficulties breathing or GI symptoms. More
2821055 78 M AL 01/15/2025 HEP
 GLAXOSMITHKLINE BIOLOGICALS
 GC3N4
No adverse event, Underdose No adverse event, Underdose
Vaccine given in error. He should have been given Hep B Adult. Was instead given Hep B pediatric. NO... Vaccine given in error. He should have been given Hep B Adult. Was instead given Hep B pediatric. NO ADVERSE REACTION. Pt reports no reaction, swelling, pain or redness. More
2821056 4 M PA 01/15/2025 DTAPIPV
MMRV
 GLAXOSMITHKLINE BIOLOGICALS
MERCK & CO. INC.
 5G23D
Y014306
Erythema, Swelling; Erythema, Swelling Erythema, Swelling; Erythema, Swelling
Sight swelling and erythema, recommended zyrtec and keflex Sight swelling and erythema, recommended zyrtec and keflex
2821057 57 F OH 01/15/2025 FLU3
 SANOFI PASTEUR
Pain, Shoulder injury related to vaccine administration Pain, Shoulder injury related to vaccine administration
Patient had vaccine done at her child's pediatrician's office. Suffered shoulder injury re... Patient had vaccine done at her child's pediatrician's office. Suffered shoulder injury related to vaccine administration. Has had ongoing pain with movement in left shoulder for 3 weeks. Pain with overhead reaching. Mildly improving over time. More
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