| ID | Age | Sex | State | Date โผ | Onset Days | Vaccine | Manufacturer | Lot # | Symptoms | Narrative | ๐ | ๐ฅ | ๐ | โฟ | โ ๏ธ |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2388264 | 56 | F | MN | 07/25/2022 |
COVID19 COVID19 COVID19 COVID19 COVID19 COVID19 COVID19 COVID19 COVID19 COVID19 COVID19 COVID19 COVID19 COVID19 COVID19 COVID19 COVID19 COVID19 |
PFIZER\BIONTECH PFIZER\BIONTECH PFIZER\BIONTECH PFIZER\BIONTECH PFIZER\BIONTECH PFIZER\BIONTECH PFIZER\BIONTECH PFIZER\BIONTECH PFIZER\BIONTECH PFIZER\BIONTECH PFIZER\BIONTECH PFIZER\BIONTECH PFIZER\BIONTECH PFIZER\BIONTECH PFIZER\BIONTECH PFIZER\BIONTECH PFIZER\BIONTECH PFIZER\BIONTECH |
FH8028 FH8028 FH8028 FH8028 FH8028 FH8028 FH8028 FH8028 FM7553 FM7553 FM7553 FM7553 FH8028 FH8028 FH8028 FH8028 |
Alopecia, Blood testosterone decreased, Ephelides, Folliculitis, Influenza like ...
Alopecia, Blood testosterone decreased, Ephelides, Folliculitis, Influenza like illness; Scar; Fungal infection, Infection parasitic; Alopecia, Blau syndrome, Environmental exposure, Gene mutation, Tooth loss; Bacterial infection, Bacterial test positive, Cryptococcus test positive, Fungal infection, Fungal test positive; Gene mutation identification test positive, Laboratory test abnormal; Fungal infection, Infection parasitic; Alopecia, Blau syndrome, Environmental exposure, Gene mutation, Tooth loss; Bacterial infection, Bacterial test positive, Cryptococcus test positive, Fungal infection, Fungal test positive; Gene mutation identification test positive, Laboratory test abnormal; Fungal infection, Infection parasitic; Alopecia, Blau syndrome, Environmental exposure, Gene mutation, Tooth loss; Bacterial infection, Bacterial test positive, Cryptococcus test positive, Fungal infection, Fungal test positive; Gene mutation identification test positive, Laboratory test abnormal; Fungal infection, Infection parasitic; Alopecia, Blau syndrome, Environmental exposure, Gene mutation, Tooth loss; Bacterial infection, Bacterial test positive, Cryptococcus test positive, Fungal infection, Fungal test positive; Gene mutation identification test positive, Laboratory test abnormal
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She got her vaccine, she started noticing a sore spot on the back of her head. It ended up spreadin...
She got her vaccine, she started noticing a sore spot on the back of her head. It ended up spreading into a huge bald spot in the back of her head. It then moved from there to the side of her head, front of her head and at no time she was completely bald. During that time she had large clumps of hair rolling of her shoulders, she had long hair. She has very low testosterone at age 40, and she is thinking that with the COVID vaccine and her low hormone levels that this may have tripped up her hair loss. She is in the process of seeking medical advice. She has an appointment to see an endocrinologist and OB physician in a couple of weeks. She did see a dermatologist as she ended up getting folliculitis and she is on long-term antibiotics to keep her scalp calm. She thinks there was some scaring alopecia from the result of it. She is starting to grow her hair back, but there are some white dots all over her scalp, like freckles in the frontal area of her scalp. She did not have any reactions to the COVID vaccines other than feeling flu-like symptoms for a few days.
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| 2821143 | 25 | F | CA | 01/15/2025 |
HPV9 |
MERCK & CO. INC. |
1965046 |
Extra dose administered, No adverse event
Extra dose administered, No adverse event
|
Patient was given 3 doses of HPV quadrivalent, competing the series at age 14. On recent visit with ...
Patient was given 3 doses of HPV quadrivalent, competing the series at age 14. On recent visit with PCP on 10/22/2024 patient was given a 4th dose but with HPV9.
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| 2821144 | 73 | F | OH | 01/15/2025 |
FLU3 |
SANOFI PASTEUR |
u8519ea |
Chest discomfort, Dyspnoea, Incontinence, Intensive care
Chest discomfort, Dyspnoea, Incontinence, Intensive care
|
Patient stated stated feeling symptoms of very tight chest, extreme difficulty breathing at home abo...
Patient stated stated feeling symptoms of very tight chest, extreme difficulty breathing at home about an hour after after vaccination. She called the ambulance and was taking to hospital and was incontinent at the hospital loosing a sizeable amount of fluid. Patient stated was in the ICU until 12/10/24.
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โ | |||||
| 2821145 | 82 | F | CA | 01/15/2025 |
UNK |
UNKNOWN MANUFACTURER |
tfaa2422 |
Extra dose administered
Extra dose administered
|
Patient said she had not received a flu vaccine for current season. Batched after vaccine given. Ins...
Patient said she had not received a flu vaccine for current season. Batched after vaccine given. Insurance rejected saying already received from another facility in August.
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| 2821146 | 29 | F | ID | 01/15/2025 |
FLU3 FLU3 FLU3 HEP HEP HEP IPV IPV IPV MMR MMR MMR TDAP TDAP TDAP VARCEL VARCEL VARCEL |
SEQIRUS, INC. SEQIRUS, INC. SEQIRUS, INC. DYNAVAX TECHNOLOGIES CORPORATION DYNAVAX TECHNOLOGIES CORPORATION DYNAVAX TECHNOLOGIES CORPORATION SANOFI PASTEUR SANOFI PASTEUR SANOFI PASTEUR MERCK & CO. INC. MERCK & CO. INC. MERCK & CO. INC. GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS MERCK & CO. INC. MERCK & CO. INC. MERCK & CO. INC. |
388519 388519 388519 944918 944918 944918 X1C891M X1C891M X1C891M X019107 X019107 X019107 TD2FD TD2FD TD2FD Y007955 Y007955 Y007955 |
Axillary pain, Breast enlargement, Breast pain, Hypoaesthesia, Inflammation; Inj...
Axillary pain, Breast enlargement, Breast pain, Hypoaesthesia, Inflammation; Injected limb mobility decreased, Injection site pain, Lymphadenopathy, Neck pain, Pain; Pain in extremity, Paraesthesia, Tenderness; Axillary pain, Breast enlargement, Breast pain, Hypoaesthesia, Inflammation; Injected limb mobility decreased, Injection site pain, Lymphadenopathy, Neck pain, Pain; Pain in extremity, Paraesthesia, Tenderness; Axillary pain, Breast enlargement, Breast pain, Hypoaesthesia, Inflammation; Injected limb mobility decreased, Injection site pain, Lymphadenopathy, Neck pain, Pain; Pain in extremity, Paraesthesia, Tenderness; Axillary pain, Breast enlargement, Breast pain, Hypoaesthesia, Inflammation; Injected limb mobility decreased, Injection site pain, Lymphadenopathy, Neck pain, Pain; Pain in extremity, Paraesthesia, Tenderness; Axillary pain, Breast enlargement, Breast pain, Hypoaesthesia, Inflammation; Injected limb mobility decreased, Injection site pain, Lymphadenopathy, Neck pain, Pain; Pain in extremity, Paraesthesia, Tenderness; Axillary pain, Breast enlargement, Breast pain, Hypoaesthesia, Inflammation; Injected limb mobility decreased, Injection site pain, Lymphadenopathy, Neck pain, Pain; Pain in extremity, Paraesthesia, Tenderness
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pain in left arm Patient reports pain in left arm near deltoid and left axilla post vaccinations on ...
pain in left arm Patient reports pain in left arm near deltoid and left axilla post vaccinations on 12/19/24. She states pain started in left deltoid area 2 days after getting immunizations, now radiating from neck down into all 5 fingers with associated numbness and tingling. Also describes pain radiating into left breast and axilla. Patient was seen at emergency room where they provided handout on lymphadenopathy, also recently seen with her PCP. On exam, sensation and strength of upper extremity are intact and symmetrical, there are no signs of infection at any injection sites. Her left upper extremity ROM is slightly decreased due to pain, however she is able to extend, flex, adduct, abduct, internally and externally rotate her left arm. Discussed in depth with patient that soreness, lymph node swelling, and inflammation can happen after immunizations. Patient is likely experiencing some inflammation post immunizations. Also discussed with patient potential for possible brachial neuritis, however she is not experiencing any weakness to left upper extremity. Advised to use ice, rest, continue taking diclofenac prescribed by her PCP. Discussed that pain radiating from neck down into fingers could possibly have to do with her neck and could be separate issue, and if symptoms do not resolve, speak to her PCP about work up. Seek care if unilateral weakness, lower extremity weakness, numbness, severe headaches, fevers, blurred vision or trouble speaking or any worsening symptoms. Patient agrees with this plan. All questions answered, no further concerns today. Patient left in stable condition. pain in axilla (Left) Patient reports left axillary pain and left breast pain after receiving immunizations on 12/19/24. She reports that her left breast has also been enlarged since getting vaccinations. Patient saw her PCP recently for this who ordered breast ultrasound and mammogram. No erythema, edema, signs of infection present on inspection of left breast or axilla. Tenderness to palpation of left axillary area, no tenderness to palpation of lateral aspect of left breast. Patient had mild cervical and left axillary lymphadenopathy. Vital signs stable. Patient was given ice pack for left axillary pain in office. Discussed with patient that lymph nodes can sometimes become enlarged and tender after immunizations and that her axillary pain is likely due to this. Also discussed with patient at length that breast pain can be due to multiple different etiologies and that it is very unlikely this pain is due to her recent immunizations. Encouraged patient to keep appointments for imaging and use diclofenac prescribed by her PCP for pain. All questions answered, no further concerns. Notes from clinic visit 1/9/2025
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| 2821147 | 65 | F | WA | 01/15/2025 |
RSV VARZOS |
GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS |
713ST N547S |
Injection site pain, Joint stiffness, Pain, Pain in extremity; Injection site pa...
Injection site pain, Joint stiffness, Pain, Pain in extremity; Injection site pain, Joint stiffness, Pain, Pain in extremity
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On 11/23/2024 Patient reported, by phone, pain with motion in the right arm, joint stiffness, and pa...
On 11/23/2024 Patient reported, by phone, pain with motion in the right arm, joint stiffness, and pain to the touch of the injection area. We advised she see a medical provider to assess the issue.
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| 2821148 | 0.42 | F | CA | 01/15/2025 |
PNC20 |
PFIZER\WYETH |
HR3650 |
Injection site erythema, Injection site warmth
Injection site erythema, Injection site warmth
|
Redness around vaccine spot, warm to touch
Redness around vaccine spot, warm to touch
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| 2821162 | 79 | F | PA | 01/15/2025 |
RSV |
GLAXOSMITHKLINE BIOLOGICALS |
Z7NG7 |
Dizziness, Laboratory test normal, Syncope
Dizziness, Laboratory test normal, Syncope
|
Patient told me that she got dizzy and fainted two days after her Arexy vaccine. She was taken to th...
Patient told me that she got dizzy and fainted two days after her Arexy vaccine. She was taken to the hospital and tests were run but nothing was found to be wrong with her. The doctors felt it was from the vaccination.
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| 2821163 | 4 | M | TX | 01/15/2025 |
DTAPIPV MMRV |
GLAXOSMITHKLINE BIOLOGICALS MERCK & CO. INC. |
42Y93 Y012077 |
Injection site erythema, Injection site pain; Injection site erythema, Injection...
Injection site erythema, Injection site pain; Injection site erythema, Injection site pain
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erythema and tenderness to left deltoid
erythema and tenderness to left deltoid
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| 2821164 | 93 | F | WA | 01/15/2025 |
FLU3 |
SEQIRUS, INC. |
388479 |
Injection site bruising
Injection site bruising
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Quote from the facility staff "had to have her arm looked at because it is bruised from her sho...
Quote from the facility staff "had to have her arm looked at because it is bruised from her shoulder down to her elbow on the side she got her shot done. We recommend that she go to her doctor to get it checked out and they said that the shot must have nicked a vein which would of caused that to happen."
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| 2821165 | 11 | F | CA | 01/15/2025 |
HPV9 MNQ |
MERCK & CO. INC. NOVARTIS VACCINES AND DIAGNOSTICS |
x019196 x7r4z |
Injection site rash, Pruritus; Injection site rash, Pruritus
Injection site rash, Pruritus; Injection site rash, Pruritus
|
patient experienced large rash around injection site. The prescriber suggested to do cold compress a...
patient experienced large rash around injection site. The prescriber suggested to do cold compress and gave her a cream for rash for itching.
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| 2821166 | 67 | F | NM | 01/15/2025 |
COVID19 FLU3 |
MODERNA SANOFI PASTEUR |
3043838 u842pba |
Fall, Head injury, Loss of consciousness; Fall, Head injury, Loss of consciousne...
Fall, Head injury, Loss of consciousness; Fall, Head injury, Loss of consciousness
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Patient received both vaccines in left arm because she told the administrating technician that she d...
Patient received both vaccines in left arm because she told the administrating technician that she does not have lymph nodes in her right arm. The administration went smooth and I asked patient to stay around afterwards for 30 minutes because she has a history of an allergic reaction to Boostrix in 2016. when she received anaphylaxis. She felt good after 30 minutes and left. She went shopping and while shopping she passed out and fell and hit a shelf with her head. She does not remember anything but waking up with glass around her from the shelf. She did not go the ER or to the DR office. She did leave a message with her neurologist and is waiting for a return call.
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| 2821167 | 19 | M | TX | 01/15/2025 |
MNQ |
SANOFI PASTEUR |
U8256AB |
Loss of consciousness
Loss of consciousness
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Patient passed out after receiving meningitis shot
Patient passed out after receiving meningitis shot
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| 2821168 | 74 | M | FL | 01/15/2025 |
PNC20 |
PFIZER\WYETH |
lj5281 |
Extra dose administered, No adverse event
Extra dose administered, No adverse event
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no adverse reaction pt got a second pneumonia shot within 2 years of last one.
no adverse reaction pt got a second pneumonia shot within 2 years of last one.
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| 2821169 | 54 | F | TX | 01/15/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
354M3 |
Extra dose administered
Extra dose administered
|
Patient has received 2 doses of Shingrix in one day due to duplicate eRx being sent to our pharmacy....
Patient has received 2 doses of Shingrix in one day due to duplicate eRx being sent to our pharmacy. Patient received the dose in the clinic but provider also sent over an eRx to the pharmacy.
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| 2821170 | 41 | F | MS | 01/15/2025 |
COVID19 |
MODERNA |
|
Dizziness, Fatigue, Lymphadenopathy, Tinnitus
Dizziness, Fatigue, Lymphadenopathy, Tinnitus
|
Tinnitus (whooshing in ears) Went to Urgent Care Clinic on December 16, 2024, and prescribed pre...
Tinnitus (whooshing in ears) Went to Urgent Care Clinic on December 16, 2024, and prescribed prednisone 20 mg tablets for 5 days and taken off work for 2 days Tinnitus is still in ears Fatigue dizziness swollen lymph nodes
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| 2821171 | 68 | M | FL | 01/15/2025 |
RSV RSV |
GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS |
255T2 JC7Z5 |
Extra dose administered; Extra dose administered
Extra dose administered; Extra dose administered
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Patient presented to pharmacy requesting RSV vaccination, patient received second dose of RSV vaccin...
Patient presented to pharmacy requesting RSV vaccination, patient received second dose of RSV vaccination despite previously receiving an initial dose, contradictory to manufacturer and CDC guidelines. Patient did not present any complaints at time of vaccination regarding side effects that would result in need for treatment or any symptoms or signs in need of addressing.
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| 2821172 | 87 | M | VA | 01/15/2025 |
RSV |
GLAXOSMITHKLINE BIOLOGICALS |
52z52 |
Extra dose administered
Extra dose administered
|
pt inappropriately received a second RSV vaccine, first dose was administered 1/4/24. has not report...
pt inappropriately received a second RSV vaccine, first dose was administered 1/4/24. has not reported any rxn thus far.
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| 2821173 | 66 | M | NY | 01/15/2025 |
FLU3 |
SANOFI PASTEUR |
|
Mobility decreased, Pain in extremity
Mobility decreased, Pain in extremity
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He claims that RPH may hit the needle to near neve. He took ibuprofen and aspirin and got no relief....
He claims that RPH may hit the needle to near neve. He took ibuprofen and aspirin and got no relief. He did stretching, ice pack and heat pack as per MD advise and no relief too. HIs main CX is difficulty raising his arm to not more than 30-40% and feels like stabbing pain. Symptoms started after couple days and subsided and came back. HIs pain went from his fingers to shoulder.
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| 2821174 | 68 | F | VA | 01/15/2025 |
RSV |
GLAXOSMITHKLINE BIOLOGICALS |
52z52 |
Extra dose administered, No adverse event
Extra dose administered, No adverse event
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pt inappropriately received an additional RSV dose. initial dose received 12/4/23. no reaction repor...
pt inappropriately received an additional RSV dose. initial dose received 12/4/23. no reaction reported from pt thus far.
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| 2821175 | 41 | F | MI | 01/15/2025 |
COVID19 |
PFIZER\BIONTECH |
|
Lip swelling, Swelling face, Urticaria
Lip swelling, Swelling face, Urticaria
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Woke up with swollen lips a couple days after vaccine which continued over the course of several mon...
Woke up with swollen lips a couple days after vaccine which continued over the course of several months (now 4 months later, I will have swelling of the lips and face periodically). Hives presented a few days later and became progressively worse. I take one Zyrtec 10 mg every other day as the drug wears off. As soon as it wears off, my body will quickly develop hives. They are usually on my trunk, thighs, bikini line, low back, arms and neck. I?ve never had a reaction to any vaccine before.
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| 2821176 | 65 | F | UT | 01/15/2025 |
FLU3 |
SEQIRUS, INC. |
388483 |
Extra dose administered, Wrong product administered
Extra dose administered, Wrong product administered
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Patient had already received a seasonal influenza vaccine on 9/30/24. She intended to get a Covid va...
Patient had already received a seasonal influenza vaccine on 9/30/24. She intended to get a Covid vaccine at our facility, but was administered a dose of adjuvanted seasonal flu vaccine. So, she received two influenza vaccines in the same season.
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| 2821177 | 0.25 | M | CA | 01/15/2025 |
PNC20 UNK UNK |
PFIZER\WYETH UNKNOWN MANUFACTURER UNKNOWN MANUFACTURER |
|
Electroencephalogram, Magnetic resonance imaging, Seizure; Electroencephalogram,...
Electroencephalogram, Magnetic resonance imaging, Seizure; Electroencephalogram, Magnetic resonance imaging, Seizure; Electroencephalogram, Magnetic resonance imaging, Seizure
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More than one seizures , neurologist prescribes keppra , still continuing seizures
More than one seizures , neurologist prescribes keppra , still continuing seizures
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โ | |||||
| 2821178 | 25 | F | OH | 01/15/2025 |
VARCEL VARCEL |
MERCK & CO. INC. MERCK & CO. INC. |
|
Fatigue, Rash, Rash erythematous, Rash papular, Rash pruritic; Skin warm
Fatigue, Rash, Rash erythematous, Rash papular, Rash pruritic; Skin warm
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Raised rash that is red, warm to the touch, itchy, and aching . Fatigue,
Raised rash that is red, warm to the touch, itchy, and aching . Fatigue,
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| 2821185 | 18 | M | CO | 01/15/2025 |
MENB |
PFIZER\WYETH |
GP8617 |
Chills, Pyrexia, Respiratory disorder
Chills, Pyrexia, Respiratory disorder
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Patient experienced breathing issues & chills 30-60 min after shot. In about 90-120 minutes afte...
Patient experienced breathing issues & chills 30-60 min after shot. In about 90-120 minutes after shot, breathing fine, no chills, but got fever with 101.9 Took ibuprofen and tylenol to decrease fever. Waiting for fever to break after Tylenol.
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| 2821186 | 31 | F | CA | 01/15/2025 |
FLU3 |
SANOFI PASTEUR |
TFAA2442 |
Immediate post-injection reaction, Mobility decreased, Pain
Immediate post-injection reaction, Mobility decreased, Pain
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Had soreness and pain immediately after vaccine administration described as atypical from past vacci...
Had soreness and pain immediately after vaccine administration described as atypical from past vaccination. Pain was persistent and progressive and eventually associated with decreasing range of motion and reduced function due to pain.
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| 2820746 | U | LA | 01/14/2025 |
PPV |
MERCK & CO. INC. |
|
Antibody test negative, Immunisation
Antibody test negative, Immunisation
|
HCP called to report that she received a order from a doctor to revaccinate a patient with PNEUMOVAX...
HCP called to report that she received a order from a doctor to revaccinate a patient with PNEUMOVAX 23 because they were not satisfied with their titer results stating the test is not showing immunity. The HCP could not confirm when the patient was; This spontaneous report was received from a pharmacist and refers to a currently 17 year old patient of unknown gender. The patient's concurrent conditions, medical history, concomitant medications, drug reactions or allergies were not reported. On an unspecified date, the patient was vaccinated with pneumococcal 23v polysaccharide vaccine (PNEUMOVAX23) 0.5 mL (dose number, lot #, expiration date, route of administration, anatomical location not provided) as immunization for the prevention of pneumococcal disease. On an unspecified date, the patient was ordered to be revaccinated with pneumococcal 23v polysaccharide vaccine (PNEUMOVAX23), because the physician was not satisfied with the titer results stating that the test did not show immunity (antibody test negative). At the reporting time, the patient had not recovered from the event. It was reported that it was sought medical attention but no treatment was given; and that the last time the patient was vaccinated with pneumococcal 23v polysaccharide vaccine (PNEUMOVAX23) could not be confirmed.
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| 2820747 | M | NC | 01/14/2025 |
UNK |
UNKNOWN MANUFACTURER |
No batch number |
Influenza, Palpitations, Ulcer haemorrhage
Influenza, Palpitations, Ulcer haemorrhage
|
I had a very adverse reaction to Type A influenza with heart palpitation; I had a very adverse react...
I had a very adverse reaction to Type A influenza with heart palpitation; I had a very adverse reaction to Type A influenza with bleeding ulcer; Subtype A influenza; This spontaneous case, initially received on 30-Dec-2024 was (with additional information received on same date), reported by a non-health professional and concerns an Elderly male patient. Concomitant medication: Refer to the appropriate section. Administration of company suspect drug: On an unknown date, the patient received Fluad (TIV) for influenza immunization, Dose regimen: 0.5 ml, Route of administration: Not reported, Lot number: not reported and will be requested upon follow-up. No additional suspect drugs. Adverse reactions/events and outcomes: On 03-Jan-2024, the patient experienced Subtype A influenza (Hospitalized, outcome: Not Reported). On an unknown date in Jan-2024, the patient experienced I had a very adverse reaction to Type A influenza with heart palpitation (Hospitalized, outcome: Not Reported), I had a very adverse reaction to Type A influenza with bleeding ulcer (Hospitalized, outcome: Not Reported). I had a very adverse reaction to Type A influenza with heart palpitation and bleeding ulcer in January this year. I was hospitalized for 2 weeks and in rehab another 2 weeks. I do not want to have Type A influenza again this year. The patient had trouble with it quite a bit, it gave him a real. The patient had to stay in the hospital. So, he wanted to know if there was a type A flu in the current flu vaccines, he thinks that, if he gets the type A included, it will help resist catching type A flu again. Yes, that time type A flu caused the symptoms, so he was hoping the vaccine will help. Last year it was not included in the vaccine so that's why he was in the hospital, from 3 January for two weeks. The patient did not have a reaction to the vaccine, patient had a subtype A influenza infection which caused the mentioned symptoms and hospitalization. Patient did not know the vaccine he took before hospitalization. Fluad (TIV) action taken: Not Applicable Reporter Assessment: The reporter assesses the events as serious, and causality was not reported.; Reporter's Comments: Causality: Due to the spontaneous nature of the case, it is considered related for reporting purposes. However, heart palpitations and ulcer bleeding are attributed to subtype A influenza infection (probable consequences of infection). Furthermore, causality for subtype A influenza infection assessed as not related (as reported), as the reaction/infection not attributed to vaccination.
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| 2820748 | M | IA | 01/14/2025 |
HEP |
DYNAVAX TECHNOLOGIES CORPORATION |
|
Eye pain
Eye pain
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Pain In and Around the Right Eye; Initial report received on 18-Dec-2024. A consumer reported tha...
Pain In and Around the Right Eye; Initial report received on 18-Dec-2024. A consumer reported that he, a 30-year-old male, received HEPLISAV-B (hepatitis B vaccine) for hepatitis B immunization and experienced pain in and around his right eye. Medical history was reported as an allergy to penicillin (PCN) that manifested as hyperventilation. No concomitant medications were reported. On approximately 26-Nov-2024 or 27-Nov-2024, the patient received dose 2 of a hepatitis B vaccine [HEPLISAV-B (lot number, expiration date, and NDC number not available)] intramuscularly in the left arm. The patient stated that he has been having some pain in and around his right eye. The pain started in his temple area and in his right eye. The event was treated with unspecified oral steroids. Reporter stated that his symptoms were ongoing. No further adverse effects were reported. No other information was available. Company Comment: The company assessed the event as non-serious.; Sender's Comments: The company assessed the event as non-serious.
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| 2820749 | U | CA | 01/14/2025 |
UNK |
UNKNOWN MANUFACTURER |
No batch number |
Malaise, Neuropathy peripheral, Pain, Sleep disorder
Malaise, Neuropathy peripheral, Pain, Sleep disorder
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Neuropathy; Painful / #9 levels of pain; Became ill; This spontaneous case initially received on 06-...
Neuropathy; Painful / #9 levels of pain; Became ill; This spontaneous case initially received on 06-Jan-2025, was reported by a non health professional and patient of unknown age/gender. Administration of company suspect drug: On 31-Oct-2014, the patient received Fluad (TIV) for Indication not reported., dose Not reported route of administration in anatomical location Not reported, Lot number: No batch number available and would be requested upon follow-up. No additional suspect drugs. Adverse reactions/events and outcomes: On 01-Nov-2024, the patient experienced Became ill (outcome: Not Reported). On Dec-2024, the patient experienced Neuropathy (Medically Significant, outcome: Not Reported). Associated symptoms included: Painful / #9 levels of pain. On 31-Oct-2014, she had the Fluad shot for 65 and over at pharmacy, and became ill the next day, each day became worse so that the entire month of November I had never in the long life been so ill. Have had flu shots at my doctor's office or for years and no reaction. Contacted pharmacist at pharmacy and was told the company had increased the antigens several times over. This was the entire month of November, come December and I was now left with Neuropathy, so painful since the first part of December and I had this keeping me awake at night with very painful #9 levels of pain. If would like doctors name and I am happy to provide these shots should be accompanied with information about the increase. Fluad (TIV) action taken: Not Applicable Reporter๏ฟฝs assessment: The reporter did not provide the seriousness and causality assessment.; Reporter's Comments: Causality: Due to the spontaneous nature of the case, it is considered related for reporting purposes. Plausible temporal relationship for illness (next day of vaccination). Causal association cannot be completely ruled out for neuropathy in view of insufficient information (onset date, temporality, relevant medical history).
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| 2820759 | 59 | M | MN | 01/14/2025 |
HEPA PNC20 |
MERCK & CO. INC. PFIZER\WYETH |
X006702 HN2630 |
Guillain-Barre syndrome, Mechanical ventilation, Muscular weakness, Tracheostomy...
Guillain-Barre syndrome, Mechanical ventilation, Muscular weakness, Tracheostomy; Guillain-Barre syndrome, Mechanical ventilation, Muscular weakness, Tracheostomy
More
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Patient developed acute onset of severe muscle weakness 10 days after vaccination. Determined to be ...
Patient developed acute onset of severe muscle weakness 10 days after vaccination. Determined to be severe Guillain-Barre Syndrome requiring mechanical ventilation, tracheostomy, etc.
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โ | โ | ||||
| 2820760 | 57 | F | TN | 01/14/2025 |
COVID19 |
MODERNA |
|
Tachycardia
Tachycardia
|
Reported Symptoms: 10043071:TACHYCARDIA; Narrative: Other Relevant
Reported Symptoms: 10043071:TACHYCARDIA; Narrative: Other Relevant
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| 2820761 | 81 | M | RI | 01/14/2025 |
COVID19-2 TDAP |
PFIZER\BIONTECH GLAXOSMITHKLINE BIOLOGICALS |
GJ6738 DR2GR |
Herpes zoster, Rash; Herpes zoster, Rash
Herpes zoster, Rash; Herpes zoster, Rash
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Reported Symptoms: 10037844:RASH; 10040555:SHINGLES; Narrative: Other Relevant HX: 80 y/o male patie...
Reported Symptoms: 10037844:RASH; 10040555:SHINGLES; Narrative: Other Relevant HX: 80 y/o male patient presented to urgent care with rash to left buttock noted this morning 11/9/2022. Other: treated for shingles
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| 2820762 | 56 | M | CA | 01/14/2025 |
FLU3 |
SANOFI PASTEUR |
UT8148KA |
Diarrhoea
Diarrhoea
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Reported Symptoms: 10012727:DIARRHEA; Narrative: Patient received influenza vaccine 1/5/24 and repor...
Reported Symptoms: 10012727:DIARRHEA; Narrative: Patient received influenza vaccine 1/5/24 and reported diarrhea on 1/111/24. Other Relevant HX: other: DIARRHEA
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| 2820763 | 82 | M | RI | 01/14/2025 |
COVID19 COVID19 FLU4 FLU4 |
MODERNA MODERNA SANOFI PASTEUR SANOFI PASTEUR |
3032709 3032709 U8138CA U8138CA |
Cough, Dyspnoea, Hypertension, Oropharyngeal pain, Respiratory tract congestion;...
Cough, Dyspnoea, Hypertension, Oropharyngeal pain, Respiratory tract congestion; Tachycardia, Troponin abnormal; Cough, Dyspnoea, Hypertension, Oropharyngeal pain, Respiratory tract congestion; Tachycardia, Troponin abnormal
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Reported Symptoms: 10011232:COUGHING; 10020772:HYPERTENSION; Narrative: Patient received COVID and F...
Reported Symptoms: 10011232:COUGHING; 10020772:HYPERTENSION; Narrative: Patient received COVID and Flu Shot on 2/9/24. Presented to ED on 2/10 "reporting a few days of cough, chest congestion, and sore throat. (+) mild sob starting today. denies fevers/chills. States he received covid and flu shots yesterday." On arrival in the ER pt had a BP of 199/90 with a pulse of 105. He was admitted after he was to have tachycardia & abn troponin of 0.04. Discharged diagnosis "Uncontrolled HTN/Abnormal Troponins". Patient was restarted on Metorpolol which he had self-d/c'ed a year earlier. Other Relevant HX: Other:
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| 2820764 | 53 | M | ID | 01/14/2025 |
VARZOS VARZOS |
GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS |
4723S 4723S |
Arthralgia, Injected limb mobility decreased, Musculoskeletal discomfort, Myalgi...
Arthralgia, Injected limb mobility decreased, Musculoskeletal discomfort, Myalgia, Pain; Paraesthesia, Product administered at inappropriate site
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Reported Symptoms: 10028411:MYALGIA; 10040617:SHOULDER PAIN; Narrative: On July 10th, I received my ...
Reported Symptoms: 10028411:MYALGIA; 10040617:SHOULDER PAIN; Narrative: On July 10th, I received my second dose of Shingle vaccine in my left shoulder. Since that time, my shoulder is continually in pain, generally a level 8 pain, but often, and increasing in occurrences I will move my shoulder and it sends shooting pain through my arm. For instance, just yesterday I went to pick up a grocery sack with 2 loafs of bread, the pain was beyond measurable and I was unable to lift it. I am rotate my shoulder in a 360 degree motion. I believe that the nurse may have hit a nerve or the Bursa sack as the injection was very high on the joint Left shoulder pain - Shingrix shot 7/10/24 -8/10 left shoulder pain in the subacromial area with exacerbations lifting away from the body and with external rotation -He also reports some tingling in the left hand first through third fingers. Mild neck discomfort. Wonders if he could have some weakness but pain is also shutting him down. Other Relevant HX: Other: shoulder pain
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| 2820765 | 74 | M | RI | 01/14/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
Y77XY |
Arthritis, Erythema, Injection site rash, Pruritus, Urticaria
Arthritis, Erythema, Injection site rash, Pruritus, Urticaria
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Reported Symptoms: 10037087:PRURITUS; 10046735:URTICARIA; Narrative: arrives with complaint of getti...
Reported Symptoms: 10037087:PRURITUS; 10046735:URTICARIA; Narrative: arrives with complaint of getting random areas on body that are red and itchy, hive like in appearance since receiving the Zoster Recom # 2 on 6/10/24. He has taken po benadryl with good effect. He denies difficulty breathing or swallowing, throat tightness. Last night his significant other also noted a "bull's eye rash" to back of left upper arm. States they had been in a field recently but he did not see any ticks on his body. He denies new joint pain, he normally has left hand pain from arthritis. States he has been treated for lyme in the past. Other Relevant HX: Other: URTICARIA
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| 2820766 | 80 | M | NV | 01/14/2025 |
COVID19 COVID19 |
PFIZER\BIONTECH PFIZER\BIONTECH |
HF9301 HF9301 |
Balance disorder, Blood glucose normal, Blood pressure increased, Dizziness, Dys...
Balance disorder, Blood glucose normal, Blood pressure increased, Dizziness, Dysstasia; Gait disturbance, Headache, NIH stroke scale, Vertigo
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Reported Symptoms: 10047340:VERTIGO; Narrative: Resulted in admission to the medical center for vert...
Reported Symptoms: 10047340:VERTIGO; Narrative: Resulted in admission to the medical center for vertigo. Other Relevant HX: 80 year old MALE with hx of hypertension, diabetes, COPD and hypothyroidism who presents to the ER with severe headache, dizziness and difficulty with balance. Patient's wife provided most the hx, she reports patient has been tired/fatigued since returning from vacation a few days ago. Today, he had an appointment with his PCP where her received his COVID booster. He then went to a few stores with is wife and returned home. He was resting and around 1630 he developed severe headache and room spinning. He had trouble standing and his wife called her son to bring him to the hospital. He needed assitance to walk into the hospital. Blood pressure was elevated to 162/80 and blood glucose was 152. NIHSS was 0. Patient was able to stand and take a few steps. Wife stated his balance was close to baseline. He was excluded from tPA due to non disabling symptoms. Pfizer Monovalent (Comirnaty) Administered: COVID-19 (PFIZER), MRNA, LNP-5, PF, TRIS-SUCROSE, 30 MCG/0.3 ML (Ages 12+ YEARS) Date Administered: Jul 05, 2024 11:00 Series: Booster Manufacturer: PFIZER, INC Lot : HF9301 Exp Date: Jan 30, 205 Admin Route/Site: INTRAMUSCULAR/RIGHT DELTOID Dosage: 0.3mL Vaccine Information Statement: COVID-19 MRNA VACCINE (12+ YRS)
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| 2820767 | 41 | M | TN | 01/14/2025 |
COVID19 |
MODERNA |
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Anaphylactic reaction
Anaphylactic reaction
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Reported Symptoms: 10002218:ANAPHYLAXIS; Narrative: Anaphylaxis which did not require intervention O...
Reported Symptoms: 10002218:ANAPHYLAXIS; Narrative: Anaphylaxis which did not require intervention Other Relevant HX: Other: ANAPHYLAXIS
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| 2820768 | 79 | M | RI | 01/14/2025 |
COVID19 |
MODERNA |
3032086 |
Hypotension, Monoplegia, Vomiting
Hypotension, Monoplegia, Vomiting
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Reported Symptoms: 10021097:HYPOTENSION; 10033814:PARALYSYS LEG; 10047700:VOMITING; Narrative: Pt. h...
Reported Symptoms: 10021097:HYPOTENSION; 10033814:PARALYSYS LEG; 10047700:VOMITING; Narrative: Pt. had to be admitted to the hospital and later discharged to rehab facility Other Relevant HX: Other: paralysis of right leg
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| 2820769 | M | RI | 01/14/2025 |
COVID19 |
MODERNA |
3032233 |
Asthenia, Myalgia
Asthenia, Myalgia
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Reported Symptoms: 10028411:MYALGIA; 10047862:WEAKNESS; 10047865:WEAKNESS GENERALIZED; Narrative: Ot...
Reported Symptoms: 10028411:MYALGIA; 10047862:WEAKNESS; 10047865:WEAKNESS GENERALIZED; Narrative: Other Relevant HX: Other: WEAKNESS
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| 2820815 | F | NJ | 01/14/2025 |
VARCEL |
MERCK & CO. INC. |
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Antibody test negative
Antibody test negative
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Nurse called and reported that she received a dose of VARIVAX in 1999 and a dose in 2017 and that he...
Nurse called and reported that she received a dose of VARIVAX in 1999 and a dose in 2017 and that her titers for varicella are still negative. Dates the titers were drawn were not provided. Nurse did not provide additional information and stated that; This spontaneous report was received from nurse and refers to a female patient of unknown age. The patient's medical history was not reported. The patient's concurrent conditions were not reported. Concomitant therapies were not reported. On an unknown date in 1999, the patient was vaccinated with first dose of varicella virus vaccine live (oka/merck) (VARIVAX) injection and second dose on 2017, both administered for prophylaxis (strength, doses, lot #, expiry dates, and routes of administration were not provided). The patient stated that her titers for varicella were still negative (antibody test negative). Dates the titers were drawn were not provided. The causal relationship between antibody test negative and varicella virus vaccine live (oka/merck) (VARIVAX) was not provided. Nurse did not provide additional information. Additional information is not expected.
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| 2820816 | 66 | F | 01/14/2025 |
FLUX FLUX FLUX FLUX TDAP TDAP TDAP TDAP |
UNKNOWN MANUFACTURER UNKNOWN MANUFACTURER UNKNOWN MANUFACTURER UNKNOWN MANUFACTURER UNKNOWN MANUFACTURER UNKNOWN MANUFACTURER UNKNOWN MANUFACTURER UNKNOWN MANUFACTURER |
UNK UNK UNK UNK UNK UNK UNK UNK |
Back pain, Dizziness, Endophthalmitis, Eye operation, Glomerular filtration rate...
Back pain, Dizziness, Endophthalmitis, Eye operation, Glomerular filtration rate decreased; Haemarthrosis, Haematoma evacuation, Hyperparathyroidism secondary, Hypoglycaemia, Lipoma excision; Magnetic resonance imaging abnormal, Muscle rupture, Nausea, SARS-CoV-2 test negative, Spinal fusion surgery; Vomiting, Walking aid user; Back pain, Dizziness, Endophthalmitis, Eye operation, Glomerular filtration rate decreased; Haemarthrosis, Haematoma evacuation, Hyperparathyroidism secondary, Hypoglycaemia, Lipoma excision; Magnetic resonance imaging abnormal, Muscle rupture, Nausea, SARS-CoV-2 test negative, Spinal fusion surgery; Vomiting, Walking aid user
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Tear in gluteal muscle; endophthalmitis left eye/left eye surgery; Uses roller walker; bilateral bac...
Tear in gluteal muscle; endophthalmitis left eye/left eye surgery; Uses roller walker; bilateral back pain/Chronic bilateral low back pain without sciatica; spinal fusion done L3-L5; Secondary hyperparathyroidism; right hip right outer thigh lipoma removed; right hip hematoma/right hip hematoma I&D; Dizziness; Hypoglycemia; Nausea; Vomiting; This serious case was reported by a nurse via other manufacturer and described the occurrence of lipoma excision in a 67-year-old female patient who received DTPa (Reduced antigen) (Tdap Vaccine) for prophylaxis. Co-suspect products included Influenza vaccine for prophylaxis. The patient's past medical history included colorectal adenoma, nasal septum deviation (Bilateral Deviated septum), cyst removal, cryotherapy, shoulder arthroplasty (Since the Shoulder arthroplasty on 26Fe2015, her arm is not feeling or healing right), gout, shoulder operation, bronchospasm, cataract operation, cataract operation (also in 05Feb2017 and 02May2017, OD), chronic kidney disease (GFR 15-29 ml/min (HCC)), thrombosis, cataract operation, tobacco abuse, eye operation (2017 and 2018), cataract (unsuccessful), neurectomy, knee arthroplasty, nerve block, joint aspiration, product use issue, retinal bleeding, acute macular neuroretinopathy, rubber sensitivity (Rash/Urticaria), facet joint block (Facet injection R lower back), asthma (Mild intermittent asthma without complication), high frequency ablation, epidural injection and epidural injection. Previously administered products included MIDAZOLAM HCL with an associated reaction of drug hypersensitivity, PENTAZOCINE LACTATE with an associated reaction of swollen tongue, INFLUENZA VACCINE, PROPANTHELINE with an associated reaction of respiratory distress, HYDROCODONE/ACETAMINOPHEN with an associated reaction of mental status changes, HYDROCODONE/ACETAMINOPHEN with an associated reaction of dizziness, INFLUENZA VACCINE (one more dose on 29-Sep-2012), NITROGLYCERIN with an associated reaction of dizziness, MORPHINE with an associated reaction of drug intolerance, INFLUENZA VACCINE, INFLUENZA VACCINE (DOSE NUMBER UNKNOWN, SINGLE), INFLUENZA VACCINE (DOSE NUMBER UNKNOWN, SINGLE), INFLUENZA VACCINE (DOSE NUMBER UNKNOWN, SINGLE), INFLUENZA VACCINE (DOSE NUMBER UNKNOWN, SINGLE), INFLUENZA VACCINE (DOSE NUMBER UNKNOWN, SINGLE), INFLUENZA VACCINE (DOSE NUMBER UNKNOWN, SINGLE), THYME with an associated reaction of laryngeal oedema, INFLUENZA VACCINE (DOSE NUMBER UNKNOWN, SINGLE), ASPARTAME with an associated reaction of diarrhoea, INFLUENZA VACCINE (DOSE NUMBER UNKNOWN, SINGLE), CYCLOBENZAPRINE with an associated reaction of drug hypersensitivity, PNEUMOCOCCAL VACCINE (DOSE NUMBER UNKNOWN, SINGLE), BENZENE, NAPROXEN SODIUM, HYDROCODONE, INFLUENZA VACCINE (DOSE NUMBER UNKNOWN, SINGLE), INFLUENZA VACCINE (INACT SPLIT 4V) and PNEUMOCOCCAL VACCINE POLYVALENT (DOSE NUMBER UNKNOWN, SINGLE). Concurrent medical conditions included hypoxia, obesity (BMI of 40 - 44.9, adult (HCC)), food allergy (respiratory distress, diarrhea), allergy to fermented products, food allergy (Respiratory distress, Fennel, Licorice, Fennel, Licorice) and allergy to chemicals. Concomitant products included acetylsalicylic acid (Aspirin Ec). On 10-SEP-2019, the patient received Tdap Vaccine. On 23-SEP-2019, the patient received Influenza vaccine. On 23-SEP-2019, 13 days after receiving Tdap Vaccine, the patient experienced lipoma excision (Verbatim: right hip right outer thigh lipoma removed) (serious criteria clinically significant/intervention required), hematoma (Verbatim: right hip hematoma/right hip hematoma I&D) (serious criteria clinically significant/intervention required), dizziness (Verbatim: Dizziness), hypoglycemia (Verbatim: Hypoglycemia), nausea (Verbatim: Nausea) and vomiting (Verbatim: Vomiting). On 06-FEB-2020, the patient experienced hyperparathyroidism secondary (Verbatim: Secondary hyperparathyroidism). On 02-MAR-2020, the patient experienced fusion lumbar spine (Verbatim: spinal fusion done L3-L5) (serious criteria clinically significant/intervention required). On 08-APR-2020, the patient experienced low back pain (without radiation) (Verbatim: bilateral back pain/Chronic bilateral low back pain without sciatica) (serious criteria clinically significant/intervention required). On 04-AUG-2020, the patient experienced endophthalmitis (Verbatim: endophthalmitis left eye/left eye surgery) (serious criteria GSK medically significant and clinically significant/intervention required) and walker user (Verbatim: Uses roller walker). On an unknown date, the patient experienced gluteal muscle tear (Verbatim: Tear in gluteal muscle) (serious criteria GSK medically significant). On 23-SEP-2019, the outcome of the lipoma excision was resolved. On 02-MAR-2020, the outcome of the fusion lumbar spine was resolved. The outcome of the hematoma, endophthalmitis, gluteal muscle tear, dizziness, hypoglycemia, nausea, vomiting and walker user were not reported and the outcome of the low back pain (without radiation) and hyperparathyroidism secondary were not resolved. It was unknown if the reporter considered the lipoma excision, hematoma, fusion lumbar spine, endophthalmitis, gluteal muscle tear, low back pain (without radiation), dizziness, hypoglycemia, nausea, vomiting, hyperparathyroidism secondary and walker user to be related to Tdap Vaccine. The company considered the lipoma excision, hematoma, fusion lumbar spine, endophthalmitis, gluteal muscle tear and low back pain (without radiation) to be unrelated to Tdap Vaccine. It was unknown if the company considered the dizziness, hypoglycemia, nausea, vomiting, hyperparathyroidism secondary and walker user to be related to Tdap Vaccine. Linked case(s) involving the same patient: US2024AMR135366, US2024AMR165842, US2024AMR165843 Additional Information: GSK Receipt Date: 30-OCT-2024 The nurse reported that a patient received Tdap vaccine on 10-Sep-2019. The patient had right hip right outer thigh lipoma removed, right hip hematoma/right hip hematoma inscision and drainage, spinal fusion done L3-L5, endophthalmitis left eye/left eye surgery, tear in gluteal muscle, bilateral back pain/Chronic bilateral low back pain without sciatica, dizziness, hypoglycemia, nausea, vomiting, and secondary hyperparathyroidism. This case linked with cases US2024AMR135366, US2024AMR165842 and US2024AMR165843 for the same patient from the same reporter. (Please refer to the linked cases for the medical history prior to the prior to 20-May-2010); Sender's Comments: Lipoma excision, Haematoma, Spinal fusion surgery, Endophthalmitis, Muscle rupture, Back pain are unlisted events which are considered unrelated to GSK Tdap Vaccine. US-GSK-US2024AMR135366:same patient US-GSK-US2024AMR165842: US-GSK-US2024AMR165842: US-GSK-US2024AMR165843:
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| 2820817 | U | HI | 01/14/2025 |
TDAP |
GLAXOSMITHKLINE BIOLOGICALS |
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Incorrect route of product administration
Incorrect route of product administration
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Incorrect route of administration; This non-serious case was reported by a other health professional...
Incorrect route of administration; This non-serious case was reported by a other health professional via call center representative and described the occurrence of intramuscular formulation administered by other route in a patient who received DTPa (Reduced antigen) (Boostrix) for prophylaxis. On an unknown date, the patient received Boostrix (subcutaneous). On an unknown date, an unknown time after receiving Boostrix, the patient experienced intramuscular formulation administered by other route (Verbatim: Incorrect route of administration). The outcome of the intramuscular formulation administered by other route was unknown. This report is made by GSK without prejudice and does not imply any admission or liability for the incident or its consequences. Additional Information: GSK Receipt Date: 18-DEC-2024 Boostrix inadvertently administered via the subcutaneous route (patient does not have a bleeding disorder), which led intramuscular formulation administered by other route. Evaluating whether an additional dose was needed. Looking for any data on vaccine absorption via the subcutaneous route verses the intramuscular route, or any literature on redosing the vaccine.
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| 2820818 | 2 | F | SC | 01/14/2025 |
TDAP |
GLAXOSMITHKLINE BIOLOGICALS |
3BH5K |
Wrong product administered
Wrong product administered
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patient received a dose of Boostrix instead of Flulaval this morning.; This non-serious case was rep...
patient received a dose of Boostrix instead of Flulaval this morning.; This non-serious case was reported by a other health professional via call center representative and described the occurrence of wrong vaccine administered in a 2-year-old female patient who received DTPa (Reduced antigen) (Boostrix) (batch number 3BH5K, expiry date 22-JAN-2027) for prophylaxis. Co-suspect products included Flu Seasonal QIV Quebec (FluLaval Quadrivalent) for prophylaxis. On 20-DEC-2024, the patient received Boostrix. On an unknown date, the patient received FluLaval Quadrivalent. On 20-DEC-2024, immediately after receiving Boostrix and not applicable after receiving FluLaval Quadrivalent, the patient experienced wrong vaccine administered (Verbatim: patient received a dose of Boostrix instead of Flulaval this morning.). The outcome of the wrong vaccine administered was unknown. This report is made by GSK without prejudice and does not imply any admission or liability for the incident or its consequences. Additional Information: GSK Receipt Date:20-DEC-2024 The HCP called to report that a 2-year-old, female patient received a dose of Boostrix instead of Flulaval which led to wrong vaccine administered. There were no side effects reported. They were inquiring how to proceed.
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| 2820819 | 50 | F | WA | 01/14/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
TJ534 |
Product preparation issue
Product preparation issue
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diluent only given; diluent only given; This non-serious case was reported by a pharmacist via call ...
diluent only given; diluent only given; This non-serious case was reported by a pharmacist via call center representative and described the occurrence of inappropriate preparation of medication in a 50-year-old female patient who received Herpes zoster (Shingrix) (batch number TJ534, expiry date 23-OCT-2026) for prophylaxis. Previously administered products included Shingrix (received first dose of Shingrix on an unknown date). On 20-DEC-2024, the patient received the 2nd dose of Shingrix. On 20-DEC-2024, an unknown time after receiving Shingrix, the patient experienced inappropriate preparation of medication (Verbatim: diluent only given) and inappropriate dose of vaccine administered (Verbatim: diluent only given). The outcome of the inappropriate preparation of medication and inappropriate dose of vaccine administered were unknown. Additional Information: GSK Receipt Date: 20-DEC-2024 The pharmacist reported that they just gave shingles vaccine to a patient, except they used two diluents on accident. The technician that did it, pulled out a diluent, put it into another diluent and then withdrew 0.5 mL and gave it. The specialist confirmed there was no powder used, and the patient received only the adjuvant portion of the vaccine which led to inappropriate preparation of medication and inappropriate dose of vaccine administered. This was the patient's second dose in the series.
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| 2820820 | M | NC | 01/14/2025 |
MNQ |
NOVARTIS VACCINES AND DIAGNOSTICS |
EK7DG |
Extra dose administered
Extra dose administered
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accidentally administered an extra dose of Menveo (1-vial) on December 20th 2024. Patient got a prio...
accidentally administered an extra dose of Menveo (1-vial) on December 20th 2024. Patient got a prior dose of Menveo back in October 24th 2024; This non-serious case was reported by a physician via call center representative and described the occurrence of extra dose administered in a 17-year-old male patient who received Men ACWY-CRM NVS (Menveo) (batch number AMVB030A, expiry date 31-DEC-2025) and (batch number EK7DG, expiry date 31-DEC-2025) for prophylaxis. Previously administered products included Menactra (received a dose on 16-OCT-2018). Concomitant products included MENINGOCOCCAL VACCINE A/C/Y/W CONJ (CRM197) (MENVEO). On 20-DEC-2024, the patient received the 2nd dose of Menveo. On 20-DEC-2024, an unknown time after receiving Menveo, the patient experienced extra dose administered (Verbatim: accidentally administered an extra dose of Menveo (1-vial) on December 20th 2024. Patient got a prior dose of Menveo back in October 24th 2024). The outcome of the extra dose administered was unknown. Additional Information: GSK Receipt Date: 20-DEC-2024 The physician stated they accidentally administered an extra dose of Menveo on 20th December 2024 which led to extra dose administered. The patient got a prior dose of Menveo back in 24th October 2024 and before that they got Menactra back in 16th October 2018.
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| 2820821 | U | 01/14/2025 |
COVID19 |
JANSSEN |
Unknown |
Weight increased
Weight increased
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I've gained 80lbs; This spontaneous report received from a patient by a company representative ...
I've gained 80lbs; This spontaneous report received from a patient by a company representative concerned a patient of unspecified age and sex. The report was received from J&J managed social media. The patient's height and weight were not reported. Age at time of vaccination was unknown. No past medical history, concurrent conditions or pre-existing medical conditions were reported. The patient received janssen covid-19 vaccine (suspension for injection, route of admin not reported, batch number: Unknown) dose, frequency and therapy dates not reported, for covid-19 prophylaxis. No concomitant medications were reported. On an unspecified date, the patient experienced i've gained 80lbs. The patient reported that they were not fat but ever since receiving the covid-19 vaccine had gained 80lbs and did not think they were alone. The action taken with janssen covid-19 vaccine was not applicable. The outcome of i've gained 80lbs was not reported. This report was non-serious.
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| 2820822 | U | HI | 01/14/2025 |
COVID19 |
JANSSEN |
Unknown |
Adverse event
Adverse event
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severe Medical issues; This spontaneous report received from a consumer concerned a patient of unspe...
severe Medical issues; This spontaneous report received from a consumer concerned a patient of unspecified age and sex. Additional reporter noted as Lawyer. Document was received in the form Legal Summons and Complaint, EZ report and central compliant vigilance. Initial document was processed along with additional document received on 10-DEC-2024. The patient's height and weight were not reported. Age at time of vaccination was unknown. No past medical history, concurrent conditions or pre-existing medical conditions were reported. The patient received janssen covid-19 vaccine (suspension for injection, intramuscular, batch number: Unknown) dose, frequency and therapy dates not reported, additional dosage information included: Dose series 1, for covid-19 prophylaxis. No concomitant medications were reported. On an unspecified date, the patient experienced severe medical issues. after taking COVID-19 shot. (dose series is 1). The action taken with janssen covid-19 vaccine was not applicable. The outcome of severe medical issues was not reported. This report was associated with a product quality complaint: Product Complaint 90000347803. Investigation Results: Although a definitive root cause could not be determined for this case, this complaint record will be included in the periodic product quality complaint trending. This report was serious (other medically important condition).; Sender's Comments: V0: Medical assessment comment is not required per standard procedure as the case is a legal case.
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| 2820823 | U | HI | 01/14/2025 |
COVID19 |
JANSSEN |
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Adverse event
Adverse event
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Severe Medical issues; This spontaneous report received from a consumer concerned a patient of unspe...
Severe Medical issues; This spontaneous report received from a consumer concerned a patient of unspecified age and sex. Additional reporter noted as Lawyer. Document was received in the form Legal Summons and Complaint and EZ report. The patient's height and weight were not reported. Age at time of vaccination was unknown. No past medical history, concurrent conditions or pre-existing medical conditions were reported. The patient received janssen covid-19 vaccine (suspension for injection, intramuscular, batch number not reported) dose, frequency and therapy dates not reported, additional dosage information included: Dose series: 1, for covid-19 prophylaxis. The batch number was not reported. The company is unable to perform follow up to request batch or lot numbers. No concomitant medications were reported. On an unspecified date, the patient experienced severe medical issues. after taking COVID-19 shot. (dose series is 1). The action taken with janssen covid-19 vaccine was not applicable. The outcome of severe medical issues was not reported. This report was serious (other medically important condition).; Sender's Comments: V0; Medical Assessment comment not required per standard procedure as it is legal case
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