| ID | Age | Sex | State | Date โผ | Onset Days | Vaccine | Manufacturer | Lot # | Symptoms | Narrative | ๐ | ๐ฅ | ๐ | โฟ | โ ๏ธ |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2820607 | 68 | F | WI | 01/13/2025 |
COVID19 |
MODERNA |
|
Expired product administered
Expired product administered
|
COVID vaccine had a do not use beyond date of 12/29/2024 and the vaccine was given on 12/31/2024
COVID vaccine had a do not use beyond date of 12/29/2024 and the vaccine was given on 12/31/2024
|
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| 2820608 | 16 | F | KS | 01/13/2025 |
MENB MNQ |
NOVARTIS VACCINES AND DIAGNOSTICS NOVARTIS VACCINES AND DIAGNOSTICS |
4M24Z M23G5 |
Product storage error; Product storage error
Product storage error; Product storage error
|
Vaccine deemed not stable due to temperature excursion
Vaccine deemed not stable due to temperature excursion
|
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| 2820609 | 0.5 | M | KS | 01/13/2025 |
DTAPHEPBIP HIBV |
GLAXOSMITHKLINE BIOLOGICALS MERCK & CO. INC. |
X9EP5 X022982 |
Product storage error; Product storage error
Product storage error; Product storage error
|
Vaccines deemed not stable due to temperature excursion
Vaccines deemed not stable due to temperature excursion
|
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| 2820610 | 0.5 | M | MS | 01/13/2025 |
PNC20 TDAP |
PFIZER\WYETH GLAXOSMITHKLINE BIOLOGICALS |
LG5578 NR5DX |
Wrong product administered; Wrong product administered
Wrong product administered; Wrong product administered
|
The patient was ordered Vaxelis and staff gave Boostrix instead.
The patient was ordered Vaxelis and staff gave Boostrix instead.
|
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| 2820611 | 65 | M | SC | 01/13/2025 |
RSV |
GLAXOSMITHKLINE BIOLOGICALS |
255T2 |
Extra dose administered
Extra dose administered
|
PATIENT RECEIVED AREXVY ON 12/17/2023 AND RECEIVED ANOTHER DOSE ON 1/9/25
PATIENT RECEIVED AREXVY ON 12/17/2023 AND RECEIVED ANOTHER DOSE ON 1/9/25
|
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| 2820612 | 1.08 | F | KS | 01/13/2025 |
FLU3 HEPA HIBV |
GLAXOSMITHKLINE BIOLOGICALS MERCK & CO. INC. MERCK & CO. INC. |
J245K Y011643 X022982 |
Product storage error; Product storage error; Product storage error
Product storage error; Product storage error; Product storage error
|
Vaccine deemed not stable due to temperature excursion
Vaccine deemed not stable due to temperature excursion
|
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| 2820613 | 42 | F | NY | 01/13/2025 |
COVID19 |
JANSSEN |
185519 |
COVID-19, Endocrine ophthalmopathy, General physical health deterioration, Grave...
COVID-19, Endocrine ophthalmopathy, General physical health deterioration, Graves' disease, Surgery
More
|
Initially I got Covid right after receiving the vaccine. Following that I was diagnosed with Graves ...
Initially I got Covid right after receiving the vaccine. Following that I was diagnosed with Graves Disease and thyroid eye disease. My health has deteriorated since and I have been having endless doctors appointments, surgery etc.
More
|
โ | |||||
| 2820614 | 5 | M | CA | 01/13/2025 |
MMR |
MERCK & CO. INC. |
X013192 |
Injection site erythema, Injection site swelling, Injection site warmth, Pyrexia
Injection site erythema, Injection site swelling, Injection site warmth, Pyrexia
|
5yo M here with L arm redness, warmth and swelling. Received vaccines (MMR) redness and swelling t...
5yo M here with L arm redness, warmth and swelling. Received vaccines (MMR) redness and swelling to arm .fever on night of vaccine administration .
More
|
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| 2820615 | 31 | F | FL | 01/13/2025 |
COVID19 |
MODERNA |
|
Gingival recession, Noninfective gingivitis
Gingival recession, Noninfective gingivitis
|
Approximately 1 month after receiving the vaccine, my daughter started getting inflamed gums. As ti...
Approximately 1 month after receiving the vaccine, my daughter started getting inflamed gums. As time went on they became more severe. She has seen numerous physicians and they cannot find a reason for this and they keep saying it could be a result of the covid vaccine. She has seen endocrinologists, rheumatology, dental and endodontist along with orthodontist. Her gum line is receding and extremely inflamed.
More
|
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| 2820616 | 11 | M | TN | 01/13/2025 |
MNQ TDAP |
SANOFI PASTEUR SANOFI PASTEUR |
|
Injection site erythema; Injection site erythema
Injection site erythema; Injection site erythema
|
Patient started to have redness at injection site the next day per mom call on the 7th, patient came...
Patient started to have redness at injection site the next day per mom call on the 7th, patient came in on the 8th for a different appt dr looked at injection site and drew a line around it and adv to comeback or go to ER if passed that line. Pt came in the next day because it had cross the line dr gave cream and oral med for emergency start with the cream and the next it was worst had them start oral meds.
More
|
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| 2820617 | 43 | F | CA | 01/13/2025 |
COVID19 COVID19 COVID19 COVID19 |
MODERNA MODERNA MODERNA MODERNA |
8080803 8080803 8080803 8080803 |
Blood glucose increased, Blood pressure increased, Bradycardia, Chills, Dysgeusi...
Blood glucose increased, Blood pressure increased, Bradycardia, Chills, Dysgeusia; Dyspnoea, Feeling hot, Heart rate increased, Injection site rash, Musculoskeletal chest pain; Palpitations, Postural orthostatic tachycardia syndrome, Pyrexia, Rash erythematous, Systemic inflammatory response syndrome; Tremor, White blood cell count increased
More
|
1/6/2025 During the injection I could feel the vaccine travel up my shoulder, up my neck, and to my ...
1/6/2025 During the injection I could feel the vaccine travel up my shoulder, up my neck, and to my cheeks. Metallic taste occurred. Everything felt warm, hard to breathe. Small red rash below injection site. Heart rate and blood pressure up. I rested and drank a bottle of water. Symptoms lessened, so I returned home. Heart rate remained high. The following day I experienced Orthostatic heart rates. 1/8/2025 HR increased to 152 when standing, 110?s when sitting with palpitations. I went to the emergency room. I received a bonus of IV fluid, lab work completed with diagnosis of systemic inflammation post vaccine. 1/11/2025. Heart rate still orthostatic, but rate improved. Onset of shaking and chills, chest/muscle pain, low grade fever noted. Some episodes of bradycardia with rebounding (47 up to 80). Symptoms improved with Tylenol/Ibuprofen. 1/13/2025 Follow up Dr appointment today with Echocardiogram scheduled for the 16th.
More
|
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| 2820618 | 69 | M | FL | 01/13/2025 |
FLU3 PNC20 |
SEQIRUS, INC. PFIZER\WYETH |
388490 LC1281 |
Extra dose administered; Extra dose administered
Extra dose administered; Extra dose administered
|
Patient received 2 flu shots in one year (previous shot in July)
Patient received 2 flu shots in one year (previous shot in July)
|
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| 2820619 | 80 | F | TX | 01/13/2025 |
PNC20 |
PFIZER\WYETH |
LG5579 |
Erythema, Peripheral swelling
Erythema, Peripheral swelling
|
Patient reports redness and swelling of left arm; per provider, patient is to use ice pack
Patient reports redness and swelling of left arm; per provider, patient is to use ice pack
|
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| 2820620 | 4 | M | 01/13/2025 |
UNK |
UNKNOWN MANUFACTURER |
lm2045 |
Product administered to patient of inappropriate age
Product administered to patient of inappropriate age
|
Child given dose for ages 5 and up
Child given dose for ages 5 and up
|
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| 2820621 | 65 | M | VA | 01/13/2025 |
FLU3 FLU3 |
SEQIRUS, INC. SEQIRUS, INC. |
388463 388463 |
Fall, Gait inability, Hypoaesthesia, Muscle spasms, Myalgia; Paraesthesia
Fall, Gait inability, Hypoaesthesia, Muscle spasms, Myalgia; Paraesthesia
|
Patient stated there was numbness and tingling down the arm as well as numbness in both legs. Patien...
Patient stated there was numbness and tingling down the arm as well as numbness in both legs. Patient fell to the floor and was not able to walk. Painful muscle cramping, muscle spasms in arms and legs.
More
|
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| 2820622 | 67 | F | UT | 01/13/2025 |
PNC21 TDAP |
MERCK & CO. INC. GLAXOSMITHKLINE BIOLOGICALS |
y013009 cx4hl |
Injected limb mobility decreased, Injection site erythema, Injection site swelli...
Injected limb mobility decreased, Injection site erythema, Injection site swelling, Pain, Pyrexia; Injected limb mobility decreased, Injection site erythema, Injection site swelling, Pain, Pyrexia
More
|
Patient had redness almost immediately an inch below the injection site, she was feeling fine. She s...
Patient had redness almost immediately an inch below the injection site, she was feeling fine. She said that night and until Friday night the redness got worse and her arm started to swell to her elbow. It was hard for to move her arm and it hurt as well to move her hands. She said she had fevers during this time. Saturday morning when I saw it, her arm looked not as swollen and the redness looked faded. It looked like how when she left on Wednesday morning.
More
|
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| 2820623 | 43 | M | VA | 01/13/2025 |
TDAP |
SANOFI PASTEUR |
49281-400-89 |
Incorrect route of product administration
Incorrect route of product administration
|
RN accidentally administered intravenous (IV) route instead of intramuscular (IM). Monitored for hyp...
RN accidentally administered intravenous (IV) route instead of intramuscular (IM). Monitored for hypotension for 1 hour before patient was transferred to University 1 hour later.
More
|
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| 2820624 | M | TX | 01/13/2025 |
TDAP TDAP |
GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS |
m77cc m77cc |
Dizziness, Feeling abnormal, Hypoaesthesia, Paraesthesia, Tinnitus; Vertigo
Dizziness, Feeling abnormal, Hypoaesthesia, Paraesthesia, Tinnitus; Vertigo
|
"I received my Tdap vaccine. After I got the shot, I felt dizzy and have vertigo, and ache. Fee...
"I received my Tdap vaccine. After I got the shot, I felt dizzy and have vertigo, and ache. Feels like my head is floating." - Reported 01/09/25. " ...bad vertigo and dizziness since i received that shot....The ringing in my ears is becoming a issue with hearing people as well. Oh and my fingers are numb and tingling" - Reported 01/13/2024
More
|
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| 2820625 | 9 | F | CO | 01/13/2025 |
HEPA |
GLAXOSMITHKLINE BIOLOGICALS |
A3X2K |
Extra dose administered, No adverse event
Extra dose administered, No adverse event
|
Patient did not show an adverse reaction
Patient did not show an adverse reaction
|
||||||
| 2820626 | 0.5 | M | ID | 01/13/2025 |
DTPPVHBHPB IPV RV5 |
MSP VACCINE COMPANY SANOFI PASTEUR MERCK & CO. INC. |
U7899AA W1A191m Y003753 |
Extra dose administered; Extra dose administered; Extra dose administered
Extra dose administered; Extra dose administered; Extra dose administered
|
Did not notice, before administration, that the Vaxelis vaccine had the Polio portion in the vaccine...
Did not notice, before administration, that the Vaxelis vaccine had the Polio portion in the vaccine. Notified mother after the incident and she stated the child was sleeping.
More
|
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| 2820627 | 13 | F | CA | 01/13/2025 |
PNC20 PNC20 |
PFIZER\WYETH PFIZER\WYETH |
HR3650 HR3650 |
Confusional state, Musculoskeletal stiffness, Posture abnormal, Syncope, Tongue ...
Confusional state, Musculoskeletal stiffness, Posture abnormal, Syncope, Tongue disorder; Urinary incontinence
More
|
1/10/2025 SEIZURE VS SYNCOPE AFRAID OF NEEDLES BUT HAD 3 INJECTIONS AND NO UNTOWARD SIDE EFFECTS 2 ...
1/10/2025 SEIZURE VS SYNCOPE AFRAID OF NEEDLES BUT HAD 3 INJECTIONS AND NO UNTOWARD SIDE EFFECTS 2 DAYS PRIOR:CONFUSED,LOSS OF URINE, BODY STIFFENED, EYES AND TONGUE ROLLED BACK , SLUMPED FORWARD. CODE CALLED IN HOUSE CARE THEN SENT TO ED VS AMBULANCE. DISCHARGE WITH SYNCOPE. MOC SAID SAME THING HAPPENED TO OLDER SISTER-FAINTED BUT UPON QUESTIONING OLDER SISITER DID NOT LOSE CONSCIOUSNCENESS OR URINE AND WAS NOT CONFUSED.
More
|
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| 2820628 | 58 | F | GA | 01/13/2025 |
PNC21 PNC21 VARZOS VARZOS |
MERCK & CO. INC. MERCK & CO. INC. GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS |
y011819 y011819 n77j2 n77j2 |
Erythema, Injection site pain, Medical device site reaction, Peripheral swelling...
Erythema, Injection site pain, Medical device site reaction, Peripheral swelling, Pruritus; Skin irritation, Tenderness; Erythema, Injection site pain, Medical device site reaction, Peripheral swelling, Pruritus; Skin irritation, Tenderness
More
|
Symptoms started on Saturday (5days post vaccination) which included tenderness and slight itching. ...
Symptoms started on Saturday (5days post vaccination) which included tenderness and slight itching. Sunday reaction progressed to itching, irritation, swelling, and redness. She presented on today Monday 1/13/25 with same symptoms on right arm. Patient advised to see physcian. Patient also had a freestyle libre sensor in same right arm that was in place for about a week prior to immunization. Primary reaction site is surrounding sensor. Left arm was tender for a few days around injection site and pain has subsided
More
|
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| 2820629 | 10 | M | KS | 01/13/2025 |
FLU3 |
GLAXOSMITHKLINE BIOLOGICALS |
J245K |
Product storage error
Product storage error
|
Vaccine deemed unstable due to temperature excursion
Vaccine deemed unstable due to temperature excursion
|
||||||
| 2820630 | 5 | M | KS | 01/13/2025 |
FLU3 |
GLAXOSMITHKLINE BIOLOGICALS |
J245K |
Product storage error
Product storage error
|
Vaccine deemed not stable due to temperature excursion
Vaccine deemed not stable due to temperature excursion
|
||||||
| 2820631 | 73 | F | GA | 01/13/2025 |
UNK |
UNKNOWN MANUFACTURER |
354M3 |
Confusional state, Feeling jittery, Headache, Rash
Confusional state, Feeling jittery, Headache, Rash
|
RASH, HEADACHE, JITTERY AND CONFUSED - WENT TO ER TO GET CHECKED UP
RASH, HEADACHE, JITTERY AND CONFUSED - WENT TO ER TO GET CHECKED UP
|
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| 2820632 | 1.33 | M | OK | 01/13/2025 |
MMRV |
MERCK & CO. INC. |
Y002099 |
No adverse event, Product storage error
No adverse event, Product storage error
|
patient was given immunization that was not storred appropriately, no adverse reaction reported by p...
patient was given immunization that was not storred appropriately, no adverse reaction reported by patient
More
|
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| 2820633 | 0.42 | M | NY | 01/13/2025 |
DTPPVHBHPB DTPPVHBHPB DTPPVHBHPB RV5 RV5 RV5 |
MSP VACCINE COMPANY MSP VACCINE COMPANY MSP VACCINE COMPANY MERCK & CO. INC. MERCK & CO. INC. MERCK & CO. INC. |
U7392AA U7392AA U7392AA Y009786 Y009786 Y009786 |
Blood lactic acid, Full blood count, Hypothermia, Influenza A virus test negativ...
Blood lactic acid, Full blood count, Hypothermia, Influenza A virus test negative, Influenza B virus test; Influenza virus test negative, Platelet count normal, Procalcitonin increased, Respiratory syncytial virus test negative, SARS-CoV-2 test negative; Urine analysis normal; Blood lactic acid, Full blood count, Hypothermia, Influenza A virus test negative, Influenza B virus test; Influenza virus test negative, Platelet count normal, Procalcitonin increased, Respiratory syncytial virus test negative, SARS-CoV-2 test negative; Urine analysis normal
More
|
hypothermia
hypothermia
|
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| 2820634 | 51 | F | ID | 01/13/2025 |
VARZOS VARZOS VARZOS |
GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS |
NDC:58160-0823- NDC:58160-0823- NDC:58160-0823- |
Arthralgia, Chills, Erythema, Fatigue, Migraine; Myalgia, Nausea, Pain in extrem...
Arthralgia, Chills, Erythema, Fatigue, Migraine; Myalgia, Nausea, Pain in extremity, Peripheral swelling, Pruritus; Pyrexia, Skin discolouration, Skin warm, Tenderness
More
|
1. ARM SORENESS, SWELLING, AND REDDNESS. WHICH GREW AND SPREAD AROUND NEARLY ENTIRE UPPER ARM. HOT ...
1. ARM SORENESS, SWELLING, AND REDDNESS. WHICH GREW AND SPREAD AROUND NEARLY ENTIRE UPPER ARM. HOT TO THE TOUCH AND PAINFUL. MY ARM STILL LOOKS LIKE SOMEONE PUNCHED IT AND IT HAS BEEN 10 DAYS. 2. FEVER AND SHIVERS STARTING 1/4/25 RANGING FROM 99.0 TO 101.6. LASTED 4 DAYS 3. NAUSEA LASTED 4 DAYS 4. MIGRAINE LIKE HEADACHES (I AM STILL HAVING THEM. 5. MUSCLE AND JOINT ACHES AND PAIN LASTED FOR ABOUT 3 DAYS. 6. TIREDNESS LASTED A WEEK 7. 10 DAYS AFTER VACCINE STILL HAVING HEADACHES AND MY ARM ITCHES AND AS STATED BEFORE IT LOOKS PURPLISH LIKE IVE BEEN PUNCHED AND STILL HAS SLIGHT TENDERNESS.
More
|
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| 2820635 | 12 | F | KS | 01/13/2025 |
HPV9 MNQ TDAP |
MERCK & CO. INC. NOVARTIS VACCINES AND DIAGNOSTICS GLAXOSMITHKLINE BIOLOGICALS |
X014788 M23G5 HA9CH |
Product storage error; Product storage error; Product storage error
Product storage error; Product storage error; Product storage error
|
Vaccines deemed not stable due to temperature excursion
Vaccines deemed not stable due to temperature excursion
|
||||||
| 2820636 | 73 | F | MO | 01/13/2025 |
FLU3 VARZOS |
GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS |
|
Extra dose administered, Wrong product administered; Extra dose administered, Wr...
Extra dose administered, Wrong product administered; Extra dose administered, Wrong product administered
More
|
Patient requested shingrix vaccine but was given flulaval by mistake. She has already received Flula...
Patient requested shingrix vaccine but was given flulaval by mistake. She has already received Flulaval this flu season. After the error was discovered she was administered shingrix.
More
|
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| 2820637 | 17 | F | KS | 01/13/2025 |
MENB |
NOVARTIS VACCINES AND DIAGNOSTICS |
EN939 |
Reaction to previous exposure to any vaccine
Reaction to previous exposure to any vaccine
|
Vaccine deemed not stable due to temperature excursion .
Vaccine deemed not stable due to temperature excursion .
|
||||||
| 2820638 | 1 | M | NC | 01/13/2025 |
DTAPIPVHIB HEP HIBV MMR PNC20 |
SANOFI PASTEUR GLAXOSMITHKLINE BIOLOGICALS MERCK & CO. INC. MERCK & CO. INC. PFIZER\WYETH |
UK042AB 4D333 X008998 Y000224 HR3649 |
Extra dose administered, No adverse event; Extra dose administered, No adverse e...
Extra dose administered, No adverse event; Extra dose administered, No adverse event; Extra dose administered, No adverse event; Extra dose administered, No adverse event; Extra dose administered, No adverse event
More
|
Patient was accidentally administered a separate dose of Hib in addition to receiving the Pentacel t...
Patient was accidentally administered a separate dose of Hib in addition to receiving the Pentacel today. No significant adverse event to report at this time otherwise.
More
|
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| 2820639 | 17 | M | FL | 01/13/2025 |
HPV9 MENB MNQ |
MERCK & CO. INC. NOVARTIS VACCINES AND DIAGNOSTICS SANOFI PASTEUR |
Y010466 ZK9P4 U8351CA |
Cold sweat, Electrocardiogram normal, Presyncope; Cold sweat, Electrocardiogram ...
Cold sweat, Electrocardiogram normal, Presyncope; Cold sweat, Electrocardiogram normal, Presyncope; Cold sweat, Electrocardiogram normal, Presyncope
More
|
Child had a near-syncopal episode within a minute of receiving vaccination. He was noted to feel cl...
Child had a near-syncopal episode within a minute of receiving vaccination. He was noted to feel clammy but returned to baseline immediately. However, after being observed for several minutes he was noted to have another episode as he left the office. Again, he returned to baseline quickly but given the repeat episode EMS was alerted. He was eval and BP, EKG, etc were nl. Decision was made not to go to ED. F/U call to child's family more than 24 hours later revealed no further symptoms
More
|
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| 2820640 | 0.33 | M | KS | 01/13/2025 |
DTAP |
GLAXOSMITHKLINE BIOLOGICALS |
TX77L |
Product storage error
Product storage error
|
Vaccine deemed not stable due to temperature excursion
Vaccine deemed not stable due to temperature excursion
|
||||||
| 2820644 | 58 | M | IN | 01/13/2025 |
FLU3 |
GLAXOSMITHKLINE BIOLOGICALS |
PG52S |
Extra dose administered
Extra dose administered
|
Provider missed flu vaccine documented in patients chart and informed MA to give vaccine. MA did not...
Provider missed flu vaccine documented in patients chart and informed MA to give vaccine. MA did not confirm in patients chart before giving.
More
|
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| 2820645 | 0.58 | M | KS | 01/13/2025 |
DTAPHEPBIP HIBV |
GLAXOSMITHKLINE BIOLOGICALS MERCK & CO. INC. |
X9EP5 X022982 |
Product storage error; Product storage error
Product storage error; Product storage error
|
Vaccine deemed unstable due to temperature excursion
Vaccine deemed unstable due to temperature excursion
|
||||||
| 2820646 | 85 | M | MN | 01/13/2025 |
COVID19 COVID19 COVID19 COVID19 COVID19 COVID19 COVID19 |
PFIZER\BIONTECH PFIZER\BIONTECH PFIZER\BIONTECH PFIZER\BIONTECH PFIZER\BIONTECH PFIZER\BIONTECH PFIZER\BIONTECH |
EL9267 EN6204 FF8841 FM7553 GH9702 HF9298 LM2216 |
Dyspnoea, Productive cough, Pyrexia, Respiratory pathogen panel; Dyspnoea, Produ...
Dyspnoea, Productive cough, Pyrexia, Respiratory pathogen panel; Dyspnoea, Productive cough, Pyrexia, Respiratory pathogen panel; Dyspnoea, Productive cough, Pyrexia, Respiratory pathogen panel; Dyspnoea, Productive cough, Pyrexia, Respiratory pathogen panel; Dyspnoea, Productive cough, Pyrexia, Respiratory pathogen panel; Dyspnoea, Productive cough, Pyrexia, Respiratory pathogen panel; Dyspnoea, Productive cough, Pyrexia, Respiratory pathogen panel
More
|
Productive cough, fever, shortness of breath for 3-4 days
Productive cough, fever, shortness of breath for 3-4 days
|
โ | |||||
| 2820649 | U | IL | 01/13/2025 |
COVID19 FLU3 |
PFIZER\BIONTECH SEQIRUS, INC. |
LM2219 946626 |
Loss of consciousness, Syncope; Loss of consciousness, Syncope
Loss of consciousness, Syncope; Loss of consciousness, Syncope
|
syncope: loss of consciouness for a few moments and immediatley reagin/had a patient lie on their b...
syncope: loss of consciouness for a few moments and immediatley reagin/had a patient lie on their back and was ok
More
|
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| 2820650 | 69 | F | SD | 01/13/2025 |
FLU3 |
SANOFI PASTEUR |
NDC:49281-0724- |
Cough, Fatigue, Headache
Cough, Fatigue, Headache
|
very bad cough, fatigue, mild headache
very bad cough, fatigue, mild headache
|
||||||
| 2820651 | 0.33 | F | TX | 01/13/2025 |
HEPA MMR VARCEL |
MERCK & CO. INC. MERCK & CO. INC. MERCK & CO. INC. |
Y011731 Y004115 Y013073 |
No adverse event, Product administered to patient of inappropriate age; No adver...
No adverse event, Product administered to patient of inappropriate age; No adverse event, Product administered to patient of inappropriate age; No adverse event, Product administered to patient of inappropriate age
More
|
4 month patient given 12 month vaccines in Error. No adverse reactions have occurred yet. MD spoke w...
4 month patient given 12 month vaccines in Error. No adverse reactions have occurred yet. MD spoke with mother of child and gave reassurance and answered any questions. Made a 1 week follow up appointment to recheck baby. Mother of child wants to take child to emergency room to have patient checked for her reassurance.
More
|
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| 2820652 | 72 | F | AZ | 01/13/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
ga99k |
Injection site erythema
Injection site erythema
|
Patient states noticed redness in the arm where vaccine was received that caused her alarm as it was...
Patient states noticed redness in the arm where vaccine was received that caused her alarm as it was unexpected. Redness appeared to be approximately 1 inch by 3inches towards the medial portion of the arm. No complaints of pain, only redness. Patient noticed it appear on Sunday and appeared the same or slightly better in the day since she noticed it but requested VAERS be filled out. Spoke with employee at prescriber office and notes were added to patient chart regarding vaccine reaction.
More
|
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| 2820653 | 5 | F | KS | 01/13/2025 |
FLU3 |
GLAXOSMITHKLINE BIOLOGICALS |
J245K |
Product storage error
Product storage error
|
Vaccine deemed not stable due to temperature excursion
Vaccine deemed not stable due to temperature excursion
|
||||||
| 2820654 | 76 | F | TN | 01/13/2025 |
TDAP |
GLAXOSMITHKLINE BIOLOGICALS |
|
Extra dose administered, Wound
Extra dose administered, Wound
|
Boostrix vaccine given on 6/24/24 and 1/3/25 when not indicated. Patient was unaware she had gotten ...
Boostrix vaccine given on 6/24/24 and 1/3/25 when not indicated. Patient was unaware she had gotten 6/24/24. She had a wound on her heel, and it was recommended by her doctor to get a Boostrix shot. He was unaware she had gotten 6/24/24 as well.
More
|
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| 2820655 | 12 | F | IL | 01/13/2025 |
HPV9 HPV9 |
MERCK & CO. INC. MERCK & CO. INC. |
|
Computerised tomogram head, Computerised tomogram spine, Electrocardiogram, Fall...
Computerised tomogram head, Computerised tomogram spine, Electrocardiogram, Fall, Head injury; Syncope, Traumatic tooth displacement, X-ray
More
|
Vasovagal Syncope approx 5-8 minutes after vaccine administration. Pt fell off table face first, dis...
Vasovagal Syncope approx 5-8 minutes after vaccine administration. Pt fell off table face first, displacing top front tooth, hitting head, and had a possible seizure.
More
|
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| 2820656 | 1.17 | M | KS | 01/13/2025 |
FLU3 HEPA HIBV |
GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS MERCK & CO. INC. |
J245K Y011643 X022982 |
Product storage error; Product storage error; Product storage error
Product storage error; Product storage error; Product storage error
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Vaccines deemed not stable due to temperature excursion
Vaccines deemed not stable due to temperature excursion
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| 2820657 | F | CA | 01/13/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
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Gait disturbance, Urinary incontinence
Gait disturbance, Urinary incontinence
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Bladder wouldn't work, wetting over the bathroom floor, could not walk very well 15 minutes to ...
Bladder wouldn't work, wetting over the bathroom floor, could not walk very well 15 minutes to walk two feet. primarily lower torso.
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| 2820658 | 6 | F | KS | 01/13/2025 |
HEPA |
MERCK & CO. INC. |
Y011643 |
Product storage error
Product storage error
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Vaccine deemed not stable due to temperature excursion
Vaccine deemed not stable due to temperature excursion
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| 2820659 | 1 | M | WA | 01/13/2025 |
PNC20 |
PFIZER\WYETH |
HR3650 |
Device connection issue, Underdose
Device connection issue, Underdose
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Partial dosage administered due to needle detached from syringe during administration.
Partial dosage administered due to needle detached from syringe during administration.
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| 2820661 | 0.33 | M | OH | 01/13/2025 |
DTPPVHBHPB PNC20 RV5 |
MSP VACCINE COMPANY PFIZER\WYETH MERCK & CO. INC. |
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Haematochezia, Mucous stools; Haematochezia, Mucous stools; Haematochezia, Mucou...
Haematochezia, Mucous stools; Haematochezia, Mucous stools; Haematochezia, Mucous stools
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blood and mucus in stool 1x, subsequent stools resolved
blood and mucus in stool 1x, subsequent stools resolved
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| 2820662 | 5 | F | UT | 01/13/2025 |
VARCEL |
MERCK & CO. INC. |
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Pruritus, Skin reaction, Skin warm, Swelling, Urticaria
Pruritus, Skin reaction, Skin warm, Swelling, Urticaria
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On thursday Jan 9th by daughter was given varicella vaccine. Large, 3 inch diameter, welt appeared t...
On thursday Jan 9th by daughter was given varicella vaccine. Large, 3 inch diameter, welt appeared the morning after the shot was given. Extremely itchy, deep red, swollen, and incredibly hot to the touch. Got larger 2 hours later, again 6 hours after that, and again the next morning after that. Benedryl cream was administered twice throughout the day with no relief. Took her back to clinic two days later (saturday) so they could report and monitor condition. They said to keep her on some sort of allergy med (zyrtec, etc.)
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