| ID | Age | Sex | State | Date โผ | Onset Days | Vaccine | Manufacturer | Lot # | Symptoms | Narrative | ๐ | ๐ฅ | ๐ | โฟ | โ ๏ธ |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2819959 | 18 | M | IN | 01/08/2025 |
COVID19 COVID19 FLU3 FLU3 HEPA HEPA HPV9 HPV9 MENB MENB MMR MMR MNQ MNQ TDAP TDAP VARCEL VARCEL MMR MMR |
PFIZER\BIONTECH PFIZER\BIONTECH GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS MERCK & CO. INC. MERCK & CO. INC. NOVARTIS VACCINES AND DIAGNOSTICS NOVARTIS VACCINES AND DIAGNOSTICS MERCK & CO. INC. MERCK & CO. INC. NOVARTIS VACCINES AND DIAGNOSTICS NOVARTIS VACCINES AND DIAGNOSTICS GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS MERCK & CO. INC. MERCK & CO. INC. MERCK & CO. INC. MERCK & CO. INC. |
LM2219 LM2219 7KZ9R 7KZ9R 5JA57 5JA57 Y007991 Y007991 52N4S 52N4S X000177 X000177 FX3ED FX3ED CX4HL CX4HL Y006522 Y006522 X000177 X000177 |
Expired product administered; Expired product administered, No adverse event; Ex...
Expired product administered; Expired product administered, No adverse event; Expired product administered; Expired product administered, No adverse event; Expired product administered; Expired product administered, No adverse event; Expired product administered; Expired product administered, No adverse event; Expired product administered; Expired product administered, No adverse event; Expired product administered; Expired product administered, No adverse event; Expired product administered; Expired product administered, No adverse event; Expired product administered; Expired product administered, No adverse event; Expired product administered; Expired product administered, No adverse event; Expired product administered; Expired product administered, No adverse event
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Patient received a dose of MMR on 01/08/2025 that had expired on 01/02/2025. I called Merck, and the...
Patient received a dose of MMR on 01/08/2025 that had expired on 01/02/2025. I called Merck, and they stated that they have data supporting the potency of the vaccine.
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| 2819960 | 63 | M | MN | 01/08/2025 |
COVID19 |
MODERNA |
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COVID-19, SARS-CoV-2 test positive
COVID-19, SARS-CoV-2 test positive
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Hospitalization related to COVID 19 following completion of primary vaccine series
Hospitalization related to COVID 19 following completion of primary vaccine series
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โ | |||||
| 2819961 | 10 | F | WI | 01/08/2025 |
COVID19 FLU3 |
MODERNA GLAXOSMITHKLINE BIOLOGICALS |
3044091 T75MP |
Chest discomfort, Pain in extremity, Pallor, Throat tightness; Chest discomfort,...
Chest discomfort, Pain in extremity, Pallor, Throat tightness; Chest discomfort, Pain in extremity, Pallor, Throat tightness
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pale and stated chest felt heavy, thought throat felt tight with some left arm pain
pale and stated chest felt heavy, thought throat felt tight with some left arm pain
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| 2819962 | 80 | F | WI | 01/08/2025 |
COVID19 |
MODERNA |
3043837 |
Chest discomfort, Dizziness, Feeling abnormal, Pain in extremity
Chest discomfort, Dizziness, Feeling abnormal, Pain in extremity
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felt "kind of funny," complained of lightheadedness, chest tightness/heaviness, and right ...
felt "kind of funny," complained of lightheadedness, chest tightness/heaviness, and right arm pain.
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| 2819963 | 23 | F | CA | 01/08/2025 |
HEP |
GLAXOSMITHKLINE BIOLOGICALS |
TP2F9 |
Arthralgia, Pain, Paraesthesia, Skin warm
Arthralgia, Pain, Paraesthesia, Skin warm
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After Vaccination Patient compliant of tingling in left hand on the finger tips. And left minor elb...
After Vaccination Patient compliant of tingling in left hand on the finger tips. And left minor elbow pain radiating down towards the hand. tingling subsided after 10 minutes. Patient also stated that left Palm of hand was warm.
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| 2819964 | 50 | F | WI | 01/08/2025 |
FLU3 |
GLAXOSMITHKLINE BIOLOGICALS |
T75MP |
Pruritus, Throat tightness
Pruritus, Throat tightness
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itchy, tightness in throat
itchy, tightness in throat
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| 2819965 | 9 | F | KS | 01/08/2025 |
HEPA IPV TDAP VARCEL |
GLAXOSMITHKLINE BIOLOGICALS SANOFI PASTEUR SANOFI PASTEUR MERCK & CO. INC. |
C24B9 W1C831M U7999AA Y010373 |
Lethargy, Pallor, Palpitations; Lethargy, Pallor, Palpitations; Lethargy, Pallor...
Lethargy, Pallor, Palpitations; Lethargy, Pallor, Palpitations; Lethargy, Pallor, Palpitations; Lethargy, Pallor, Palpitations
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Child was very nervous prior to receiving vaccines. Tolerated vaccinations well. Nurse stepped away ...
Child was very nervous prior to receiving vaccines. Tolerated vaccinations well. Nurse stepped away from the room; returned; child was standing holding chest stated, " Heart racing" Moved child to exam table; elevated her head and lower extremities. Child then appeared pale and lethargic; arousable. V/S B/P 69/40 pulse 64, 02 sat 100%. Child then appeared on the verge of unconsciousness with eyes closed; yet able to arouse. V/S retaken 83/54 pulse 76 02 sat 100%. Within 3-4 minutes Child was alert; color good, V/S 112/66 02 sat 96% pulse 79. Stated she felt better. Nurse Practitioner assessed pt; and spoke with mother; mother stated, " She has done this before because she is very terrified of Shots" Explained to mother; this needs to be communicated with staff everywhere she goes; even for blood draws. Verbalized understanding.
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| 2819966 | 70 | F | IL | 01/08/2025 |
COVID19 FLU3 |
PFIZER\BIONTECH SANOFI PASTEUR |
LM2211 ut8409ea |
Arthralgia, Fatigue, Myalgia, Polymyalgia rheumatica; Arthralgia, Fatigue, Myalg...
Arthralgia, Fatigue, Myalgia, Polymyalgia rheumatica; Arthralgia, Fatigue, Myalgia, Polymyalgia rheumatica
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Pt first started experience side effects from the vaccines 4 days after the vaccines were administer...
Pt first started experience side effects from the vaccines 4 days after the vaccines were administered. Pt experienced exhaustion, muscle pain, joint pain, shoulder pain, and knee pain.
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| 2819967 | 0.83 | F | KS | 01/08/2025 |
DTAPHEPBIP FLU3 |
GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS |
X9EP5 J245K |
Product storage error; Product storage error
Product storage error; Product storage error
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Vaccine deemed not stable due to temp excursion
Vaccine deemed not stable due to temp excursion
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| 2819968 | 2 | M | VA | 01/08/2025 |
PPV |
MERCK & CO. INC. |
X014729 |
No adverse event, Product administered to patient of inappropriate age
No adverse event, Product administered to patient of inappropriate age
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No adverse reactions
No adverse reactions
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| 2819969 | 81 | F | FL | 01/08/2025 |
FLU3 |
SANOFI PASTEUR |
ut8470ba |
Fall, Pain in extremity, Photopsia, Screaming
Fall, Pain in extremity, Photopsia, Screaming
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Pt came to pharmacy to request a refill for her Amlodipine refilled and asked for a Flu shot.. Upon ...
Pt came to pharmacy to request a refill for her Amlodipine refilled and asked for a Flu shot.. Upon filling the questionnaire, pt answered all questions as (NO) which include "do you get dizzy or faint after a vaccine".. after vaccine was administered; pt was advised to wait for a bit just in case but she objected. and said "I have to leave to take care of my disabled husband".. as she was leaving the pharmacy, Pharmacy staff received a call from the front register indicating patient fell. Pharmacist, pharmacy tech and shift lead approached the patient trying to help her questioning patient; patient said "I was diabetic and my doctor just took me off Metformin.. I did not have anything to eat or drink this morning.. as was leaving the store I saw a flash of light in front of me and I fell". Patient asked team to just help her to get up as she wanted to go home, but as tech was helping her out, she was screaming of pain in her arm and could NOT bare the pain, so team had to call 911 and get her sent to hospital.
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| 2819970 | 48 | F | FL | 01/08/2025 |
COVID19 |
JANSSEN |
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Deafness unilateral, Electric shock sensation, Tinnitus
Deafness unilateral, Electric shock sensation, Tinnitus
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I and my friend both had shooting electric shock 1 sec pain that migrated around the body for about ...
I and my friend both had shooting electric shock 1 sec pain that migrated around the body for about 4-6 weeks after the vaccine. They resolved in both of us. I have had this return briefly one for only a day about a year later but for the last 4 weeks has returned. Neurology has said no MS etc. never has before the vaccine. I also have had a return of tinnitus that became mostly in my left ear that resulted in hearing loss but also in the right ear. The right ear still has tinnitus. None was present before the vaccine. I begin to make multiple autoantibodies after the JnJ including new Anti-TSI, Anti scl-70, HSCrp is 6.11
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| 2819971 | 12 | F | WA | 01/08/2025 |
MNQ |
SANOFI PASTEUR |
U8361AA |
Blood glucose normal, Dizziness, Syncope
Blood glucose normal, Dizziness, Syncope
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Syncope episode after injection , felt faint, was placed on exam table laying down with elevated leg...
Syncope episode after injection , felt faint, was placed on exam table laying down with elevated legs, RN and staff monitored patient until she felt better- juice and water provided-pt had not had any food prior to injection. Patient was discharged in stable condition.
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| 2819972 | 50 | M | TX | 01/08/2025 |
FLU3 |
SANOFI PASTEUR |
UT845AA |
Product administered to patient of inappropriate age
Product administered to patient of inappropriate age
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Pt given high dose flu not within the age parameters of the high dose limits. Pt gave wrong name an...
Pt given high dose flu not within the age parameters of the high dose limits. Pt gave wrong name and birthdate verified by both front desk and myself. I was using interpreter during the visit but when the patient could speak some of the language the interpreter stopped helping.
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| 2819973 | 18 | M | NE | 01/08/2025 |
MENB MNQ |
PFIZER\WYETH SANOFI PASTEUR |
GX1463 U8351CA |
Chills, Migraine, Vomiting; Chills, Migraine, Vomiting
Chills, Migraine, Vomiting; Chills, Migraine, Vomiting
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chills, migraine, vomiting
chills, migraine, vomiting
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| 2819974 | M | IL | 01/08/2025 |
COVID19 |
PFIZER\BIONTECH |
FJ8757 |
COVID-19, Drug ineffective
COVID-19, Drug ineffective
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had covid in June of this year; had covid in June of this year; This is a spontaneous report receive...
had covid in June of this year; had covid in June of this year; This is a spontaneous report received from a Consumer or other non HCP, Program ID: . A 35-year-old male patient received BNT162b2 (BNT162B2), on 30Apr2021 as dose 1, single (Lot number: EW0170, Expiration Date: 22Nov2021), in right arm, on 21May2021 as dose 2, single (Lot number: EW0178, Expiration Date: 22Nov2021), in right arm and as dose 3 (booster), single (Lot number: FJ8757, Expiration Date: 22Nov2021), in right arm, all intramuscular for covid-19 immunisation. The patient's relevant medical history included: "COVID-19" (unspecified if ongoing), notes: had it when was unvaccinated. The patient's concomitant medications were not reported. The following information was reported: DRUG INEFFECTIVE (medically significant), COVID-19 (medically significant) all with onset Jun2024, outcome "unknown" and all described as "had covid in June of this year".; Sender's Comments: Linked Report(s) : US-PFIZER INC-202400329270 same patient, different vaccine dose/event;US-PFIZER INC-202400329386 same patient, different vaccine dose/event;
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| 2819975 | 70 | M | PA | 01/08/2025 |
COVID19 |
PFIZER\BIONTECH |
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COVID-19, Drug ineffective
COVID-19, Drug ineffective
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just tested positive for Covid this morning / I've been with Pfizer since that / I've tak...
just tested positive for Covid this morning / I've been with Pfizer since that / I've taken all the shots; just tested positive for Covid this morning / I've been with Pfizer since that / I've taken all the shots; This is a spontaneous report received from a Consumer or other non HCP, Program ID: . A 70-year-old male patient received BNT162b2 omicron (kp.2) (COMIRNATY (2024-2025 FORMULA)), as dose 1, single (Batch/Lot number: unknown) at the age of 70 years for covid-19 immunisation. The patient's relevant medical history and concomitant medications were not reported. Vaccination history included: Bnt162b2 (Primary immunization series complete), for Covid-19 Immunization. The following information was reported: DRUG INEFFECTIVE (medically significant), COVID-19 (medically significant), outcome "unknown" and all described as "just tested positive for Covid this morning / I've been with Pfizer since that / I've taken all the shots". Additional information: During this inbound call for financial assistance the caller (patient) stated "...I just tested positive for Covid this morning, and my doctor ordered the prescription for me. Now I do have a prescription card from my company, but the problem is the card I downloaded expired at the end of last year." Then at the end of the call the caller stated "...I just hope this gets this thing cleared up, It's not as bad as had it in 2020 but I've been with Pfizer since that, that's for sure, I've taken all the shots, although (inaudible) Covid shots..." The information on the batch/lot number for BNT162b2 omicron (kp.2) will be requested and submitted if and when received.
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| 2819976 | U | MA | 01/08/2025 |
PNC20 |
PFIZER\WYETH |
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Rash erythematous, Rash pruritic
Rash erythematous, Rash pruritic
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Itchy red rash; Itchy red rash; This is a spontaneous report received from a Pharmacist. An adult p...
Itchy red rash; Itchy red rash; This is a spontaneous report received from a Pharmacist. An adult patient received pneumococcal 20-val conj vac (dipht CRM197 protein) (PREVNAR 20), in Oct2024 as dose 1, single (Batch/Lot number: unknown) for immunisation. The patient's relevant medical history and concomitant medications were not reported. The following information was reported: RASH ERYTHEMATOUS (non-serious), RASH PRURITIC (non-serious) all with onset Oct2024, outcome "unknown" and all described as "Itchy red rash". Therapeutic measures were taken as a result of rash erythematous, rash pruritic. Additional information: pharmacy said that one of their patients back in October (2024) had gotten a itchy red rash after getting a Prevnar 20 vaccine (adult patient). The patient was given Zyrtec and a topical Benadryl. This adverse reaction that had happened in October (2024). The information on the batch/lot number for pneumococcal 20-val conj vac (dipht CRM197 protein) will be requested and submitted if and when received.
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| 2819977 | 33 | F | 01/08/2025 |
RSV |
PFIZER\WYETH |
LN5463 |
Injection site discomfort, Injection site erythema, Injection site swelling, Lym...
Injection site discomfort, Injection site erythema, Injection site swelling, Lymphadenopathy
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swelling, redness and discomfort (like a huge hive) at the site of injection; swelling, redness and ...
swelling, redness and discomfort (like a huge hive) at the site of injection; swelling, redness and discomfort (like a huge hive) at the site of injection; swelling, redness and discomfort (like a huge hive) at the site of injection; swelling, redness and discomfort (like a huge hive) at the site of injection; swollen lymph nodes in armpit and side of breast on the side that injection was administered; This is a spontaneous report received from an Other HCP. A 33-year-old female patient (pregnant) received rsv vaccine prot.subunit pref 2v (ABRYSVO), on 31Dec2024 as dose 1, single (Lot number: LN5463) at the age of 33 years for maternal immunisation. The patient's relevant medical history included: "adhesive tape allergy" (unspecified if ongoing); "shellfish allergy" (unspecified if ongoing). The patient is expected to deliver a baby(s) on 13Feb2025. The patient's concomitant medications were not reported. The following information was reported: VACCINATION SITE SWELLING (non-serious), VACCINATION SITE ERYTHEMA (non-serious), VACCINATION SITE DISCOMFORT (non-serious), VACCINATION SITE URTICARIA (non-serious), outcome "recovering" and all described as "swelling, redness and discomfort (like a huge hive) at the site of injection"; LYMPHADENOPATHY (non-serious), outcome "recovering", described as "swollen lymph nodes in armpit and side of breast on the side that injection was administered". Therapeutic measures were not taken as a result of vaccination site swelling, vaccination site erythema, vaccination site discomfort, vaccination site urticaria, lymphadenopathy. Additional information: Patient was vaccinated on the left side. The patient did not receive any other vaccines on the same date as the ABRYSVO and any other vaccines within 4 weeks PRIOR to the ABRYSVO.
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| 2819978 | 57 | F | TX | 01/08/2025 |
PNC20 |
PFIZER\WYETH |
L45575 |
Feeling abnormal, Loss of personal independence in daily activities, Pain, Swell...
Feeling abnormal, Loss of personal independence in daily activities, Pain, Swelling
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Severe pain/terrible pain; swelling; I even can't change my clothes, even can't take showe...
Severe pain/terrible pain; swelling; I even can't change my clothes, even can't take shower/Can't do anything work with my left hand; it's really bad feeling; This is a spontaneous report received from a Consumer or other non HCP. A 57-year-old female patient received pneumococcal 20-val conj vac (dipht CRM197 protein) (PREVNAR 20), on 29Dec2024 as dose number unknown, single (Lot number: L45575, Expiration Date: Mar2026) at the age of 57 years for immunisation. The patient's relevant medical history included: "thyroid" (unspecified if ongoing); "pre-diabetic" (unspecified if ongoing). Concomitant medication(s) included: LEVOTHYROXINE taken for thyroid disorder (ongoing); METFORMIN taken for glucose tolerance impaired, start date: 2024 (ongoing). The following information was reported: PAIN (non-serious), outcome "not recovered", described as "Severe pain/terrible pain"; SWELLING (non-serious), outcome "not recovered"; LOSS OF PERSONAL INDEPENDENCE IN DAILY ACTIVITIES (non-serious), outcome "unknown", described as "I even can't change my clothes, even can't take shower/Can't do anything work with my left hand"; FEELING ABNORMAL (non-serious), outcome "unknown", described as "it's really bad feeling". Therapeutic measures were taken as a result of pain, swelling. Additional information: Prevnar 20 is on the routine that patient supposed got her insurance, her doctor told her that she can go and take that vaccine because here the pneumonia is very common, she should prevent herself, so she should take that vaccine. It's normal protocol that she supposed to take that vaccine. Consumer stated about lot number, "They wrote here L45575 or 645575. or maybe it's L or 6 I don't know about their writing." Consumer stated, "There actually I get one of the vaccine from Pharmacy that is pneumonia vaccine, named Prevnar 20. I had a very bad reaction for that vaccine. I am still I get that vaccine, but I still have severe pain, swelling and I concerned my doctor, or the nurse and they said you can take this Ibuprofen. I am taking Ibuprofen 800 mg but still I am having terrible pain today(04Jan2025. I visited a Pharmacy and talk to them. It's a severe reaction or any it's hurting a lot." Consumer stated, "Severe pain. I even can't change my clothes, even can't take shower. I have a severe pain I am taking whenever I am taking 800 mg like in the morning, I took 800 mg Ibuprofen after two three hours it little bit mild but still I can't do anything work with my left hand." Consumer stated, "I feel after few hours little bit relaxed but when I pass like now, I took that medicine at 9 AM. Now I am that time I will say I am having terrible pain but I have to take after 12 hours that medication, I am not allowed to take right away. So, I wait for two like nine ten after passing 12 hour then I take the second dose, it's really bad feeling." Consumer stated, "Do you know anything which I do for to relieve the pain because I go to the Pharmacy and they said you can only do the ice like cold so I took that but it's not work because I am having a terrible pain."
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| 2819979 | F | 01/08/2025 |
COVID19 |
PFIZER\BIONTECH |
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COVID-19, Drug ineffective
COVID-19, Drug ineffective
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Caller had covid in 27Aug2024; Caller had covid in 27Aug2024; This is a spontaneous report received ...
Caller had covid in 27Aug2024; Caller had covid in 27Aug2024; This is a spontaneous report received from a Consumer or other non HCP from medical information team. A female patient received BNT162b2 omi xbb.1.5 (COMIRNATY (2023-2024 FORMULA)), as dose 1, single (Batch/Lot number: unknown) for covid-19 immunisation. The patient's relevant medical history and concomitant medications were not reported. Vaccination history included: Bnt162b2 (Primary immunization completed), for Covid-19 immunization; Bnt162b2 (Dose number unknown, Booster), for Covid-19 immunization; Bnt162b2;bnt162b2 omi ba.4-5 (Dose number unknown, Booster), for Covid-19 immunization. The following information was reported: DRUG INEFFECTIVE (medically significant), COVID-19 (medically significant) all with onset 27Aug2024, outcome "unknown" and all described as "Caller had covid in 27Aug2024". No follow-up attempts are possible. Batch/lot number is not provided, and it cannot be obtained.
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| 2819980 | 58 | M | HI | 01/08/2025 |
COVID19 |
PFIZER\BIONTECH |
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Blood pressure measurement, Chest discomfort, Hypotension
Blood pressure measurement, Chest discomfort, Hypotension
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had funny feeling on left chest in the afternoon; hypotension (80/60mmHg); This is a spontaneous rep...
had funny feeling on left chest in the afternoon; hypotension (80/60mmHg); This is a spontaneous report received from a Physician from a sales representative. A 58-year-old male patient received BNT162b2 omicron (kp.2) (COMIRNATY (2024-2025 FORMULA)), on 01Oct2024 as dose 1; single (Batch/Lot number: unknown) at the age of 58 years for covid-19 immunisation. The patient's relevant medical history included: "tiredness" (unspecified if ongoing), notes: 1-yr history; "weakness" (unspecified if ongoing), notes: 1-yr history; "numbness" (unspecified if ongoing), notes: 1-yr history; "covid-19", start date: Jun2024 (not ongoing), notes: approx 4 months prior to vaccination; "anxious personality" (unspecified if ongoing); "high mercury" (unspecified if ongoing), notes: received chelation therapy. The patient's concomitant medications were not reported. The following information was reported: CHEST DISCOMFORT (non-serious) with onset 01Oct2024, outcome "recovered", described as "had funny feeling on left chest in the afternoon"; HYPOTENSION (non-serious) with onset Oct2024, outcome "recovered", described as "hypotension (80/60mmHg)". The events "had funny feeling on left chest in the afternoon" and "hypotension (80/60mmhg)" required emergency room visit. Relevant laboratory tests and procedures are available in the appropriate section. Therapeutic measures were taken as a result of chest discomfort, hypotension. Additional information: Received Comirnaty vaccine in morning, had funny feeling on left chest in the afternoon, and went to ER the following day with hypotension (80/60mmHg). Received aspirin, and had echo & cardiologist follow-up. Also f/u 3 months later with neurologist for 1-year history of weakness, numbness, tiredness. He was treated with aspirin. No follow-up attempts are possible. Batch/lot number is not provided, and it cannot be obtained.
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| 2819981 | F | 01/08/2025 |
COVID19 |
PFIZER\BIONTECH |
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COVID-19, Drug ineffective
COVID-19, Drug ineffective
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recently contracted COVID; recently contracted COVID; This is a spontaneous report received from a C...
recently contracted COVID; recently contracted COVID; This is a spontaneous report received from a Consumer or other non HCP, Program ID. A female patient received BNT162b2 omicron (kp.2) (COMIRNATY (2024-2025 FORMULA)), as dose 1, single (Batch/Lot number: unknown) for covid-19 immunisation. The patient's relevant medical history and concomitant medications were not reported. Vaccination history included: Bnt162b2 (DOSE 1), for COVID-19 Immunization; Bnt162b2 (DOSE 2), for COVID-19 Immunization; Bnt162b2 (DOSE 3 (BOOSTER)), for COVID-19 Immunization; Bnt162b2 (DOSE 4 (BOOSTER)), for COVID-19 Immunization. The following information was reported: DRUG INEFFECTIVE (medically significant), COVID-19 (medically significant), outcome "unknown" and all described as "recently contracted COVID". No follow-up attempts are possible. Batch/lot number is not provided, and it cannot be obtained.
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| 2819989 | F | PR | 01/08/2025 |
HPV4 HPV4 HPV9 HPV9 |
MERCK & CO. INC. MERCK & CO. INC. MERCK & CO. INC. MERCK & CO. INC. |
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Chills, Condition aggravated, Cough, Depressed mood, Fatigue; Ocular hyperaemia,...
Chills, Condition aggravated, Cough, Depressed mood, Fatigue; Ocular hyperaemia, Pain, Pneumonia, Pyrexia, Rash; Chills, Condition aggravated, Cough, Depressed mood, Fatigue; Ocular hyperaemia, Pain, Pneumonia, Pyrexia, Rash
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Pneumonia/cough/fatigue; Product origin unknown; fever; chills; body aches; depressed mood; red eyes...
Pneumonia/cough/fatigue; Product origin unknown; fever; chills; body aches; depressed mood; red eyes; rashthat sprouted and spreaded on the thighs, knees, feet and elbows, arms and knuckles; This spontaneous report was received from 37-year-old female patient and refers to herself via Pharmacy. The patient's medical history was not reported. The patient's concurrent conditions included rash, and asthma. Concomitant therapies were not reported. The patient's past medical history/medical treatment(s), vaccination(s), concomitant(s) and family history were not provided. On an unknown date in 2024 (also reported as month ago), the patient was vaccinated with HPV vaccine (HPV rL1 6 11 16 18 31 33 45 52 58 VLP vaccine (yeast) (GARDASIL 9) or Quadrivalent Human Papillomavirus (Types 6,11,16,18) Recomb. Vaccine (GARDASIL) (manufacture not reported), administered for prophylaxis (strength, dose, lot #, expiry date, and route of administration were not provided). On 01-JAN-2024, the patient started therapy with dupilumab (DUPIXENT) solution for injection, 300 milligram, qow, administered subcutaneously for asthma (strength, lot #, and expiry date were not provided). Both products were delivered via unknown device. After administration of dupilumab (DUPIXENT), the patient developed fever (pyrexia), chills, body aches (pain). Patient reported that she had been depressed for personal reasons (depressed mood) and think thought of hospitalization in a psychiatric facility. Also reported a rash that sprouted and spreaded on the thighs, knees, feet and elbows, arms and knuckles, these symptoms had been present before dupilumab (DUPIXENT) but now they were more pronounced while being treated with dupilumab (DUPIXENT) and HPV vaccine. On unknown date in 2024, the patient experienced red eyes (Ocular hyperemia) (unknown latency). On 08-OCT-2024, the patient experienced pneumonia (latency: 9 month 7days) and was hospitalized due to event pneumonia from 08-OCT-2024 to 15-OCT-2024, she was still recovering and continued with cough and fatigue. It was unknown if the patient experienced any additional symptoms/events. It was not reported corrective treatment for all events. At the time of reporting, the outcome of event ocular hyperemia was reported as recovered in 2024 and the outcome of rest of events was reported as recovering. The action taken with dupilumab (DUPIXENT) was reported as no action taken (dose not changed). The action taken with the HPV vaccine was not applicable. The causal relationship between all events and all suspect products were unknown. Upon internal review, the event Pneumonia was determined to be medically significant.
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| 2819990 | 0.5 | U | AL | 01/08/2025 |
RV5 |
MERCK & CO. INC. |
x028576 |
No adverse event, Product storage error
No adverse event, Product storage error
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No adverse event; caller verified the ROTATEQ was administered after the RMPDS case was submitted.; ...
No adverse event; caller verified the ROTATEQ was administered after the RMPDS case was submitted.; This spontaneous report was received from a nurse referring to a patient, age and gender was not provided. Information regarding the patient's pertinent medical history, drug allergies or reactions, or concomitant medications was not provided. On 02-JAN-2025, the patient was vaccinated with an improperly stored dose of rotavirus Vaccine, Live, Oral, Pentavalent (ROTATEQ) oral liquid, 2 ml, for prophylaxis, (route of administration, vaccination scheme frequency, anatomical location was not reported, valid lot number x028576 with an expiration date on 08-OCT-2025). The administered dose of the vaccine experienced a temperature excursion 34.7 degrees Fahrenheit for 24 hours, it was not reported if the information was recorded by a data logger or not. No previous temperature excursion. There was no adverse effect reported.
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| 2819991 | U | OH | 01/08/2025 |
MMR VARCEL |
MERCK & CO. INC. MERCK & CO. INC. |
X024178 Y006523 |
No adverse event, Product preparation error; No adverse event, Product preparati...
No adverse event, Product preparation error; No adverse event, Product preparation error
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No additional AE reported; T/E for STERILE DILUENT. HCP stated wasn't sure if on 12/16/2024 the...
No additional AE reported; T/E for STERILE DILUENT. HCP stated wasn't sure if on 12/16/2024 there was a T/E. HCP stated there was no T/E; This spontaneous report was received from a nurse, concerning to a 1-year-old patient of unknown gender. The patient's medical history, concurrent conditions and concomitant therapies were not reported. On 16-DEC-2024, a temperature excursion could happened, involving: sterile diluent (BAXTER STERILE DILUENT), measles, mumps, and rubella (wistar ra 27-3) virus vaccine, live (M-M-R II) and/or varicella virus vaccine live (oka/merck) (VARIVAX). On the same day, the patient was vaccinated with measles, mumps, and rubella (wistar ra 27-3) virus vaccine, live (M-M-R II) injection, administered for prophylaxis (strength, dose, and route of administration were not provided; lot #X024178 has been verified to be valid for this vaccine, expiration date reported and confirmed as 14-JUL-2025); varicella virus vaccine live (oka/merck) (VARIVAX) injection, administered for prophylaxis (strength, dose, and route of administration were not provided; lot #Y006523 has been verified to be valid for this vaccine, expiration date reported and confirmed as 25-MAR-2026); with sterile diluent (BAXTER STERILE DILUENT) solution for injection/infusion (strength, dose, route of administration, and indication were not provided; Lot # 1940390 has been verified to be valid for this product, expiration date not reported but confirmed as 05-OCT-2025). (Product storage error). No additional adverse event (no adverse event).
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| 2819992 | U | NM | 01/08/2025 |
HPV9 |
MERCK & CO. INC. |
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Dizziness
Dizziness
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felt dizzy and lightheaded; This spontaneous report was received from a medical assistant regarding ...
felt dizzy and lightheaded; This spontaneous report was received from a medical assistant regarding an adolescent patient of unspecified age and gender. The patient's medical history, concurrent conditions, concomitant therapies, past drug reactions and allergies were not reported. On an unknown date, the patient was vaccinated with hpv rl1 6 11 16 18 31 33 45 52 58 vlp vaccine (yeast) (GARDASIL 9) injection, administered for prophylaxis (exact dose, vaccination scheme frequency, lot number, expiration date, anatomical site of injection and route of administration were not provided). Following the vaccination, the patient felt dizzy and lightheaded in the exam room (Dizziness). At the time of the report, the outcome of the event Dizziness was not reported. The causal relationship between hpv rl1 6 11 16 18 31 33 45 52 58 vlp vaccine (yeast) (GARDASIL 9) and the event of Dizziness was not provided. This is one of 3 reports from the same reporter.; Sender's Comments: US-009507513-2501USA001092:
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| 2819993 | U | NM | 01/08/2025 |
HPV9 |
MERCK & CO. INC. |
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Dizziness
Dizziness
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felt dizzy and lightheaded; This spontaneous report was received from a medical assistant regarding ...
felt dizzy and lightheaded; This spontaneous report was received from a medical assistant regarding an adolescent patient of unspecified age and gender. The patient's medical history, concurrent conditions, concomitant therapies, past drug reactions and allergies were not reported. On an unknown date, the patient was vaccinated with hpv rl1 6 11 16 18 31 33 45 52 58 vlp vaccine (yeast) (GARDASIL 9) injection, administered for prophylaxis (exact dose, vaccination scheme frequency, lot number, expiration date, anatomical site of injection and route of administration were not provided). Following the vaccination, the patient felt dizzy and lightheaded in the exam room (Dizziness). At the time of the report, the outcome of the event Dizziness was not reported. The causal relationship between hpv rl1 6 11 16 18 31 33 45 52 58 vlp vaccine (yeast) (GARDASIL 9) and the event of Dizziness was not provided. This is one of 3 reports from the same reporter.; Sender's Comments: US-009507513-2501USA001092
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| 2819994 | M | NC | 01/08/2025 |
COVID19 COVID19 COVID19 COVID19 COVID19 |
PFIZER\BIONTECH PFIZER\BIONTECH PFIZER\BIONTECH PFIZER\BIONTECH PFIZER\BIONTECH |
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Alanine aminotransferase, Anion gap, Aspartate aminotransferase, Blood albumin, ...
Alanine aminotransferase, Anion gap, Aspartate aminotransferase, Blood albumin, Blood alkaline phosphatase; Blood bilirubin, Blood calcium, Blood chloride, Blood creatinine, Blood glucose; Blood potassium, Blood sodium, Blood urea, COVID-19, Carbon dioxide; Gene mutation identification test, Gene sequencing, Glomerular filtration rate, Hyperkeratosis, Investigation; Metabolic function test, Physical examination, Protein total, SARS-CoV-2 test, Vaccination failure
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COVID-19 infection/ The patient was fully vaccinated prior to infection which, at the time, constitu...
COVID-19 infection/ The patient was fully vaccinated prior to infection which, at the time, constituted a total of three vaccine doses; COVID-19 infection/ The patient was fully vaccinated prior to infection which, at the time, constituted a total of three vaccine doses; Aquagenic Syringeal Keratoderma; This is a literature report for the following literature source(s): A 24-year-old male with a history of food allergy anaphylaxis, infection-induced asthma, and atopic dermatitis pruritis presented with a subacute (approximately 2-week) onset of bilateral palmar edema with whitish-colored papules following brief local exposure to water or sweat. The patient denied excessive handwashing. The patient had no history of daily nonsteroidal anti-inflammatory drug (NSAID) use but had a recent 2-week prior history of pm re nata (PRN) ibuprofen use. There was no known family history of atopy, renal disease, pulmonary disease, AF508 cystic fibrosis transmembrane conductance regulator (CFTR) allele mutation, or breast cancer (BRCA) gene mutation. The patient was convalescent for Coronavirus disease 2019 (COVID- 19) 3 months prior, which was successfully treated with a full course of ritonavir-boosted nirmatrelvir (PAXLOVIDTM, Pfizer), resulting in complete recovery without any COVID-19-related hospitalization. The patient was fully vaccinated prior to infection which, at the time, constituted a total of three vaccine doses. Post-COVID self-administered rapid COVID-19 viral antigen tests were negative. The patient denied any post-COVID-19 conditions, also known as post-acute sequelae of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (PASC) or long COVID. Prior to presentation, the patient obtained photographic documentation of ASK on 2 separate occasions. On presentation, both palms appeared unremarkable; however, upon brief exposure to water for 2 minutes, the clinical signs of ASK became apparent with moderate involvement of the thumb and index fingers. There was no pedal involvement or involvement of other areas. The patient denied pain, discomfort, pruritis, and burning sensation. The patient declined therapeutic intervention, including topical steroids, topical aluminum chloride solution, and antihistamines. Workup for associated conditions was negative. A comprehensive metabolic panel (CMP) was also unremarkable, excluding nephrotic syndrome or other associated renal involvement. Sodium - 139 mmol/L [Standard range (SR): 135-146 mmol/L], Potassium - 4.7 mmol/L (SR: 3.5-5.3 mmol/L), Chloride 103 mmol/L (SR: 98-110 mmol/L), CO2 - 30 mmol/L (SR: 21-31), BUN - 12 mg/dL (SR: 8-24 mg/dL), Glucose - 89 mg/dL (SR: 70-99 mg/dL), Creatinine - 1.04 mg/dL (SR: 0.70 - 1.30 mg/dL), Calcium - 9.4 mg/dL (SR: 8.5-10.5 mg/dL), Total protein - 7.1 g/dL (SR: 6.4 - 8.9 g/L), Albumin - 4.6 g/dL (SR: 3.5 - 5.7 g/L), Total bilirubin - 0.3 mg/dL (SR: 0.0 - 1.0 mg/dL), Alkaline phosphatase - 57 IU/L or U/L (SR: 34 - 104 IU/L or U/L), AST (SGOT) - 18 IU/L (SR: 13 - 39 IU/L or U/L), ALT (SGPT) - 32 IU/L or U/L (SR: 7 - 52 IU/L or U/L), Anion gap - 6 mmol/L (SR: 4 - 14 mmol/L), Est. CFR - >90 ml/min/l.73 m2. Subsequent CFTR gene sequencing and single-gene deletion/duplication analysis returned negative. No pathogenic, likely pathogenic, or variants of uncertain significance on the CFTR gene were identified. Two months later, ASK appeared to have resolved. It could no longer be elicited by exposure to water or sweat, despite numerous attempts. The patient noted disappearance of white plaques and wrinkling after water exposure. Photographs of the improvement were not obtained. No known lifestyle, dietary, or medication-related changes contributed to ASK resolution. One month later, however, ASK returned, initially characterized by palmar edema after water exposure with absence of white plaques and papules. Soon, ASK progressed in severity with development of white plaques and increased palmar area involvement. Physical discomfort with episodes of pruritis was noted. Treatment with 12% topical aluminum chloride to promote palmar anhidrosis did not lead to improvement despite 4 weeks of nightly treatment. As a result, the patient was treated with bilateral palmar botulinum toxin injections. Within 2 weeks following botulinum toxin treatment, complete resolution of ASK occurred. The affected phalangeal surfaces also resolved despite no direct injection to these locations. Conclusions: The authors present a case of ASK in an adult male months following COVID-19 infection without a history of excessive handwashing. Near resolution 2 months after ASK onset was followed by recurrence 1 month later. The patient may have had a predisposition to recurrent ASK due to his history of atopy including atopic dermatitis and food allergy anaphylaxis combined with prior COVID-19 infection and sporadic, short-term NSAID use. It is possible that ASK may be a newly identified condition comprising PASC or long COVID. Clinicians should maintain heightened awareness of ASK in their patients and continue to document cases of this rare and poorly understood condition to improve clinical knowledge, treatment strategies, and future patient outcomes. Amendment: This follow-up report is being submitted to amend previous information: Case was reassessed from invalid to valid.; Sender's Comments: A causal relationship to the suspect drug BNT162B2 NOS cannot be excluded for the event vaccination failure. Aquagenic Syringeal Keratoderma could be secondary to underlying contributory factors including COVID-19 infection. This case will be reassessed upon receipt of additional information. The impact of this report on the benefit/risk profile of the Pfizer product is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to Regulatory Authorities, Ethics Committees and Investigators as appropriate.
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| 2819995 | M | 01/08/2025 |
FLUX |
UNKNOWN MANUFACTURER |
|
Influenza virus test positive
Influenza virus test positive
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tested positive for the flu; Initial information received on 27-Dec-2024 regarding an unsolicited va...
tested positive for the flu; Initial information received on 27-Dec-2024 regarding an unsolicited valid non-serious case received from a consumer/non-healthcare professional. This case involves an unknown age male patient who had tested positive for the flu after receiving vaccine influenza vaccine. The patient's past medical history, medical treatment(s), concomitant medications, vaccination(s) and family history were not provided. On an unknown date in November 2024, the patient received unknown dose of suspect influenza vaccine (Unknown strength, formulation, lot and expiry date) produced by unknown manufacturer via unknown route in unknown administration site for Prophylactic vaccination (immunization). On an unknown date the patient tested positive for the flu (influenza) (unknown latency) following the administration of influenza vaccine. Information on the batch number was requested corresponding to the one at time of event occurrence. Reportedly, Reporter stated that, flu vaccine that was given to my son at the Pediatric office back in November. I'd like to obtain more information about the influenza vaccine and the virus strains. I understand that there are four or more strains of mutations out there and your vaccine is a 1:4 ratio, which I am trying to connect the dots. The reason is that my son tested positive for the flu and has been taking Tamiflu for 6 days and has not been better. Relevant laboratory test results included: Influenza virus test - On an unknown date: Positive Action take was not applicable. The patient was treated with oseltamivir phosphate (tamiflu) for Influenza. At time of reporting, the outcome was Not Recovered / Not Resolved for the event.
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| 2819996 | M | 01/08/2025 |
FLUX |
UNKNOWN MANUFACTURER |
|
COVID-19
COVID-19
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came down with covid; Initial information received on 31-Dec-2024 regarding an unsolicited valid Soc...
came down with covid; Initial information received on 31-Dec-2024 regarding an unsolicited valid Social Media non-serious case received from a consumer/non-health care professional. This case involves Adult male patient who had came down with covid after receiving Influenza Vaccine. The patient's past medical history, medical treatment(s), vaccination(s) and family history were not provided. On an unknown date, the patient received a unknown dose of suspect Influenza Vaccine produced by unknown manufacturer formulation, strength, expiry date, lot number not reported via unknown route in unknown administration site for Prophylactic vaccination (Immunization). The information on batch number and expiration date corresponding to the one at time of event occurrence was requested. On an unknown date the patient had came down with covid (covid-19) (unknown latency) following the administration of Influenza Vaccine. Action taken was not applicable. It was not reported if the patient received a corrective treatment for the event (came down with covid). At time of reporting, the outcome was Unknown for the event came down with covid.
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| 2819997 | F | 01/08/2025 |
FLUX |
UNKNOWN MANUFACTURER |
|
Malaise
Malaise
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sick; Initial information received on 28-Dec-2024 regarding an unsolicited valid Social Media non-se...
sick; Initial information received on 28-Dec-2024 regarding an unsolicited valid Social Media non-serious case received from a consumer/non-healthcare professional. This case involves Adult female patient who experienced sick, after receiving vaccine Influenza Vaccine. The patient's past medical history, medical treatment(s), vaccination(s) and family history were not provided. On an unknown date, the patient received a dose of suspect Influenza Vaccine produced by unknown manufacturer (form, strength: unknown) (lot number, expiry date: not reported) via unknown route in unknown administration site for prophylactic vaccination (immunization). On an unknown date the patient got sick (malaise) (latency: few days) following the administration of Influenza Vaccine. Reportedly, the patient always got sick a few days after getting the vaccine. Action taken : not applicable. It was not reported if the patient received a corrective treatment for the event (sick). At time of reporting, the outcome was Unknown for the event sick.
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| 2819998 | M | 01/08/2025 |
FLUX |
UNKNOWN MANUFACTURER |
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Influenza
Influenza
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when took the vaccine for years, I came down with 2 weeks of flu every time; Initial information rec...
when took the vaccine for years, I came down with 2 weeks of flu every time; Initial information received on 10-Dec-2024 regarding an unsolicited valid Social Media non-serious case received from a Patient This case involves Adult male patient who reported when he took the Influenza Vaccine for years, he came down with 2 weeks of flu every time. The patient's past medical history, medical treatment(s), vaccination(s) and family history were not provided. On an unknown date, the patient received suspect Influenza Vaccine by unknown manufacturer (strength, formulation, dose, route, batch number and expiry date: unknown) in unknown administration site for prophylactic vaccination. Information on batch number and expiry date corresponding to the one at time of event occurrence was requested. On an unknown date the patient when took the vaccine for years, he came down with 2 weeks of flu every time (influenza) (unknown latency). Reportedly, Ever since I stopped taking the flu vaccine, I never came down with the flu; When I took the vaccine for years, I came down with 2 weeks of flu every time. Go figure but I'm staying with my track record. Screw the flu vaccine and getting sick. Action taken with INFLUENZA VACCINE (INFLUENZA VACCINE) was not applicable. It was not reported if the patient received a corrective treatment for the event. At time of reporting, the outcome was Unknown for the event.
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| 2819999 | 1.25 | M | FL | 01/08/2025 |
HIBV |
SANOFI PASTEUR |
UK148AA |
No adverse event, Product preparation error
No adverse event, Product preparation error
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vaccine was given to patient without the diluent and sterile water was used with no adverse event; v...
vaccine was given to patient without the diluent and sterile water was used with no adverse event; vaccine was given to patient without the diluent and sterile water was used with no adverse event; Initial information received on 30-Dec-2024 regarding an unsolicited valid non-serious case received from a other health professional. This case involves a 15 months old male patient to whom HIB (PRP/T) Vaccine [ACT-HIB] was given without the diluent and sterile water was used with no adverse event. The patient's past medical history, medical treatment(s), vaccination(s) and family history were not provided. Concomitant medications included Pneumococcal vaccine conj 20v (CRM197) (Prevnar 20) for Immunisation. On 30-Dec-2024, the patient received a dose 4 with dosage 0.5 ml of suspect HIB (PRP/T) Vaccine Powder and solvent for solution for injection (lot UK148AA, with unknown, strength and expiry) via unknown route in unknown administration site as immunization without the diluent and sterile water was used with no adverse event (product preparation error) (poor quality product administered) (Latency: same day). This suspected adverse reaction report is submitted and classified as a medication error solely and exclusively to ensure the marketing authorization holder's compliance with the requirements set out in the Directive 2001/83/EC and Module VI of the Good Pharmacovigilance Practices. The classification as a medical error is in no way intended, nor should it be interpreted or construed as an allegation or claim made by the marketing authorization holder that any third party has contributed to or is to be held liable for the occurrence of this medication error.
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| 2820000 | 1 | F | 01/08/2025 |
HIBV |
SANOFI PASTEUR |
UK008AA |
Expired product administered, No adverse event
Expired product administered, No adverse event
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receiving an expired dose of act-hib with no reported adverse event; Initial information received on...
receiving an expired dose of act-hib with no reported adverse event; Initial information received on 02-Jan-2025 regarding an unsolicited valid non-serious case received from a physician. This case involves a 1 years old female patient received an expired dose of HIB (PRP/T) VACCINE [ACT-HIB] with no reported adverse event. The patient's past medical history, medical treatment(s), vaccination(s) and family history were not provided. Concomitant medications included DIPHTHERIA VACCINE TOXOID, PERTUSSIS VACCINE ACELLULAR, TETANUS VACCINE TOXOID (DTAP) for Immunisation; and PNEUMOCOCCAL VACCINE 13V for Immunisation. On 02-Jan-2025, the patient received an expired dose of 0.5 ml, 1X (once) of suspect HIB (PRP/T) VACCINE, Powder and solvent for solution for injection (lot UK008AA and expiry 31-Dec-2024) with no reported adverse event (expired product administered) (latency same day) (strength and route: unknown) in the thigh NOS (not specified) for immunization. This suspected adverse reaction report is submitted and classified as a medication error solely and exclusively to ensure the marketing authorization holder's compliance with the requirements set out in the Directive 2001/83/EC and Module VI of the Good Pharmacovigilance Practices. The classification as a medical error is in no way intended, nor should it be interpreted or construed as an allegation or claim made by the marketing authorization holder that any third party has contributed to or is to be held liable for the occurrence of this medication error.
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| 2820001 | 13 | F | OH | 01/08/2025 |
TDAP |
SANOFI PASTEUR |
U7626AA |
Expired product administered, No adverse event
Expired product administered, No adverse event
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provided an expired ADACEL to a patient with no reported adverse event; Initial information received...
provided an expired ADACEL to a patient with no reported adverse event; Initial information received on 06-Jan-2025 regarding an unsolicited valid non-serious case received from a nurse. This case involves a 13 years old female patient who received an expired diphtheria-2/tetanus/5 AC pertussis vaccine [Adacel] with no reported adverse event. The patient's past medical history, medical treatment(s), vaccination(s) and family history were not provided. On 11-Dec-2024, the patient received 0.5 ml of an expired diphtheria-2/tetanus/5 AC pertussis vaccine Suspension for injection with standard strength (expiry date- 08-Dec-2024 and lot U7626AA) once via intramuscular route in the deltoid NOS (not otherwise specified) as Immunization with no reported adverse event (expired product administered) (latency- same day). This suspected adverse reaction report is submitted and classified as a medication error solely and exclusively to ensure the marketing authorization holder's compliance with the requirements set out in the Directive 2001/83/EC and Module VI of the Good Pharmacovigilance Practices. The classification as a medical error is in no way intended, nor should it be interpreted or construed as an allegation or claim made by the marketing authorization holder that any third party has contributed to or is to be held liable for the occurrence of this medication error.
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| 2820002 | 0.33 | M | ME | 01/08/2025 |
HIBV |
SANOFI PASTEUR |
UK008AA |
Expired product administered, No adverse event
Expired product administered, No adverse event
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inappropriate use due to administration of expired ACTHIB vaccine with no reported adverse event; In...
inappropriate use due to administration of expired ACTHIB vaccine with no reported adverse event; Initial information received on 06-Jan-2025 regarding an unsolicited valid non-serious case received from a other health professional. This case involves a 4 months old male patient who had administration of expired HIB (PRP/T) Vaccine [ACT-HIB] with no reported adverse event. The patient's past medical history, medical treatment(s), vaccination(s) and family history were not provided. Concomitant medications included Diphtheria vaccine toxoid, Pertussis vaccine acellular 5-component, Polio vaccine inact 3v (MRC 5), Tetanus vaccine toxoid (Quadracel) for Immunisation; Polio vaccine inact 3v (Vero) (Ipol) for Immunisation; Pneumococcal vaccine conj 20v (CRM197) (Prevnar 20) for Immunisation; and Rotavirus vaccine live reassort oral 5v (Rotateq) for Immunisation. On 03-Jan-2025, the patient received a dose of 0.5 ml of suspect HIB (PRP/T) Vaccine (Powder and solvent for solution for injection) lot UK008AA, Expiry date: 31-Dec-2024 (Expired product administered) via intramuscular route in the thigh nos(Not specified) (strength was unknown) for Immunization (Latency : same day). This suspected adverse reaction report is submitted and classified as a medication error solely and exclusively to ensure the marketing authorization holder's compliance with the requirements set out in the Directive 2001/83/EC and Module VI of the Good Pharmacovigilance Practices. The classification as a medical error is in no way intended, nor should it be interpreted or construed as an allegation or claim made by the marketing authorization holder that any third party has contributed to or is to be held liable for the occurrence of this medication error.
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| 2820003 | 0.33 | F | CA | 01/08/2025 |
HIBV |
SANOFI PASTEUR |
UK008AA |
Expired product administered, No adverse event
Expired product administered, No adverse event
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expired dose of ACTHIB was administered to a patient with no reported adverse event; Initial informa...
expired dose of ACTHIB was administered to a patient with no reported adverse event; Initial information received on 06-Jan-2025 regarding an unsolicited valid non-serious case received from a other health professional. This case involves a 4 months old female patient who received expired dose of HIB (PRP/T) VACCINE [ACT-HIB] was administered to a patient with no reported adverse event . The patient's past medical history, medical treatment(s), vaccination(s) and family history were not provided. Concomitant medications included Rotavirus vaccine live oral 1v (Rotarix) for Immunisation; and Diphtheria vaccine toxoid, Hepatitis b vaccine rHBsAg (yeast), Pertussis vaccine acellular 3-component, Polio vaccine inact 3v (Vero), Tetanus vaccine toxoid (Pediarix) and PCV 20 for Immunisation. On 03-Jan-2025, the patient received a dose 1 of 0.5 ml suspect HIB (PRP/T) VACCINE (Powder and solvent for solution for injection) lot UK008AA, Expiry date: 31-Dec-2024 (expired product administered) (strength was unknown) via intramuscular route in the thigh nos for Immunization. This suspected adverse reaction report is submitted and classified as a medication error solely and exclusively to ensure the marketing authorization holder's compliance with the requirements set out in the Directive 2001/83/EC and Module VI of the Good Pharmacovigilance Practices. The classification as a medical error is in no way intended, nor should it be interpreted or construed as an allegation or claim made by the marketing authorization holder that any third party has contributed to or is to be held liable for the occurrence of this medication error.
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| 2820004 | 1.33 | M | FL | 01/08/2025 |
HIBV |
SANOFI PASTEUR |
UK005AA |
Expired product administered, No adverse event
Expired product administered, No adverse event
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inappropriate use due to administration of expired vaccine with no reported adverse event; Initial i...
inappropriate use due to administration of expired vaccine with no reported adverse event; Initial information received on 07-Jan-2025 regarding an unsolicited valid non-serious case received from a other healthcare professional. This case involves a 16 months old male patient who received expired HIB (PRP/T) vaccine [ACT-HIB] with no reported adverse event. The patient's past medical history, medical treatment(s), vaccination(s) and family history were not provided. Concomitant medications included hepatitis B vaccine; pneumococcal vaccine CONJ 20V (CRM197) (Prevnar 20); and varicella zoster vaccine, all for Immunisation. On 06-Jan-2025, the patient received expired unknown dose of suspect HIB (PRP/T) vaccine Powder and solvent for solution for injection of standard strength with lot UK005AA and expiry date 31-Dec-2024 via unknown route in unknown administration site for Immunization (expired product administered) (Latency same day). Reportedly, Reporter stated that they gave an expired ACT HIB vaccine to a patient yesterday. This suspected adverse reaction report is submitted and classified as a medication error solely and exclusively to ensure the marketing authorization holder's compliance with the requirements set out in the Directive 2001/83/EC and Module VI of the Good Pharmacovigilance Practices. The classification as a medical error is in no way intended, nor should it be interpreted or construed as an allegation or claim made by the marketing authorization holder that any third party has contributed to or is to be held liable for the occurrence of this medication error.
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| 2820005 | 1.83 | F | ID | 01/08/2025 |
FLUN3 |
MEDIMMUNE VACCINES, INC. |
WF2582 |
No adverse event
No adverse event
|
No Reaction to report
No Reaction to report
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| 2820006 | 0.33 | F | CA | 01/08/2025 |
PNC15 RV1 VARCEL |
MERCK & CO. INC. GLAXOSMITHKLINE BIOLOGICALS MERCK & CO. INC. |
Y002643 5N2AN Y010184 |
Wrong product administered; Wrong product administered; Wrong product administer...
Wrong product administered; Wrong product administered; Wrong product administered
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Varicella was ordered instead of Vaxielis administered in error. We did not know that we made the e...
Varicella was ordered instead of Vaxielis administered in error. We did not know that we made the error until our billing department notified us. I contacted my supervisor, notified the ordering provider, and then contacted the patient right away and of the vaccine error. We then scheduled patient to come in to get the correct vaccine. I then reported the incident to our compliance department and now I am reporting it here.
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| 2820007 | 21 | F | CT | 01/08/2025 |
COVID19 FLU3 |
MODERNA SANOFI PASTEUR |
8081564 TFAA2439 |
Loss of consciousness, Syncope; Loss of consciousness, Syncope
Loss of consciousness, Syncope; Loss of consciousness, Syncope
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pt fainted, but didn't loose consciousness. she usually faints or has dizziness after being str...
pt fainted, but didn't loose consciousness. she usually faints or has dizziness after being stressed out or very nervous. she had job interview on Tue 1/7/2025 and very nervous since it's her last semester of college. pt was given a glass of water. she was able to sit by herself on chair while drinking glass of water, then was able to stand up on her own and waited for about 15-20 minutes while her mother was getting her Immunization.
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| 2820008 | 70 | M | FL | 01/08/2025 |
RSV |
GLAXOSMITHKLINE BIOLOGICALS |
52Z52 |
Extra dose administered, No adverse event
Extra dose administered, No adverse event
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PATIENT ACCIDENTALLY RECEIVED A SECOND DOSE OF AREXVY (1ST DOSE IN DECEMBER 2023 AND 2ND DOSE IN JAN...
PATIENT ACCIDENTALLY RECEIVED A SECOND DOSE OF AREXVY (1ST DOSE IN DECEMBER 2023 AND 2ND DOSE IN JANUARY 2025). PATIENT WAS INFORMED BUT LET US KNOW HE HASN'T EXPERIENCED ANY SIDE EFFECTS FROM INADVERTANTLY RECEIVING A SECOND DOSE OF THE VACCINE.
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| 2820009 | 73 | F | TN | 01/08/2025 |
RSV |
GLAXOSMITHKLINE BIOLOGICALS |
255T2 |
Extra dose administered
Extra dose administered
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Patient received 2 doses of Arexvy; the first being on 1/22/24 and the second on 1/4/25
Patient received 2 doses of Arexvy; the first being on 1/22/24 and the second on 1/4/25
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| 2820010 | 71 | F | AL | 01/08/2025 |
PNC20 |
PFIZER\WYETH |
LG5577 |
Extra dose administered
Extra dose administered
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Patient received an inappropriate dose of Prevnar 20. The patient was vaccinated with Prevnar 20 on ...
Patient received an inappropriate dose of Prevnar 20. The patient was vaccinated with Prevnar 20 on 01/07/25 but had previously already been vaccinated on 03/23/23. Record did not have history of the past vaccination. Also, due to the two-year time difference since last immunization, enterprise did not show history of this vaccination on the patient's profile. The patient was also asked about previous vaccinations prior to Prevnar 20 being administered. She did not recall receiving this vaccination in the past. Patient is now aware of inappropriate dose given. She reports no ADRs and is not upset.
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| 2820012 | 55 | F | 01/08/2025 |
COVID19 FLU3 HEP IPV MMR TDAP |
PFIZER\BIONTECH SANOFI PASTEUR DYNAVAX TECHNOLOGIES CORPORATION SANOFI PASTEUR MERCK & CO. INC. SANOFI PASTEUR |
LM7786 UT8415LA 945657 X1C891M Y008290 U8015AA |
Axillary pain, Tenderness; Axillary pain, Tenderness; Axillary pain, Tenderness;...
Axillary pain, Tenderness; Axillary pain, Tenderness; Axillary pain, Tenderness; Axillary pain, Tenderness; Axillary pain, Tenderness; Axillary pain, Tenderness
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Patient came to pharmacy saying that her left arm hurts when she puts pressure on it and that it hur...
Patient came to pharmacy saying that her left arm hurts when she puts pressure on it and that it hurts under her armpit on 1/7/25 around 3pm. Looked as her armpit area and did not see any signs of swelling or redness. Looked up side effect profile of all vaccines administered on the the left arm and came to conclusion that it may be the Comirnaty vaccine that may have caused the symptoms patient was experiencing since it list axillary tenderness/swelling as possible side effects. Advised patient to use cold compress to help with pain or can take Tylenol if necessary and continue to monitor. If symptoms get worse advise patient to seek medical attention at clinic/ER since patient did not have primary doctor.
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| 2820024 | 44 | F | AZ | 01/08/2025 |
COVID19 |
NOVAVAX |
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Chillblains
Chillblains
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Covid toes aka chilblains
Covid toes aka chilblains
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| 2820025 | 84 | F | CA | 01/08/2025 |
RSV |
GLAXOSMITHKLINE BIOLOGICALS |
A4P5G |
Injection site erythema, Injection site pain, Injection site pruritus
Injection site erythema, Injection site pain, Injection site pruritus
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pt came into pharmacy 5 days after injection to show a red patch about 2.5 inches in diameter on her...
pt came into pharmacy 5 days after injection to show a red patch about 2.5 inches in diameter on her left shoulder. non raised, red and patchy. pt described it as burning and itchy.
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| 2820032 | 69 | F | CT | 01/08/2025 |
COVID19 COVID19 |
MODERNA MODERNA |
023M20A |
Chemotherapy, Death, Endoscopy; Chemotherapy, Death, Endoscopy
Chemotherapy, Death, Endoscopy; Chemotherapy, Death, Endoscopy
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Online report of death in EUA medical countermeasure recipient, a 69-year-old female recipient. She ...
Online report of death in EUA medical countermeasure recipient, a 69-year-old female recipient. She was receiving intravenous infusions on her hand on 12/4/24 and right forearm on 12/11/24 as a form of cancer treatment at Treatment Center and 04/22/24 victim received endoscopy at Hospital according to social media posts. On her social media post victim stated, "Just like the polio vaccine in 1959". No other post with inoculation info. On 08/12/21 victim posted about FDA decision to allow immune compromised to receive a "booster". Dose#1 Date 02/23/21 LOT#023M20A. VAX card list "MH"location likely hospital. Based on her social media posts she received at least 2 shots if not a third "booster"
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| 2820033 | 1.42 | M | CA | 01/08/2025 |
HIBV |
SANOFI PASTEUR |
UJ964AD |
Expired product administered
Expired product administered
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Gave Patient Expired HIB vaccine
Gave Patient Expired HIB vaccine
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