| ID | Age | Sex | State | Date โผ | Onset Days | Vaccine | Manufacturer | Lot # | Symptoms | Narrative | ๐ | ๐ฅ | ๐ | โฟ | โ ๏ธ |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2814034 | 81 | F | MD | 12/05/2024 |
COVID19 FLU3 COVID19 |
PFIZER\BIONTECH SANOFI PASTEUR PFIZER\BIONTECH |
|
Erythema, Laboratory test normal, Pruritus, Skin test negative, Urticaria; Eryth...
Erythema, Laboratory test normal, Pruritus, Skin test negative, Urticaria; Erythema, Laboratory test normal, Pruritus, Skin test negative, Urticaria; Urticaria
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Developed red, itchy bumps known as hives and still have. Show up anywhere: stomach, mostly arms, ne...
Developed red, itchy bumps known as hives and still have. Show up anywhere: stomach, mostly arms, neck and face!
More
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| 2819404 | 69 | F | GA | 01/04/2025 |
RSV |
GLAXOSMITHKLINE BIOLOGICALS |
52Z52 |
Extra dose administered, No adverse event
Extra dose administered, No adverse event
|
A second dose of Arexvy was given upon patient request. First dose was unknown to vaccinating pharma...
A second dose of Arexvy was given upon patient request. First dose was unknown to vaccinating pharmacist and was not documented in the registry. Patient experienced no ill effects from second vaccination.
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| 2819451 | 53 | F | WA | 01/04/2025 |
HEP |
GLAXOSMITHKLINE BIOLOGICALS |
MD9SL |
Gout, Pain in extremity
Gout, Pain in extremity
|
Pt claims pain in left foot later that evening - Resulted in Gout
Pt claims pain in left foot later that evening - Resulted in Gout
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| 2819452 | 67 | F | MA | 01/04/2025 |
SMALLMNK |
BAVARIAN NORDIC |
968G7 |
Incorrect route of product administration, No adverse event
Incorrect route of product administration, No adverse event
|
No adverse events Administration was IM not sub Q
No adverse events Administration was IM not sub Q
|
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| 2819177 | 0.17 | U | LA | 01/03/2025 |
HIBV |
MERCK & CO. INC. |
|
Inappropriate schedule of product administration, No adverse event
Inappropriate schedule of product administration, No adverse event
|
booster, dose at 7-months old, which is earlier than the recommended age for the booster; no adverse...
booster, dose at 7-months old, which is earlier than the recommended age for the booster; no adverse event; This spontaneous report was received from a consumer and refers to a 15-month-old patient of unknown gender. The patient's medical history, concurrent conditions and concomitant therapies were not reported. On an unknown date at 2 months old, the patient received the first dose of haemophilus b conjugate vaccine (meningococcal protein conjugate) (LIQUID PEDVAXHIB) intramuscular injection (dose, strength, lot #, expiry date, and route of administration were not provided). On an unspecified date at 4 months old received the second dose of haemophilus b conjugate vaccine (meningococcal protein conjugate) (LIQUID PEDVAXHIB) intramuscular injection (dose, strength, lot #, expiry date, and route of administration were not provided). On an unspecified date at 7 months old, the patient received the booster and third haemophilus b conjugate vaccine (meningococcal protein conjugate) (LIQUID PEDVAXHIB) intramuscular injection, 0.5 milliliter, administered for prophylaxis (strength, lot #, expiry date, and route of administration were not provided), this was earlier than the recommended age for booster dose (inappropriate schedule of product administration). No additional adverse event was reported.
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| 2819178 | 59 | F | 01/03/2025 |
COVID19 PNC21 UNK |
UNKNOWN MANUFACTURER MERCK & CO. INC. UNKNOWN MANUFACTURER |
6024MF016A Y011819 TFAA2437 |
Injection site cellulitis, Injection site inflammation; Injection site celluliti...
Injection site cellulitis, Injection site inflammation; Injection site cellulitis, Injection site inflammation; Injection site cellulitis, Injection site inflammation
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Injection site cellulitis; Injection site inflammation; Initial information received on 26-Dec-2024 ...
Injection site cellulitis; Injection site inflammation; Initial information received on 26-Dec-2024 regarding an unsolicited valid non-serious courtesy case received from a consumer/non-hcp (non-healthcare professional). This case involves 59 years old female patient who experienced injection site cellulitis and injection site inflammation after receiving Pneumococcal vaccine conj 21v (CRM197) (Capvaxive) and Covid-19 Vaccine Prot. Subunit (Nvx Cov 2373) (Novavax Covid-19 Vaccine) and Influenza Trivalent Recombinant Vaccine [Flublok TIV]. The patient's past medical history, medical treatment(s), vaccination(s) and family history were not provided. No concomitants used/reported. On 06-Nov-2024, the patient received a dose 1 of suspect novavax covid-19 vaccine not produced by Sanofi Pasteur Injection with strength 0.5 ml (lot 6024MF016A) for COVID-19 immunization; received a dose 1 of suspect Capvaxive not produced by Sanofi Pasteur injection (lot Y011819) for prophylactic vaccination (Immunisation) and received a dose 1 of suspect influenza trivalent recombinant vaccine Solution for injection(lot TFAA2437) for prophylactic vaccination (Immunisation), all via intramuscular route in unknown administration site. On 07-NOV-2024 the patient developed injection site cellulitis and injection site inflammation (latency- 1 day) following the administration of influenza trivalent recombinant vaccine, novavax covid-19 vaccine and Capvaxive. Action taken was not applicable. It was not reported if the patient received a corrective treatment for the events. At time of reporting, the outcome was Not Recovered / Not Resolved for both the events. The CDC's (Centers for Disease Control and Prevention) adverse event description (narrative) was provided as follows: lnflamation/cellulitus below injection site approximately 6 inches wide and 8 inches long
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| 2819196 | 64 | F | MN | 01/03/2025 |
COVID19 |
MODERNA |
016B21A |
Laboratory test, Stress fracture
Laboratory test, Stress fracture
|
I am not aware of worsening bone mineral density or an increase in fracture risk as a result of the ...
I am not aware of worsening bone mineral density or an increase in fracture risk as a result of the covid vaccines, but there is a correlation in timing with her and She raises concerns regarding COVID-19 vaccine and stress fractures of her feet. First foot stress fracture was in July 2021 And now has had 5 foot/stress fractures in total,. Her Moderna COVID-19 vaccines were: 3/29/21 and 4/26/21 She wonders / thinks these vaccines might have caused some changes that led to her stress/foot fracture More details July 2021: Right foot fracture Oct 2021: Left foot fracture, fracture of fifth metatarsal Nov 2022: possible right foot stress fracture Jan 2023: fracture fifth metarsal bone on my left foot again July 2024: left foot fracture (4th metatarsal) Per patient Dec'24: That makes FIVE factures of my feet (two on the right and three on the left).
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| 2819197 | 4 | F | CA | 01/03/2025 |
DTAP DTAP |
GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS |
47y5m 47y5m |
Diarrhoea, Dizziness, Fatigue, Injection site swelling, Rash; Urticaria
Diarrhoea, Dizziness, Fatigue, Injection site swelling, Rash; Urticaria
|
Rash started within 12 hours. Extreme fatigue, dizziness, lightheadedness upon awaking the next day...
Rash started within 12 hours. Extreme fatigue, dizziness, lightheadedness upon awaking the next day. Rash appeared to look like a chemical burn after 36hours and turned to hives after 48hours .which lasted a week. Diarrhea persisted throughout. There is still a bump at injection site.
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| 2819198 | F | TX | 01/03/2025 |
FLU3 HEP |
SANOFI PASTEUR MERCK & CO. INC. |
|
No adverse event, Product administered to patient of inappropriate age, Wrong pr...
No adverse event, Product administered to patient of inappropriate age, Wrong product administered; No adverse event, Product administered to patient of inappropriate age, Wrong product administered
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Accidently administered Fluzone instead of the intended vaccine hepatitis B with no reported adverse...
Accidently administered Fluzone instead of the intended vaccine hepatitis B with no reported adverse event.; Accidently administered Fluzone instead of the intended vaccine hepatitis B with no reported adverse event.; This spontaneous report was received from a health care professional and refers to a 15-day-old female patient. The patient's medical history, concurrent conditions and concomitant therapies were not reported. On 14-NOV-2024, the patient was accidentally vaccinated with influenza vaccine (FLUZONE [INFLUENZA VACCINE]) suspension for injection, 0.5 milligram, administered for prophylactic vaccination (strength, lot #, expiry date, route and anatomical site of administration were not provided) instead of the intended hepatitis b vaccine (recombinant) (RECOMBIVAX HB) intramuscular injection (Wrong product administered) with no reported adverse event (No adverse event). The reported inquired about any potential concerns they should be aware of when the patient was transferred to them, including possible side effects or any they could do regarding this situation. She reiterated that this did not happen in their facility.
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| 2819199 | 56 | F | WV | 01/03/2025 |
COVID19 |
MODERNA |
|
Headache, Injection site erythema, Injection site swelling
Headache, Injection site erythema, Injection site swelling
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Large red spot (about the size of a 50 cent coin) with some swelling below injection site. Headache.
Large red spot (about the size of a 50 cent coin) with some swelling below injection site. Headache.
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| 2819201 | 51 | F | 01/03/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
UNK |
Eye pain, Fatigue, Pain in extremity
Eye pain, Fatigue, Pain in extremity
|
arm soreness; fatigue; pain in the ophthalmic; This non-serious case was reported by a consumer via ...
arm soreness; fatigue; pain in the ophthalmic; This non-serious case was reported by a consumer via interactive digital media and described the occurrence of pain in arm in a 51-year-old female patient who received Herpes zoster (Shingrix) for prophylaxis. The patient's past medical history included shingles (had in her 30s). On an unknown date, the patient received the 1st dose of Shingrix. On an unknown date, an unknown time after receiving Shingrix, the patient experienced pain in arm (Verbatim: arm soreness), fatigue (Verbatim: fatigue) and eye pain (Verbatim: pain in the ophthalmic). The outcome of the pain in arm, fatigue and eye pain were not resolved. It was unknown if the reporter considered the pain in arm, fatigue and eye pain to be related to Shingrix. It was unknown if the company considered the pain in arm, fatigue and eye pain to be related to Shingrix. Additional Information: GSK receipt date: 06-DEC-2024 This case was reported by a patient via interactive digital media. The patient reported that she had shingles in her 30s and got vaccinated at 51 and interestingly the first shot had a more robust reaction in terms of arm soreness and fatigue. The reporter reported that she even developed return of a bit of pain in the ophthalmic region where her earlier shingles attack happened.
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| 2819204 | 10 | M | IL | 01/03/2025 |
DTAPIPV |
GLAXOSMITHKLINE BIOLOGICALS |
42Y93 |
Product administered to patient of inappropriate age
Product administered to patient of inappropriate age
|
The patient was too old to recveive the Kinrix Vaccine.
The patient was too old to recveive the Kinrix Vaccine.
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| 2819205 | 7 | F | IL | 01/03/2025 |
DTAPIPV HEP MMRV |
GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS MERCK & CO. INC. |
42Y93 42b22 Y010292 |
Product administered to patient of inappropriate age; Product administered to pa...
Product administered to patient of inappropriate age; Product administered to patient of inappropriate age; Product administered to patient of inappropriate age
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The patient was too old to receive the Kinrix vaccine.
The patient was too old to receive the Kinrix vaccine.
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| 2819250 | 11 | F | TN | 01/03/2025 |
IPV MMR TDAP |
SANOFI PASTEUR MERCK & CO. INC. SANOFI PASTEUR |
X1C891M X026329 3CA22C1 |
Drooling, Ear discomfort, Posture abnormal; Drooling, Ear discomfort, Posture ab...
Drooling, Ear discomfort, Posture abnormal; Drooling, Ear discomfort, Posture abnormal; Drooling, Ear discomfort, Posture abnormal
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Pt to clinic with mother for immunizations. Mother states NKA. Pt is needing Tdap, IPV, and MMR for ...
Pt to clinic with mother for immunizations. Mother states NKA. Pt is needing Tdap, IPV, and MMR for school. Pt given vaccines around 1400 and as soon as last vaccine administered patient slumps forward on clinical bed. Pt leaned back and laid down on clinical bed where she is fully responsive with little drool on face and complaining of her "ears feel clogged." Pt was only out for about 5 seconds. Mother states pt has not eaten all day and stated last time she had her blood drawn she had done the same thing. Pt was given juice and a snack as she laid back. Pt then sat up for a few minutes before having pt stand. Pt states felt good before she left the clinic.
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| 2819251 | 1.75 | M | 01/03/2025 |
FLU3 |
SEQIRUS, INC. |
AW1556A |
Incorrect dose administered
Incorrect dose administered
|
This pt received 0.5 mL Afluria 2024-2025 formula on 3 Jan 25. The on call provider was notified, PS...
This pt received 0.5 mL Afluria 2024-2025 formula on 3 Jan 25. The on call provider was notified, PSR and VAERS form have been placed. The child received a higher dose than is recommended for his age group. Afluria is approved for his age group at a dose of 0.25ml.
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| 2819252 | 87 | F | PR | 01/03/2025 |
FLU3 |
GLAXOSMITHKLINE BIOLOGICALS |
PH457 |
Pain in extremity, Peripheral swelling, X-ray normal
Pain in extremity, Peripheral swelling, X-ray normal
|
The patient claims that 3 to 4 days after receiving the flu vaccine at our vaccination center, her a...
The patient claims that 3 to 4 days after receiving the flu vaccine at our vaccination center, her arm began to swell and hurt. She states that she went to her primary care physician and was given pain medication, but saw no improvement. Her husband came to the pharmacy and was recommended to take (Aleve "Naproxen"). Naproxen provided a lot of relief, but time passed and the patient still has pain, inflammation, and feels that the pain is reaching her leg. The patient had to go to the emergency room yesterday, January 2, 2025. The patient has been in this situation for over a month now. She was prescribed Ultracet, Indometacin, and Medrol dose pack. At the pharmacy, she was recommended that if the treatment is not effective, she should visit a physiatrist.
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| 2819253 | 57 | F | MN | 01/03/2025 |
COVID19 COVID19 COVID19 COVID19 |
MODERNA MODERNA MODERNA MODERNA |
029L20A 024M20A 013F21A 023H22A |
Cough, Oropharyngeal pain, SARS-CoV-2 test; Cough, Oropharyngeal pain, SARS-CoV-...
Cough, Oropharyngeal pain, SARS-CoV-2 test; Cough, Oropharyngeal pain, SARS-CoV-2 test; Cough, Oropharyngeal pain, SARS-CoV-2 test; Cough, Oropharyngeal pain, SARS-CoV-2 test
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Cough, sore throat x3 weeks
Cough, sore throat x3 weeks
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| 2819254 | 90 | F | AR | 01/03/2025 |
COVID19 |
MODERNA |
3031897 |
COVID-19
COVID-19
|
covid infection after vaccination
covid infection after vaccination
|
โ | |||||
| 2819255 | 83 | F | AR | 01/03/2025 |
COVID19 |
MODERNA |
AS7140C |
COVID-19
COVID-19
|
covid infection after vaccination
covid infection after vaccination
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| 2819256 | 23 | F | MN | 01/03/2025 |
COVID19 COVID19 COVID19 |
MODERNA MODERNA PFIZER\BIONTECH |
023C21A 051C21A HD9876 |
Chest pain, Cough, Nasal congestion, Pain, SARS-CoV-2 test; Chest pain, Cough, N...
Chest pain, Cough, Nasal congestion, Pain, SARS-CoV-2 test; Chest pain, Cough, Nasal congestion, Pain, SARS-CoV-2 test; Chest pain, Cough, Nasal congestion, Pain, SARS-CoV-2 test
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Cough, chest aches, dry cough, nasal congestion, body aches
Cough, chest aches, dry cough, nasal congestion, body aches
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| 2819258 | 84 | M | AR | 01/03/2025 |
COVID19 |
MODERNA |
060F22A |
COVID-19
COVID-19
|
covid infection after vaccination
covid infection after vaccination
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| 2819259 | 26 | F | DC | 01/03/2025 |
RSV |
PFIZER\WYETH |
LG9829 |
Dyspnoea, Exposure during pregnancy, Heart rate irregular
Dyspnoea, Exposure during pregnancy, Heart rate irregular
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33 weeks pregnant at time of vaccine. Due date Feb 16 2025. Uncomplicated. Adverse event was irregul...
33 weeks pregnant at time of vaccine. Due date Feb 16 2025. Uncomplicated. Adverse event was irregular heart rhythm and breathlessness starting at 1130 PM Lasted for about 30-45 minutes. I verified irregular heart rhythm with my Omren blood pressure cuff and it picked it up as well. Heart rate was normal. Once my heart was back in rhythm nothing else happened. I had an OB appt the next day and brought it up.
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| 2819260 | 79 | M | FL | 01/03/2025 |
TDAP |
GLAXOSMITHKLINE BIOLOGICALS |
x357e |
Inappropriate schedule of product administration, No adverse event
Inappropriate schedule of product administration, No adverse event
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Pt got Boostrix in 01/31/24 and received another vaccine on 01/03/25. Pt is fine, he is okay and has...
Pt got Boostrix in 01/31/24 and received another vaccine on 01/03/25. Pt is fine, he is okay and has had no adverse reaction
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| 2819261 | 67 | F | OH | 01/03/2025 |
COVID19 |
PFIZER\BIONTECH |
EM9810 |
Aortic dilatation, Cardiomegaly, Computerised tomogram heart abnormal, Laborator...
Aortic dilatation, Cardiomegaly, Computerised tomogram heart abnormal, Laboratory test
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Pt says on 8/1/24 she was getting her calcium scoring and there was an indidental finding that it wa...
Pt says on 8/1/24 she was getting her calcium scoring and there was an indidental finding that it was low. She was asked if she had shortness of breath or trouble breathing. She had mulitple test and was dx with mild cardiomegaly aortic ectasia of the ascending aorta measuring up to 4.2 centameters. She was prescibed lisinapril. This is all new dx for her since being vaccinated. She will follow up after taking up medication after taking this mediciation after a month and will have more of these test in july or aug 2025. She is hoping that she has started treament early enough to have not caused permanent damage.
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โ | |||||
| 2819262 | 78 | M | CO | 01/03/2025 |
RSV |
GLAXOSMITHKLINE BIOLOGICALS |
7l3st |
Pain, Pain in extremity
Pain, Pain in extremity
|
He started feeling pain in his arm that radiated to his wrist and hand, which continued for 30 hours...
He started feeling pain in his arm that radiated to his wrist and hand, which continued for 30 hours. He took so Ibuprofen and it relieved the pain some what. He has no symptoms or anything now.
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| 2819263 | 79 | M | SC | 01/03/2025 |
RSV |
GLAXOSMITHKLINE BIOLOGICALS |
|
Extra dose administered
Extra dose administered
|
Patient received second dose of RSV vaccine. First dose received in Oct 2023
Patient received second dose of RSV vaccine. First dose received in Oct 2023
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| 2819264 | 48 | F | MI | 01/03/2025 |
COVID19 |
MODERNA |
|
Underdose
Underdose
|
Pediatric dose was administered to adult in error.
Pediatric dose was administered to adult in error.
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| 2819265 | 0.67 | F | WI | 01/03/2025 |
DTPPVHBHPB PNC20 |
MSP VACCINE COMPANY PFIZER\WYETH |
|
Fatigue, Lethargy, Pallor; Fatigue, Lethargy, Pallor
Fatigue, Lethargy, Pallor; Fatigue, Lethargy, Pallor
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Fatigued in the afternoon. Episode of increased lethargy and pale skin around 7:30. Patients lips tu...
Fatigued in the afternoon. Episode of increased lethargy and pale skin around 7:30. Patients lips turned white.
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| 2819266 | 64 | F | CO | 01/03/2025 |
COVID19 |
PFIZER\BIONTECH |
LP1780 |
Erythema, Pruritus, Urticaria
Erythema, Pruritus, Urticaria
|
pt says about 10 days after getting vaccine she was itching and developed hives. She had already sta...
pt says about 10 days after getting vaccine she was itching and developed hives. She had already started weining herself off the bromelain papain natural supplement and noticed she was starting to itch but then after the vaccine she now has the hives. She started using oatmeal wash in her bath to help ease the itch. She had red welps on her left side of her torso that she was treating with aloe and lotion. After going to bed it erupted on the right side of her torso. Her symptoms are worse at night. She went to see her doctor and was prescribed hydroxyzine. She will follow up after taking meds if needed.
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| 2819267 | 67 | F | VA | 01/03/2025 |
IPV TYP |
SANOFI PASTEUR SANOFI PASTEUR |
X1D141M W1A361M |
Injected limb mobility decreased, Injection site bruising, Injection site erythe...
Injected limb mobility decreased, Injection site bruising, Injection site erythema, Pain; Injected limb mobility decreased, Injection site bruising, Injection site erythema, Pain
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Patient noted a quarter sized bruise at injection side and red area approx. 3? in same location that...
Patient noted a quarter sized bruise at injection side and red area approx. 3? in same location that continued to get worse causing limited mobility of arm. Client saw Urgent Care on 12/27/24 and began a 5 day course of Prednisone. Patient followed up with primary care physician on 01/03/2025 and reported to this provider that PCP determined there was not a frozen shoulder or infection noted at this time. The patient reports gradual improvement of pain, bruising and redness.
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| 2819268 | 29 | M | TN | 01/03/2025 |
COVID19 |
MODERNA |
|
Hypoacusis, Tinnitus
Hypoacusis, Tinnitus
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Tinnitus, Constant Ringing and Muffled Sound in Right Ear, Varies in Volume
Tinnitus, Constant Ringing and Muffled Sound in Right Ear, Varies in Volume
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| 2819269 | 68 | F | 01/03/2025 |
RSV |
GLAXOSMITHKLINE BIOLOGICALS |
|
Injection site erythema, Injection site swelling
Injection site erythema, Injection site swelling
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patient stated they had redness and swelling to the size of "a golf ball" at the site
patient stated they had redness and swelling to the size of "a golf ball" at the site
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| 2819270 | 73 | F | 01/03/2025 |
COVID19 |
MODERNA |
|
Pain in extremity
Pain in extremity
|
stated arm is still sore since September
stated arm is still sore since September
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| 2819271 | 76 | F | TX | 01/03/2025 |
FLU3 PNC20 RSV |
SANOFI PASTEUR PFIZER\WYETH PFIZER\WYETH |
|
Arthralgia, Arthritis, Neck pain, Pain in extremity; Arthralgia, Arthritis, Neck...
Arthralgia, Arthritis, Neck pain, Pain in extremity; Arthralgia, Arthritis, Neck pain, Pain in extremity; Arthralgia, Arthritis, Neck pain, Pain in extremity
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Patient has Arthritis. Patient took RSV ,Prevnar 20,and Flu vaccines at the same day , same arm. pat...
Patient has Arthritis. Patient took RSV ,Prevnar 20,and Flu vaccines at the same day , same arm. patient suffered from arm , shoulder , and neck pain
More
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| 2819272 | 57 | F | UT | 01/03/2025 |
VARZOS |
GLAXOSMITHKLINE BIOLOGICALS |
3J994 |
Product preparation issue
Product preparation issue
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the pharmacist that administered the vaccine only gave the patient two vials of the adjuvant instead...
the pharmacist that administered the vaccine only gave the patient two vials of the adjuvant instead of the active component of the vaccine.
More
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| 2819273 | 62 | M | IL | 01/03/2025 |
COVID19 COVID19 |
PFIZER\BIONTECH PFIZER\BIONTECH |
FC3181 FC3181 |
Amyotrophic lateral sclerosis, Blood test, Electromyogram abnormal, Magnetic res...
Amyotrophic lateral sclerosis, Blood test, Electromyogram abnormal, Magnetic resonance imaging head, Magnetic resonance imaging spinal; Muscle atrophy, Spinal operation
More
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Pt had a EMG where they found a blockage in his neck and then had surgery on Dec 5th 2021. After h...
Pt had a EMG where they found a blockage in his neck and then had surgery on Dec 5th 2021. After his extensive rehab period his doctor referred him to other doctors for further treatment and testing. He started loosing the muscle between the index fingers and the thumbs on both hands. DX was muscle atrophy and is now on active treatment for ALS. (motor neuron disease) He continues to pursue doctors for treatment and to confirm other diagnosis. He will be going to clinic on Jan 22 for an further eval.
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โ | โ | ||||
| 2819274 | 14 | F | OH | 01/03/2025 |
TDAP |
GLAXOSMITHKLINE BIOLOGICALS |
4799G |
Head injury, Headache, Loss of consciousness
Head injury, Headache, Loss of consciousness
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Vaccination was given. Pt left the treatment area and went to nursing station to make a follow up ap...
Vaccination was given. Pt left the treatment area and went to nursing station to make a follow up appointment. Per mom, she signaled to her that she was going to pass out, then she went down. She hit her head on the floor. She came around quickly with no need to use any inhalants. Cold pack was applied to head. No open wounds noted. CNP on staff notified and she examined pt. She was given juice and sat up on her own. She then stood up and said she was fine but her head hurt. Tylenol samples given to mom for future use. Instructed to go to ER if further complications, ie continued HA or vomiting.
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| 2819275 | 73 | F | SC | 01/03/2025 |
RSV |
GLAXOSMITHKLINE BIOLOGICALS |
52Z52 |
Extra dose administered, No adverse event
Extra dose administered, No adverse event
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Patient received Arexvy vaccine on 1/2/25. Patient had previously received vaccine on 12/29/2023. Pa...
Patient received Arexvy vaccine on 1/2/25. Patient had previously received vaccine on 12/29/2023. Patient had no reaction or any complication.
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| 2819276 | 4 | F | CA | 01/03/2025 |
DTAPIPV DTAPIPV MMRV MMRV |
GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS MERCK & CO. INC. MERCK & CO. INC. |
5G23D 5G23D Y010930 Y010930 |
Erythema, Injection site swelling, Injection site warmth, Ocular hyperaemia, Pru...
Erythema, Injection site swelling, Injection site warmth, Ocular hyperaemia, Pruritus; Pyrexia, Urticaria; Erythema, Injection site swelling, Injection site warmth, Ocular hyperaemia, Pruritus; Pyrexia, Urticaria
More
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12-02-24, the evening of the immunization, the left deltoid swelled-up, warm to touch and low fever ...
12-02-24, the evening of the immunization, the left deltoid swelled-up, warm to touch and low fever for 1 day . There were some itchy splotches on the face . When examined 2 days later, 12-04-24, there was no shortness of breath and no edema. Treatment included discussing care at length, ordered Benadryl and Tylenol as needed for fever or pain. Ice to arm. Follow-up 2 days later, on 12-06-2024, there was redness of eyes, some hives on neck, decreased swelling and redness on arm. Patient was still taking Benadryl at this time. Patient had no previous adverse events with vaccinations. Referral made to allergy/immunology and has appointment scheduled for 02-19-2025. On 01-03-2025, parent reports that there is no longer any issues from this adverse event and patient is fin.
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| 2819277 | 1.08 | F | CA | 01/03/2025 |
FLU3 |
SEQIRUS, INC. |
946628 |
Cough, Dyspnoea, Pyrexia
Cough, Dyspnoea, Pyrexia
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Difficulty Breathing, Cough, & Low-Grade Fever about 10 Hours after the vaccine was administered...
Difficulty Breathing, Cough, & Low-Grade Fever about 10 Hours after the vaccine was administered. Treated with humidifier, saline mist 3 days after the vaccine required a nebulizer treatment and oral prednisone. Symptoms significantly improved on day 4. By day 5 her cough, fever, & respiratory distress resolved.
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| 2819278 | 57 | F | CO | 01/03/2025 |
COVID19 |
MODERNA |
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Lymphadenopathy
Lymphadenopathy
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swollen lymph node
swollen lymph node
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| 2819279 | 78 | F | WY | 01/03/2025 |
COVID19 FLU3 |
PFIZER\BIONTECH SANOFI PASTEUR |
UT8473BA |
Abdominal discomfort, Headache; Abdominal discomfort, Headache
Abdominal discomfort, Headache; Abdominal discomfort, Headache
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Pt. reports a headache treated with Tylenol, upset stomach that was made better by eating something...
Pt. reports a headache treated with Tylenol, upset stomach that was made better by eating something.
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| 2819281 | 63 | F | MD | 01/03/2025 |
FLU3 |
SANOFI PASTEUR |
UT8470AA |
Product administered to patient of inappropriate age
Product administered to patient of inappropriate age
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patient is 63, received high dose flu shot
patient is 63, received high dose flu shot
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| 2819282 | 16 | F | WI | 01/03/2025 |
MNQ |
SANOFI PASTEUR |
U8271AB |
Injection site swelling
Injection site swelling
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LOCALIZED SWELLING OF INJECTION SITE
LOCALIZED SWELLING OF INJECTION SITE
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| 2819283 | 0.17 | F | MI | 01/03/2025 |
RV5 |
MERCK & CO. INC. |
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Extra dose administered, No adverse event
Extra dose administered, No adverse event
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There was no adverse affect. Patient received first dose on 12/24/24 in this office. Patient vomited...
There was no adverse affect. Patient received first dose on 12/24/24 in this office. Patient vomited immediatly after getting the oral vaccine. Patient was brought back in today for another dose. After completing the dose, talked with employee at the health department and was educated that even with vomiting that another dose should not have been administered.
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| 2819284 | 84 | F | PA | 01/03/2025 |
FLU3 |
SANOFI PASTEUR |
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Extra dose administered, No adverse event
Extra dose administered, No adverse event
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Patient asked for a flu shot at the pharmacy on 1/2/25. On 1/3/25, it was discovered that the patien...
Patient asked for a flu shot at the pharmacy on 1/2/25. On 1/3/25, it was discovered that the patient already received a dose this season on 9/20/24. Patient was not experiencing any adverse reactions for the additional vaccine per her phone call with the pharmacist today.
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| 2819285 | 74 | F | AL | 01/03/2025 |
RSV |
GLAXOSMITHKLINE BIOLOGICALS |
52z52 |
Extra dose administered, No adverse event
Extra dose administered, No adverse event
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Patient had already received this vaccine in October 2023. Patient was unaware that only one vaccina...
Patient had already received this vaccine in October 2023. Patient was unaware that only one vaccination for RSV is needed. Patient received an additional RSV vaccine on 12/30/24. Patient was notified on 01/02/25 and has not had any adverse reactions from receiving additional dose.
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| 2819286 | 50 | M | PA | 01/03/2025 |
PNC20 |
PFIZER\WYETH |
LP151 |
Erythema, Mobility decreased, Pain, Skin warm, Swelling
Erythema, Mobility decreased, Pain, Skin warm, Swelling
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Patient had vaccine Saturday, felt pain initially, and increased in swelling and soreness on Sunday....
Patient had vaccine Saturday, felt pain initially, and increased in swelling and soreness on Sunday. By Monday, he states he could not lift his arm without pain. Wednesday redness and swelling increasing. Friday at MD appt, MD said warm to touch and was concerned about infection, prescribed antibiotic.
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| 2819287 | 1.25 | M | TN | 01/03/2025 |
DTAPIPVHIB |
SANOFI PASTEUR |
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Inappropriate schedule of product administration, No adverse event
Inappropriate schedule of product administration, No adverse event
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Pt came in for vaccines, nurse was in hurry and did not pay attention that 4th dose of polio was not...
Pt came in for vaccines, nurse was in hurry and did not pay attention that 4th dose of polio was not due at time because child was only 1. Pt was given Pentacel, MMR, Varicella, and PCV. Pt had with no reaction, no issues, dose did not count, just given too soon.
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| 2819288 | 50 | F | MI | 01/03/2025 |
PNC20 TDAP VARZOS |
PFIZER\WYETH GLAXOSMITHKLINE BIOLOGICALS GLAXOSMITHKLINE BIOLOGICALS |
LG5577 CX4HL KB2YT |
Arthralgia, Contusion, Pain in extremity, Peripheral swelling; Arthralgia, Contu...
Arthralgia, Contusion, Pain in extremity, Peripheral swelling; Arthralgia, Contusion, Pain in extremity, Peripheral swelling; Arthralgia, Contusion, Pain in extremity, Peripheral swelling
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The patient called the pharmacy to report side effects. Patient describes dime size bruising on inje...
The patient called the pharmacy to report side effects. Patient describes dime size bruising on injection arm, soreness, the area feeling swollen, and joint pain. The patient said the onset happened shortly after administration and is continuing. The patient was instructed to use an ice pack and to go into their provider or seek other medical attention if no relief, bothersome, or worsening symptoms.
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