- Staat
- PA
- Alter
- 17,0
- Geschlecht
- F
- Eingang
- 23.08.2022
- Impfdatum
- 23.08.2022
- Beginn
- 23.08.2022
- Tage bis Beginn
- 0,0
- Dosis
- 2
- Route/Site
- SC / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Syncope
Symptomtext
17 year old female became syncopal 10 minutes after injection. Recovered with fluids and food.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Syncope
- Hospital-Tage
- -
- Labordaten
- None
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- None
- Andere Medikamente
- None
- Allergien
- None
- Vorherige Impfungen
- -
- Staat
- TN
- Alter
- 1,3
- Geschlecht
- F
- Eingang
- 12.08.2022
- Impfdatum
- 09.08.2022
- Beginn
- 10.08.2022
- Tage bis Beginn
- 1,0
- Dosis
- 1
- Route/Site
- SC / LL
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Febrile convulsion
Laboratory test
Symptomtext
Febrile seizure at 3:10 am lasting 2 minutes per dad report. Patient remained conscious, did not suffer from injury. Emergency medical services were called and patient's vitals were normal (values not known) per dad report.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Febrile convulsion
- Hospital-Tage
- -
- Labordaten
- Seen in primary care clinic 8/10/22, neurological tests performed, patient was alert, awake, and oriented, happy and smiling. No laboratory or medical tests beyond physical examination or vital completed.
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- KY
- Alter
- 20,0
- Geschlecht
- F
- Eingang
- 16.11.2023
- Impfdatum
- 01.03.2022
- Beginn
- 11.10.2023
- Tage bis Beginn
- 589,0
- Dosis
- 2
- Route/Site
- IM / AR
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Condition aggravated
Eczema
Exposure to communicable disease
Herpes zoster
Inappropriate schedule of product administration
Infection
Stress
Symptomtext
I developed shingles at age 21 on October 11th, 2023. I never had chicken pox as a child. I am in school, however I have been under much more stress in my life than I am right now. My immune system may be under stress from being exposed to everything at clinical in the hospital, but I?ve been in school since May 2022. I had a recent infection in the same area as the shingles came to, and right before developing shingles I finished a cycle of cephalosporins and topical triamcinolone at the same site as the shingles. These medications were for an eczema exacerbation that my doctor believed became infected.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Condition aggravated
- Hospital-Tage
- -
- Labordaten
- Visual exam
- Aktuelle Erkrankungen
- None that I know of, but I received MMR at the same time as the varicella shot. I received only one varicella shot because school required I complete my childhood series (I got 1 of 2 as a child). I received TDAP and HepB vaccines around this time as well, also for nursing school.
- Vorgeschichte
- Eczema
- Andere Medikamente
- None; was taking Vitamin C supplements
- Allergien
- Chest pain if I eat salmon
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 49,0
- Geschlecht
- F
- Eingang
- 15.07.2022
- Impfdatum
- 15.07.2022
- Beginn
- 15.07.2022
- Tage bis Beginn
- 0,0
- Dosis
- 2
- Route/Site
- SC / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Muscular weakness
Nausea
Symptomtext
became nauseated, right arm feeling weak
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Nausea
- Hospital-Tage
- -
- Labordaten
- n/a
- Aktuelle Erkrankungen
- N/A
- Vorgeschichte
- N/A
- Andere Medikamente
- estrogen balancer, chlorphyl supplement
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- NC
- Alter
- 1,0
- Geschlecht
- F
- Eingang
- 16.06.2022
- Impfdatum
- 19.05.2022
- Beginn
- 14.06.2022
- Tage bis Beginn
- 26,0
- Dosis
- 1
- Route/Site
- SC / LL
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Blister
Otitis media
Rash
Rash pruritic
Rash vesicular
Urticaria
Symptomtext
Rash developed, blisters on bilateral legs. Rash very itchy. Diagnosed as Varicella rash
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Rash
- Hospital-Tage
- -
- Labordaten
- none
- Aktuelle Erkrankungen
- otitis media and urticaria 6/10/22
- Vorgeschichte
- none
- Andere Medikamente
- Amoxicillin Triamcinolone ointment
- Allergien
- none
- Vorherige Impfungen
- -
- Staat
- IL
- Alter
- 30,0
- Geschlecht
- F
- Eingang
- 18.03.2022
- Impfdatum
- 16.03.2022
- Beginn
- 16.03.2022
- Tage bis Beginn
- 0,0
- Dosis
- N/A
- Route/Site
- SC / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Pruritus
Urticaria
Symptomtext
Generalized pruritic urticaria (Hives)
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Pruritus
- Hospital-Tage
- -
- Labordaten
- NA
- Aktuelle Erkrankungen
- none
- Vorgeschichte
- none
- Andere Medikamente
- none
- Allergien
- nka
- Vorherige Impfungen
- -
- Staat
- MD
- Alter
- -
- Geschlecht
- U
- Eingang
- 14.06.2023
- Impfdatum
- 23.05.2023
- Beginn
- 23.05.2023
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- - / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Expired product administered
No adverse event
Symptomtext
No additional AE; patient received MMR II expired 4/23/2023.; This spontaneous report was received from an other health professional and refers to a patient of unknown age and gender. The patient's medical history, concurrent conditions and concomitant therapies were not reported. On 23-MAY-2023, the patient was vaccinated with expired dose of measles, mumps, and rubella (wistar ra 27-3) virus vaccine, live recombinant human albumin (rHa) (M-M-R II) injection, lot #U013036, expiration date 23-APR-2023 and administered for prophylaxis (strength, lot #, expiry date, and route of administration were not provided) (Expired product administered). No additional adverse events were reported.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Expired product administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- PA
- Alter
- -
- Geschlecht
- U
- Eingang
- 26.05.2023
- Impfdatum
- 15.05.2023
- Beginn
- 01.10.2022
- Tage bis Beginn
- -
- Dosis
- UNK
- Route/Site
- - / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
No adverse event
Symptomtext
No additional AEs were reported; An expired MMR II was administered to a patient. MMR II had a temperature excursion in 10/2022 and it was given on 5/15/2023. The diluent did not have temperature excursion and was not expired. No additional AEs were reported. No further inform; MMR II had a temperature excursion in 10/2022; Description: An expired MMR II was administered to a patient. MMR II had a temperature excursion in 10/2022 and it was given on 5/15/2023. The diluent did not have temperature excursion and was not expired. No additional AEs were reported. No further information provided. No PQC. This spontaneous report was received from a medical assistant refers to a patient of unknown age and gender. The patient's historical medications, medical history, concurrent conditions and concomitant medications were not reported. In October 2022, the vaccine measles, mumps, and rubella (wistar ra 27-3) virus vaccine, live (rHA)(M-M-R II) lot number u013036, expiration date 23-APR-2023 had a temperature excursion and was administered on 15-MAY-2023 (dose and route of administration not reported)(product storage error and expired product administered). The sterile diluent used to reconstitute the vaccine had no excursions and was no expired. No adverse event was reported. The excursion was of 50 degrees Fahrenheit for 4 hours. No previous excursions were reported.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- No adverse event
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- STERILE DILUENT
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- IL
- Alter
- 41,0
- Geschlecht
- F
- Eingang
- 04.02.2023
- Impfdatum
- 03.02.2023
- Beginn
- 03.02.2023
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Product administered at inappropriate site
Symptomtext
Grad intern gave IM vs Subq as recommended by manufacture
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Product administered at inappropriate site
- Hospital-Tage
- -
- Labordaten
- unknown
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- KY
- Alter
- 4,0
- Geschlecht
- F
- Eingang
- 02.02.2023
- Impfdatum
- 30.01.2023
- Beginn
- 01.01.2023
- Tage bis Beginn
- -
- Dosis
- UNK
- Route/Site
- SC / LL
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
No adverse event
Wrong product administered
Symptomtext
Child was given Kinrix instead of DTAP and was also given IPOL on the same date. No known reactions from patient.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- No adverse event
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- Hydrocortisone 2.5% topical cream
- Allergien
- No known
- Vorherige Impfungen
- -
- Staat
- MI
- Alter
- 17,0
- Geschlecht
- M
- Eingang
- 02.12.2022
- Impfdatum
- 10.11.2022
- Beginn
- 10.11.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- - / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
No adverse event
Product storage error
Symptomtext
No additional AE reported.; MMR II and VARIVAX that had undergone temperature excursion was administered to a patient; This spontaneous report was received from a Certified Medical Assistant concerning a 17-year-old male patient. Their concurrent conditions, medical history, drug reactions/allergies, and concomitant medications were not provided. On 10-NOV-2022, the patient was vaccinated with an improperly storage dose varicella virus vaccine live (Oka/Merck) (VARIVAX) administered as prophylaxis, lot number U029496 with expiration date 21-SEP-2023 (dosage regimen and route of administration were not reported), and Measles, Mumps, and Rubella (Wistar RA 27-3) Virus Vaccine, Live recombinant human albumin (rHA) (M-M-R II) administered as prophylaxis, lot number U013036 with expiration date 23-APR-2023 (dosage regimen and route of administration were not reported). The vaccines underwent a temperature excursion of -10 C up to 8 C (0.1 C) for 444 hours minutes and 0 seconds, with a previous temperature excursion of -10 C up to 8 C (-7.2 C) for 7 hours 54 minutes and 0 seconds (Product storage error). No additional adverse events were reported (No adverse event).
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- No adverse event
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- VA
- Alter
- 18,0
- Geschlecht
- M
- Eingang
- 02.09.2022
- Impfdatum
- 02.09.2022
- Beginn
- 02.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 2
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Incorrect route of product administration
No adverse event
Symptomtext
Patient came to pharmacy to get his second dose of MMR. Medication was mixed properly but given IM instead of SQ. Patient had no known adverse event. Patient did not stay in store for 15 minutes after shot but called the store later and told a technician he was fine. Technician told him to stay on the phone because pharmacist wanted to speak with him but he hung up. Could not call patient back because he didn't leave his number.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect route of product administration
- Hospital-Tage
- -
- Labordaten
- None
- Aktuelle Erkrankungen
- None listed
- Vorgeschichte
- None listed
- Andere Medikamente
- Unknown
- Allergien
- NKA
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 16,0
- Geschlecht
- M
- Eingang
- 23.08.2022
- Impfdatum
- 17.08.2022
- Beginn
- 17.08.2022
- Tage bis Beginn
- 0,0
- Dosis
- 2
- Route/Site
- SC / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
No adverse event
Product administered to patient of inappropriate age
Symptomtext
Adult TD was in advertently given to wrong age group. Patient did not experience any adverse symptoms or reactions. Monitored the patient for 15 minutes.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- No adverse event
- Hospital-Tage
- -
- Labordaten
- n/a
- Aktuelle Erkrankungen
- n/a
- Vorgeschichte
- n/a
- Andere Medikamente
- n/a
- Allergien
- n/a
- Vorherige Impfungen
- -
- Staat
- TN
- Alter
- 3,0
- Geschlecht
- F
- Eingang
- 09.08.2022
- Impfdatum
- 27.07.2022
- Beginn
- 27.07.2022
- Tage bis Beginn
- 0,0
- Dosis
- 2
- Route/Site
- SC / LL
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Unevaluable event
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Unevaluable event
- Hospital-Tage
- -
- Labordaten
- n/a
- Aktuelle Erkrankungen
- n/a
- Vorgeschichte
- n/a
- Andere Medikamente
- n/a
- Allergien
- none
- Vorherige Impfungen
- -
- Staat
- -
- Alter
- 56,0
- Geschlecht
- F
- Eingang
- 23.06.2022
- Impfdatum
- 10.06.2022
- Beginn
- 10.06.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- SC / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect route of product administration
No adverse event
Symptomtext
IM injection given SC route. patient was observed for 45 minutes; no adverse event occurred;
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect route of product administration
- Hospital-Tage
- -
- Labordaten
- none
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- NJ
- Alter
- -
- Geschlecht
- U
- Eingang
- 05.05.2022
- Impfdatum
- 21.04.2022
- Beginn
- 21.04.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- - / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
No adverse event
Product storage error
Symptomtext
No adverse effects; Caller is an office manager who reports administration of vaccine following temperature excursion. No adverse effects of administration. No further information provided. No other AE/no PQC. ? Names of vaccines involved (including lot/exp; This spontaneous report was received from an office manager referring to a patient of unknown age and gender. The patient's medical history, historical drugs, concurrent conditions and concomitant medications were not provided. On 21-APR-2022, the patient was vaccinated with an improperly stored dose of measles, mumps, and rubella (wistar ra 27-3) virus vaccine, live (rHA)(M-M-R II) 0.5 milliliter, lot number U013036, expiration date 23-APR-2023 for prophylaxis (route of administration not reported) (product storage error). The vaccine was reconstituted with sterile diluent that did not experienced any temperature excursion. no adverse event was reported. The vaccine underwent a temperature excursion of 14.5 degrees Celsius for 10 hours. No previous temperature excursions were detected.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- No adverse event
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- STERILE DILUENT
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- MD
- Alter
- 1,0
- Geschlecht
- U
- Eingang
- 11.04.2022
- Impfdatum
- 04.04.2022
- Beginn
- 04.04.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- - / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
No adverse event
Product storage error
Symptomtext
No other issues or concerns noted; MMRII had a TE and had been administered; This spontaneous report was received from a medical assistant referring to a 12-month-old patient of unknown gender. Information about pertinent medical history, drug reaction/allergy and concomitant medication was not provided. On an unknown date, measles, mumps, and rubella (wistar ra 27-3) virus vaccine, live (M-M-R II) experienced temperature excursion with 47 Fahrenheit degrees for 6 minutes and 50 seconds. On 04-APR-2022, the patient was vaccinated with the improperly stored measles, mumps, and rubella (wistar ra 27-3) virus vaccine, live (M-M-R II) (rHA) (lot # U013036, expiration date 23-APR-2023; strength, dose, route of administration and anatomical location were not reported) for prophylaxis (product storage error). No other adverse event (AE) or product quality complaint (PQC) was reported.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- No adverse event
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 4,0
- Geschlecht
- M
- Eingang
- 22.02.2022
- Impfdatum
- 22.02.2022
- Beginn
- 22.02.2022
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- SC / LL
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Petechiae
Symptomtext
Clinically stable and asymptomatic. Found to have a faint petechial rash around his forehead and BL cheeks without mucosal involvement. Mother stated that rash developed about 30 minutes after vaccinations administered.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Petechiae
- Hospital-Tage
- -
- Labordaten
- CBC ordered within 1 hour.
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- None
- Andere Medikamente
- None
- Allergien
- None
- Vorherige Impfungen
- -