- Staat
- VA
- Alter
- 11,0
- Geschlecht
- M
- Eingang
- 04.05.2022
- Impfdatum
- 03.05.2022
- Beginn
- 03.05.2022
- Tage bis Beginn
- 0,0
- Dosis
- 2
- Route/Site
- SC / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Blood pressure abnormal
Heart rate increased
Hyperhidrosis
Pain in extremity
Pallor
Presyncope
Tinnitus
Tremor
Visual impairment
Symptomtext
Vasovagal response. Skin color became pale, white lips, but was still able to speak with family and nurses. Pt was shaking, diaphoretic, and rap pulse on assessment. Pt stated, "my ears started ringing, bad pain in my left arm, things got dark, and remembering sitting on the floor when I came to." 911 was called. After deep breathing exercises and cool compresses pt slowed breathing, pinks became pink, and blood pressure/HR came back in normal range for his age. O2 sats were 98%.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Presyncope
- Hospital-Tage
- -
- Labordaten
- childhood immunizations was the only service provided
- Aktuelle Erkrankungen
- Pt family denied
- Vorgeschichte
- Pt family denied
- Andere Medikamente
- Pt family denied of client being on any medications at this time
- Allergien
- Pt family denied
- Vorherige Impfungen
- -
- Staat
- VA
- Alter
- 1,0
- Geschlecht
- U
- Eingang
- 05.06.2023
- Impfdatum
- 22.05.2023
- Beginn
- 29.05.2023
- Tage bis Beginn
- 7,0
- Dosis
- 1
- Route/Site
- SC / RL
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: ja
Erholt: ja
Cough
Influenza virus test negative
Pyrexia
Respiratory syncytial virus test negative
Rhinorrhoea
SARS-CoV-2 test negative
Streptococcus test negative
Symptomtext
Patient developed febrile illness (rhinorhea, cough) with temperatures 103- 105. Requiring 2 visits with PCP and one urgent care
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Pyrexia
- Hospital-Tage
- -
- Labordaten
- Rapid antigen test flu A3, RSV, covid, strep (all negative)
- Aktuelle Erkrankungen
- none
- Vorgeschichte
- None
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- OH
- Alter
- 4,0
- Geschlecht
- F
- Eingang
- 23.08.2022
- Impfdatum
- 22.08.2022
- Beginn
- 23.08.2022
- Tage bis Beginn
- 1,0
- Dosis
- UNK
- Route/Site
- SC / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Injection site erythema
Injection site swelling
Injection site vesicles
Symptomtext
Swelling, redness ~3.5x3.5 cm, with small vesicles formed at the site of injection and another bigger vesicle ~6 cm away from that site.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Injection site erythema
- Hospital-Tage
- -
- Labordaten
- none
- Aktuelle Erkrankungen
- none
- Vorgeschichte
- none
- Andere Medikamente
- none
- Allergien
- none known
- Vorherige Impfungen
- -
- Staat
- MI
- Alter
- 5,0
- Geschlecht
- M
- Eingang
- 23.08.2022
- Impfdatum
- 17.08.2022
- Beginn
- 20.08.2022
- Tage bis Beginn
- 3,0
- Dosis
- 2
- Route/Site
- SC / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Pyrexia
Swelling face
Symptomtext
received call from mother of client reporting that client had swelling on right side of jaw that started on saturday (8/20/22) after receiving vaccinations on 8/17/22. she reports that swelling is still present in right side of jaw. She took client to dentist for exam and he told her to contact Health Department that gave immunizations. Dentist prescribed amoxicillin for swelling in jaw. Mother reports she will set up apt with PCP. clients mother reports low grade fever of 99.3 also on Saturday after vaccinations. she denies any other symptoms. client was not taking any medications at time of vaccinations and does not have any allergies. client does not have any preexisting conditions.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Pyrexia
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- none per mother
- Vorgeschichte
- none
- Andere Medikamente
- none per mother
- Allergien
- none per mother
- Vorherige Impfungen
- -
- Staat
- PA
- Alter
- 1,0
- Geschlecht
- F
- Eingang
- 13.06.2022
- Impfdatum
- 27.04.2022
- Beginn
- 25.05.2022
- Tage bis Beginn
- 28,0
- Dosis
- 1
- Route/Site
- SC / RL
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Cough
Pyrexia
Respiratory tract congestion
Symptomtext
Fever, congestion, cough- developed 103.4 degrees f temperature at time of visit.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Pyrexia
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- none
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- ME
- Alter
- -
- Geschlecht
- U
- Eingang
- 24.11.2023
- Impfdatum
- -
- Beginn
- -
- Tage bis Beginn
- -
- Dosis
- 1
- Route/Site
- - / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
No adverse event
Transcription medication error
Symptomtext
The dose of VARIVAX was documented by another HCP as "MMR AND VARICELLA" instead of VARIVAX; No additional AE/no PQC reported.; This spontaneous report was received from nurse, concerning a 60-year-old patient of unknown gender. The patient's medical history, concurrent conditions and concomitant medication were not reported. On unknown date, it was reported that the patient came back as not immune to chicken pox. Therefore, the patient/employee received their first dose of varicella virus vaccine live (oka/merck) (VARIVAX) injection lot #U025204 has been verified to be valid, , expiration date: 13-AUG-2023) (route and anatomical location were not reported) as prophylaxis because of the titer outcomes. The dose of varicella virus vaccine live (oka/merck) (VARIVAX) injection was documented by another HCP as "measles, mumps, and rubella (wistar ra 27-3) virus vaccine, live (M-M-R II) AND VARICELLA" instead of varicella virus vaccine live (oka/merck) (VARIVAX) (Transcription medication error). The caller confirmed the employee/patient did receive the dose of varicella virus vaccine live (oka/merck) (VARIVAX) , as ordered and no med error occurred because of this confusion. The caller said the issue was only about the documentation at this time. The call ended and the caller did not provide dates as to when this incident occurred or when the patient/employee received dose 1 of varicella virus vaccine live (oka/merck) (VARIVAX) . It is unknown if the patient missed any doses or when the employee/patient received the product. The caller said no adverse effects occurred. No additional information was provided to further clarify these details
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- No adverse event
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- KS
- Alter
- -
- Geschlecht
- F
- Eingang
- 02.09.2023
- Impfdatum
- 15.08.2023
- Beginn
- 15.08.2023
- 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 side effects or symptoms; HCP called to report that expired VARIVAX was administered to a Patient. VARIVAX expired on 13AUG2023, and it was given to a patient 15AUG2023, confirmed no side effects or symptoms reported. Confirmed no previous temperature excursion and read suppo; This spontaneous report was received from a medical assistant and refers to a 20 year old female patient. The patient's concurrent conditions, medical history, drug reactions or allergies were not reported. Concomitant medications included diluent (manufacturer unknown). On 15-AUG-2023, the patient was vaccinated with an expired dose of varicella virus vaccine live (oka/merck)(VARIVAX) 0.5 mL once (lot # U025204, expiration date: 13-AUG-2023) (route of administration, anatomical location not provided) as prophylaxis. It was confirmed that no side effects or symptoms were reported.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Expired product administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- STERILE DILUENT
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- IL
- Alter
- -
- Geschlecht
- U
- Eingang
- 18.08.2023
- Impfdatum
- 11.08.2023
- Beginn
- 11.08.2023
- 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
Nurse stated that the patient involved has not reported adverse reaction related to the improperly stored and administered vaccine.; Nurse calling to report adverse event for improperly stored and administered VARIVAX. Nurse reporting temperature excursion in which VARIVAX was left at room temperature for 24 hours on 8/10/2023 and vaccine was administered on 8/11/2023. Nurse sta; This spontaneous report was received from a registered nurse, referring to a patient of unknown age and gender. The patient's pertinent medical history, concurrent conditions, concomitant medications, previous drug reactions, or allergies were not reported. On 11-AUG-2023, the patient was vaccinated with an improperly stored varicella virus vaccine live (oka/merck) (VARIVAX), at a dose of 0.5 milliliter (ml) of a two-dose series (strength, vaccination scheme, anatomical site of vaccination and route of administration were not reported; lot number U025204, expiration date reported and validated as 13-AUG-2023) as prophylaxis (product storage error). The nurse stated that the patient involved had not reported adverse reaction related to the improperly stored and administered vaccine. The vaccine was left at room temperature for 24 hours on 10-AUG-2023.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- No adverse event
- Hospital-Tage
- -
- Labordaten
- -
- 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 / RA
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
- CA
- Alter
- 14,0
- Geschlecht
- M
- Eingang
- 07.12.2022
- Impfdatum
- 28.09.2022
- Beginn
- 05.10.2022
- Tage bis Beginn
- 7,0
- Dosis
- 1
- Route/Site
- SC / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: ja
Erholt: ja
Disseminated varicella
Symptomtext
Pt had disseminated varicella infection
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Disseminated varicella
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- None
- Andere Medikamente
- None
- Allergien
- NKA
- Vorherige Impfungen
- -
- Staat
- NY
- Alter
- -
- Geschlecht
- U
- Eingang
- 17.10.2022
- Impfdatum
- 12.07.2022
- Beginn
- 12.07.2022
- 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; Caller explained VARIVAX was administered after a temperature excursion.; This spontaneous report has been received from a medical assistant, referring to patient of unknown age or gender. The patient's pertinent medical history, concurrent conditions, drugs reactions or allergies and concomitant medications were not provided. On 12-JUL-2022, the patient was vaccinated with an improperly stored dose of varicella virus vaccine live (Oka/Merck) (VARIVAX) subcutaneous injection, lot number U025204 has been verified to be a valid lot number with expiration date on 13-AUG-2023, administered as prophylaxis (strength, dose, frequency, route of administration and anatomical location were not provided). The varicella virus vaccine live (Oka/Merck) (VARIVAX) was stored at a temperature of 26.6 degree Fahrenheit (F) for 1 hour and 7.9 degrees F for 30 minutes. There was no previous temperature excursion. No additional adverse events were reported.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- No adverse event
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- NY
- Alter
- -
- Geschlecht
- U
- Eingang
- 29.09.2022
- Impfdatum
- 13.07.2022
- Beginn
- 13.07.2022
- 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 or PQC reported; Caller explained VARIVAX was administered after a temperature excursion; This spontaneous report was received from a Medical Assistant and refers to a patient of unknown age and gender. Information regarding the patient's concomitant therapies, concurrent conditions, medical history and historical drugs was not provided. On unknown date, the patient was vaccinated with improperly stored varicella virus vaccine live (Oka/Merck) (VARIVAX) (dosage regimen was not reported), lot # U025204 and expiration date 13-AUG-2023, administered as prophylaxis. The improperly stored dose of the suspect vaccine experienced a temperature excursion of 26.6 degree fahrenheit (F) for 1 hour, and 7.9 F for 30 minutes on an unknown date; no previous temperature excursions were reported. No adverse symptoms were reported.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- No adverse event
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- KS
- Alter
- 56,0
- Geschlecht
- M
- Eingang
- 11.07.2022
- Impfdatum
- 22.06.2022
- Beginn
- 22.06.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- SC / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Expired product administered
Symptomtext
Varicella diluted w/expired Diluent.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Expired product administered
- Hospital-Tage
- -
- Labordaten
- None
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- None
- Andere Medikamente
- Unknown
- Allergien
- None
- Vorherige Impfungen
- -
- Staat
- KS
- Alter
- 34,0
- Geschlecht
- F
- Eingang
- 11.07.2022
- Impfdatum
- 13.06.2022
- Beginn
- 13.06.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- SC / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Expired product administered
Symptomtext
Varicella diluted w/expired Diluent.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Expired product administered
- Hospital-Tage
- -
- Labordaten
- None
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- None
- Andere Medikamente
- Unknown
- Allergien
- None
- Vorherige Impfungen
- -
- Staat
- MI
- Alter
- 7,0
- Geschlecht
- M
- Eingang
- 16.05.2022
- Impfdatum
- 27.04.2022
- Beginn
- 27.04.2022
- Tage bis Beginn
- 0,0
- Dosis
- 2
- Route/Site
- SC / LL
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
No adverse event
Wrong product administered
Symptomtext
Patient received a dose of Dtap and should have received Tdap due to over age 7. No treatment needed and no adverse reactions noted.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- No adverse event
- Hospital-Tage
- -
- Labordaten
- None
- Aktuelle Erkrankungen
- None known
- Vorgeschichte
- None
- Andere Medikamente
- None
- Allergien
- None known
- Vorherige Impfungen
- -
- Staat
- -
- Alter
- 2,0
- Geschlecht
- F
- Eingang
- 21.03.2022
- Impfdatum
- 05.03.2022
- Beginn
- 05.03.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- SC / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Extra dose administered
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Extra dose administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- NE
- Alter
- 28,0
- Geschlecht
- F
- Eingang
- 08.03.2022
- Impfdatum
- 04.02.2022
- Beginn
- 04.03.2022
- Tage bis Beginn
- 28,0
- Dosis
- 1
- Route/Site
- SC / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Unevaluable event
Symptomtext
Ice and Tylenol OTC.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Unevaluable event
- Hospital-Tage
- -
- Labordaten
- None
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- None
- Allergien
- Egg and seafood childhood not currently. Allergic to pineapples.
- Vorherige Impfungen
- -