- Staat
- MI
- Alter
- 72,0
- Geschlecht
- F
- Eingang
- 14.02.2023
- Impfdatum
- 11.02.2023
- Beginn
- 11.02.2023
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Fall
Loss of consciousness
Rash pruritic
Symptomtext
Was contacted on 2-14-23 by family member patient had blacked out and fell at home between 3 to 4 hours after receiving vaccine. Patient currently has a rash that is not very itchy. Patient has contacted physician and was told to contact pharmacy. Pharmacy was contacted hence this report. Later from initial contact pharmacy was told she fell again today 11-14-23 Pharmacist has repeated twice patient needs to be seen by a physician.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Loss of consciousness
- Hospital-Tage
- -
- Labordaten
- none at this time
- Aktuelle Erkrankungen
- unknown
- Vorgeschichte
- diabetes, high blood pressure., high cholesterol
- Andere Medikamente
- isosorbide monohydrate 30mg Novolog Lantus Omeprazole 20mg Simvastatin 40mg atenolol 25mg metformin 500mg Amlodipine 10mg
- Allergien
- no allergies listed to medications
- Vorherige Impfungen
- -
- Staat
- MI
- Alter
- 20,0
- Geschlecht
- F
- Eingang
- 21.09.2022
- Impfdatum
- 18.09.2022
- Beginn
- 18.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Hypotension
Loss of consciousness
Pallor
Symptomtext
Patient lost consciousness and came to within 30 seconds or less. Patient remained seated and upright the entire time. Patient was pale and her blood pressure was taken. It was low. Patient was advised to move to the floor and relax. We wanted to call emergency services for her but she refused and left within 10 minutes. Patient did not hit her head and said she was feeling fine when she left. Patient said that this had happened before with vaccines.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Loss of consciousness
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- None reported
- Vorgeschichte
- Mood disorder, Asthma
- Andere Medikamente
- Bupropion, Escitalopram, albuterol inhaler
- Allergien
- None reported
- Vorherige Impfungen
- she stated she had fainted before
- Staat
- FL
- Alter
- 69,0
- Geschlecht
- F
- Eingang
- 22.04.2023
- Impfdatum
- 06.04.2023
- Beginn
- 07.04.2023
- Tage bis Beginn
- 1,0
- Dosis
- 1
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Erythema
Malaise
Mobility decreased
Pain in extremity
Peripheral swelling
Skin warm
Symptomtext
The patient reported the day after receiving her immunizations her right arm developed swelling, redness, pain and was warm to the touch; pt reported being in bed for 3 days feeling ill, her PCP prescribed Cephalexin 500mg capsules to take twice daily for 10 days, she came yesterday 04/21/23 to the pharmacy and informed us and she was feeling better and her arm had improved.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Mobility decreased
- Hospital-Tage
- -
- Labordaten
- None reported.
- Aktuelle Erkrankungen
- NONE REPORTED.
- Vorgeschichte
- DIABETES, HIGH BP, HIGH CHOLESTEROL, HYPOTHYROIDISM
- Andere Medikamente
- ATORVASTATIN 10MG, SYNJARDY XR 12.5-1000MG, OZEMPIC 8MG/3ML PEN, LEVOTHYROXINE 100MCG, CELECOXIB 200MG, LISINOPRIL 10MG, PREGABALIN 75MG,
- Allergien
- NONE.
- Vorherige Impfungen
- -
- Staat
- MD
- Alter
- 15,0
- Geschlecht
- F
- Eingang
- 14.12.2022
- Impfdatum
- 14.12.2022
- Beginn
- 14.12.2022
- Tage bis Beginn
- 0,0
- Dosis
- 2
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Abdominal pain
Dizziness
Dyspnoea
Immediate post-injection reaction
Symptomtext
Patient experienced shortness of breath, lightheadedness, and abdominal pain immediately after vaccine administered. Patient's vital signs remained stable, 100% oxygen saturation, and lung sounds were clear.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Dyspnoea
- Hospital-Tage
- -
- Labordaten
- none
- Aktuelle Erkrankungen
- none
- Vorgeschichte
- HIV disease
- Andere Medikamente
- Biktarvy, Cetirizine
- Allergien
- seasonal allergies
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 59,0
- Geschlecht
- F
- Eingang
- 29.09.2022
- Impfdatum
- 31.08.2022
- Beginn
- 31.08.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: ja
Erholt: nein
Dizziness
Hypersensitivity
Hypoaesthesia
Paraesthesia
Rash pruritic
Symptomtext
Pt reports feeling dizzy, numbness and tingling in face, and breaking out in a full body rash that was extremely itchy. The reaction started after she arrived home, days later she went to the ER where she was diagnosed with an allergic reaction and discharged, a few days later she returned to a different ER because the skin reaction was unbearable, again she was diagnosed with alergic reaction and discharged. Today 9/29/22 she came to our clinic for a blood pressure check and reported the above reactions.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Paraesthesia
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- hypertention, GERD, HepC, Morbid obesity, PTSD, hyperlipidemia, prediabetic and HIV
- Andere Medikamente
- Biktarvy 50-200-25, dicyclomine 10mg, esomeprazole 40mg, ezetimibe 10mg, fomatidine 20mg, hydroyzine HCl 25mg, hydroxyzine pamoate 25mg, loratadine 10mg, losartan-hydroCHLOROthiazide 100-25, metFORMIN 500MG, venlafaxine XR 150 mg
- Allergien
- Ace Inhibitors
- Vorherige Impfungen
- -
- Staat
- NC
- Alter
- 73,0
- Geschlecht
- M
- Eingang
- 26.09.2022
- Impfdatum
- 15.09.2022
- Beginn
- 15.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Hypotension
Joint swelling
Peripheral swelling
Skin warm
Symptomtext
PATIENT CALLED AND STATED HE HAD SWELLING IN HIS LEFT ARM AND IT WAS HOT TO THE TOUCH. HE ALSO STATED THE SWELLING AND HEAT HAD TRAVELED DOWN HIS ARM AND HE HAD SWELLING UNDER HIS ELBOW. I ADVISED HIM TO TAKE SOME ANTIHISTAMINES OTC SOME ZYRTEC OR BENADRYL. OVERALL HE STATED THE SWELLING WAS GOING DOWN AND IMPROVING. HE STATED THAT HIS BLOOD PRESSURE DROPPED LOW AND HE WOULD'VE SEEKEED MEDICAL CARE IF IT DIDNT COME BACK UP. I CHECKED ON HIM CALLED HIM TWICE AFTER HE REPORTED THIS TO ME. I TOLD HIM TO SEEK MEDICAL CARE IF THE REACTION/SWELLING/HEAT DIDNT SUBSIDE HE WAS ABLE TO MONITOR HIS BLOOD PRESSURE AND EVERTHING HAD IMPROVED AS THE DAY WENT ON. HE WAS NOT UPSET OR SEEKING ANYTHING FROM PHARMACY. I TOLD HIM FROM NOW ON NOT TO GET 2 SHOTS IN THE SAME ARM. PATIENT WAS VERY THANKFUL I CALLED TO CHECK ON HIM.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Hypotension
- Hospital-Tage
- -
- Labordaten
- N/A
- Aktuelle Erkrankungen
- N/A
- Vorgeschichte
- HEART DISEASE/AFIB, COPD
- Andere Medikamente
- N/A
- Allergien
- NKA
- Vorherige Impfungen
- -
- Staat
- SC
- Alter
- 66,0
- Geschlecht
- M
- Eingang
- 29.08.2022
- Impfdatum
- 29.08.2022
- Beginn
- 29.08.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Dyspnoea
Erythema
Hyperhidrosis
Muscle tightness
Symptomtext
Patient walked away from pharmacy after receiving vaccine and about 2 minutes later came back and was profusely sweating, was very red in the face, and was having trouble breathing. He reported muscle tensing as well. EMS was called. I administered 0.3 mg of epinephrine and he immediately started feeling better. EMS arrived about 10 minutes later and did a full workup. At this point, he was feeling much better and talking normally. He chose not to be taken to hospital and EMS walked him out to his car.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Dyspnoea
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- Diabetes and high blood pressure
- Andere Medikamente
- None
- Allergien
- None
- Vorherige Impfungen
- -
- Staat
- GA
- Alter
- 78,0
- Geschlecht
- M
- Eingang
- 28.07.2022
- Impfdatum
- 07.06.2022
- Beginn
- 07.06.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Injected limb mobility decreased
Pain in extremity
Symptomtext
Limited active and passive ROM secondary to pain in left arm
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Injected limb mobility decreased
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- MI
- Alter
- 69,0
- Geschlecht
- F
- Eingang
- 08.07.2022
- Impfdatum
- 06.06.2022
- Beginn
- 07.06.2022
- Tage bis Beginn
- 1,0
- Dosis
- 1
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Asthenia
Chills
Decreased appetite
Diarrhoea
Feeling abnormal
Mobility decreased
Nausea
Nervousness
Pain in extremity
Pyrexia
Swelling
Urticaria
Weight decreased
Symptomtext
She got her vaccines, her arm became sore with the Shingrix vaccine. She got it in the evening and felt bad and went to bed, she had nauseated, chills, fever, loss of appetite and weak, and felt so bad that she stayed in bed most of the next day except to feed her cat. On 6/8/22 she felt better, weak and shaky, diarrhea and had lost some weight. She had to take the cat to the vet so she got up and did that. She then noticed 4" x 3" hives on her arm, and had taken a picture but they had gone down in size, so probably had them the initial day. She did not go to the doctor, and just relaxed and did not take anything for it. The reaction finally went away, 2 days after the swelling was not as bad. The symptoms finally went away. The following week she had loose stools for a few days and lost more weight 3#. She is never sick and does not know what this is all about. She is not back to full speed. She is never getting 2 vaccines at the same time again. She feels that she was forced to get the vaccine. She read an article that the efficacy was not as good if she got it with another vaccine and wonders in about 5 months if she needs to get another Shingrix. She would like to be contacted if she got a bad lot#, and if it is a wise idea for her to get another Shingrix in about 6 months since she waited 8 months.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Mobility decreased
- Hospital-Tage
- -
- Labordaten
- None.
- Aktuelle Erkrankungen
- None.
- Vorgeschichte
- None.
- Andere Medikamente
- None.
- Allergien
- Erythromycin, Sulfa, Doxycycline, Minocycline, Tetracycline, Bee venom, latex, Terramycin , wasp venom.
- Vorherige Impfungen
- -
- Staat
- FL
- Alter
- 7,0
- Geschlecht
- F
- Eingang
- 26.05.2023
- Impfdatum
- 22.05.2023
- Beginn
- 01.05.2023
- Tage bis Beginn
- -
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Erythema
Pain in extremity
Peripheral swelling
Tenderness
Symptomtext
Patient with swelling, pain, tenderness, and erythema on the left arm. Benadryl, Clindamycin, and Ibuprofen were prescribed. Advise applying cool compresses
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Pain in extremity
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- fever and dysuria 2 days prior
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- NKDA
- Vorherige Impfungen
- -
- Staat
- FL
- Alter
- 7,0
- Geschlecht
- M
- Eingang
- 11.05.2023
- Impfdatum
- 24.04.2023
- Beginn
- 26.04.2023
- Tage bis Beginn
- 2,0
- Dosis
- 1
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: ja
Disable: unbekannt
ER: ja
Erholt: nein
Aspiration bone marrow normal
Basophil percentage
Blood culture negative
Culture negative
Discharge
Cellulitis
Injection site reaction
Peripheral swelling
Tenderness
Drainage
Eosinophil count normal
Eosinophil percentage decreased
Erythema
Fluid retention
Gram stain positive
Granulocyte percentage
Haematocrit normal
Haemoglobin normal
Symptomtext
2 days after administration had local pain, malaise, 3 days after injection fevers, local swelling down to elbow and redness with induration. 7 days after administration mother noticed a large knot, redness, swelling and very painful. ER visit, treated with clindamycin tabs, not tolerated, used after that Keflex. 3rd visit to ER and others to urgent care, an ultrasound is performed, pocket of 2.4 ml with fluid noticed. Draine, obtained about 12-14 ml of purulent discharge. Culture negative. Treated with IV Ancef, then completed orally Keflex. 10 days. Assessed again 5.10.24 still 5 cm induration, redness, tender and still serosanguineous discharge. Started Clindamycin. Pain control.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Injection site reaction
- Hospital-Tage
- 7,0
- Labordaten
- No visits with results within 1 Day(s) from this visit. Latest known visit with results is: Admission on 05/06/2023, Discharged on 05/07/2023 Component Date Value Ref Range Status ? Blood/Bone Marrow Culture 05/06/2023 No growth at 72 hours Preliminary ? MRSA SSTI PCR 05/06/2023 Negative - Final Negative for Methicillin Resistant Staphylococcus aureus by Nucleic Acid Testing. ? S. aureus SSTI PCR 05/06/2023 Negative - Final Negative for Staphylococcus aureus by Nucleic Acid Testing. ? White Blood Cell Count 05/06/2023 8.52 5.50 - 15.50 K/cu mm Final ? Red Blood Cell Count 05/06/2023 4.62 4.00 - 5.20 M/cu mm Final ? Hemoglobin 05/06/2023 12.3 11.7 - 13.8 g/dL Final ? Hematocrit 05/06/2023 36.4 35.0 - 45.0 % Final ? Mean Corpuscular Volume 05/06/2023 78.8 77.0 - 95.0 fL Final ? Mean Corpus Hgb 05/06/2023 26.6 25.0 - 33.0 pg Final ? Mean Corpus Hgb Conc 05/06/2023 33.8 31.0 - 37.0 g/dL Final ? RBC Distribution Width 05/06/2023 12.5 11.5 - 14.5 % Final ? Platelet Count 05/06/2023 437 (H) 150 - 350 K/cu mm Final ? Mean Platelet Volume 05/06/2023 9.0 (L) 9.2 - 12.7 fL Final ? Nucleated RBC Number 05/06/2023 0.00 0.00 - 0.01 K/cu mm Final ? Neutrophil % 05/06/2023 47.7 33.0 - 59.0 % Final ? Lymphocytes % 05/06/2023 43.5 30.0 - 65.0 % Final ? Monocyte % 05/06/2023 6.7 3.0 - 9.0 % Final ? Eosinophil % 05/06/2023 0.7 (L) 1.0 - 4.0 % Final ? Basophil % 05/06/2023 0.7 0.0 - 2.0 % Final ? Immature Gran % 05/06/2023 0.7 0.0 - 1.0 % Final Immature Grans = Promyelocytes + Myleocytes + Metamyelocytes ? ANC-Neutrophil Absolute 05/06/2023 4.06 1.50 - 8.00 K/cu mm Final ? Lymphocytes Absolute 05/06/2023 3.71 1.30 - 10.10 K/cu mm Final ? Monocyte Absolute 05/06/2023 0.57 0.20 - 1.40 K/cu mm Final ? Eosinophil Absolute 05/06/2023 0.06 (L) 0.12 - 0.30 K/cu mm Final ? Immature Granulocytes Abs 05/06/2023 0.06 (H) 0.00 - 0.05 K/cu mm Final Immature Grans = Promyelocytes + Myleocytes + Metamyelocytes ? Aerobic/Anaerobic Misc Culture 05/06/2023 No growth to date Preliminary ? Gram stain 05/06/2023 Very Light Polymorphonuclear leukocytes Preliminary ? Gram stain 05/06/2023 No Squamous epithelial cells Preliminary ? Gram stain 05/06/2023 No organisms seen Preliminary US EXTREMITY LIMITED: 5/6/2023 13:50 Technique: Limited ultrasound of the lateral arm was performed. Findings: Anechoic avascular fluid measuring 3.5 x 0.8 x 1.6 cm (volume 2.4 mL) with partially collapsed morphology and thin hyperechoic non shadowing capsule located in the subcutaneous adipose tissue. Cine images demonstrate compressible/collapsible nature of the fluid collection. Increased echogenicity of the surrounding fat with blurring of the architecture and hyperemia overall measuring 5.5 x 1.3 x 2.6 cm. No involvement of the underlying musculature.
- Aktuelle Erkrankungen
- Sinusitis
- Vorgeschichte
- Oligoarticular juvenile idiopathic arthritis; moderate persistent asthma
- Andere Medikamente
- Albuterol, Symbicort, melatonin, MiraLAX
- Allergien
- Montelukast, essential oils
- Vorherige Impfungen
- -
- Staat
- MA
- Alter
- 67,0
- Geschlecht
- F
- Eingang
- 29.03.2023
- Impfdatum
- 29.03.2023
- Beginn
- 29.03.2023
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Erythema
Pruritus
Swelling
Symptomtext
PATIENT CALLED AND REPORT REDNESS, SWELLING AND A LITTLE ITCHY
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Pruritus
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- WA
- Alter
- 67,0
- Geschlecht
- F
- Eingang
- 17.02.2023
- Impfdatum
- 13.02.2023
- Beginn
- 14.02.2023
- Tage bis Beginn
- 1,0
- Dosis
- 2
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Erythema
Myalgia
Peripheral swelling
Symptomtext
severe pain and swelling in entire deltoid, redness lasting through today, which is 4 days
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Myalgia
- Hospital-Tage
- -
- Labordaten
- none
- Aktuelle Erkrankungen
- recent cold , recent genital herpes outbreak
- Vorgeschichte
- chronic pain syndrome, peripheral neuropathy
- Andere Medikamente
- acyclovir, buspirone, calcium/magnesium, cyclobenzaprine, D3, fish oil, gabapentin, ibuprofen, multivitamin, oxycodone, red rice yeast, sertraline, ambien,
- Allergien
- morphine, lexapro, codeine
- Vorherige Impfungen
- -
- Staat
- MA
- Alter
- 60,0
- Geschlecht
- M
- Eingang
- 04.01.2023
- Impfdatum
- 13.12.2022
- Beginn
- 23.12.2022
- Tage bis Beginn
- 10,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
C-reactive protein
Differential white blood cell count
Full blood count
Injection site erosion
Injection site erythema
Injection site scab
Laboratory test
Rash
Rash macular
Rash maculo-papular
Red blood cell sedimentation rate
Skin lesion
Treponema test
Symptomtext
The patient was noted to have "red circular spots" on the left arm, darkened scab area on the left upper arm, and "circle-like red spots" in the abdominal area. No pain or itching was reported. No respiratory distress was noted or reported." Maculopapular rash concentrated on the trunk (abd/chest/back) with a few scattered similar lesions on Bilat UE. LUE with 1 solitary lesion that appears larger excoriated with central dark scab & Minimal surrounding erythema.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Injection site erosion
- Hospital-Tage
- -
- Labordaten
- C-reactive Protein CBC auto differential RPR (Diagnosis) with Reflex to Titer and Confirmatory Testing Sedimentation Rate by Modified Westergren
- Aktuelle Erkrankungen
- N/A
- Vorgeschichte
- Alcohol use disorder HTN
- Andere Medikamente
- hydrochlorothiazide thiamine multivitamin
- Allergien
- No known drug allergies
- Vorherige Impfungen
- -
- Staat
- MO
- Alter
- 65,0
- Geschlecht
- F
- Eingang
- 21.11.2022
- Impfdatum
- 27.10.2022
- Beginn
- 31.10.2022
- Tage bis Beginn
- 4,0
- Dosis
- N/A
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Injection site erythema
Injection site vesicles
Pain in extremity
Peripheral swelling
Symptomtext
REPROTED BY PATIENT: I have a blister where I received the Covid booster and Pneumonia shot on Thursday 10/27. There is a red ring around it. My arm feels better today as it was very sore and swollen the last 3days. The blister started Saturday. Just checking if I should do anything special. I am being careful no to break it
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Injection site erythema
- Hospital-Tage
- -
- Labordaten
- NONE
- Aktuelle Erkrankungen
- 10/26/2022 VIRAL GASTROENTERITIS
- Vorgeschichte
- CKD (chronic kidney disease) stage 3, GFR 30-59 ml/min (CMS/HCC) Mild non proliferative diabetic retinopathy (CMS/HCC) M obesity BMI 50.0-59.9, adult (CMS/HCC) Well controlled type 2 diabetes mellitus (CMS/HCC) Recurrent major depressive disorder, in full remission (CMS/HCC) Dyspepsia Essential hypertension Pure hypercholesterolemia Uric acid stone in urine AK (actinic keratosis) History of gastroenteritis
- Andere Medikamente
- allopurinol (ZYLOPRIM) 100 MG tablet Take 1 (one) tablet by mouth 2 times daily aspirin (ASPIRIN) 325 MG tablet Take 325 mg by mouth once daily Blood Glucose Monitoring Suppl (ONE TOUCH ULTRA SMART) W/DEVICE KIT Use 1 Device once daily.
- Allergien
- ERTHROMYCIN
- Vorherige Impfungen
- -
- Staat
- NC
- Alter
- 67,0
- Geschlecht
- F
- Eingang
- 17.11.2022
- Impfdatum
- 14.09.2022
- Beginn
- 15.09.2022
- Tage bis Beginn
- 1,0
- Dosis
- 1
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Arthralgia
Pain
Pain in extremity
Ultrasound scan
X-ray limb
Symptomtext
Patient received Vaccine on 9/14/22 and staed she started to experience arm pain radiating to Elbow on 9/15/22 , reported to provider on 11/7/22 and seen in office on 11/16/22 fo rright arm pain.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Arthralgia
- Hospital-Tage
- -
- Labordaten
- X-ray of righ arm, Ultrasound of right arm, Meloxicam 7.5 mg , and prednisone taper given.
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- Diabetes, Hypertension
- Andere Medikamente
- Tylenol, Albuterol, aspirin, Atorvastatin, Buspar, Trulicity, Cymbalta, Enalapril, Gabapentin, Metformin.
- Allergien
- No Known allergies
- Vorherige Impfungen
- -
- Staat
- GA
- Alter
- 72,0
- Geschlecht
- F
- Eingang
- 02.11.2022
- Impfdatum
- 29.10.2022
- Beginn
- 31.10.2022
- Tage bis Beginn
- 2,0
- Dosis
- N/A
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Injection site erythema
Injection site swelling
Injection site warmth
Symptomtext
Shots given in same arm at patient request, 1 inch apart. Arm is swollen from shoulder down to elbow, red, and warm to the touch.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Injection site erythema
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- MS
- Alter
- 65,0
- Geschlecht
- F
- Eingang
- 27.10.2022
- Impfdatum
- 22.10.2022
- Beginn
- 23.10.2022
- Tage bis Beginn
- 1,0
- Dosis
- 1
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Injection site erythema
Peripheral swelling
Skin warm
Symptomtext
Patient came back to the pharmacy with redness/swelling/fever in her right arm. There was a red line going around her arm near injection site.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Injection site erythema
- Hospital-Tage
- -
- Labordaten
- Patient went to the doctor 10/25/22 and was prescribed zyrtec and medrol dose pack.
- Aktuelle Erkrankungen
- Cancer
- Vorgeschichte
- Cancer
- Andere Medikamente
- Cymbalta, Femara, Elocon cream, Neurontin, Atorvastatin, Lisinopril/HCTZ,
- Allergien
- penicillins
- Vorherige Impfungen
- -
- Staat
- IA
- Alter
- 67,0
- Geschlecht
- F
- Eingang
- 09.10.2022
- Impfdatum
- 05.10.2022
- Beginn
- 06.10.2022
- Tage bis Beginn
- 1,0
- Dosis
- 1
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: ja
Erholt: nein
Injection site erythema
Injection site pain
Injection site swelling
Symptomtext
Patient developed soreness, swelling, and redness in the left arm from the top of the shoulder down to the elbow at least 24 hours after receiving 2 immunizations in the left arm. She sought care in the ER, where she was prescribed an antibiotic and a steroid and instructed to use OTC Benadryl if needed.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Injection site erythema
- Hospital-Tage
- -
- Labordaten
- Unknown.
- Aktuelle Erkrankungen
- Unknown.
- Vorgeschichte
- High cholesterol; Restless legs; High blood pressure; Pain.
- Andere Medikamente
- Meloxicam; Atorvastatin; Duloxetine; Ropinirole; Hydrochlorothiazide; Losartan; Omeprazole.
- Allergien
- Tetanus Toxoid.
- Vorherige Impfungen
- -
- Staat
- GA
- Alter
- 70,0
- Geschlecht
- F
- Eingang
- 03.10.2022
- Impfdatum
- 29.09.2022
- Beginn
- 29.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Haemorrhage
Impaired work ability
Joint range of motion decreased
Musculoskeletal stiffness
Pain in extremity
Product administered at inappropriate site
Symptomtext
Patient states that following the injection she had bleeding and stiffness in her left arm. Her arm became so sore she was unable to lift her arm at the shoulder and had to stay home for work for two days. She presented to the dr on 10/3/22 and was prescribed diclofenac and baclofen. Pt states that the doctor believed the injection was given too close to the shoulder joint.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Pain in extremity
- Hospital-Tage
- -
- Labordaten
- Unsure, patient saw PCP 10/3/22
- Aktuelle Erkrankungen
- unknown
- Vorgeschichte
- Diabetic, hypercholesterolemia
- Andere Medikamente
- Metformin, Atorvastatin, Meclizine, dicyclomine
- Allergien
- NKA
- Vorherige Impfungen
- -
- Staat
- -
- Alter
- 66,0
- Geschlecht
- M
- Eingang
- 15.09.2022
- Impfdatum
- 30.08.2022
- Beginn
- 31.08.2022
- Tage bis Beginn
- 1,0
- Dosis
- N/A
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Rash
Rash pruritic
Symptomtext
Red rash over most of my body; no blisters but itchy. Treated with hydrocortisone and antihistamine. Resolved after about 6 days.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Rash
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- no
- Vorgeschichte
- no
- Andere Medikamente
- multi vitamin, Lipitor
- Allergien
- no
- Vorherige Impfungen
- -
- Staat
- HI
- Alter
- 72,0
- Geschlecht
- F
- Eingang
- 07.09.2022
- Impfdatum
- 01.09.2022
- Beginn
- 01.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- N/A
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Injection site bruising
Injection site erythema
Injection site pain
Injection site swelling
Pain
Pyrexia
Skin warm
Symptomtext
Site: Bruising at Injection Site-Mild, Site: Pain at Injection Site-Medium, Site: Redness at Injection Site-Medium, Site: Swelling at Injection Site-Medium, Systemic: Fever-Mild, Additional Details: Pt received Fluzone HD 2022-23 and Pneumovax 23 on 9/1/22 at 9am. Began experiencing fever-like symptoms (low grade fever, slight body aches) that night around 6-7pm. Woke up in morning on 9/2 and had bruising at injection site and redness/swelling on bicep/deltoid area. Area was hot to the touch, swollen and moderately painful. Adverse effects are resolving on 9/3/22, pt doesn't request follow up with MD.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Injection site bruising
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- IL
- Alter
- 71,0
- Geschlecht
- F
- Eingang
- 29.08.2022
- Impfdatum
- 23.08.2022
- Beginn
- 24.08.2022
- Tage bis Beginn
- 1,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Injection site bruising
Injection site erythema
Injection site pain
Injection site swelling
Symptomtext
Site: Bruising at Injection Site-Mild, Site: Pain at Injection Site-Medium, Site: Redness at Injection Site-Medium, Site: Swelling at Injection Site-Medium
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Injection site bruising
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- WA
- Alter
- 68,0
- Geschlecht
- M
- Eingang
- 24.08.2022
- Impfdatum
- 22.08.2022
- Beginn
- 23.08.2022
- Tage bis Beginn
- 1,0
- Dosis
- 1
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Injection site erythema
Injection site swelling
Pyrexia
Symptomtext
Patient reports that redness and swelling at injection site began 1 day after receiving vaccine. Also notes feeling feverish. Presents to clinic for evaluation today and redness and swelling is noted lower in bicep. Area is not warm to the touch and no fever is noted.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Injection site erythema
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- none
- Vorgeschichte
- Hyperlipidemia, arthralgia, pulmonary emphysema, colonic polyps - benign, palpitations, abnormal liver function, alcohol dependence - remission, ADHD, cannabis use, tobacco use, eczema, depression, BPH, erectile dysfunction
- Andere Medikamente
- none
- Allergien
- none
- Vorherige Impfungen
- -
- Staat
- GA
- Alter
- 82,0
- Geschlecht
- M
- Eingang
- 16.08.2022
- Impfdatum
- 15.08.2022
- Beginn
- 16.08.2022
- Tage bis Beginn
- 1,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Axillary pain
Erythema
Induration
Oedema peripheral
Symptomtext
erythema, edema, tenderness with induration of tissue from left axilla extending distal to left medial epicondyle
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Axillary pain
- Hospital-Tage
- -
- Labordaten
- ordered CBC
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- OA, COPD, BPH, allergic rhinitis, prediabetes, obesity
- Andere Medikamente
- finasteride, lisinopril, tamsulosin, vitamin D
- Allergien
- None
- Vorherige Impfungen
- -
- Staat
- FL
- Alter
- 74,0
- Geschlecht
- M
- Eingang
- 05.08.2022
- Impfdatum
- 03.08.2022
- Beginn
- 04.08.2022
- Tage bis Beginn
- 1,0
- Dosis
- 2
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: ja
Erholt: ja
Blood creatinine
Blood glucose
Blood urea
Differential white blood cell count
Electrocardiogram
Full blood count
Laboratory test
Pruritus
Rash
Urticaria
Vitamin B12
White blood cell count
Symptomtext
Symptoms:: Rash developed at first on the left eye lid and then spread over to stomach and lower abdomen , groin and thighs and hand area. A few hours later to the neck area and also on the back side. Itching all over the body at various places Treatment at ER: diphenhydrAMINE (BENADRYL) , Famotidine (PEPCID) and methylPREDNISolone Sod Succ (PF) ( SOLU-Medrol PF) and Sodium Chloride 0.9 % all given Intravenously Diagnosis: URTICARIA (HIVES)
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Pruritus
- Hospital-Tage
- -
- Labordaten
- Lab Test conducted 08/4/2022 at 9:49 PM BLOOD UREA CBC CREATININE ELECTROLYTE PANEL GLUCOSE WHITE BLOOD CELL DIFFERENTIAL VITAMIN B12 and EKG
- Aktuelle Erkrankungen
- NONE
- Vorgeschichte
- NONE
- Andere Medikamente
- NONE
- Allergien
- NONE
- Vorherige Impfungen
- -
- Staat
- MA
- Alter
- 4,0
- Geschlecht
- F
- Eingang
- 04.08.2022
- Impfdatum
- 02.08.2022
- Beginn
- 04.08.2022
- Tage bis Beginn
- 2,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Cellulitis
Erythema
Injection site swelling
Symptomtext
Patient presented with arm redness and red streak along with arm swelling at injection site, two days after administration of routine 4 year old vaccine. Patient is being treated for cellulitis of left arm with Clindamycin 225 mg orally 3 times a day.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Injection site swelling
- Hospital-Tage
- -
- Labordaten
- Examination of left arm by provider. No lab test performed.
- Aktuelle Erkrankungen
- Congenital hear Disease, Congestive Heart Failure, Tricuspid atresia, Pulmonary Hypertension
- Vorgeschichte
- Congenital hear Disease, Congestive Heart Failure, Tricuspid atresia, Pulmonary Hypertension
- Andere Medikamente
- None
- Allergien
- No known allergies
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 57,0
- Geschlecht
- M
- Eingang
- 22.07.2022
- Impfdatum
- 19.07.2022
- Beginn
- 20.07.2022
- Tage bis Beginn
- 1,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Erythema
Insomnia
Pain in extremity
Peripheral swelling
Skin warm
Symptomtext
Patient reported swollen (from top of the shoulder to the wrist), red, and hot on the left arm. Patient reported that it was painful, and he couln't sleep on it. Treatment consisted of medrol pack and a z-pack and the time course was for six days.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Pain in extremity
- Hospital-Tage
- -
- Labordaten
- No tests and labs
- Aktuelle Erkrankungen
- Not reported
- Vorgeschichte
- Type II Diabetes Mellitus
- Andere Medikamente
- Sildenafil 100mg tablet
- Allergien
- NKA
- Vorherige Impfungen
- -
- Staat
- OH
- Alter
- 3,0
- Geschlecht
- M
- Eingang
- 14.06.2022
- Impfdatum
- 10.06.2022
- Beginn
- 11.06.2022
- Tage bis Beginn
- 1,0
- Dosis
- 1
- Route/Site
- IM / RL
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Erythema
Induration
Local reaction
Pyrexia
Symptomtext
14 cm local reaction with induration and erythema. Fever of 105 degrees F, 24 hours after immunization with temps resolving after 48 hours.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Pyrexia
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- viral URI May 19, 2022
- Vorgeschichte
- Anti-pneumococcal antibody deficiency. asthma
- Andere Medikamente
- Dulera 110-5 Mcg/ACT 2 puffs twice daily
- Allergien
- none
- Vorherige Impfungen
- -
- Staat
- CA
- Alter
- -
- Geschlecht
- U
- Eingang
- 14.11.2023
- Impfdatum
- 04.11.2023
- Beginn
- 04.11.2023
- 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 AEs or PQC; expired dose of PNEUMOVAX 23 was administered.; This spontaneous report was received from a pharmacist and refers to a patient of unknown age and gender. The patient's medical history, concurrent conditions, and concomitant therapies were not reported. On 04-NOV-2023, the patient was vaccinated with an expired dose of pneumococcal vaccine, polyvalent (23-valent) (PNEUMOVAX23) pre-filled syringe lot #U035117, expiration date: 18-AUG-2023 (strength, anatomical location, and route of administration were not provided) as prophylaxis. No adverse event was reported.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Expired product administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- -
- Alter
- 71,0
- Geschlecht
- F
- Eingang
- 06.11.2023
- Impfdatum
- 04.11.2023
- Beginn
- 04.11.2023
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Expired product administered
Symptomtext
Expired vaccine was accidentally administered (expiration: 8/18/23; administration: 11/4/23) to patient, pt did not experience any adverse event. Consulted manufacturer regarding vaccine administration beyond expiration date, advised to repeat vaccination as soon as possible.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Expired product administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- IL
- Alter
- -
- Geschlecht
- U
- Eingang
- 13.10.2023
- Impfdatum
- 11.10.2023
- Beginn
- 11.10.2023
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- - / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Expired product administered
Symptomtext
No additional AE; adverse event regarding an expired dose of PNEUMOVAX 23 that was administered to a patient; This spontaneous report as received from a nurse, referring to a patient of unknown age and gender. Information regarding the patient's pertinent medical history, concurrent condition and concomitant medication was not provided. On 11-OCT-2023, the patient was vaccinated with expired dose of pneumococcal vaccine, polyvalent (23-valent) (PNEUMOVAX 23) injection (0.5 mL, lot #U035117 was valid for formulation prefilled syringe, expiration date 18-AUG-2023, route of administration and anatomical location were not provided) for prophylaxis (Expired vaccine used). Nurse confirmed that the patient involved had not reported any symptoms or medical concerns related to the administration of the expired dose. No additional information provided regarding this adverse event. No additional adverse event (AE)/product quality complaint (PQC) reported (No adverse event).
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Expired product administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- IL
- Alter
- 72,0
- Geschlecht
- M
- Eingang
- 11.10.2023
- Impfdatum
- 11.10.2023
- Beginn
- 11.10.2023
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
No adverse event
Symptomtext
No adverse effects
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- No adverse event
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- viral uri with cough
- Vorgeschichte
- hypertension, ckd
- Andere Medikamente
- Vitamin D, Torsemide, Viagra, Lisinopril, Flonase, spironolactone, farxiga, doxazosin, allopurinal, eliquis, lipitor, benzonate
- Allergien
- n/a
- Vorherige Impfungen
- -
- Staat
- MD
- Alter
- -
- Geschlecht
- U
- Eingang
- 26.09.2023
- Impfdatum
- -
- Beginn
- 07.09.2023
- Tage bis Beginn
- -
- Dosis
- UNK
- Route/Site
- - / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Expired product administered
No adverse event
Symptomtext
Medical assistant calls to report PNEUMOVAX 23 lot#u035117 8/18/2023 administered after expiration date. See AE case 02467053 No further AE. No PQC MIR request case 02467042.; Medical assistant calls to report PNEUMOVAX 23 lot#u035117 8/18/2023 administered after expiration date. See AE case 02467053 No further AE. No PQC MIR request case 02467042.; This spontaneous report was received from Other Health Professional and refers to a patient of unknown age and gender. The patient's medical history was not reported. The patient's concurrent conditions were not reported. Concomitant therapies were not reported. On 07-SEP-2023, the patient started therapy with pneumococcal vaccine, polyvalent (23-valent) (PNEUMOVAX23) injection, one time, lot #u035117, expiration date: 18-AUG-2023, administered for prophylaxis (strength, and route of administration were not provided). On 07-SEP-2023, medical assistant called to report pneumococcal vaccine, polyvalent (23-valent) (PNEUMOVAX23) was administered after expiration date. See adverse event (AE) case 02467053. No further AE. No product quality complain (PQC). Request case 02467042.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Expired product administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- NM
- Alter
- 37,0
- Geschlecht
- F
- Eingang
- 19.09.2023
- Impfdatum
- 12.09.2023
- Beginn
- 12.09.2023
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Expired product administered
Symptomtext
Expired Pneumovax-23 administered to patient. Will get repeat dose at next follow up appointment in October 2023.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Expired product administered
- Hospital-Tage
- -
- Labordaten
- NA
- Aktuelle Erkrankungen
- NA
- Vorgeschichte
- Hodgkins Lymphoma (in remission)
- Andere Medikamente
- Acyclovir, gabapentin, Lipase-protease-amylase, folic acid, omeprazole
- Allergien
- NKA
- Vorherige Impfungen
- -
- Staat
- GA
- Alter
- -
- Geschlecht
- U
- Eingang
- 19.09.2023
- Impfdatum
- 24.08.2023
- Beginn
- 24.08.2023
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Expired product administered
No adverse event
Symptomtext
Caller reporting that a dose of PNEUMOVAX 23 was given to patient after its expiration date. Date of expiration: 8/18/2023, date of administration: 8/24/2023. Confirmed that the vaccine had never undergone temperature excursion.; This spontaneous report was received from a registered nurse concerning an unknown age and gender patient. The patient's concurrent condition, medical history, and concomitant medications were not provided. On 24-AUG-2023, the patient was vaccinated with pneumococcal vaccine, polyvalent (23-valent) (PNEUMOVAX23) injection 0.5 mL as prophylaxis (lot#: U035117, expiry date: 18-AUG-2023, route of administration, and anatomical location not provided) (expired product administered). It was confirmed that vaccine had never undergone temperature excursion.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Expired product administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- GA
- Alter
- -
- Geschlecht
- U
- Eingang
- 19.09.2023
- Impfdatum
- 24.08.2023
- Beginn
- 24.08.2023
- 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
Caller reporting that a dose of PNEUMOVAX 23 was given to patient after its expiration date. Date of expiration: 8/18/2023, date of administration: 8/24/2023. Confirmed that the vaccine had never undergone temperature excursion.; This spontaneous report was received from a registered nurse concerning an unknown age and gender patient. The patient's concurrent condition, medical history, and concomitant medications were not provided. On 24-AUG-2023, the patient was vaccinated with pneumococcal vaccine, polyvalent (23-valent) (PNEUMOVAX23) injection 0.5 mL as prophylaxis (lot#: U035117, expiry date: 18-AUG-2023, route of administration, and anatomical location not provided) (expired product administered). It was confirmed that vaccine had never undergone temperature excursion.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Expired product administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- MO
- Alter
- -
- Geschlecht
- U
- Eingang
- 15.09.2023
- Impfdatum
- 12.09.2023
- Beginn
- 12.09.2023
- 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 further AE.; patient given PNEUMOVAX23 expiration 8/18/2023; This spontaneous report was received from a medical assistant and refers to a patient of unknown age and gender. The patient's medical history, concurrent conditions and concomitant medications were not reported. On 12-SEP-2023, the patient was vaccinated with an expired pneumococcal vaccine, polyvalent (23-valent) (PNEUMOVAX23) injection, one time, lot #U035117, expiration date: 18-AUG-2023, administered for prophylaxis (anatomical location, and route of administration were not provided) (expired product administered). There were no adverse events reported (no adverse event).
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Expired product administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- MD
- Alter
- -
- Geschlecht
- U
- Eingang
- 11.09.2023
- Impfdatum
- 07.09.2023
- Beginn
- 07.09.2023
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- - / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Expired product administered
Symptomtext
No further AE.; Medical assistant calls to report PNEUMOVAX 23 lot#u035117 8/18/2023 administered after expiration date. See AE case. No further AE. No PQC. MIR request case; This spontaneous report was received from Other Health Professional and refers to a patient of unknown age and gender. The patient's medical history was not reported. The patient's concurrent conditions were not reported. Concomitant therapies were not reported. On 07-SEP-2023, the patient started therapy with pneumococcal vaccine, polyvalent (23-valent) (PNEUMOVAX23) injection, one time, lot #u035117, expiration date: 18-AUG-2023, administered for prophylaxis (strength, and route of administration were not provided). On 07-SEP-2023, medical assistant called to report PNEUMOVAX 23 was administered after expiration date. See AE case. No further AE. No PQC. MIR request case.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Expired product administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- FL
- Alter
- -
- Geschlecht
- U
- Eingang
- 11.09.2023
- Impfdatum
- 23.08.2023
- Beginn
- 23.08.2023
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- OT / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Expired product administered
Symptomtext
No additional AEs or PQC reported; Caller reports expired dose of PNEUMOVAX 23 was administered. No other information provided. No additional AEs or PQC reported.; This spontaneous report was received from a registered nurse and refers to a patient of unknown age and gender. There was no information about patient's concomitant medications, concurrent conditions or pertinent medical history. On 23-AUG-2023, the patient was vaccinated with an expired dose of pneumococcal vaccine, polyvalent (23-valent)(PNEUMOVAX23), 0.5 milliliter, intramuscularly (IM), lot number U035117 with expiration date 18-AUG-2023 (anatomical location was not reported) for prophylaxis (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
- -
- Alter
- -
- Geschlecht
- M
- Eingang
- 06.09.2023
- Impfdatum
- -
- Beginn
- 30.08.2023
- Tage bis Beginn
- -
- Dosis
- UNK
- Route/Site
- - / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Expired product administered
No adverse event
Symptomtext
no adverse event; HCBP calling to report AE for patient that received dose of expired PNEUMOVAX 23. Vaccine expired on 8/18/2023. Per memo, data supports dosing. No additional AE or PQC.; This spontaneous report was received from Other Health Professional and refers to an 81-year-old male patient. The patient's medical, concurrent conditions and concomitant therapies were not reported. On 30-AUG-2023, the patient was vaccinated with an expired dose of pneumococcal vaccine, polyvalent (23-valent) (PNEUMOVAX 23) injection, single dose, lot #U035117, expiration date: 18-AUG-2023 (strength, route of administration, and indication were not provided). No additional adverse event was reported.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Expired product administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- WI
- Alter
- 41,0
- Geschlecht
- M
- Eingang
- 24.08.2023
- Impfdatum
- 22.08.2023
- Beginn
- 22.08.2023
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Expired product administered
Symptomtext
Vaccine was expired when administered.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Expired product administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- WA
- Alter
- 73,0
- Geschlecht
- F
- Eingang
- 14.07.2023
- Impfdatum
- 14.07.2023
- Beginn
- 14.07.2023
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
No adverse event
Symptomtext
No reaction or symptoms reported
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- No adverse event
- Hospital-Tage
- -
- Labordaten
- No labs or test related to event. Separate Labs for other reasons done today 7/14/2023 were drawn today for other Lab studies.
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- Asthma, Hypertension, Hyperlipidemia
- Andere Medikamente
- Atorastatin (Lipitor), Advair Diskus Inhaler, Amlodipine (Norvasc), Cholecalciferol, Olopatadine (Pataday) ophthalmic solution, Aspirin DR, Ascorbic acid Vitamin C, Multivitamin (OTC), Omega-3 fatty acids- fish oil (OTC)
- Allergien
- Adhesive Tape
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- -
- Geschlecht
- U
- Eingang
- 16.01.2023
- Impfdatum
- 03.01.2023
- Beginn
- 03.01.2023
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- OT / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
No adverse event
Product storage error
Symptomtext
No additional AE details were provided and no additional AE's were reported; The HCP reports that the patient received a dose of PNEUMOVAX 23 after it was involved in a temperature excursion. .; This spontaneous report was received from a medical assistant referred to a patient of unknown age and gender. The patient's medical history, pertinent medical history and drug reaction/allergies were not reported. On 03-JAN-2023, the patient was vaccinated with a dose of improperly stored pneumococcal vaccine, polyvalent (23-valent) (PNEUMOVAX23) injection, 0.5 ml, lot #U035117, expiration date: 18-AUG-2023, administered intramuscularly for prophylaxis (strength was not provided) (product storage error). It was reported that the suspect vaccine was exposed to a temperature of minus 0.4 F for a time frame of 1 hour and 10 minutes, minus 14 F for a time frame of 5 minutes, minus 33 F for a time frame of 30 minutes, minus 27 F for a time frame of 25 minutes, minus 2 F for a time frame of 5 minutes, 16.7 F for a time frame of 5 minutes. The total time frame was 2 hours 20 minutes. There were no previous temperature excursions. No additional adverse event (AE) details and no additional AE were provided (no adverse event).
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- No adverse event
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- NM
- Alter
- 68,0
- Geschlecht
- M
- Eingang
- 28.12.2022
- Impfdatum
- 30.08.2022
- Beginn
- 30.08.2022
- Tage bis Beginn
- 0,0
- Dosis
- 2
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect product formulation administered
Wrong product administered
Symptomtext
Ordered Pneumococcal 20 and patient actually given Pneumococcal 23
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- na
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- GERD, BPH, Diabetes Type 2, hyperlipidemia, Stage 3a CKD, hypertension, depression/anxiety
- Andere Medikamente
- lisinopril, meloxicam, metformin XR, fenofibrate, simvastatin, Singulair, sertraline, aspirin
- Allergien
- NKA
- Vorherige Impfungen
- -
- Staat
- NC
- Alter
- 65,0
- Geschlecht
- U
- Eingang
- 01.10.2022
- Impfdatum
- 27.09.2022
- Beginn
- 27.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- - / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
No adverse event
Underdose
Symptomtext
No additional AE reported; Patient received a smaller than recommended dose; This spontaneous report was received from a registered nurse referring to a 65-year-old patient of unspecified gender. Information regarding the patient's medical history, concurrent conditions, concomitant therapies and previous drug reactions or allergies was not provided. On 27-SEP-2022, the patient was vaccinated with a smaller than recommended dose of pneumococcal vaccine, polyvalent (23-valent) (PNEUMOVAX23) as prophylaxis (exact dose, route of administration, vaccine scheme, and anatomical site of vaccination were not reported; lot number U035117 has been verified to be valid, expiration date reported and established as 18-AUG-2023) (incorrect dose administered). 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
- NC
- Alter
- 67,0
- Geschlecht
- F
- Eingang
- 26.09.2022
- Impfdatum
- 24.09.2022
- Beginn
- 24.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Erythema
Skin warm
Symptomtext
PATIENT COMPLAINED HER ARM WAS HOT TO THE TOUCH AND HAD REDNESS.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Erythema
- Hospital-Tage
- -
- Labordaten
- N/A
- Aktuelle Erkrankungen
- N/A
- Vorgeschichte
- N/A
- Andere Medikamente
- N/A
- Allergien
- N/A
- Vorherige Impfungen
- -
- Staat
- MA
- Alter
- 46,0
- Geschlecht
- F
- Eingang
- 23.09.2022
- Impfdatum
- 20.09.2022
- Beginn
- 21.09.2022
- Tage bis Beginn
- 1,0
- Dosis
- UNK
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Discomfort
Erythema
Peripheral swelling
Skin warm
Symptomtext
Patient received Influenza and Pneumococcal 23 on 9/20/22, both to left deltoid. On 9/21/22 patient noticed arm to be red, warm, swollen. Patient came into clinic today on 9/23/22 with continued redness and warmth to left arm, below the deltoid and above the elbow, measuring 5 in width and 4 in height. No swelling noted. No fevers. Patient does admit to some improvement today since 9/21/22. Provider evaluated reaction and determined its a localized reaction to both vaccines given in the same deltoid. Patient was given ice pack and advised to apply ice to localized area, advised to take OTC pain relivers for discomfort. Advised to call or return to clinic if no improvement.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Discomfort
- Hospital-Tage
- -
- Labordaten
- N/A
- Aktuelle Erkrankungen
- At the time of vaccination patient was treated for cervicitis
- Vorgeschichte
- Hypertension and Anxiety
- Andere Medikamente
- Norvasc 5 mg daily and Junel 1-20 mg-mcg daily
- Allergien
- Amoxicillin, Lisinopril and Losartan
- Vorherige Impfungen
- -
- Staat
- NC
- Alter
- -
- Geschlecht
- U
- Eingang
- 27.08.2022
- Impfdatum
- -
- Beginn
- -
- Tage bis Beginn
- -
- Dosis
- UNK
- Route/Site
- - / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Needle issue
Symptomtext
Tip Cap AskewSterile Injectable;Needle Detached;Syringe Hub Defect; Sterile Injectable;Cannot Attach Needle;; Sterile Injectable;Cannot Attach Needle;Syringe Hub DefectSterile Injectable;N/A;Tip Cap AskewSterile Injectable;Needle Detached;Syringe Hub Defect; No adverse event; Complaint Description Detail Health care provider (HCP) calling to report product quality complain (PQC) associated with 2 lots of pneumococcal vaccine, polyvalent (23-valent) (PNEUMOVAX 23) PFS. Caller reported that HCP users had had difficulty screwing safety needles into syringe hubs and needles do no securely stay in place. On 2 occasions, the needle dislodged from the syringe hub 1) while attempting to attach safety needle cap and 2) while preparing for administration. Caller also reported that tip caps do not securely thread on to luer-lock adaptor. Caller stated the issue could also be associated with 25g 1" safety needles and will file PQC for needle products as well. No AEs reported, no additional PQCs. QUESTIONS SECTION: IF REPORTED: PQC Prefilled Syringe: PQC Prefilled Syringe: Syringe Needle Defects Dull Bent Damaged Missing Syringe Needle Hub Defects Broken Wrong Color Syringe Needle Sheath Cover Defects Damaged Missing, Dislodged (High Risk). QUESTIONS SECTION: What was the lot number(s) on the product/carton? U035117 18-AUG-2023; U027357 25-MAR-2023 NOTE: This was needed to identify the needle supplied with the kit. NO NEEDLES SUPPLIED WITH KIT Please identify which part of the syringe needle was affected - NEEDLE ATTACHMENT, SYRINGE HUB Please provide a detailed description of the complaint defect. NEEDLES ATTACHED TO HUB SITE ARE FALLING OUT AND CAN NOT BE SECURELY ATTACHED; SYRINGE TIP DOES NOT SECURELY FASTEN TO HUB Under what situation was this defect noticed: (select one) If the syringe needle was not integrated into the syringe: Prior to removing the needle sheath? NO After removing the needle sheath? NO Prior to attaching the needle to the body of the syringe? NO While attaching the needle to the syringe? YES/NO/NA/UNSPECIFIED (if yes, describe) YES, UNABLE TO SECURE NEEDLE INTO HUB While giving the injection? YES/NO/NA/UNSPECIFIED (if yes, describe) NO After the injection was given? YES/NO/NA/UNSPECIFIED (if yes, describe) YES, NEEDLE DISLODGED OUT OF HUB WHILE ATTEMPTINT TO SECURE SAFETY CAP AFTER INJECTION. If Syringe needle was integrated into the body of the syringe: N/A Prior to removing the needle sheath? N/A After remove the needle sheath? N/A While giving the injection? N/A After the injection was given? N/A If the complaint was for a dull needle: N/A Did you/the patient allow at least one minute for the disinfectant (e.g. alcohol) to dry on your/the patient's skin before inserting the needle? N/A Did you/the patient use an alcohol swab on the syringe needle? N/A NOTE: An alcohol swab should not be used on the syringe needle as it removes the silicone. Did you/the patient use a "slightly" different injection site than the last injection? N/A Have you/the patient injected yourself/herself at this injection site before? N/A Did you/the patient insert the needle into the body at an angle of 45 to 90? N/A Did you/the patient draw blood into the syringe and need to reposition the needle without removing from the skin? N/A How many times did you/the patient try to inject the syringe? (Note: The patient should only inject the syringe once) - N/A Was the product dropped? NO Was the syringe tray intact and undamaged on receipt? YES If no, describe damage. N/A If the product came with a cellophane cover, was the cellophane covering the syringe tray intact and completely sealed? *See below. Yes If no, describe damage N/A Was the syringe carton damaged prior to use? (i.e. crushed, ripped, unglued) NO If yes, describe N/A Was the product administered or exposed to patient's bodily fluids (i. e. biohazardous)? NO If complaint sample is not/cannot be returned, please provide reason: 1 SYRINGE CAN BE RETURNED FROM LOT #U027357 EXP. 25-MAR-2023. 2 SYRINGES FROM LOT #U035117 EXP 18-AUG-2023 WERE USED AND DISPOSED. *If photos were available, ask the customer to send them UNAVAILABLE Retrieval Information: Obtain product (& tray if possible). Ensure enough absorbent material was provided to prevent breakage. NOTE: Vaccine Prefilled Syringes may be returned even if biohazardous. Sample Tracking Number: User's Experience: Repeat User Insertion Difficulty: Insertion Difficulty Details: Doubt About Presence: Doubt Details: Migration: Migration Details: Removal Problem: Removal Problem Details: 16-AUG-2022 14:30 PM: Attachment added. 16-AUG2022: Reported lot U027357 logged under 368614 16-AUG-2022: Second person reviewed. 16-AUG-2022 16:30 PM: Waiting for Retrieval Site from Quality-- See attachments 16-AUG-2022 16:30 PM: Attachment added. 17-AUG-2022 11: 30 AM: Attachment added. 17-AUG-2022 12:30 PM: Labels created 17-AUG-2022 18-AUG-2022: Upon review, both Patient Code & Device Code fields were updated. 18-AUG-2022: Second person review performed. Complaint Description Summary HCP users have had difficulty screwing safety needles into syringe hubs and needles do no securely stay in place and the needle dislodged from the syringe hub. ; Sender's Comments: US-009507513-2208USA007610:
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Needle issue
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- CT
- Alter
- 37,0
- Geschlecht
- F
- Eingang
- 15.08.2022
- Impfdatum
- 07.07.2022
- Beginn
- 08.07.2022
- Tage bis Beginn
- 1,0
- Dosis
- 1
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Erythema
Feeling hot
Swelling
Symptomtext
Patient describes redness, swelling, warmth, and pain the day after her injection that lasted 3-4 days. She never notified the office until 1 month later.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Erythema
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- Cigarette smoker, anxiety
- Andere Medikamente
- Wellbutrin
- Allergien
- Percocet
- Vorherige Impfungen
- -
- Staat
- IL
- Alter
- -
- Geschlecht
- U
- Eingang
- 04.08.2022
- Impfdatum
- 16.07.2022
- Beginn
- 16.07.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- - / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Accidental underdose
Device use error
No adverse event
Syringe issue
Symptomtext
No Adverse Event; Due to the leaking the patient received a smaller than recommended dose; There was product leaking from where the needle attaches to the syringe.; There is a possibility the leaking was due to user error as there was no noticeable damage or issues; This spontaneous report was received from pharmacist and referring to a patient of an unknown age and gender. The patient's pertinent medical history, current conditions, drugs reactions or allergies and concomitant medication was not provided. On 16-JUL-2022, the patient was vaccinated with pneumococcal vaccine, polyvalent (23-valent) (PNEUMOVAX23) injection, for prophylaxis lot #U035117 validated upon internal review, expiration date: 18-AUG-2023 (strength, dose, frequency, anatomical location and route of administration were not provided). That day after the administration was completed the health care professional (HCP) noticed there was product leaking from where the needle attaches to the syringe (syringe issue) (also reported as between the syringe hub/luer lock and the syringe needle). Caller stated due to the leaking the patient received a smaller than recommended dose of pneumococcal vaccine, polyvalent (23-valent) (PNEUMOVAX23) (accidental underdose). Additionally, it was reported there was a possibility the leaking was due to user error as there was no noticeable damage or issues with the pneumococcal vaccine, polyvalent (23-valent) (PNEUMOVAX23) syringe (device use error), but it could not be confirmed as the HCP did not check the tightness of the needle after administration. The reported confirmed the syringe needle was attached securely to the syringe tip before the leaking occurred (conflicting information, also reported as the HCP possible did not properly ensure the needle was tightly secured to the syringe). Caller stated this product was not available for retrieval nor are pictures able to be taken as the product had already been disposed of. No adverse events (AE) were reported.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Accidental underdose
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- IL
- Alter
- -
- Geschlecht
- U
- Eingang
- 30.07.2022
- Impfdatum
- -
- Beginn
- 16.07.2022
- Tage bis Beginn
- -
- Dosis
- UNK
- Route/Site
- - / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Syringe issue
Underdose
Symptomtext
no adverse event; Syringe leak; t he pati ent r eceiv ed a smaller than r ecornmended dose of PNEUMOVAX 23; Call er stated ther e is a possibility the leaking was due to user error; Pharmacist reporting an adv er se event and product quality complaint associated with Pneumococcal Vaccine, Polyvalent (23-valent) (PNEUMOVAX 23). Caller stated a patient was administered a dose of Pneumococcal Vaccine, Polyvalent (23-valent) (PNEUMOVAX 23), but after the administration was complete the HCP noticed there was product leaking from where the needle attaches to the syringe. Caller stated due to the leaking the patient received a smaller than recommended dose of Pneumococcal Vaccine, Polyvalent (23-valent) (PNEUMOVAX 23). Caller stated there is a possibility the leaking was due to user error as there was no noticeable damage or issues with the Pneumococcal Vaccine, Polyvalent (23-valent) (PNEUMOVAX 23) syringe, but it cannot be confirmed as the HCP did not check the tightness of the needle after administration. Caller stated this product is not available for retrieval nor are pictures able to be taken as the product has already been disposed of. No additional information provided. No additional AE or PQC reported. QUESTION SECTION: High Risk: Leaking Prior to Opening High Risk: Leaking during use from a site other than the product dispensing point Medium Risk: Leaking during use from the product dispensing point NOTE: Most MERCK prefilled syringes require a syringe needle to be attached to the hub or tip of the syringe using a Luer Lock attachment by the healthcare provider, which allows the needle to be twisted onto the tip and then locked in place. NOTE: Confirm that the syringe is not cracked or broken, including a broken or loose Luer Lock adaptor. If there is any sign of breakage, refer to the appropriate broken/ cracked syringe article. Additionally, if there was difficulty attaching the syringe needle, and the leakage occurred at the syringe tip and syringe needle area of attachment, a l so refer to the Prefilled Syringe: Broken/ Cracked Article. For syringes when the customer must attach a needle: Was the syringe needle attached to the syringe tip before the leaking occurred? YES If a needle was attached, was the needle able to be attached securely to the syringe? YES If no, describe what issue was encountered while attaching the needle? N/A From where did the leaking occur? (Select one) o From the tip of the Syringe Needle? NO o From the tip of the Syringe? NO o Between the syringe hub/ Luer lock and syringe needle? YES Base of syringe where the plunger rod/ stopper is located? NO Under what situation was this defect noticed: (select one) o While the syringe was still in the tray? NO o If yes, is there still product (liquid or residue) in the blister tray? NA After removing the syringe from the tray? NO While trying to attach the needle to the syringe? NO While pulling back on the plunger rod? NO While the plunger rod was being pushed forward? NO Did the plunger rod/ stopper come completely or partially out of the syringe barrel while pulling back on the plunger rod? NO While giving the injection? No After the injection was given. YES Is there anything that is visible that could explain why the leaking occurred? (e. g. cracked barrel, malformed stopper etc.?) NO DAMAGE TO THE SYR INGE. THE CALLER TH INKS IT MIGHT HAVE OCCURED DUE TO USER ERROR AND THE EMPLOYEE POSSIBILY DID NOT PROPERLY ENSURE THE NEEDLE \VAS TIGHTLY SECURED TO THE SYRINGE. CALLER STATED THE HCP DID NOT CHECK THE TIGHTNESS OF THE NEEDLE AFTER ADMINISTRATION TO CHECK IF THAT IS WHY THE LEAKING OCCURED Was the product administered or exposed to patient's bodily fluids (i.e. biohazardous)? YES *If photos are available, ask the customer to send them Retrieval Information: Expedited Return Obtain product (& tray if possible) NOTE: Vaccine Prefill ed Syringes may be returned even if biohazardous. Sample Tracking Number: User's Experience: Repeat User Insertion Difficulty: Not Applicable Insertion Difficulty Details: Not Applicable Doubt About Presence: Not Applicable Doubt Details: Not Applicable Migration: Not Applicable Migration Details: Not Applicable Removal Problem: Not Applicable Removal Problem Details: Not Applicable 18-JUL-2022 20:30 PM: Attachment added to Service Cloud. 19-JUL-2022; Second person reviewed
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Syringe issue
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- NC
- Alter
- 69,0
- Geschlecht
- M
- Eingang
- 24.07.2022
- Impfdatum
- 23.07.2022
- Beginn
- 23.07.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Erythema
Hypoaesthesia
Peripheral swelling
Skin warm
Symptomtext
Patient presented to pharmacy on 7/24 and showed a left arm that was swollen and red all the way down to the left elbow and all the way around the arm. Patient stated that he had feelings of numbness in his left hand the night before and his whole arm was very hot to the touch. He was instructed to take Benadryl and seek out medical help if the condition got any worse.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Erythema
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- CA
- Alter
- 65,0
- Geschlecht
- F
- Eingang
- 13.06.2022
- Impfdatum
- 25.05.2022
- Beginn
- 13.06.2022
- Tage bis Beginn
- 19,0
- Dosis
- UNK
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Wrong product administered
Symptomtext
Patient was given this vaccine in error. Patient was to have received PCV-23. Patient was given PCV-13 first in error, and then physician requested that PCV-23 still be given during the same visit.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Wrong product administered
- Hospital-Tage
- -
- Labordaten
- n/a
- Aktuelle Erkrankungen
- no acute complaints
- Vorgeschichte
- Hyperlipidemia, Hyperparathyroidism, Hypothyroidism, Vit D deficiency
- Andere Medikamente
- Levothyroxine, Naproxen, Excedrin Migraine, Sudafed, Allertec, Vit D3
- Allergien
- Hydrocodone Bitartrate
- Vorherige Impfungen
- -