- Staat
- IN
- Alter
- 19,0
- Geschlecht
- F
- Eingang
- 21.05.2021
- Impfdatum
- 23.09.2020
- Beginn
- 23.09.2020
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- SYR / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Blood test
Erythema
Fatigue
Haematoma
Muscular weakness
Neutrophil count decreased
Pain in extremity
Peripheral swelling
Seroma
Ultrasound scan abnormal
Symptomtext
An hour after receiving the vaccination, I developed a massive lump in my arm, with soreness and redness. Growing concerned I did online research to potentially see what was going on, and following the suggestions from websites- even CDC, I was led to believe that swelling is a normal experience for the vaccination. So a month goes by from the vaccination date, October 23 and the soreness and lump still has not gone down. Still following the advice online, it was suggested that "swelling" can take even up to 3 months to go down. Waiting for the 3 months, it is now January 2021 and I still have the lump in my arm and the arm is still sore, and noticeably more tired and quick to become tired and weak than my right arm, where I have not received the vaccination. At this, I scheduled an appointment at my local clinic to see what is going with my arm. The doctor ordered a Sonagram for my arm. Even though it was ordered in February, their only available appointment was in April. Once receiving my sonagram, it was found to have: hypoechoic area in the subcutaneous plane with heterogenous echotexture suggesting complexity. This may be related to a complex seroma versus hematoma. This mass developed after receiving the vaccination- as I did not have this mass nor diagnosis prior to receiving the vaccination.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Fatigue
- Hospital-Tage
- -
- Labordaten
- Blood test given, where my absolute neutrophils was found to be low. Was also given a Sonagram to observe and examine mass/lump that developed in my arm.
- Aktuelle Erkrankungen
- No other illnesses at time of vaccination.
- Vorgeschichte
- No chronic or long-standing health conditions
- Andere Medikamente
- No prescriptions, no over-the-counter medications, no dietary supplements or any other supplements, nor herbal remedies taken at time of vaccination.
- Allergien
- Allergic potentially to pollen. No other known allergies to food or other products.
- Vorherige Impfungen
- -
- Staat
- AZ
- Alter
- 11,0
- Geschlecht
- F
- Eingang
- 23.04.2021
- Impfdatum
- 12.10.2020
- Beginn
- 12.10.2020
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Arthralgia
Symptomtext
SHOULDER PAIN LEFT SIDE AFTER VACCINE
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Arthralgia
- Hospital-Tage
- -
- Labordaten
- NONE
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- ASTHMA
- Andere Medikamente
- LORATADINE, MONTELUKAST, FLOVENT
- Allergien
- NONE
- Vorherige Impfungen
- -
- Staat
- MD
- Alter
- 12,0
- Geschlecht
- M
- Eingang
- 12.04.2021
- Impfdatum
- 01.04.2021
- Beginn
- 01.04.2021
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- - / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Injection site swelling
Injection site warmth
Muscle swelling
Symptomtext
Swollen deltoid and hot to the touch. No fever
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Injection site swelling
- Hospital-Tage
- -
- Labordaten
- None
- Aktuelle Erkrankungen
- NO
- Vorgeschichte
- None
- Andere Medikamente
- None
- Allergien
- Reaction to immunization in the past.
- Vorherige Impfungen
- -
- Staat
- AR
- Alter
- 17,0
- Geschlecht
- M
- Eingang
- 12.04.2021
- Impfdatum
- 31.03.2021
- Beginn
- 05.04.2021
- Tage bis Beginn
- 5,0
- Dosis
- 1
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: ja
Erholt: ja
Urticaria
Symptomtext
Patient broke out in welts all over the body, patient took Epsom salt bath and did not help they are getting bigger, size range from pin point to eraser
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Urticaria
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- IL
- Alter
- 16,0
- Geschlecht
- F
- Eingang
- 24.02.2021
- Impfdatum
- 23.02.2021
- Beginn
- 24.02.2021
- Tage bis Beginn
- 1,0
- Dosis
- 2
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Injection site erythema
Injection site swelling
Injection site warmth
Symptomtext
Swelling, redness, warmth over left deltoid region
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Injection site erythema
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- COVID19
- Vorgeschichte
- None
- Andere Medikamente
- Vitamin C, vitamin D
- Allergien
- No
- Vorherige Impfungen
- -
- Staat
- OH
- Alter
- 16,0
- Geschlecht
- F
- Eingang
- 18.02.2021
- Impfdatum
- 15.02.2021
- Beginn
- 16.02.2021
- Tage bis Beginn
- 1,0
- Dosis
- 2
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Injection site erythema
Pyrexia
Vaccination site swelling
Symptomtext
Fever up to 103, Tylenol & Ibuprofen. Resolved within 24 hours. Redness & swelling at vaccine site.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Injection site erythema
- Hospital-Tage
- -
- Labordaten
- None
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- Seasonal allergies, anxiety, Slohons
- Andere Medikamente
- Nymy O
- Allergien
- None
- Vorherige Impfungen
- -
- Staat
- WA
- Alter
- 11,0
- Geschlecht
- M
- Eingang
- 25.01.2021
- Impfdatum
- 25.01.2021
- Beginn
- 25.01.2021
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Fatigue
Injection site erythema
Injection site pain
Injection site swelling
Symptomtext
Patient has had increased tiredness and significant tenderness over the immunization area associated with mild swelling and redness of the area.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Fatigue
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- None
- Andere Medikamente
- None
- Allergien
- NKDA
- Vorherige Impfungen
- -
- Staat
- FL
- Alter
- 9,0
- Geschlecht
- F
- Eingang
- 21.01.2021
- Impfdatum
- 18.01.2021
- Beginn
- 19.01.2021
- 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 urticaria
Skin warm
Urticaria
Symptomtext
urticaria around injection spot spreading down the rest of the arm. It was warm to the touch.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Injection site urticaria
- Hospital-Tage
- -
- Labordaten
- none
- Aktuelle Erkrankungen
- none
- Vorgeschichte
- none
- Andere Medikamente
- none
- Allergien
- none
- Vorherige Impfungen
- -
- Staat
- OH
- Alter
- 13,0
- Geschlecht
- M
- Eingang
- 08.01.2021
- Impfdatum
- 07.01.2021
- Beginn
- 07.01.2021
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Cough
Dizziness
Hyperhidrosis
Nausea
Pallor
Retching
Symptomtext
Patient became lightheaded and dizzy after vaccine administration, pale and diaphoretic, patient was laid down immediately on the exam table, a cool paper towel placed on his forehead, patient felt nauseous, was placed on his right side, emesis bag placed beneath him, he dry heaved and coughed once, did not vomit. Patient recovered, and left with mother without incident
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Dizziness
- Hospital-Tage
- -
- Labordaten
- none
- Aktuelle Erkrankungen
- no
- Vorgeschichte
- no
- Andere Medikamente
- no
- Allergien
- no
- Vorherige Impfungen
- -
- Staat
- WA
- Alter
- 11,0
- Geschlecht
- M
- Eingang
- 07.01.2021
- Impfdatum
- 04.01.2021
- Beginn
- 04.01.2021
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Injection site pain
Injection site swelling
Injection site warmth
Symptomtext
patient started having swelling right deltoid after having immunization. warm to touch & burning sensation. Area affected seems to be where he received the menactra
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Injection site pain
- Hospital-Tage
- -
- Labordaten
- none
- Aktuelle Erkrankungen
- none
- Vorgeschichte
- none
- Andere Medikamente
- none
- Allergien
- NKDA
- Vorherige Impfungen
- -
- Staat
- KY
- Alter
- 13,0
- Geschlecht
- M
- Eingang
- 30.11.2021
- Impfdatum
- 15.11.2021
- Beginn
- 15.11.2021
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- OT / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Expired product administered
Symptomtext
an expired dose was administered, no reported adverse event; Initial information was regarding an unsolicited valid non serious case was received from an other health professional via Agency (Reference number- 00858482) and transmitted to Sanofi on 15-Nov-2021. This case involves a 13-year-old male patient who received an expired dose MENINGOCOCCAL A-C-Y-W135 (D CONJ) VACCINE [MENACTRA] (expired product administered). The patient's medical history, past medical treatment(s), vaccination(s) and family history were not provided. Concomitant medications included HEPATITIS B VACCINE and DIPHTHERIA, TETANUS AND ACELLULAR PERTUSSIS VACCINE (DAPTACEL) for Immunisation. On 15-Nov-2021, the patient received a 0.5 mL dose of suspect MENINGOCOCCAL A-C-Y-W135 (D CONJ) VACCINE (total, lot U6785AA, expiry date: 31-Oct-2021) via intramuscular route in the right deltoid for prophylactic vaccination. It was an actual medication error due to expired product administered (latency: same day). It was reported "caller would like information regarding re-vaccination." At time of reporting, no adverse event. This suspected adverse reaction report is submitted and classified as a medication error solely and exclusively to ensure the marketing authorization holder's compliance with the requirements set out in the Directive 2001/83/EC and Module VI of the Good Pharmacovigilance Practices. The classification as a medical error is in no way intended, nor should it be interpreted or construed as an allegation or claim made by the marketing authorization holder that any third party has contributed to or is to be held liable for the occurrence of this medication error.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Expired product administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- UT
- Alter
- 13,0
- Geschlecht
- F
- Eingang
- 26.11.2021
- Impfdatum
- 15.11.2021
- Beginn
- 15.11.2021
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- OT / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Expired product administered
Medication error
No adverse event
Symptomtext
Nurse reporting an expired dose of MENACTRA was inadvertently administeredwith no reported adverse event; Initial information received on 15-Nov-2021 regarding an unsolicited valid non-serious case from a Other Health Care Professional via Non-Healthcare Professional via physician via Medical Information (Reference number- 00858521). This case involves a 13-year-old female patient who was inadvertently vaccinated with the expired dose of suspect MENINGOCOCCAL A-C-Y-W135 (D CONJ) VACCINE [MENACTRA] (Expired product administered). The patient past medical history, medical treatment, vaccination and family history were not provided. Concomitant medications included DIPHTHERIA VACCINE TOXOID, PERTUSSIS VACCINE ACELLULAR, TETANUS VACCINE TOXOID (TDAP); VARICELLA ZOSTER VACCINE (VARICELLA VACCINE) and COVID-19 VACCINE (COVID-19 VACCINE) for prophylactic vaccination. On 15-Nov-2021, the patient received a 0.5 ml first dose of suspect MENINGOCOCCAL A-C-Y-W135 (D CONJ) VACCINE (lot U6785AA and expiry date: 31-Oct-2021, Suspension for injection) (Frequency once) via intramuscular route in the right deltoid for prophylactic vaccination. It was an actual medication error case due to Expired product administered (latency on same day). It was reported "Call received from Nurse reporting an expired dose of MENACTRA was inadvertently administered. Caller with question on whether dose needs repeating?". At time of reporting, no adverse event was reported. This suspected adverse reaction report is submitted and classified as a medication error solely and exclusively to ensure the marketing authorization holder's compliance with the requirements set out in the Directive 2001/83/EC and Module VI of the Good Pharmacovigilance Practices. The classification as a medical error is in no way intended, nor should it be interpreted or construed as an allegation or claim made by the marketing authorization holder that any third party has contributed to or is to be held liable for the occurrence of this medication error.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Expired product administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- TDAP; VARICELLA VACCINE; COVID-19 VACCINE
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- AR
- Alter
- 3,0
- Geschlecht
- F
- Eingang
- 20.11.2021
- Impfdatum
- 10.11.2021
- Beginn
- 10.11.2021
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- OT / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Expired product administered
Symptomtext
Expired dose of MENACTRA was administered with no reported adverse event; Initial information received on 11-Nov-2021 regarding an unsolicited valid non-serious case from a consumer or non-healthcare professional via Media information (under the reference 00854200). This case involves a 3-years-old female patient received expired dose of MENINGOCOCCAL A-C-Y-W135 (D CONJ) VACCINE [MENACTRA] was administered (Expired product administered). The patient medical history, medical treatment(s), vaccination(s) and family history were not provided. On 10-Nov-2021, the patient received a 0.5 mL dose of suspect MENINGOCOCCAL A-C-Y-W135 (D CONJ) VACCINE [Frequency : once, Dose: 0.25 mL to 2 mL for vaccines or 0.1 mL for tuberculin (TB) skin test 0.5ML, Strength: standard except for Fluzone HD, lot U6785AA, expiry date: 31-Oct-2021] via intramuscular route at an left deltoid for prophylactic vaccination. It was an actual medication error due to expired vaccine used (same day). It was reported "The caller stated that a patient was given an expired MENACTRA vaccination. Many pediatric vaccines need month for age." At the time of report, no adverse event reported. This suspected adverse reaction report is submitted and classified as a medication error solely and exclusively to ensure the marketing authorization holder's compliance with the requirements set out in the Directive 2001/83/EC and Module VI of the Good Pharmacovigilance Practices. The classification as a medical error is in no way intended, nor should it be interpreted or construed as an allegation or claim made by the marketing authorization holder that any third party has contributed to or is to be held liable for the occurrence of this medication error.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Expired product administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- WA
- Alter
- 11,0
- Geschlecht
- F
- Eingang
- 11.11.2021
- Impfdatum
- 11.11.2021
- Beginn
- 11.11.2021
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Expired product administered
No adverse event
Symptomtext
Expired vaccine given (10/31/21) - no adverse reaction
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Expired product administered
- Hospital-Tage
- -
- Labordaten
- none
- Aktuelle Erkrankungen
- none
- Vorgeschichte
- none
- Andere Medikamente
- BENADRYL 25 mg
- Allergien
- none
- Vorherige Impfungen
- -
- Staat
- AR
- Alter
- 11,0
- Geschlecht
- M
- Eingang
- 11.11.2021
- Impfdatum
- 10.11.2021
- Beginn
- 10.11.2021
- 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
No adverse event
Symptomtext
Expired vaccine was given to patient. No adverse reaction noted after injection.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Expired product administered
- Hospital-Tage
- -
- Labordaten
- None
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- Environmental allergies.
- Andere Medikamente
- Patient was given expired dose of Meningococcal Vaccine. The Vaccine expired 9 days prior to being administered. No adverse reaction noted in patient.
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 41,0
- Geschlecht
- U
- Eingang
- 11.11.2021
- Impfdatum
- 02.11.2021
- Beginn
- 02.11.2021
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- OT / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Expired product administered
No adverse event
Symptomtext
Expired dose of Menactra was given with no reported adverse event; Initial information was regarding an unsolicited valid non serious case was received from a other health professional via Medical Information (MI) (Reference number- 00839453) and transmitted to Sanofi on 02-Nov-2021. This case involves a 41-year-old patient (unknown gender) who received MENINGOCOCCAL A-C-Y-W135 (D CONJ) VACCINE [MENACTRA] (expired product administered). The patient's medical history, past medical treatment(s), vaccination(s), concomitant medications and family history were not provided. On 02-Nov-2021, the patient received a 0.25 mL dose of suspect MENINGOCOCCAL A-C-Y-W135 (D CONJ) VACCINE (lot U6785AA, expiry date: 31-Oct-2021) via intramuscular route in the right deltoid for prophylactic vaccination. It was an actual medication error due to expired vaccine used. (latency: same day). It was reported "Medical assistant reporting that an expired dose of MENACTRA was given to a patient, the vaccine was given yesterday, 02Nov2021, but had expired on 31Oct2021." At time of reporting, no reported adverse event. This suspected adverse reaction report is submitted and classified as a medication error solely and exclusively to ensure the marketing authorization holder's compliance with the requirements set out in the Directive 2001/83/EC and Module VI of the Good Pharmacovigilance Practices. The classification as a medical error is in no way intended, nor should it be interpreted or construed as an allegation or claim made by the marketing authorization holder that any third party has contributed to or is to be held liable for the occurrence of this medication error.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Expired product administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- MO
- Alter
- 17,0
- Geschlecht
- F
- Eingang
- 22.07.2021
- Impfdatum
- 22.07.2021
- Beginn
- 22.07.2021
- Tage bis Beginn
- 0,0
- Dosis
- 2
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Flushing
Symptomtext
Pt tolerated vaccination well, ten minutes after administration pt became flushed to face. Temp 99, P-87, R-14, B/P-120/82, oxygen sat 99% at room air, denied pain, dizziness, or SOB. Given water, crackers, and ice to neck; flushing unrelieved. Phoned Dr.'s office whom was unable to see pt today, pt encouraged to go to urgent care.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Flushing
- Hospital-Tage
- -
- Labordaten
- N/A
- Aktuelle Erkrankungen
- N/A
- Vorgeschichte
- N/A
- Andere Medikamente
- N/A
- Allergien
- none
- Vorherige Impfungen
- -
- Staat
- WA
- Alter
- 17,0
- Geschlecht
- F
- Eingang
- 08.06.2021
- Impfdatum
- 08.06.2021
- Beginn
- 08.06.2021
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Product administered to patient of inappropriate age
Symptomtext
Patient is too young for Janssen vaccine.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Product administered to patient of inappropriate age
- Hospital-Tage
- -
- Labordaten
- N/A
- Aktuelle Erkrankungen
- N/A
- Vorgeschichte
- N/A
- Andere Medikamente
- N/A
- Allergien
- Penicillin
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 10,0
- Geschlecht
- F
- Eingang
- 13.04.2021
- Impfdatum
- 08.04.2021
- Beginn
- 08.04.2021
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Product administered to patient of inappropriate age
Symptomtext
Patient held her stomach and needed to lie down for a few minutes but never passed out. She had not had anything to drink that morning. She was given a juice and snack and accompanied to the car along with her mom. Vaccine administration error by Nurse Practitioner: Patient's date of birth was not verified correctly and, at 10 years and 10 months old, she was given TDaP and MCV4 which was two months before she should have received them. The HPV she was given was valid. The CDC and the supervising MD were both consulted and it was determined that the patient will be fine but that the doses of TDaP and MCV4 would need to be repeated after 11 years old per the CDC. Mom was notified of the administration error and the steps taken to rectify the situation and of the need to repeat the vaccines. The patient had no adverse reactions per mom.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Product administered to patient of inappropriate age
- Hospital-Tage
- -
- Labordaten
- none
- Aktuelle Erkrankungen
- unknown
- Vorgeschichte
- unknown
- Andere Medikamente
- unknown
- Allergien
- unknown
- Vorherige Impfungen
- -
- Staat
- MA
- Alter
- 11,0
- Geschlecht
- M
- Eingang
- 09.03.2021
- Impfdatum
- 22.12.2020
- Beginn
- 09.03.2021
- Tage bis Beginn
- 77,0
- Dosis
- 1
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Audiogram
Deafness
Tinnitus
Symptomtext
on the morning on 1/7 pt had tinnitus in his R ear and then complete hearing loss confirmed by audiologist. Seen by ENT and placed on oral steroid course with return to baseline hearing within a week
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Audiogram
- Hospital-Tage
- -
- Labordaten
- audiogram
- Aktuelle Erkrankungen
- none
- Vorgeschichte
- asthma, mixed hearing loss
- Andere Medikamente
- singulair, flovent
- Allergien
- environmental
- Vorherige Impfungen
- -
- Staat
- OH
- Alter
- 18,0
- Geschlecht
- M
- Eingang
- 18.02.2021
- Impfdatum
- 27.10.2020
- Beginn
- 27.10.2020
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Product storage error
Symptomtext
Administered vaccines were involved in an excursion and so were deemed non viable.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Product storage error
- Hospital-Tage
- -
- Labordaten
- none
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- None
- Andere Medikamente
- None
- Allergien
- None known
- Vorherige Impfungen
- -
- Staat
- OH
- Alter
- 17,0
- Geschlecht
- F
- Eingang
- 17.02.2021
- Impfdatum
- 26.10.2020
- Beginn
- 26.10.2020
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Product storage error
Symptomtext
Patient was given vaccine that was involved in excursion and so deemed not viable. Letter has been sent out to Patient's Parents to get her rescheduled for vaccination.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Product storage error
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- none
- Andere Medikamente
- none
- Allergien
- None known
- Vorherige Impfungen
- -