- Staat
- TX
- Alter
- 11,0
- Geschlecht
- M
- Eingang
- 09.08.2021
- Impfdatum
- 27.07.2021
- Beginn
- 27.07.2021
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: ja
Erholt: ja
Seizure
Syncope
Symptomtext
Patient received his Tdap and Menactra vaccines, verbalized that he felt fine post vaccines, syncope event at check out window. Appeared to have a 5-10 second seizure. Patient regained consciousness and stated that he felt ok. provider evaluated patient. BP obtained 126/74. Patient remained in office lying supine with legs elevated with regular BP checks. Final BP 108/73 patient states that he feels well, no complaints of pain or discomfort, denies blurred vision or dizziness. Provider aware of BP, verbalized ok to discharge patient. Advised ok to leave if patient is feeling well, mother and patient agree that they are ready to leave. Patient checked out at 2:05 pm.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Seizure
- Hospital-Tage
- -
- Labordaten
- Blood pressure checks
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- None
- Andere Medikamente
- None
- Allergien
- Peanut allergy
- Vorherige Impfungen
- -
- Staat
- OH
- Alter
- 12,0
- Geschlecht
- F
- Eingang
- 02.06.2021
- Impfdatum
- 02.06.2021
- Beginn
- 02.06.2021
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: ja
Erholt: nein
Arthralgia
Fall
Fatigue
Head injury
Headache
Pain in extremity
Pallor
Syncope
Symptomtext
Administered vaccines at 0947. Observed client after vaccination. Client alert, oriented x 4, and responding appropriately to questions. Skin warm, dry, and pink. Asked client if lightheaded or dizzy; client denied and stated felt fine. Mother asked if could go over to the administrative section of the department for business. Nurse - seeing no issues - allowed. At 0950, while client and mother in the lobby, client suddenly fainted and fell from standing to the floor. Administrative secretary called for nursing support. Client returned to consciousness without intervention as nurse arrived to scene. Client alert and oriented x 4. Client's color became pale while lying. Elevated client's legs on chair while client lying on back on floor. Water and graham crackers provided, able to tolerate. Asked client if hit head; client doesn't remember falling but stated posterior of head hurt as well as intermittent sharp pain in right posterior shoulder and medial left arm from mid-arm to upper forearm focused primarily in crook of elbow; rated pain 4/10. Applied ice to the back of the head. Asked mother if client had passed out from vaccines before; mother stated client never fainted from vaccination before but has had 3 prior syncopal episodes. Mother stated mother and client's brother also are prone to syncopal episodes. Asked mother and client if client had breakfast before coming. Mother stated client had a banana on the way to the immunization clinic, did not have any other intake this morning. Mother also stated that client exercised this morning by riding bicycle. At 0956, checked vitals. Heart rate 89, automatic wrist blood pressure right arm 84/45 lying, manual blood pressure right arm 100/50 lying, O2 SAT 98% room air, eyes PERRLA bilaterally. Skin color pink, warm and dry. Client attempted to sit up but color paled from face and unable to tolerate so returned to lying with legs elevated. Skin color returned to pink. At 0959, client wanted to try sitting, moved to sitting. Color paled from face and unable to tolerate so returned to lying with legs elevated. Skin color returned to pink. At 1002, client wanted to try sitting, moved to sitting. Skin color remained pink and client able to tolerate. Client stated feeling tired and posterior head as only location of pain. At 1006, assisted client to standing, able to tolerate. Nurse and mother escort client from clinic lobby to private vehicle. Instructed mother to not have client fall asleep until evaluated by physician.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Syncope
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- History of three syncopal episodes not correlated with vaccination
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- PA
- Alter
- 11,0
- Geschlecht
- F
- Eingang
- 29.04.2021
- Impfdatum
- 28.04.2021
- Beginn
- 28.04.2021
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Syncope
Symptomtext
Syncope after second vaccine was administered
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Syncope
- Hospital-Tage
- -
- Labordaten
- N/A
- Aktuelle Erkrankungen
- N/A
- Vorgeschichte
- N/A
- Andere Medikamente
- N/A
- Allergien
- N/A
- Vorherige Impfungen
- -
- Staat
- MD
- Alter
- 11,0
- Geschlecht
- F
- Eingang
- 16.04.2021
- Impfdatum
- 09.04.2021
- Beginn
- 09.04.2021
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Seizure like phenomena
Syncope
Symptomtext
Administered Tdap and Menactra on Right Deltoid and then after administered HPV 9(Gardasil) on left deltoid, seconds after placing the band-aid patient experience a syncope episode and seizure like activity that lasted couple of seconds. PCP rushed to assist the patient. Patient regained consciousness and was given water and blood pressure was checked. PCP examined patient and advised for patient to wait for 15minutes in the exam room before leaving.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Seizure like phenomena
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- Singulair, Zyrtec, Flonase
- Allergien
- Tree Nuts and Peanuts
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 16,0
- Geschlecht
- F
- Eingang
- 02.04.2021
- Impfdatum
- 02.04.2021
- Beginn
- 02.04.2021
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Cold sweat
Feeling cold
Syncope
Symptomtext
Patient has a vaso-vagal episode while in parking lot. She was awake, alert and cool and clammy. She was wheelchaired back into the office, given water to drink and lay down on exam table. Her BP was 80/40 and 15 min later it was 100/60. Color improved, her clamminess was gone and she walk to her car unassisted. Dr. told mom this was a Vaso- Vegal response to the vaccines and we discussed this with regards to future procedures.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Syncope
- Hospital-Tage
- -
- Labordaten
- none
- Aktuelle Erkrankungen
- none
- Vorgeschichte
- none
- Andere Medikamente
- none
- Allergien
- none
- Vorherige Impfungen
- -
- Staat
- NE
- Alter
- 16,0
- Geschlecht
- M
- Eingang
- 24.05.2021
- Impfdatum
- 21.05.2021
- Beginn
- 21.05.2021
- Tage bis Beginn
- 0,0
- Dosis
- 2
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Headache
Neurological examination normal
Tremor
Symptomtext
Patient developed a severe headache and tremors within 1 hour of receiving the MCV4 and MenB vaccines in the clinic. Mom gave 1000 mg of Tylenol and was re-evaluated in the clinic by his PCP. The patient's headache had started to improve and he had normal vital signs, and exam including neuro.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Tremor
- Hospital-Tage
- -
- Labordaten
- None
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- None
- Andere Medikamente
- None
- Allergien
- None
- Vorherige Impfungen
- -
- Staat
- OH
- Alter
- 16,0
- Geschlecht
- F
- Eingang
- 26.03.2021
- Impfdatum
- 26.03.2021
- Beginn
- 26.03.2021
- Tage bis Beginn
- 0,0
- Dosis
- 2
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: ja
Erholt: nein
Chills
Headache
Hypoaesthesia
Paraesthesia
Tremor
Symptomtext
Body shaking all over, both arms numb & tingling, headache, chills 03/26/21
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Paraesthesia
- Hospital-Tage
- -
- Labordaten
- Seen in ER 03/26/21
- Aktuelle Erkrankungen
- none
- Vorgeschichte
- exercise induced asthma
- Andere Medikamente
- None
- Allergien
- Tylenol cold and cough
- Vorherige Impfungen
- -
- Staat
- ID
- Alter
- 16,0
- Geschlecht
- F
- Eingang
- 20.07.2022
- Impfdatum
- 20.07.2022
- Beginn
- 20.07.2022
- Tage bis Beginn
- 0,0
- Dosis
- 2
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Diarrhoea
Expired product administered
Exposure to communicable disease
Fatigue
Respiratory symptom
Symptomtext
Vaccine was expired on March 2, 2022. I misread the label as March 2, 2023.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Diarrhoea
- Hospital-Tage
- -
- Labordaten
- none
- Aktuelle Erkrankungen
- 4 days ago was hanging out with her best friend sharing food and drink. Her friend tested positive 48 hours. This morning she experienced diarrhea and was tired after going to bed at 2 am. A few chest symptoms on and off that have been relieved by using her albuterol inhaler. No fevers.
- Vorgeschichte
- anxiety, fatigue
- Andere Medikamente
- sertraline 100 mg tablet 2 tab(s) orally once a day
- Allergien
- NKDA
- Vorherige Impfungen
- -
- Staat
- IN
- Alter
- 16,0
- Geschlecht
- F
- Eingang
- 28.06.2021
- Impfdatum
- 25.06.2021
- Beginn
- 26.06.2021
- Tage bis Beginn
- 1,0
- Dosis
- 2
- Route/Site
- SC / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Incorrect route of product administration
Injection site pain
Injection site reaction
Rash pruritic
Symptomtext
On 6/25/21, MA administered two vaccines, Men B and MCV4 to Left arm. Men B and MCV4. 24 hours after injection, child c/o pain and pruritic rash to back side of left arm. Child was evaluated per Dr. Per Dr.'s discussion with MA, injection of Men B was in deltoid area of arm, while MCV4 was administered lower and toward the back of the arm, thus giving per SQ route instead of IM. Child was treated with OTC hydrocortisone cream. Pt. instructed to return for further worsening or no improvement. RN Clinical lead( myself) and office manager were notified of event. RN discussed with MA proper route for MCV4. Vaccine adminstration reeducation and annual skills checkoff to be completed later this week with MA.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Injection site pain
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- None
- Andere Medikamente
- None
- Allergien
- None
- Vorherige Impfungen
- -
- Staat
- NV
- Alter
- 11,0
- Geschlecht
- F
- Eingang
- 27.04.2021
- Impfdatum
- 26.04.2021
- Beginn
- 26.04.2021
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- - / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Injection site erythema
Injection site pruritus
Symptomtext
Redness around injection site. Per patient it felt itchy.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Injection site erythema
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- CA
- Alter
- 11,0
- Geschlecht
- F
- Eingang
- 09.04.2021
- Impfdatum
- 09.04.2021
- Beginn
- 09.04.2021
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Dizziness
Pallor
Vision blurred
Symptomtext
After MA administered HPV (gardasil-9) about 2 mins after patient reported feeling dizzy, blurry vision. MA laid the patient down vitals taken. After patient was more aware gave juice, and observed patient in clinic for 30 minutes post vaccine. Patient was back to normal within 5 minutes after. Dizziness, pale lasted about 5 minutes.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Dizziness
- Hospital-Tage
- -
- Labordaten
- None.
- Aktuelle Erkrankungen
- None Known.
- Vorgeschichte
- None Known.
- Andere Medikamente
- None
- Allergien
- No Known Allergies
- Vorherige Impfungen
- -
- Staat
- NC
- Alter
- 16,0
- Geschlecht
- F
- Eingang
- 09.04.2021
- Impfdatum
- 07.04.2021
- Beginn
- 07.04.2021
- Tage bis Beginn
- 0,0
- Dosis
- 2
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Facial pain
Pain in extremity
Rash
Swelling
Swelling face
Urticaria
Symptomtext
Left arm began to have hives, swelling, rash, and pain in left arm and face that gradually worsened hours after administration. By the next morning, the patient had swelling and in the face that had continued swelling and pain continued in the left arm. Mother treated patient at home with OTC Benadryl twice and made office visit for assessment the next day. Benadryl was administered in the office again and the provider prescribed Cetirizine 10mg to take orally at bedtime every night for X 10 days. Reviewed if symptoms worsened or of great concern to seek medical attention.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Facial pain
- Hospital-Tage
- -
- Labordaten
- None
- Aktuelle Erkrankungen
- None noted
- Vorgeschichte
- None noted
- Andere Medikamente
- None
- Allergien
- No known allergies
- Vorherige Impfungen
- -
- Staat
- LA
- Alter
- 11,0
- Geschlecht
- F
- Eingang
- 07.04.2021
- Impfdatum
- 31.03.2021
- Beginn
- 06.04.2021
- Tage bis Beginn
- 6,0
- Dosis
- 1
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Allergy test
Papule
Rash
Urticaria
Symptomtext
Patient presented to office on 04/07/21 with rash all over body that began on 04/06/2021. On exam, Dr. noted generalized large papules all over with some confluent areas, excoriated lesions on R forearm. No focal lesions at injection sites. Patient was diagnosed with generalized urticarial lesions and lab was obtained for a total IgE level and and stinging insect allergy panel, including mosquito. Patient treating symptoms with oral Benadryl and cortisone cream.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Rash
- Hospital-Tage
- -
- Labordaten
- Allergy panel/total IgE results pending- drawn 04/07/2021
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- None
- Andere Medikamente
- None
- Allergien
- None
- Vorherige Impfungen
- -
- Staat
- OH
- Alter
- 17,0
- Geschlecht
- M
- Eingang
- 04.03.2021
- Impfdatum
- 27.01.2021
- Beginn
- 27.01.2021
- Tage bis Beginn
- 0,0
- Dosis
- 2
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: ja
Disable: unbekannt
ER: ja
Erholt: nein
Arthralgia
Erythema
Lymphangitis
Magnetic resonance imaging normal
Neuralgia
Pain
Pain in extremity
Ultrasound scan normal
Symptomtext
He developed redness, pain in left arm following vaccine, developed some streaking of arm towards his neck and chest. He was treated with oral KEFLEX. After 1-2 days it seemed to worsen, and he was taken to ER. He was admitted to hospital 1/29/21-2/2/21. He received IV antibiotics and continued with significant pain. He had ultrasound of arm and MRI of arm and shoulder that were wnl. He was diagnosed with neuralgic pain by neurology. Pain management team has started him on Neurontin. He is still experiencing pain especially with moving his arm above his shoulder.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Arthralgia
- Hospital-Tage
- 5,0
- Labordaten
- ultrasound MRI
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- asthma anxiety
- Andere Medikamente
- lexapro 10 mg proair inhaler prn magnesium oxide 400 mg q day B12
- Allergien
- nkda
- Vorherige Impfungen
- -
- Staat
- PA
- Alter
- 16,0
- Geschlecht
- M
- Eingang
- 26.02.2021
- Impfdatum
- 26.02.2021
- Beginn
- 26.02.2021
- Tage bis Beginn
- 0,0
- Dosis
- 2
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: ja
Erholt: nein
Epistaxis
Fall
Head injury
Headache
Malaise
Neck pain
Unresponsive to stimuli
Symptomtext
Patient was given vaccines by RN, and was educated to remain on the table for 15 minutes. Ten minutes later, patient reported to dad that he "wasn't feeling well" and fell headfirst from the table. He was unresponsive for 5-10 seconds, sustained a lump to the center of his forehead, and scant bleeding in R nare. Persistent c/o headache and neck pain following the fall. Vitals were stable, patient was transported by EMS to Hospital ED for evaluation of head injury.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Headache
- Hospital-Tage
- -
- Labordaten
- ED evaluation
- Aktuelle Erkrankungen
- none
- Vorgeschichte
- none
- Andere Medikamente
- none
- Allergien
- seasonal allergies
- Vorherige Impfungen
- -
- Staat
- MI
- Alter
- 11,0
- Geschlecht
- F
- Eingang
- 05.01.2021
- Impfdatum
- 30.12.2020
- Beginn
- 30.12.2020
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Rash pruritic
Symptomtext
Patient is a 11y.o. female who complains of rash. She got Tdap, menactra 12/30. That night started with little rash on forehead. Itchy and spread across face. 12/31 very itchy, spreading down neck. Used some hct. Examined 1/4/2021. Rash does not come and go. Remains on face. Now nose, eyelids, ears, chin. Some bumps on arms. Did not eat today, but feeling fine. No runny nose or cough, no sore throat, no abdominal pain or diarrhea. Sleeping fine.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Rash pruritic
- Hospital-Tage
- -
- Labordaten
- Telemedicine visit and exam 1/4/2021
- Aktuelle Erkrankungen
- none reported per patient
- Vorgeschichte
- Eczema, cholesteatoma (corrected)
- Andere Medikamente
- Zyrtec 5mg tabs, 1 tab by mouth as needed
- Allergien
- seasonal, no known medication allergies
- Vorherige Impfungen
- -
- Staat
- ID
- Alter
- 16,0
- Geschlecht
- F
- Eingang
- 01.08.2022
- Impfdatum
- 20.07.2022
- Beginn
- 20.07.2022
- 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
administered an expired MENACTRA with no reported adverse event; Initial information received on 20-Jul-2022 regarding an unsolicited valid non-serious case received from a other health professional. This case involves a 16 years old female patient who was administered an expired meningococcal A-C-Y-W135 (D conj) vaccine [Menactra] with no reported adverse event. The patient's past medical history, medical treatment(s), vaccination(s) and family history were not provided. Concomitant medications included meningococcal vaccine B RFHBP/NADA/NHBA OMV (Bexsero). On 20-Jul-2022, the patient received 0.5 mL dose of suspect meningococcal A-C-Y-W135 (D conj) vaccine (lot U6878BA, expiry date: 02-Mar-2022; formulation not reported) via intramuscular route in the right deltoid for immunization. On 20-Jul-2022, the patient was administered an expired meningococcal A-C-Y-W135 (D conj) vaccine with no reported adverse event (expired product administered) (latency: same day). Action taken was not applicable. At time of reporting, the outcome was Unknown for the 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 guidelines. 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
- OH
- Alter
- 16,0
- Geschlecht
- F
- Eingang
- 16.03.2022
- Impfdatum
- 07.03.2022
- Beginn
- -
- Tage bis Beginn
- -
- Dosis
- UNK
- 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
has been administered on 07MAR2022 to a 16 year-old after it expired on 02MAR2022; Initial information received on 08-Mar-2022 regarding an unsolicited valid non-serious case received via consumer/non-hcp. This case involves a 16 years old female patient who experienced has been administered on 07mar2022 to a 16 year-old after it expired on 02mar2022 while receiving vaccine MENINGOCOCCAL A-C-Y-W135 (D CONJ) VACCINE (Menactra). The patient's past medical history, medical treatment(s), vaccination(s) and family history were not provided. On 07-Mar-2022, the patient received a dose of suspect MENINGOCOCCAL A-C-Y-W135 (D CONJ) VACCINE at a dose of o.5 ml with lot U6878BA via intramuscular route in the right deltoid for prophylactic vaccination. On an unknown date the patient developed a non-serious "has been administered on 07mar2022 to a 16 year-old after it expired on 02mar2022 (expired product administered)" (unknown latency) following the administration of MENINGOCOCCAL A-C-Y-W135 (D CONJ) VACCINE. It was reported that "Practice manager is calling to ask information about MENACTRA that has been administered on 07MAR2022 to a 16 year-old after it expired on 02MAR2022". Action taken: not applicable. It was not reported if the patient received a corrective treatment for the event (has been administered on 07MAR2022 to a 16 year-old after it expired on 02MAR2022). At time of reporting, the outcome was Unknown for the event has been administered on 07mar2022 to a 16 year-old after it expired on 02mar2022. 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
- KS
- Alter
- 17,0
- Geschlecht
- M
- Eingang
- 13.08.2021
- Impfdatum
- 04.08.2021
- Beginn
- 04.08.2021
- Tage bis Beginn
- 0,0
- Dosis
- 2
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Product administered to patient of inappropriate age
Symptomtext
Hep A adult dose given instead of pediatric to 17 year old patient.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Product administered to patient of inappropriate age
- Hospital-Tage
- -
- Labordaten
- None.
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- CA
- Alter
- 66,0
- Geschlecht
- F
- Eingang
- 01.07.2021
- Impfdatum
- 14.06.2021
- Beginn
- 14.06.2021
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- OT / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Product administered to patient of inappropriate age
Symptomtext
66 years old patient received MENACTRA vaccine with no reported adverse event; Initial information regarding an unsolicited valid non-serious case was received from other healthcare professional via Regulatory Authority (Reference number- 00644060) and transmitted to Sanofi on 16-Jun-2021. This case involves a 66 years old female patient who received MENINGOCOCCAL A-C-Y-W135 (D CONJ) VACCINE [MENACTRA] vaccine. The patient medical history, medical treatment(s), vaccination(s) and family history were not provided. Concomitant medications included DIPHTHERIA VACCINE TOXOID, PERTUSSIS VACCINE ACELLULAR 3-COMPONENT, TETANUS VACCINE TOXOID (BOOSTRIX); and HPV VACCINE VLP RL1 9V (YEAST) (GARDASIL 9) for prophylactic vaccination. On 14-Jun-2021, the patient received a 0.5 mL dose of suspect MENINGOCOCCAL A-C-Y-W135 (D CONJ) VACCINE [lot U6878BA and expiry date:02-Mar-2022] via an intramuscular route at right deltoid prophylactic vaccination. It was as of actual medication error due to product administered to patient of inappropriate age [Latency: on the same day]. It was reported that, medical Assistant (MA) asks for information regarding administration of MENACTRA to patients older than 55 years-old; what are the risks, any benefits that may exist, and whether there was a risk of interaction with concomitantly administered vaccines. Details of laboratory data not reported. It was not reported if the patient received a corrective treatment for the 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
- Product administered to patient of inappropriate age
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- PA
- Alter
- 18,0
- Geschlecht
- F
- Eingang
- 29.04.2021
- Impfdatum
- 27.04.2021
- Beginn
- 27.04.2021
- Tage bis Beginn
- 0,0
- Dosis
- 2
- Route/Site
- IM / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
No adverse event
Symptomtext
Had Moderna Covid 19 Vaccine one week ago. Received Besxero and Menactra Today.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- No adverse event
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- Birth control
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- OH
- Alter
- 17,0
- Geschlecht
- M
- Eingang
- 16.01.2021
- Impfdatum
- 09.01.2021
- Beginn
- 09.01.2021
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
No adverse event
Wrong product administered
Symptomtext
I gave pt vaccine and he left and then I went to document and realized that he already had menactra and that he needed his 2nd men b shot. Pt did not have any side effects, no issues
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- No adverse event
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- none
- Vorherige Impfungen
- -