- Staat
- DC
- Alter
- 45,0
- Geschlecht
- M
- Eingang
- 28.10.2022
- Impfdatum
- 28.10.2022
- Beginn
- 28.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- SC / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: ja
Erholt: nein
Presyncope
Seizure like phenomena
Unresponsive to stimuli
Symptomtext
Employee became unresponsive, with vagal event, approximately 5-10 seizure like activity. Woke up after 1 minute.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Presyncope
- Hospital-Tage
- -
- Labordaten
- BG 131 N/A Employee was sent to ER via EMS services.
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- None
- Andere Medikamente
- Wellbutrin XL 300mg daily
- Allergien
- NKDA
- Vorherige Impfungen
- -
- Staat
- CO
- Alter
- 11,0
- Geschlecht
- M
- Eingang
- 21.06.2022
- Impfdatum
- 21.06.2022
- Beginn
- 21.06.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: ja
Erholt: ja
Syncope
Symptomtext
Pt fainted after vaccination, upon assessment patient was conscious and responsive. we monitored oxygen levels, blood pressure, and breathing for approximately 30 minutes while patient was laying down and recovering. Patient was able to achieve normal vital signs by the end of 30 minutes and was observed getting into the vehicle safely. Instructed parent of child to be seen immediately at Urgent Care or Emergency Room for further evaluation and to rule out any injuries from fainting.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Syncope
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 13,0
- Geschlecht
- M
- Eingang
- 04.08.2021
- Impfdatum
- 30.07.2021
- Beginn
- 30.07.2021
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Loss of consciousness
Symptomtext
A few minutes after receiving his vaccinations and as I was finishing up freezing his wart on his hand, patient passed out. Fortunately, I was still close to him when it happened and I was able to catch him so he didn't injure himself. I layed him down and he came to within a few seconds. Pulse ox was placed on him and ranged from 96-98 with HR in the 80's. After a few minutes, he felt well enough to sit up. He was given a cup of water and goldfish which he tolerated well.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Loss of consciousness
- Hospital-Tage
- -
- Labordaten
- NA
- Aktuelle Erkrankungen
- One viral wart treated just prior to vaccination via liquid nitrogen and one viral wart treated after vaccination with liquid nitrogen.
- Vorgeschichte
- ADHD
- Andere Medikamente
- None
- Allergien
- NKDA
- Vorherige Impfungen
- -
- Staat
- OH
- Alter
- 26,0
- Geschlecht
- F
- Eingang
- 18.03.2022
- Impfdatum
- 18.03.2022
- Beginn
- 18.03.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Dizziness
Headache
Hyperventilation
Hypoaesthesia
Hypoaesthesia oral
Nausea
Pallor
Paraesthesia
Paraesthesia oral
Respiration abnormal
Wheelchair user
Symptomtext
Post donation and 32 minutes post vaccine at 12:13 in center parking lot, developed dizziness, nausea, headache, pallor with hyperventilation. Also had numbness and tingling in lips and arms/finger. Transported to nursing office via wheelchair. Continued intermittent hyperventilation for approximately 30 min. Reassured and coached on slow deep breaths. Refused use of paper bag to control breathing. Given beverage after nausea subsided and breathing regulated and tolerated well. At time of release BP 107/71 Pulse 76 and breathing regulated. Ambulated without assistance upon discharge from facility in satisfactory condition with only residual mild headache.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Paraesthesia
- Hospital-Tage
- -
- Labordaten
- none
- Aktuelle Erkrankungen
- anxiety
- Vorgeschichte
- none
- Andere Medikamente
- none
- Allergien
- none known
- Vorherige Impfungen
- -
- Staat
- NY
- Alter
- 57,0
- Geschlecht
- F
- Eingang
- 28.01.2022
- Impfdatum
- 25.01.2022
- Beginn
- 25.01.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Limb discomfort
Paraesthesia oral
Periorbital swelling
Pharyngeal paraesthesia
Throat tightness
Symptomtext
01/25/22 @ 1:00pm: Tolerated injection well, 30 minutes after administration c/o some 'tingling in her throat, funny sensation on her tongue'. Employee remained in lounge chair following administration for 45 min for observation due to reported history of allergies. Employee reported some 'tingling in her throat', tolerated sips of water, VSS, in NAD, O2 Saturation 97-98%. No s/s of distress, benadryl offered via IM administration after 45 minutes - refused by employee because she reported it would make her tired. Following with no c/o after 45 min. 01/26/22 @ 8:58am: Follow up letter from employee the day after administration reports the following: 'I am happy to report that my arm has little to no discomfort this morning. Unfortunately, I ended up having to take a Benadryl as my throat tingling and tightness sensation persisted. I also woke up today with very puffy eyes-all these are some of my reactions when I am exposed to formaldehyde.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Paraesthesia oral
- Hospital-Tage
- -
- Labordaten
- N/A
- Aktuelle Erkrankungen
- No reported illnesses at the time of vaccination and up to one month prior. Pfizer COVID 19 Booster administered 4 weeks prior.
- Vorgeschichte
- Hx of thyroid nodule - no medications reported. Hx of allergies to vaccines, food, formaldehyde specifically. Hx of DVT -
- Andere Medikamente
- Metformin 500mg BID; Pepcid PRN
- Allergien
- Hard-Boiled Eggs, Artificial Color, Anything Fermented, Dairy, Cashews, Soy, Shellac, Formaldehyde.
- Vorherige Impfungen
- Employee reports rxn when exposed to any vaccine containing Formaldehyde. No dates available. Followed by an Allergist.
- Staat
- MO
- Alter
- 55,0
- Geschlecht
- F
- Eingang
- 25.08.2021
- Impfdatum
- 19.08.2021
- Beginn
- 19.08.2021
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- SYR / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Injected limb mobility decreased
Injection site bruising
Loss of personal independence in daily activities
Pain
Pain in extremity
Periarthritis
Sleep disorder
Wrong technique in product usage process
Symptomtext
Within 3 hours or receiving tetanus shot, I couldn't move my left arm to the right across my body or above my chest and was in extreme pain. When I called the doctor's office and spoke with the nurse assistant who administered the shot, she said it was because I tensed up and it would be sore for a few days. Over the next few days the pain continued to worsen, unable to sleep through the night, can't do normal activities, movement is restricted in that arm above my chest, across my body and to the left. Sought treatment at Urgent Care on 8/24 which stated injection sight which is still bruised was way to high on the shoulder and administered into the joint or nerve causing a frozen shoulder.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Injected limb mobility decreased
- Hospital-Tage
- -
- Labordaten
- Examined at Urgent Care on 8/24 sent home with frozen shoulder exercises, prescription of steroids and advised to follow up with PCP. Have an appointment with an Orthopedic Shoulder specialist on 8/26/21.
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- Asthma
- Andere Medikamente
- Estradiol
- Allergien
- aspirin and iodine dye
- Vorherige Impfungen
- -
- Staat
- NY
- Alter
- 34,0
- Geschlecht
- F
- Eingang
- 13.07.2021
- Impfdatum
- 28.06.2021
- Beginn
- 29.06.2021
- Tage bis Beginn
- 1,0
- Dosis
- UNK
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: ja
ER: ja
Erholt: nein
Injected limb mobility decreased
Injection site pain
Limb discomfort
Local reaction
Myalgia
Osteolysis
Pain
Pain in extremity
Tenderness
X-ray limb abnormal
Symptomtext
I was administered a TDAP (tetanus) vaccine (Sanofi Pasteur, Lot# U6964AA) intramuscularly to my left deltoid following a severe bicycle injury on 6/28/21 by NP at Urgent Care. The days following my visit, I experienced muscle soreness and tenderness around the injection site in the left arm which seemed typical. However, the symptoms have since worsened, expanded to left side of neck. Left shoulder is now immobilized and I am experiencing excruciating pain and discomfort that inhibits function and use of my left arm. I am unable to lift my arm more than 45 degrees in any direction and trying to lift it above my head results in extreme pain. I have since visited a local orthopedic urgent care facility (7/9/21) and received X-rays (4 projections of left shoulder) - no evidence of displaced fracture or dislocation (due to bike injury) was noted. Additional comments were: 'Joint spaces are grossly preserved. Mineralization is unremarkable for the patient's age. Nonspecific subtle sub-centimeter lytic lesions seen in the left proximal femoral diaphysis, nonaggressive appearing. Regional soft tissues are grossly unremarkable'. Current understanding is that I am having a severe local reaction to the TDAP (tetanus) vaccine (Sanofi Pasteur, Lot# U6964AA) I received on 6/28/21. I wanted to report this incident as an adverse event as this seems an atypical reaction to a common TDAP vaccine.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Injected limb mobility decreased
- Hospital-Tage
- -
- Labordaten
- DATE: 7/9/2021 TEST: X-Ray PROCEDURE: 4 projections of left shoulder IMPRESSION/FINDINGS: There is no evidence of displaced fracture or dislocation. Additional comments were: 'Joint spaces are grossly preserved. Mineralization is unremarkable for the patient's age. Nonspecific subtle subcentimeter lytic lesions seen in the left proximal femoral diaphysis, nonaggressive appearing. Regional soft tissues are grossly unremarkable'
- Aktuelle Erkrankungen
- N/A
- Vorgeschichte
- Hypothyroidism, right knee arthroscopy (May 2021)
- Andere Medikamente
- Synthroid, Pre-Natal vitamins
- Allergien
- Sulfa drugs
- Vorherige Impfungen
- -
- Staat
- WI
- Alter
- 21,0
- Geschlecht
- F
- Eingang
- 21.06.2022
- Impfdatum
- 16.06.2022
- Beginn
- 21.06.2022
- Tage bis Beginn
- 5,0
- Dosis
- 1
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Abdominal pain upper
Adverse reaction
Fatigue
Injection site erythema
Injection site pain
Myalgia
Nausea
Symptomtext
Donor was given Tetanus shot on 6/16/2022. She did not report adverse reaction until 6/21/2022. She stated reactions did not occur until 6/17/2022 at about 0800 in the morning. She complained of pain and redness to injection sight. Stomach cramps/nauseous, muscle pain throughout whole body and being more tired that than usually. No treatment was given by use, nor did she seek outside treatment.She stated that she is feeling better.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Abdominal pain upper
- Hospital-Tage
- -
- Labordaten
- NA
- Aktuelle Erkrankungen
- NA
- Vorgeschichte
- NA
- Andere Medikamente
- NA
- Allergien
- NA
- Vorherige Impfungen
- -
- Staat
- MI
- Alter
- 40,0
- Geschlecht
- F
- Eingang
- 19.04.2022
- Impfdatum
- 20.03.2022
- Beginn
- 23.03.2022
- Tage bis Beginn
- 3,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: ja
Erholt: nein
Arthralgia
Magnetic resonance imaging abnormal
Tendonitis
Symptomtext
Patient reported severe shoulder pain 3 days after receiving vaccine. Went to the doctor after 7 days and received steroid injection. MRI revealed tendonitis in shoulder and is still currently receiving corticosteroid injections for inflammation.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Arthralgia
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- N/A
- Vorgeschichte
- thyroidectomy
- Andere Medikamente
- Synthroid
- Allergien
- N/A
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 51,0
- Geschlecht
- M
- Eingang
- 17.04.2022
- Impfdatum
- 15.04.2022
- Beginn
- 17.04.2022
- Tage bis Beginn
- 2,0
- Dosis
- UNK
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Pain in extremity
Peripheral swelling
Tenderness
Symptomtext
Pt. called facility to report that her arm was swollen, tender, and painful to touch. Pt. was instructed to alternate hot and cold compressions to her arm and to elevate the arm as much as possible. Also instructed pt. to take pain medications if available and to contact for further instruction or to report if the swelling has decreased. If staff is unavailable to visit the nearest emergency room.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Pain in extremity
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- No known illnesses
- Vorgeschichte
- No known health conditions
- Andere Medikamente
- Pt. is not currently on any medication.
- Allergien
- No known allergies
- Vorherige Impfungen
- -
- Staat
- UT
- Alter
- 22,0
- Geschlecht
- M
- Eingang
- 27.03.2022
- Impfdatum
- 25.03.2022
- Beginn
- 25.03.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Injection site erythema
Injection site pruritus
Injection site swelling
Symptomtext
Large red, raised area at the injection site approximately 2 inches around where needle was injected into arm. Donor states it was itchy, no other s/s. Placed warm wash cloth over site. 3/26/22 - Donor states itching stopped 24 hours after injection. 3/27/22 - Swelling has decreased, but still some redness noted today.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Injection site erythema
- Hospital-Tage
- -
- Labordaten
- None
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- None
- Andere Medikamente
- None
- Allergien
- None
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 38,0
- Geschlecht
- F
- Eingang
- 05.03.2022
- Impfdatum
- 03.03.2022
- Beginn
- 04.03.2022
- Tage bis Beginn
- 1,0
- Dosis
- 1
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Vaccination site erythema
Vaccination site pain
Vaccination site swelling
Symptomtext
Patient reports arm soreness to right arm, redness and swelling located in the area of vaccination.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Vaccination site pain
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- NO
- Vorgeschichte
- HIGH CHOLESTEROL, SEASONAL ALLERGIES
- Andere Medikamente
- NEXLIZET QD Dual medication) for cholesterol, OMEGA-3 QD FOR GOOD HEALTH
- Allergien
- allergy-D (pseudoephedrine and lortadine) QD for allergies
- Vorherige Impfungen
- -
- Staat
- AZ
- Alter
- 40,0
- Geschlecht
- F
- Eingang
- 28.02.2022
- Impfdatum
- 22.02.2022
- Beginn
- 22.02.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Injection site erythema
Injection site swelling
Symptomtext
Donor's left deltoid swelling and redness.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Injection site erythema
- Hospital-Tage
- -
- Labordaten
- Unknown
- Aktuelle Erkrankungen
- None.
- Vorgeschichte
- Unknown at this time.
- Andere Medikamente
- None.
- Allergien
- None.
- Vorherige Impfungen
- -
- Staat
- OK
- Alter
- 42,0
- Geschlecht
- F
- Eingang
- 21.02.2022
- Impfdatum
- 19.02.2022
- Beginn
- 20.02.2022
- Tage bis Beginn
- 1,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Influenza like illness
Injection site erythema
Injection site swelling
Symptomtext
Tetanus Vaccine administer on 02/19/2022 at 13:14. Pt reporting reactions began on 02/20/2022 at 18:00 which includes flu like symptoms, left upper arm with redness and swelling at site of injection measuring 1.5 x 2.25 inches with skin intact and no drainage. Pt's temperature noted at 99.7 degrees Fahrenheit on 02/21/22 at 6:36 PM. Pt counseled on application of cold compress for swelling, the importance of seeking emergency treatment in the event of an anaphylaxis reaction, Medical Staff follow up and Medical Director review of adverse event. Pt verbalized understanding, denies respiratory distress or any other complications at this time and departed the facility in stable condition.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Injection site erythema
- Hospital-Tage
- -
- Labordaten
- None
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- None
- Andere Medikamente
- None
- Allergien
- Codeine, Mushrooms
- Vorherige Impfungen
- -
- Staat
- NC
- Alter
- 12,0
- Geschlecht
- M
- Eingang
- 04.11.2021
- Impfdatum
- 04.11.2021
- Beginn
- 04.11.2021
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Blood glucose
Dizziness
Fall
Hyperhidrosis
Pallor
Symptomtext
Patient appeared well and responded when spoken to after vaccines were given. Stickers were given to the pt and the pt's sibling. Reviewed the immunization record and VIS with parent. I directed them to the front lobby. A code blue for the second floor lobby was called over the intercom minutes later. I reponded along with several other employees/nurses. I saw that the code was called for this pt. When I arrived to the scene. Security was supporting the pt's head on the floor, and the mother was at the pt's feet with the pt's sibling. The mother reported that the pt told her he felt dizzy, and then he began to fall. She stated that she was able to catch him and lower him to the ground. RNs had arrived at the scene with the crash cart and glucometer. RN was checking the pt's pulse. RN checked the pt's blood suger level as well as respirations. The pt was alert and responded when spoken to. His face and lips appeared to be pale. Pt took small sips of water. I got an ice pack for his head. Pt appeared to be slightly sweaty. We stood there for several minutes. After his color came back and he stated that he was feeling better, he was assisted to a wheel chair. He was taken back to one of the clinic rooms to be monitored by myself. The pt was given more water and some crackers. After monitoring for several more minutes, the pt reported that he felt well. He stated that he felt completely normal and denied dizziness. I assisted him to stand up slowly. RN and myself walked with the pt down the hallway, in the elvator, and to the car. Pt stated that he still felt well. Mother was instructed to follow up with the pt's PCP and to inform him of this situation and the vaccines given today. Mother was also advised to call EMS or go to the emergency department if she notices anything out of the ordinary. Parent verbalized understanding.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Dizziness
- Hospital-Tage
- -
- Labordaten
- N/A
- Aktuelle Erkrankungen
- No per parent.
- Vorgeschichte
- No per parent.
- Andere Medikamente
- Clonidine and ADHD medication (unknown) per parent.
- Allergien
- No per parent.
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 33,0
- Geschlecht
- M
- Eingang
- 15.10.2021
- Impfdatum
- 15.10.2021
- Beginn
- 15.10.2021
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Dizziness
Hyperhidrosis
Nausea
Pain in jaw
Pallor
Tetany
Thirst
Vomiting
Symptomtext
Pallor, sweating, dizziness/lightheadedness, Nausea, Vomiting, Thirst, Tetany (Pain in the jaw)
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Dizziness
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- None
- Andere Medikamente
- None
- Allergien
- None
- Vorherige Impfungen
- -
- Staat
- IA
- Alter
- 12,0
- Geschlecht
- F
- Eingang
- 08.09.2021
- Impfdatum
- 07.09.2021
- Beginn
- 07.09.2021
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- - / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Gait disturbance
Headache
Posture abnormal
Tinnitus
Unresponsive to stimuli
Symptomtext
Female was sitting with mom for the 15 minutes and mom yelled that her head went back and did not respond. She was alert when I came out but stated ears were ringing and had a headache. Layed her on the floor with legs elevated and cold cloth to neck. After 6 minutes sat her up and she stated she was fine. Staff escorted her out with mom and she was walking not in a straight line. She had stated that she had not had any breakfast prior to coming for the injection. Mom was going to keep her home for the rest of the day.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Headache
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- None
- Andere Medikamente
- N/A
- Allergien
- unknown
- Vorherige Impfungen
- -
- Staat
- AR
- Alter
- 11,0
- Geschlecht
- F
- Eingang
- 04.09.2021
- Impfdatum
- 24.08.2021
- Beginn
- 24.08.2021
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- OT / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Injection site erythema
Injection site mass
Injection site pain
Injection site warmth
Symptomtext
injection sites are pretty sore with good size lumps; injection sites are pretty sore, hot and red; injection sites are pretty sore; injection sites red; injection sites hot; Initial information regarding an unsolicited valid non-serious case was received from consumer/non-hcp (Healthcare Professional) via Medical Information (Reference number- 00742744) and transmitted to Sanofi on 26-Aug-2021. This case involves an 11 years old female patient who experienced "injection sites are pretty sore with good size lumps" (vaccination site mass) and "injection sites are pretty sore, hot and red" (vaccination site inflammation, vaccination site erythema, vaccination site pain and vaccination site warmth) after receiving vaccines DIPHTHERIA-2/TETANUS/5 AC PERTUSSIS VACCINE [ADACEL] and MENINGOCOCCAL A-C-Y-W135 (D CONJ) VACCINE [MENACTRA]. The patient's medical history, past medical treatment(s), vaccination(s), concomitant medication and family history were not provided. On 24-Aug-2021, the patient received a 0.5 mL dose of suspect MENINGOCOCCAL A-C-Y-W135 (D CONJ) VACCINE (lot U6951AA and expiry date: 06-Jun-2022) via unknown route in the right deltoid for prophylactic vaccination. On 24-Aug-2021, the patient received a 0.5 mL dose of suspect DIPHTHERIA-2/TETANUS/5 AC PERTUSSIS VACCINE (lot U6964AA and expiry date: 19-Feb-2023) via unknown route in the left deltoid for prophylactic vaccination. On 24-AUG-2021 the patient developed a non-serious events "injection sites are pretty sore with good size lumps" (vaccination site mass) and "injection sites are pretty sore, hot and red" (vaccination site inflammation, vaccination site pain, vaccination site erythema and vaccination site warmth), on same day following the administration of MENINGOCOCCAL A-C-Y-W135 (D CONJ) VACCINE and following the administration of DIPHTHERIA-2/TETANUS/5 AC PERTUSSIS VACCINE. It was reported "Caller states she has received allergy shots that were a lot worse but didn't mention any names." Laboratory data was not reported. It was not reported if the patient received a corrective treatment for the events. At time of reporting, the outcome was Unknown for all the reported events.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Injection site erythema
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- -
- Alter
- -
- Geschlecht
- F
- Eingang
- 29.08.2021
- Impfdatum
- 28.07.2021
- Beginn
- 28.07.2021
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- OT / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Injection site pain
Symptomtext
injection site pain for about 10 days afterwards; Patient reports that she was given ADACEL by a nurse last week; reports the nurse administered it in her triceps rather than her deltoid; Initial information regarding an unsolicited valid non-serious case was received from a consumer/non-health care professional (patient) via Global Medical Information (Reference number- 00711995) and transmitted to Sanofi on 05-Aug-2021. This case involved an unknown age female patient was given DIPHTHERIA-2/TETANUS/5 AC PERTUSSIS VACCINE [ADACEL] by a nurse last week reports the nurse administered it in her triceps rather than her deltoid (product administered at inappropriate site) and experienced injection site pain for about 10 days afterwards (vaccination site pain) Relevant medical history, medical treatment(s), vaccination(s) concomitant medication and family history were not provided. On 28-Jul-2021, the patient received a dose of suspect DIPHTHERIA-2/TETANUS/5 AC PERTUSSIS VACCINE (lot U6964AA) (Frequency: once) (total) via intramuscular route in right triceps for prophylactic vaccination (product administered at inappropriate site) On 28-JUL-2021 the patient developed a non-serious injection site pain for about 10 days afterwards (injection site pain) same day following the administration of DIPHTHERIA-2/TETANUS/5 AC PERTUSSIS VACCINE. It was reported that, "Patient asking if this dose is still effective or if she should get another dose of ADACEL and reports injection site pain has started to subside". This vaccine administered at inappropriate site event was an actual medication error (latency same day) Patient did not receive treatment At time of reporting, the outcome was Resolving for vaccination site pain 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
- Injection site pain
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- CA
- Alter
- 11,0
- Geschlecht
- M
- Eingang
- 07.08.2021
- Impfdatum
- 22.07.2021
- Beginn
- 23.07.2021
- Tage bis Beginn
- 1,0
- Dosis
- 1
- Route/Site
- SYR / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Injection site erythema
Injection site pruritus
Injection site swelling
Symptomtext
developed redness of left arm at injection site where given meningococcal and HPV vaccines on day of inoculation. next day was swollen and red with itching. no pain. swelling progressed and increased over subsequent two days. had not rec'd either of these vaccines before. rec'd tdap in contralateral arm on same day, but no redness or swelling or discomfort on that side.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Injection site erythema
- Hospital-Tage
- -
- Labordaten
- none
- Aktuelle Erkrankungen
- none
- Vorgeschichte
- none
- Andere Medikamente
- none
- Allergien
- none
- Vorherige Impfungen
- -
- Staat
- VA
- Alter
- 11,0
- Geschlecht
- M
- Eingang
- 05.08.2021
- Impfdatum
- 03.08.2021
- Beginn
- 03.08.2021
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- - / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Pyrexia
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Pyrexia
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- asthma allergic rhinitis
- Andere Medikamente
- OTC analgesic
- Allergien
- none
- Vorherige Impfungen
- -
- Staat
- IN
- Alter
- 70,0
- Geschlecht
- F
- Eingang
- 30.07.2021
- Impfdatum
- 22.07.2021
- Beginn
- 22.07.2021
- Tage bis Beginn
- 0,0
- Dosis
- N/A
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Bursitis
Injection site pain
Myalgia
Symptomtext
Had pain at injection site when given. Increased pain that night. Continued soreness 8 days later, although slowly improving. No erythema or edema. No signs infection. Mild muscle pain vs reactive bursitis. Advised treatment with Advil x 1 week then change to tylenol
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Injection site pain
- Hospital-Tage
- -
- Labordaten
- None
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- Hypothyroidism, Raynaud's syndrome, Menopause, osteoporosis, depression, anxiety
- Andere Medikamente
- Ciracal +D, Cyclobenzaprine, Denavir, Fibercon, Lutein, Multivitamin, Probiotic, Synthroid, Turmeric root, Cyanocobalamin, Vitamin C, Vitamin D, Xanax
- Allergien
- NKA
- Vorherige Impfungen
- -
- Staat
- PA
- Alter
- 44,0
- Geschlecht
- M
- Eingang
- 06.07.2021
- Impfdatum
- 02.07.2021
- Beginn
- 03.07.2021
- Tage bis Beginn
- 1,0
- Dosis
- N/A
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Erythema
Pyrexia
Rash
Rash macular
Rash papular
Skin irritation
Symptomtext
Assessment: rash to face, trunk. Patient stated that after he received the Adacel and Menactra vaccines in Friday he went back to work moving dumpsters. then after work he stated that he went home and played with his 6 year old child. did not eat anything that he would not normally eat. Rash to face is reddened non raised blotchy areas located to face and neck. Rash to chest and back Reddened raised bumps with white tops to each bump. rash areas to under arms is reddened raised blotchy areas. Patient stated that he has had now Fever over weekend. Patient stated that it is not painful rash just irritating, and only relief from the irritation was powder to the rash. PA instructed Patient to take Claritin orally daily in mornings and Benadryl 25mg orally at nights daily. Follow up on 7/8/2021
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Pyrexia
- Hospital-Tage
- -
- Labordaten
- N/A
- Aktuelle Erkrankungen
- Denies any Illness
- Vorgeschichte
- Denies any health conditions
- Andere Medikamente
- Denies taking any Medications
- Allergien
- denies any Allergies
- Vorherige Impfungen
- -
- Staat
- NE
- Alter
- 11,0
- Geschlecht
- F
- Eingang
- 14.02.2023
- Impfdatum
- 14.02.2023
- Beginn
- 14.02.2023
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Extra dose administered
Symptomtext
Patient seen for well child check and vaccines. After receiving vaccines including COVID Bivalent vaccine, mother called office informing triage nurse that patient did receive COVID Bivalent vaccine 11/9/2022 at pharmacy. This was not in our charting system. Patients primary physician notified of this.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Extra dose administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- NV
- Alter
- 12,0
- Geschlecht
- M
- Eingang
- 12.12.2022
- Impfdatum
- 16.06.2022
- Beginn
- 01.06.2022
- Tage bis Beginn
- -
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
No adverse event
Vaccination error
Symptomtext
Vaccine administration error There was no adverse events that occurred, no treatment, signs or symptoms.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- No adverse event
- Hospital-Tage
- -
- Labordaten
- None
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- None
- Andere Medikamente
- None
- Allergien
- NKDA
- Vorherige Impfungen
- -
- Staat
- ID
- Alter
- 11,0
- Geschlecht
- F
- Eingang
- 25.07.2022
- Impfdatum
- 25.07.2022
- Beginn
- 25.07.2022
- 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
There is no adverse reaction. Pt was given the wrong vaccine- Infanrix. This was erroneously pulled from the fridge and given with the Adacel and HPV. She was supposed to be given Adacel, HPV, and Menactra.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- No adverse event
- Hospital-Tage
- -
- Labordaten
- N/A
- Aktuelle Erkrankungen
- None.
- Vorgeschichte
- None.
- Andere Medikamente
- None.
- Allergien
- None.
- Vorherige Impfungen
- -
- Staat
- CA
- Alter
- 1,8
- Geschlecht
- F
- Eingang
- 03.07.2022
- Impfdatum
- 31.08.2021
- Beginn
- 31.08.2021
- 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
Poor quality product administered
Product storage error
Symptomtext
ADACEL was administered after exposed to 82.62 F for 15 minutes with no reported adverse event; ADACEL was administered after exposed to 82.62 F for 15 minutes with no reported adverse event; Initial information received on 15-Jun-2022 regarding an unsolicited valid non-serious case received from a other health professional. This case involves a 22 months old female patient to whom DIPHTHERIA-2/TETANUS/5 AC PERTUSSIS VACCINE [ADACEL] was administered after exposed to 82.62 F for 15 minutes. The patient's past medical history, medical treatment(s), vaccination(s) and family history were not provided. On 31-Aug-2021, the patient received 0.5 ml dose of suspect DIPHTHERIA-2/TETANUS/5 AC PERTUSSIS VACCINE (lot U6964AA, Exp date: 19-FEB-2023) via unknown route in unknown administration site for prophylactic vaccination. On 31-AUG-2021 the patient reported a non-serious event of ADACEL was administered after exposed to 82.62 F for 15 minutes with no reported adverse event (product storage error) (poor quality product administered) following the administration of DIPHTHERIA-2/TETANUS/5 AC PERTUSSIS VACCINE. IPOL was administered to 4 patients after excursion (Inquiry 01148676). Action taken: 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 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; Sender's Comments: 01148676:
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- No adverse event
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- KS
- Alter
- -
- Geschlecht
- U
- Eingang
- 06.05.2022
- Impfdatum
- -
- Beginn
- -
- Tage bis Beginn
- -
- Dosis
- UNK
- Route/Site
- - / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
No adverse event
Product administered to patient of inappropriate age
Symptomtext
a 19 month old child received a dose of ADACEL with no reported adverse event; Initial information received on 03-May-2022 regarding an unsolicited valid non-serious case received from a other health professional. This case involves a 19 months old child received a dose of adacel with no reported adverse event, while receiving vaccine DIPHTHERIA-2/TETANUS/5 AC PERTUSSIS VACCINE [ADACEL]. The patient's past medical history, medical treatment(s), vaccination(s) and family history were not provided. On an unknown date, the patient received a unknown dose of suspect DIPHTHERIA-2/TETANUS/5 AC PERTUSSIS VACCINE, with an unknown strength, formulation and dose ( lot : U6964AA ; expiry date: not reported) in unknown administration site for immunization. On an unknown date the patient developed a non-serious a 19 month old child received a dose of adacel with no reported adverse event (product administered to patient of inappropriate age) (latency: same day ) following the administration of DIPHTHERIA-2/TETANUS/5 AC PERTUSSIS VACCINE. Action taken : not applicable. It was not reported if the patient received a corrective treatment for the event (a 19 month old child received a dose of ADACEL with no reported adverse event). At time of reporting, the outcome was Unknown for the event a 19 month old child received a dose of adacel with 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
- No adverse event
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- ID
- Alter
- -
- Geschlecht
- F
- Eingang
- 23.11.2021
- Impfdatum
- 02.08.2021
- Beginn
- 02.09.2021
- Tage bis Beginn
- 31,0
- Dosis
- UNK
- Route/Site
- OT / LL
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Extra dose administered
No adverse event
Symptomtext
7 year-old girl received ADACEL on 02-Aug-2021 and accidently received another dose on 02-Sep-2021/ no AE; Initial information regarding an unsolicited valid non-serious case was received from Nurse via Medical Information (MI) (Reference number- 00850312) and transmitted to Sanofi on 09-Nov-2021. This case involves a seven-year-old female patient who vaccinated with a 0.5 mL (once) dose of DIPHTHERIA-2/TETANUS/5 AC PERTUSSIS VACCINE [ADACEL] (lot U6964AA) via intramuscular route in the left thigh on 02-Aug-2021 and accidentally received another 0.5 mL (once) dose of the same vaccine (lot U6900AA) via intramuscular route in the left thigh on 02-Sep-2021 (expiry date not reported for both doses) for prophylactic vaccination (extra dose administered). Medical history, past medical treatment, past vaccination, concomitant medication and family history were not provided. It was a case of actual medication error due to extra dose administered (latency was on same day as per second dose). It was reported "Nurse states they had an error with administration of ADACEL to a patient. They administered a dose on 02Aug2021, and then accidentally gave the same patient another dose on 02Sep2021. Nurse is looking for information on possible adverse effects and what to inform the patient." 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
- Extra dose administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- AZ
- Alter
- 11,0
- Geschlecht
- F
- Eingang
- 26.10.2021
- Impfdatum
- 26.10.2021
- Beginn
- 26.10.2021
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- - / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
No adverse event
Wrong product administered
Symptomtext
Patient was given Meningococcal B vaccine verses the ordered MCV4. Patient informed of administration and notes no adverse effects. Patient notes understanding and will observe for any symptoms if they should arise. Patient instructed to call clinic or EMS if any adverse effects occur.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- No adverse event
- Hospital-Tage
- -
- Labordaten
- N/A
- Aktuelle Erkrankungen
- N/A
- Vorgeschichte
- N/A
- Andere Medikamente
- N/A
- Allergien
- NKA
- Vorherige Impfungen
- -
- Staat
- MI
- Alter
- 5,0
- Geschlecht
- M
- Eingang
- 22.10.2021
- Impfdatum
- 16.10.2021
- Beginn
- 16.10.2021
- 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
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Product administered to patient of inappropriate age
- Hospital-Tage
- -
- Labordaten
- NONE
- Aktuelle Erkrankungen
- Toe Injury
- Vorgeschichte
- NONE
- Andere Medikamente
- Cephalexin
- Allergien
- NONE
- Vorherige Impfungen
- -
- Staat
- MI
- Alter
- 12,0
- Geschlecht
- F
- Eingang
- 27.09.2021
- Impfdatum
- 24.08.2021
- Beginn
- 24.08.2021
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Inappropriate schedule of product administration
Symptomtext
gave Meningococcal B to early, no treatment needed, no other symptoms recorded.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Inappropriate schedule of product administration
- Hospital-Tage
- -
- Labordaten
- none
- Aktuelle Erkrankungen
- none
- Vorgeschichte
- none
- Andere Medikamente
- none
- Allergien
- none
- Vorherige Impfungen
- -
- Staat
- MI
- Alter
- 11,0
- Geschlecht
- M
- Eingang
- 27.09.2021
- Impfdatum
- 24.08.2021
- Beginn
- 24.08.2021
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Inappropriate schedule of product administration
No adverse event
Symptomtext
gave Meningococcal B vaccination to early, no symptoms, patient is doing well.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Inappropriate schedule of product administration
- Hospital-Tage
- -
- Labordaten
- none
- Aktuelle Erkrankungen
- none
- Vorgeschichte
- none
- Andere Medikamente
- none
- Allergien
- none
- Vorherige Impfungen
- -
- Staat
- WI
- Alter
- 58,0
- Geschlecht
- F
- Eingang
- 23.09.2021
- Impfdatum
- 18.06.2021
- Beginn
- 19.06.2021
- Tage bis Beginn
- 1,0
- Dosis
- 6
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Wrong product administered
Symptomtext
gave meningococcal B vaccine instead of menactra. No symptoms
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Wrong product administered
- Hospital-Tage
- -
- Labordaten
- none
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- Moderate obesity
- Andere Medikamente
- Multivitamin; 1000 IU Vitamin D
- Allergien
- No
- Vorherige Impfungen
- -
- Staat
- MI
- Alter
- 12,0
- Geschlecht
- M
- Eingang
- 23.09.2021
- Impfdatum
- 24.08.2021
- Beginn
- 24.08.2021
- Tage bis Beginn
- 0,0
- Dosis
- 6
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Inappropriate schedule of product administration
No adverse event
Symptomtext
patient received the trumenba dose too early. Patient did not have any adverse events related to the vaccine.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Inappropriate schedule of product administration
- Hospital-Tage
- -
- Labordaten
- none
- Aktuelle Erkrankungen
- none
- Vorgeschichte
- none
- Andere Medikamente
- none
- Allergien
- none
- Vorherige Impfungen
- -
- Staat
- RI
- Alter
- -
- Geschlecht
- U
- Eingang
- 29.08.2021
- Impfdatum
- -
- Beginn
- -
- Tage bis Beginn
- -
- Dosis
- UNK
- Route/Site
- OT / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Expired product administered
Medication error
No adverse event
Product storage error
Symptomtext
two patients received ADACEL Adult vaccine which was stored in a fridge that had a temperature excursion that reached 34 degrees Fahrenheit (or 1.11 degrees Celsius) over the weekend/ No AE; Initial information was received on 17-Aug-2021 regarding an unsolicited valid non-serious case received from an other health care professional via consumer under Global Medical Information Inquiry Number:00727607. This case involves two patients with an unknown age and gender who were administered with a dose of DIPHTHERIA-2/TETANUS/5 AC PERTUSSIS VACCINE [ADACEL] that was stored in a fridge that had a temperature excursion that reached 34 degrees Fahrenheit (or 1.11 degrees Celsius) over the weekend (product storage error). The patient's medical history, past medical treatments, concomitant medications, vaccinations and family history were not provided. On an unknown date, the patients received a dose of suspect DIPHTHERIA-2/TETANUS/5 AC PERTUSSIS VACCINE lot number: U6964AA and expiry date not provided via unknown route in unknown administration site for prophylactic vaccination. It was case of an actual medication error due to incorrect product storage (latency: same day). It was reported" We currently have ADACEL TDAP (DIPHTHERIA, TETANUS AND ACELLULAR PERTUSSIS VACCINE) Adult vaccine stored in a fridge that had a temperature excursion. The refrigerator reached 34 degrees Fahrenheit (or 1.11 degrees Celsius) over the weekend, we do not know when the excursion began. It was noted yesterday. The refrigerator has since been reset and is at it normal temperature of 40 degrees Fahrenheit (or 4.44 degrees Celsius). The vaccine was administered to two patients. We need to know if the vaccine was safe to use." At the 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
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- KS
- Alter
- 12,0
- Geschlecht
- F
- Eingang
- 17.08.2021
- Impfdatum
- 16.08.2021
- Beginn
- 16.08.2021
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Inappropriate schedule of product administration
Symptomtext
TDAP and MCV4 was given on 08/03/2021 with mom TDAP and MCV4 was given on 08/16/2021 with dad
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Inappropriate schedule of product administration
- Hospital-Tage
- -
- Labordaten
- None
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- CA
- Alter
- 14,0
- Geschlecht
- M
- Eingang
- 03.08.2021
- Impfdatum
- 02.08.2021
- Beginn
- -
- Tage bis Beginn
- -
- Dosis
- UNK
- Route/Site
- - / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Inappropriate schedule of product administration
Symptomtext
Administered a 2nd dose of Tdap 3 months after a 1st one was given.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Inappropriate schedule of product administration
- Hospital-Tage
- -
- Labordaten
- N/A
- Aktuelle Erkrankungen
- NONE
- Vorgeschichte
- NONE
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -