- Staat
- AL
- Alter
- 22,0
- Geschlecht
- F
- Eingang
- 26.10.2021
- Impfdatum
- 26.10.2021
- Beginn
- 26.10.2021
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Anxiety
Syncope
Symptomtext
Psychological anxiety causing syncope
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Syncope
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 26,0
- Geschlecht
- F
- Eingang
- 23.09.2021
- Impfdatum
- 21.09.2021
- Beginn
- 21.09.2021
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Cold sweat
Seizure
Snoring
Somatic symptom disorder
Somnolence
Tuberculin test
Symptomtext
Employee stated she was anxious on the day of her visit. She was able to receive the Tdap without any problems. Soon after the IM shot, she had a TB skin test placed on the R forearm and at that point, she became clammy, closed her eyes and appeared to have a seizure (witnessed by our nurse and MA), head going limp and made a snoring sound before coming to in a few seconds. She remained a little groggy for a few more minutes until she felt up to moving from a sitting position. She reported being so anxious earlier in the morning that whatever she ate for breakfast, she threw up. We provided her some oral fluids (orange juice) and she felt better.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Seizure
- Hospital-Tage
- -
- Labordaten
- O2 sat was 99%, Vitals x 4 over a 40 minute period were: BP 101/64, P 54; BP 111/69, P 102; BP 118/75, P 87; BP 117/78, P 91, afebrile
- Aktuelle Erkrankungen
- NONE
- Vorgeschichte
- NONE
- Andere Medikamente
- NONE
- Allergien
- NONE
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 9,0
- Geschlecht
- M
- Eingang
- 22.02.2022
- Impfdatum
- 09.02.2022
- Beginn
- 09.02.2022
- Tage bis Beginn
- 0,0
- Dosis
- 2
- Route/Site
- IM / LL
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Dyspnoea
Heart rate increased
Nausea
Pain in extremity
Pallor
Tremor
Vomiting
Symptomtext
Patient came in for his Tdap vaccine yesterday and had a reaction last night. He has reacted to every vaccine received in this family of vaccines (Dtap/Tdap) since he was an infant. Yesterday about 4 hours after his vaccine he started complaining of intense leg pain around the site. I gave him acetaminophen which did not help. Later that evening he started to complain about intense pain throughout the leg that had the injection. At 12:30 am he woke with an extremely rapid heart rate, feeling of difficulty breathing and nausea. Around 1:30 am he began vomiting and continued to vomit for appx 1 hour. He was extremely pale with rapid heart rate and was visibly shaking. He fell back to sleep around 3 am and awoke today feeling better. No fever occured. Symptoms resolved within 24 hours.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Dyspnoea
- Hospital-Tage
- -
- Labordaten
- No testing done
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- None
- Andere Medikamente
- acetamenophen
- Allergien
- None
- Vorherige Impfungen
- Dtap's given 5/17/2012, 7/16/2012 bad rashes and sever fussiness.
- Staat
- TX
- Alter
- 11,0
- Geschlecht
- F
- Eingang
- 31.05.2022
- Impfdatum
- 24.05.2022
- Beginn
- 31.05.2022
- Tage bis Beginn
- 7,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Erythema
Oedema
Peripheral swelling
Pruritus
Skin warm
Tenderness
Symptomtext
On day 2 after vaccination, red localized swelling to left arm. Tender, pruritic, erythema, warm to touch. Decrease in all symptoms seen 24 hours later in office with remaining localized erythema and mild edema, still tender and warm to touch. Instructed to treat with ice packs and warm compresses, NSAIDs for pain relief and anti-inflammatory effects.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Pruritus
- Hospital-Tage
- -
- Labordaten
- None
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- Asthma
- Andere Medikamente
- None
- Allergien
- None
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 56,0
- Geschlecht
- M
- Eingang
- 14.05.2022
- Impfdatum
- 01.11.1965
- Beginn
- 07.05.2022
- Tage bis Beginn
- 20.641,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Arthralgia
Back pain
Hypoaesthesia
Injection site pain
Pain
Symptomtext
Patient got all three vaccines on 5/7/22. His symptoms started on 5/12/22. The symptoms are are limited to the left arm and are asa follows ; soreness at the injection site, numbness of the fingers, and Shooting pain radiating to his shoulder and back
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Arthralgia
- Hospital-Tage
- -
- Labordaten
- None as the time of this report
- Aktuelle Erkrankungen
- N/A
- Vorgeschichte
- Diabetes, HTN
- Andere Medikamente
- N/A
- Allergien
- No known allergies
- Vorherige Impfungen
- -
- Staat
- MS
- Alter
- 61,0
- Geschlecht
- F
- Eingang
- 18.11.2021
- Impfdatum
- 09.11.2021
- Beginn
- 10.11.2021
- Tage bis Beginn
- 1,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Injection site erythema
Injection site pruritus
Injection site swelling
Injection site warmth
Symptomtext
Patient had a red, hot, swollen arm under the injection site for 3 days. On days 4 and 5 the reaction site was itchy. By day 6 the adverse reaction had resolved. She was instructed by her Dr. to put an ice pack on it, and take some BENADRYL and TYLENOL or ADVIL.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Injection site erythema
- Hospital-Tage
- -
- Labordaten
- None
- Aktuelle Erkrankungen
- N/A
- Vorgeschichte
- Rheumatoid Arthritis
- Andere Medikamente
- Unknown
- Allergien
- NKDA
- Vorherige Impfungen
- -
- Staat
- FL
- Alter
- 53,0
- Geschlecht
- F
- Eingang
- 10.10.2021
- Impfdatum
- 30.09.2021
- Beginn
- 01.10.2021
- Tage bis Beginn
- 1,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Joint range of motion decreased
Loss of personal independence in daily activities
Nerve injury
Pain in extremity
Sleep disorder
Symptomtext
Approx 12 hours after vaccine, Woke up with my Left arm with excruciating pain. Limited range of motion, pain, and neuropraxia. Pain limits ADLs, failed RICE. Interrupted sleep as pain is worse at night.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Pain in extremity
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- None
- Andere Medikamente
- None
- Allergien
- None
- Vorherige Impfungen
- -
- Staat
- OK
- Alter
- 56,0
- Geschlecht
- F
- Eingang
- 10.10.2021
- Impfdatum
- 03.10.2021
- Beginn
- 03.10.2021
- Tage bis Beginn
- 0,0
- Dosis
- N/A
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Headache
Injection site erythema
Injection site inflammation
Injection site warmth
Neck pain
Pain
Pain in extremity
Symptomtext
Pt said arm is completely sore, pain radiates up her arm through her neck, she has had a heache since receiving the vaccine. Site of injection is red, inflamed and warm to the touch per patient.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Headache
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- TRAMADOL, GABAPENTIN, TRILEPTAL, VENLAFAXINE, DOXEPIN, AMBIEN, CLONAZEPAM,
- Allergien
- CODEINE
- Vorherige Impfungen
- -
- Staat
- TN
- Alter
- 34,0
- Geschlecht
- F
- Eingang
- 23.09.2021
- Impfdatum
- 07.09.2021
- Beginn
- 07.09.2021
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- OT / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Vaccination site erythema
Vaccination site inflammation
Vaccination site pruritus
Vaccination site swelling
Vaccination site warmth
Symptomtext
local site swelling, redness, warmth; local site swelling, redness, warmth; local site swelling, redness, warmth; local site swelling, redness, warmth; local site itching; Initial information was received on 15-Sep-2021 regarding an unsolicited valid non-serious case received from a Consumer. This case involves a 34-year-old female patient who experienced local site swelling, redness and warmth (Vaccination site swelling, Vaccination site erythema, Vaccination site warmth) and diagnosed with (Vaccination site inflammation) and local site itching (Vaccination site pruritus) while receiving DIPHTHERIA-2/TETANUS/5 AC PERTUSSIS VACCINE [ADACEL]. Medical history, medical treatment(s), vaccination(s), concomitant medications and family history were not provided. On 07-Sep-2021, the patient received a 0.5 ml (total) dose of suspect DIPHTHERIA-2/TETANUS/5 AC PERTUSSIS VACCINE [lot U6969AB and expiry date 03-Apr-2023] via intramuscular route in the left deltoid for prophylactic vaccination. On 07-Sep-2021 the patient developed non-serious local site swelling, redness and warmth (Vaccination site swelling, Vaccination site erythema, Vaccination site warmth) and diagnosed with (Vaccination site inflammation) and local site itching (Vaccination site pruritus) on the same day following the administration of DIPHTHERIA-2/TETANUS/5 AC PERTUSSIS VACCINE. It was reported "They recently started giving out Adacel. They have never had an issue with Adacel until this particular lot. There are 5 doses in the box and 4 have been given. Three 3 people has had a reaction. and they have all been the same. It is local site swelling, redness, warmth and itching. Caller states that they have stopped giving the lot number'. Details of laboratory data were not reported. It was not reported if the patient received any corrective treatment. At the time of report, the outcome of events was unknown.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Vaccination site pruritus
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- TN
- Alter
- -
- Geschlecht
- F
- Eingang
- 23.09.2021
- Impfdatum
- 07.09.2021
- Beginn
- -
- Tage bis Beginn
- -
- Dosis
- 1
- Route/Site
- OT / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Injection site erythema
Injection site pruritus
Injection site swelling
Injection site warmth
Symptomtext
local site swelling, redness, warmth; local site itching; Initial information received on 15-Sep-2021 regarding an unsolicited valid non-serious case from a consumer/non-health care professional via Agency (under the reference 00770771). This case is linked to case 2021SA305481 (cluster). This case involved a 27 years old female patient who had local site swelling, redness, warmth (inflammation) and itching (pruritus), after receiving DIPHTHERIA-2/TETANUS/5 AC PERTUSSIS VACCINE [ADACEL]. The patient's past medical history, medical treatment(s), concomitant medication(s) and family history were not provided. The patient had no other vaccinations at the time of report. On 07-Sep-2021, the patient received a first dose of suspect DIPHTHERIA-2/TETANUS/5 AC PERTUSSIS VACCINE (0.5 ml, lot U6969AB and Expiration date: 03-Apr-2023, frequency: once, dose: 1) via intramuscular route in the right deltoid for prophylactic vaccination. On an unknown date, the patient developed a non-serious local site swelling, redness, warmth (inflammation) and itching (pruritus), (unknown latency) following the administration of vaccine. It was reported "Caller states that she is calling to add some information to a previously reported. Refer to inquiry 00766640. Caller states that they recently started giving out Adacel with lot: U6969AB, Expiration date: 03/04/2023 and NDC: 49281-0400-89. They have never had an issue with Adacel until this particular lot. There are 5 doses in the box and 4 have been given. Three 3 people has had a reaction. and they have all been the same. It is local site swelling, redness, warmth and itching. Caller states that they have stopped giving the lot number. " No laboratory data reported. It was not reported if the patient received a corrective treatment. At time of reporting, the outcome was unknown for the reported event.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Injection site erythema
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- TN
- Alter
- -
- Geschlecht
- U
- Eingang
- 18.09.2021
- Impfdatum
- -
- Beginn
- -
- Tage bis Beginn
- -
- Dosis
- UNK
- Route/Site
- OT / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Vaccination site inflammation
Vaccination site pain
Vaccination site pruritus
Vaccination site swelling
Vaccination site warmth
Symptomtext
3 out of 4 pts injected with this lot experienced extreme swelling, warmth, pain and itching; 3 out of 4 pts injected with this lot experienced extreme swelling, warmth, pain and itching; 3 out of 4 pts injected with this lot experienced extreme swelling, warmth, pain and itching; 3 out of 4 pts injected with this lot experienced extreme swelling, warmth, pain and itching; 3 out of 4 pts injected with this lot experienced extreme swelling, warmth, pain and itching; Initial information regarding an unsolicited valid non-serious case was received from Non-Healthcare Professional via Agency (Reference number- 00766640) and transmitted to Sanofi on 13-Sep-2021 in the. This case involves an unknown age and unknown gender patient for whom it was reported 3 out of 4 patients injected with this lot experienced extreme swelling, warmth, pain and itching (vaccination site swelling, vaccination site pain, vaccination site warmth, vaccination site inflammation and vaccination site pruritus) while receiving DIPHTHERIA-2/TETANUS/5 AC PERTUSSIS VACCINE [ADACEL]. The patient's past medical history, medical treatment(s), vaccination(s), concomitant medication and family history were not provided. On an unknown date, the patient received a dose of suspect DIPHTHERIA-2/TETANUS/5 AC PERTUSSIS VACCINE [lot U6969AB and expiry date not reported] via an unknown route in unknown administration site for prophylactic vaccination. On an unknown date the patient developed a non-serious 3 out of 4 pts injected with this lot experienced extreme swelling, warmth, pain and itching (vaccination site swelling, vaccination site pain, vaccination site warmth, vaccination site inflammation and vaccination site pruritus) (unknown latency) following the administration of DIPHTHERIA-2/TETANUS/5 AC PERTUSSIS VACCINE. It was reported "they are not comfortable using this lot". Details of laboratory data not reported. It was not reported if the patient received any corrective treatment for the events. At time of reporting, the outcome was unknown for the events.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Vaccination site pain
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- KY
- Alter
- 11,0
- Geschlecht
- M
- Eingang
- 02.09.2021
- Impfdatum
- 12.08.2021
- Beginn
- 13.08.2021
- Tage bis Beginn
- 1,0
- Dosis
- 1
- Route/Site
- OT / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: ja
Erholt: nein
Headache
Myalgia
Nausea
Pyrexia
Symptomtext
Fever of 104 degrees Fahrenheit; Muscle Aches; Nausea; Headache; This is a spontaneous report from a contactable healthcare professional. A 11-year-old male patient received meningococcal group b rlp2086 (TRUMENBA) dose 1, intramuscularly administered in deltoid right on 12Aug2021 08:15 (Lot number CN1583; Expiration Date: Aug2022, NDC number: 0005010005) as 0.5 mL, single for immunisation in physician office; diphtheria vaccine toxoid, pertussis vaccine acellular, tetanus vaccine toxoid (TDAP, Sanofi-Pasteur) dose 1 intramuscularly in left deltoid on 12Aug2021 (Lot Number: U6969AB; Expiration Date: 04Mar2023) at unknown dose for immunisation. The patient medical history and concomitant medications were reported as none. No Family Medical History Relevant to AE. The patient experienced fever of 104 degrees Fahrenheit, muscle aches, nausea, headache on 13Aug2021 with outcome of recovering. He also required a visit to the ER. Patient was admitted due to all of the adverse events listed. Nausea medication and ibuprofen or Motrin was given at the Emergency room. There was no admission to the hospital. Events were reported as medically significant. Patient's symptoms all started less than 24 hours after receiving the vaccine. The patient did not received any other vaccinations within four weeks prior to the first administration date of the suspect vaccine.; Sender's Comments: A possible contributory role of the suspect products cannot be excluded for the reported events based on the known safety profile The impact of this report on the benefit/risk profile of the Pfizer product is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to Regulatory Authorities, Ethics Committees and Investigators as appropriate.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Headache
- Hospital-Tage
- -
- Labordaten
- Test Date: 20210813; Test Name: body temperature; Result Unstructured Data: Test Result:104 Fahrenheit
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- Comments: List of non-encoded Patient Relevant History: Patient Other Relevant History 1: none
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 38,0
- Geschlecht
- F
- Eingang
- 26.08.2021
- Impfdatum
- 25.08.2021
- Beginn
- 25.08.2021
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Exposure during pregnancy
Fatigue
Insomnia
Pruritus
Vibratory sense increased
Symptomtext
I am 29 weeks pregnant. I am age 38, so I have had more testing but the baby has been low risk and healthy. Due Date: Nov 5th, baby weight is approx 3 lbs. As soon as I took the vaccine I could feel it move through my body and it began to itch in random spots, i.e. my toe, my back, arms, and then eventually my lips were itching. By 10pm the same night, I felt like the baby was shaking inside of me like I had too much sugar (almost a vibrating feeling coming from the baby) and I couldn't sleep. I also started to have some contractions for the first time. The itching has continued throughout the next day and I have been very fatigued.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Fatigue
- Hospital-Tage
- -
- Labordaten
- None taken
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- None
- Andere Medikamente
- Prenatal vitamins, DHA, Magnesium
- Allergien
- Nitrous Oxide (laughing gas)
- Vorherige Impfungen
- -
- Staat
- IA
- Alter
- 12,0
- Geschlecht
- F
- Eingang
- 21.08.2023
- Impfdatum
- 19.07.2023
- Beginn
- 19.07.2023
- 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
administered a dose of Adacel that expired on 04Mar2023 with no adverse event; Initial information received on 16-Aug-2023 regarding an unsolicited valid non-serious case received from other health professional. This case involves a 12 years and 9 months old female patient who was administered a dose of diphtheria-2/ tetanus/ 5 AC pertussis vaccine [Adacel] that expired on 04mar2023 with no adverse event. The patient's past medical history, medical treatment(s), vaccination(s) and family history were not provided. Concomitant medications included meningococcal vaccine A/C/Y/W (with either Menactra or Menveo) for Immunisation. On 19-Jul-2023, the patient received 0.5 mL dose of expired suspect diphtheria-2/tetanus/5 AC pertussis vaccine, suspension for injection (batch number: U6969AB; expiry date: 04-Mar-2023) via intramuscular route in the right deltoid for Immunization with no adverse event (expired product administered). Action taken: not applicable. At time of reporting, the outcome was Unknown for the event administered a dose of adacel that expired on 04mar2023 with 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
- MENINGOCOCCAL VACCINE A/C/Y/W
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- -
- Alter
- 32,0
- Geschlecht
- F
- Eingang
- 30.04.2023
- Impfdatum
- 28.04.2023
- Beginn
- 28.04.2023
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Expired product administered
No adverse event
Symptomtext
After the vaccine was administered and paperwork was being completed, vaccinator realized that the vaccine expired on 3/4/23. The nurse at the healthcare facility and the patient were informed, and the dose will be re-administered per CDC recommendations. The patient has not experienced any adverse effects. The pharmacy was notified and staff was re-educated on auditing/removing expired medications.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Expired product administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- GA
- Alter
- 43,0
- Geschlecht
- F
- Eingang
- 18.03.2023
- Impfdatum
- 07.03.2023
- Beginn
- 07.03.2023
- 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
ADACEL was administered today that expired 04-mar-2023 with no reported adverse event; Initial information received on 07-Mar-2023 regarding an unsolicited valid non-serious case received from a other health professional. This case involves a 43 years old female patient to whom Diphtheria-2/tetanus/5 ac pertussis vaccine [ADACEL] was administered today that expired 04-mar-2023 with no reported adverse event The patient's past medical history, medical treatment(s), vaccination(s) and family history were not provided. On 07-Mar-2023, the patient received suspect Diphtheria-2/tetanus/5 ac pertussis vaccine Suspension for injection at dose of 0.5 milligram (mg) total (lot U6969AB and expiry date-04-Mar-2023) via intramuscular route in the right arm for immunization today that expired 04-mar-2023 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
- AR
- Alter
- 11,0
- Geschlecht
- M
- Eingang
- 29.06.2022
- Impfdatum
- 21.06.2022
- Beginn
- 21.06.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Product preparation issue
Symptomtext
Nurse notified MD day after injection that she realized she only injected patient with diluent and not powder when giving Menveo. Patient's mother was notified. Called GSK and was told since he received CWY strains, no further doses needed to correct error - mother was notified but also told she could choose to have him revaccinated in 6 months to receive the A strain. Our vaccine protocols within the office were rereviewed with all staff.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Product preparation issue
- Hospital-Tage
- -
- Labordaten
- None
- Aktuelle Erkrankungen
- no
- Vorgeschichte
- short stature, allergic rhinitis
- Andere Medikamente
- growth hormone
- Allergien
- NKDA
- Vorherige Impfungen
- -
- Staat
- MO
- Alter
- 1,5
- Geschlecht
- M
- Eingang
- 06.05.2022
- Impfdatum
- 05.05.2022
- Beginn
- 05.05.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / LL
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Wrong product administered
Symptomtext
Patient was due for the Hep A vaccine. When I went to get the vaccine he was due to get I grabbed what I thought was Hep A from the fridge and prepared. I grabbed Tdap instead. I then administered to the patient in the left thigh. I realized afterwards when charting that this was the wrong vaccine. I immediately notified the provider who notified the parents. No treatment needed and no negative outcomes from this event.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Wrong product administered
- Hospital-Tage
- -
- Labordaten
- N/A
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- None
- Andere Medikamente
- N/A
- Allergien
- None
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 46,0
- Geschlecht
- F
- Eingang
- 23.12.2021
- Impfdatum
- 23.12.2021
- Beginn
- 23.12.2021
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Extra dose administered
Symptomtext
Patient received Tdap shot by one staff member. Right after that labs were drawn by another staff member and after labs patient was told she was ready to go but she told the second staff member she needed her Tdap. The first staff member had not completed charting the first shot and so when the second staff member saw the order for the Tdap and the patient said she had not received it yet, she also administered it.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Extra dose administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- N/A
- Vorgeschichte
- Allergies, migraines, mild intermittent asthma
- Andere Medikamente
- Topiramate, Depo-provera
- Allergien
- Darvocet, Sumatriptan, Tramadol, Vicodin
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 46,0
- Geschlecht
- F
- Eingang
- 23.12.2021
- Impfdatum
- 23.12.2021
- Beginn
- 23.12.2021
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Extra dose administered
Symptomtext
Patient received Tdap shot by one staff member. Right after that labs were drawn by another staff member and after labs patient was told she was ready to go but she told the second staff member she needed her Tdap. The first staff member had not completed charting the first shot and so when the second staff member saw the order for the Tdap and the patient said she had not received it yet, she also administered it.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Extra dose administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- N/A
- Vorgeschichte
- Allergies, migraines, mild intermittent asthma
- Andere Medikamente
- Topiramate, Depo-provera
- Allergien
- Darvocet, Sumatriptan, Tramadol, Vicodin
- Vorherige Impfungen
- -
- Staat
- NC
- Alter
- 67,0
- Geschlecht
- F
- Eingang
- 03.12.2021
- Impfdatum
- 30.11.2021
- Beginn
- 01.12.2021
- Tage bis Beginn
- 1,0
- Dosis
- 1
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: ja
Erholt: nein
Contusion
Eye swelling
Skin discolouration
Swelling face
Symptomtext
at 0200 on 12/1/21 (vaccination @ 1500 on 11/30/21) pt reported waking up to go to the bathroom and when she was washing her hands looked in the mirror and noticed a large swelling on her forehead above her left eyebrow. She woke her husband up and asked him to look at it and he saw it as well . She reported discussing with her husband what could have caused it and was certain she had not had a fall and bumped her head there. She stated that otherwise she felt of so she went back to sleep. In the early morning upon waking to begin her day she noticed that her entire left eye was swollen shut and was black in color. She then reported going to the ED (Attending Doctor signed her discharge papers at 0501 on 12/2/21). She was discharged advising how to treat a contusion (apply cold and take tylenol). She was given no steroids or antihistamines. When this was reported to me upon arriving to work today (12/3/121) I called the pt (she came to the store 12/2/21 to show the pharmacist her eye and that pharmacist reported this situation to me). When I called the pt 12/3/21 she told me of the above reported events and when I further inquired she said that now her right eye was becoming involved. I advised her to seek urgent medical attention of which she is currently doing upon writing this information.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Contusion
- Hospital-Tage
- -
- Labordaten
- None known.
- Aktuelle Erkrankungen
- pt reported to me during vaccine pre-counseling that she had some pain in her left back a few weeks prior and wondered if that was a kidney stone. Pt reported no pain at time of vaccination or for a week of so. Pt attested to no moderate to high fever / cough / diarrhea / vomiting of cut, injury, puncture or open wound. Temperature taken and was normal
- Vorgeschichte
- Chronic illness diabetes / High blood pressure
- Andere Medikamente
- not known. Pt was advised that taking Tylenol / Advil / Aleeve (or their generics were ok to take if she experienced any HA / fever / chills / muscle aches / joint pain after vaccination. Pt also advised to apply cold compress to injecti
- Allergien
- NKDA
- Vorherige Impfungen
- -
- Staat
- -
- Alter
- 38,0
- Geschlecht
- F
- Eingang
- 20.10.2021
- Impfdatum
- 18.10.2021
- Beginn
- 18.10.2021
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Erythema
Oedema
Symptomtext
3cm area of edema/erythema to R deltoid without evidence of abscess/fluctuants/induration.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Erythema
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- asthma
- Andere Medikamente
- none
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- KS
- Alter
- 58,0
- Geschlecht
- M
- Eingang
- 16.08.2021
- Impfdatum
- 14.08.2021
- Beginn
- 14.08.2021
- Tage bis Beginn
- 0,0
- Dosis
- 2
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Extra dose administered
Symptomtext
Patient was already up to date on shingrix and tdap, and we administered them again (shingrix series complete, tdap given in 2018)
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Extra dose administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -