- Staat
- -
- Alter
- 8,0
- Geschlecht
- M
- Eingang
- 21.01.2022
- Impfdatum
- 21.01.2022
- Beginn
- 21.01.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Balance disorder
Hyperhidrosis
Pallor
Presyncope
Symptomtext
Patient had vasovagal response to vaccine administration about 3 minutes after vaccines given. He appeared pale, sweaty and was unsteady on feet. He was laid down on an exam table with his legs elevated, and cold wet towels were placed on his forehead and neck. His vital signs were taken and were low initially before measures were taken. Vital signs were stable after about 10 minutes after intervention. He was monitored for 30min and stable enough to leave the clinic.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Presyncope
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- none
- Vorgeschichte
- none
- Andere Medikamente
- none
- Allergien
- none
- Vorherige Impfungen
- -
- Staat
- WI
- Alter
- 15,0
- Geschlecht
- M
- Eingang
- 01.11.2021
- Impfdatum
- 04.10.2021
- Beginn
- 14.10.2021
- Tage bis Beginn
- 10,0
- Dosis
- 2
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: ja
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Guillain-Barre syndrome
Lumbar puncture
Miller Fisher syndrome
Nerve conduction studies
Symptomtext
Guillain Barre syndrome, Miller Fisher sysndrome. Symptom onset 10 days after Tdap.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Guillain-Barre syndrome
- Hospital-Tage
- -
- Labordaten
- Nerve conduction studies. LP, etc.
- Aktuelle Erkrankungen
- polytrauma
- Vorgeschichte
- none
- Andere Medikamente
- none
- Allergien
- none
- Vorherige Impfungen
- -
- Staat
- MD
- Alter
- 15,0
- Geschlecht
- F
- Eingang
- 29.10.2021
- Impfdatum
- 29.10.2021
- Beginn
- 29.10.2021
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Loss of consciousness
Symptomtext
Pt passed out for 30 seconds after receiving her vaccines. Cold compresses applied to pt?s head and neck. Pt drank some water. BP 100/63 P: 78 Temp: 96.8 99% on room air. Pt was monitored for 15 mins and then sent home
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Loss of consciousness
- Hospital-Tage
- -
- Labordaten
- None
- Aktuelle Erkrankungen
- None that were known
- Vorgeschichte
- Unknown
- Andere Medikamente
- Unknown
- Allergien
- None
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 13,0
- Geschlecht
- M
- Eingang
- 28.10.2021
- Impfdatum
- 28.10.2021
- Beginn
- 28.10.2021
- Tage bis Beginn
- 0,0
- Dosis
- 6
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Dizziness
Pallor
Syncope
Symptomtext
After vaccines were administered, the child stood up abruptly and swayed. The nurse asked if he felt all right and he said yes, and almost immediately fainted. He was caught before he hit the floor. Ammonia salts were utilized and he revived immediately and tried to stand. Nurse and MA kept the child in a prone position for approximately ten minutes. When asked, he said he ate a little yogurt for breakfast. Mom stayed on her phone. When helped to a sitting position in a chair, the child lost color in his face again and dropped something from his hand. MA and nurse wheeled the child to a sofa in an employee break room. When given water, he drank it very thirstily and stated he had not had anything to drink all day. Mom gave child a juice box which he drank completely. He stayed on the sofa for approximately 20 minutes. He had some shivering. As he would drink fluids, he would regain color in his lips and face. After a few minutes post-hydration, his color would pale again. Mom remained on her phone, while stating to clinic staff that "he got too many shots." (The child, a recent immigrant, did not have requisite vaccinations to enroll in school. He received the five necessary vaccination for enrollment, and Mother requested that HPV be given also.) Mother was educated about eating and drinking before the next visit and if the child needed further medical attention, to take the child to his doctor or an Urgent Care near their home. The vaccines were administered at 10;40 and the family departed the clinic at 11:20.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Syncope
- Hospital-Tage
- -
- Labordaten
- None known.
- Aktuelle Erkrankungen
- None known or reported.
- Vorgeschichte
- None known or reported.
- Andere Medikamente
- None known.
- Allergien
- NKA
- Vorherige Impfungen
- -
- Staat
- MI
- Alter
- 12,0
- Geschlecht
- F
- Eingang
- 22.10.2021
- Impfdatum
- 22.10.2021
- Beginn
- 22.10.2021
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Loss of consciousness
Muscle spasms
Symptomtext
Loss of consciousness for about 1 minute; muscle spasms upon awakening
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Loss of consciousness
- Hospital-Tage
- -
- Labordaten
- None
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- None
- Andere Medikamente
- None
- Allergien
- None
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 14,0
- Geschlecht
- F
- Eingang
- 15.10.2021
- Impfdatum
- 14.10.2021
- Beginn
- 14.10.2021
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Dizziness
Pallor
Syncope
Symptomtext
pt fainted after 4th vaccine which happened to be HPV vaccine. pt felt a little light headed for about 10 minutes then began to feel better. pt slightly pale for about 10 minutes. after 10 minutes, pt feeling well, awake, alert, oriented to person p lace and time
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Syncope
- Hospital-Tage
- -
- Labordaten
- none
- Aktuelle Erkrankungen
- back pain
- Vorgeschichte
- None
- Andere Medikamente
- None
- Allergien
- NO known allergies
- Vorherige Impfungen
- -
- Staat
- NY
- Alter
- 15,0
- Geschlecht
- M
- Eingang
- 01.01.2022
- Impfdatum
- 20.12.2021
- Beginn
- 20.12.2021
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- OT / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Chest pain
Headache
Symptomtext
intermittent chest pain; headache; Initial information was received on 22-Dec-2021 regarding an unsolicited valid non-serious case received from other health professional. This case involves a 15 year old male patient who experienced intermittent chest pain and headache while receiving vaccines IPV (VERO) [IPOL] and 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 20-Dec-2021, the patient received a dose of suspect DIPHTHERIA-2/TETANUS/5 AC PERTUSSIS VACCINE lot U6984AA with expiration date 18-Mar-2023 via intramuscular route in the left deltoid (unknown formulation) and a dose from 0.25 mL to 2 mL of suspect IPV (VERO) via intramuscular route in the left deltoid (with unknown formulation, lot number and expiration date) for prophylactic vaccination. On 20-DEC-2021 the patient developed a non-serious event "intermittent chest pain" (chest pain) following the administration of DIPHTHERIA-2/TETANUS/5 AC PERTUSSIS VACCINE and following the administration of IPV (VERO). On 20-DEC-2021 the patient developed a non-serious event "headache" following the administration of DIPHTHERIA-2/TETANUS/5 AC PERTUSSIS VACCINE and following the administration of IPV (VERO). Action taken with DIPHTHERIA, TETANUS AND ACELLULAR PERTUSSIS VACCINE (ADACEL) and POLIOMYELITIS VACCINE (INACTIVATED) (IPOL) was not applicable. It was not reported if the patient received a corrective treatment for the events (intermittent chest pain and headache). At time of reporting, the outcome was Unknown for the event intermittent chest pain and was Unknown for the event headache.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Chest pain
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- WA
- Alter
- 52,0
- Geschlecht
- F
- Eingang
- 23.09.2021
- Impfdatum
- 17.09.2021
- Beginn
- 18.09.2021
- Tage bis Beginn
- 1,0
- Dosis
- UNK
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Injection site bruising
Mobility decreased
Symptomtext
Bruising at injection site of the Adacel vaccine, and reduced mobility in the left shoulder due to pain
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Mobility decreased
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- AL
- Alter
- 11,0
- Geschlecht
- M
- Eingang
- 20.05.2022
- Impfdatum
- 16.05.2022
- Beginn
- 16.05.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Injection site bruising
Vaccination site erythema
Vaccination site nodule
Vaccination site swelling
Symptomtext
Pt had a 6 cm in diameter area of swelling and redness to arm where vaccine was given. Also with a knot under the skin and a small bruise at the injection site. Dad called our office 4 days afterwards asking if we would look at it as he was concerned. He brought pt to our office. I advised him to use Ibuprofen for pain, take a Benadryl before bedtime for redness/swelling, and apply a cold compress to it. Dad verbalized understanding.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Injection site bruising
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- Obesity, tonsillar hypertrophy
- Andere Medikamente
- -
- Allergien
- Sulfa antibiotics
- Vorherige Impfungen
- -
- Staat
- -
- Alter
- 42,0
- Geschlecht
- M
- Eingang
- 06.04.2022
- Impfdatum
- 03.08.2021
- Beginn
- 03.08.2021
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- SYR / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Cellulitis
Injection site erythema
Injection site pain
Injection site reaction
Injection site swelling
Symptomtext
Injection site reaction. Redness/swelling, pain. Likely superimposed cellulitis. Treated with a course of antibiotics and warm compresses.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Injection site erythema
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- CA
- Alter
- 7,0
- Geschlecht
- M
- Eingang
- 11.03.2022
- Impfdatum
- 09.03.2022
- Beginn
- 09.03.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Blood glucose
Depressed level of consciousness
Dizziness
Immediate post-injection reaction
Immunisation stress-related response
Musculoskeletal stiffness
Symptomtext
Within a few seconds of vaccination patient (before the Band-Aids could even be applied) he had a 15-20 second episode of upper body stiffening and reduced level of consciousness. Patient reports that he felt "dizzy" just prior to the episode and recalls events both before and after the episode. There were no tonic/clonic movements reported. Based on history I suspect this falls under the category of stress-related response with possible convulsive vasovagal syncope. Additional specialty consultation pending to rule-out any other issues or contraindications to future vaccination with these products.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Dizziness
- Hospital-Tage
- -
- Labordaten
- Neurology and infectious disease consultations; finger stick glucose
- Aktuelle Erkrankungen
- None.
- Vorgeschichte
- None.
- Andere Medikamente
- None.
- Allergien
- None.
- Vorherige Impfungen
- -
- Staat
- ID
- Alter
- 13,0
- Geschlecht
- M
- Eingang
- 22.12.2021
- Impfdatum
- 21.12.2021
- Beginn
- 21.12.2021
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Arthralgia
Immediate post-injection reaction
Pain
Sleep disorder
Symptomtext
The patient is here with a day of severe left shoulder pain. This started immediately after he got his Tdap and MenQuadfi shots. It appears that he got his shots pretty high up, a lot closer to the acromion then mom would expect. Mom is an RN. The pain has been significant, 8 out of 10 or higher all night and nothing has really helped. He has had 1000 of Tylenol and 600 of ibuprofen and that has not touched it. He barely slept all night. He is usually decently tough and is out of his mind with pain right now. There were no other activities or trauma or possible injuries. No fevers. No redness or the joint. He can move it with full range of motion but it hurts a lot.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Arthralgia
- Hospital-Tage
- -
- Labordaten
- none
- Aktuelle Erkrankungen
- none
- Vorgeschichte
- adhd
- Andere Medikamente
- none
- Allergien
- none
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 12,0
- Geschlecht
- M
- Eingang
- 23.11.2021
- Impfdatum
- 09.11.2021
- Beginn
- 09.11.2021
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: ja
Erholt: nein
Rash
Rash erythematous
Rash pruritic
Scab
Skin exfoliation
Symptomtext
After 30-40 minutes of vaccines administration, patients mother states he began forming a rash to left and right hands and his nose. Pt states he had red itching bumps & noticed peeling/scabbing to the nose ara. Patients mother states she took her soon to the Walk-In Clinic & was prescribed the following medications: Benadryl, Mupirocin, Methyl Prednisone, Triamcinolone.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Rash
- Hospital-Tage
- -
- Labordaten
- Patient referred to Allergist for further evaluation.
- Aktuelle Erkrankungen
- At time of vaccination, none.
- Vorgeschichte
- Functional Murmer
- Andere Medikamente
- None
- Allergien
- None
- Vorherige Impfungen
- -
- Staat
- NC
- Alter
- 11,0
- Geschlecht
- M
- Eingang
- 22.11.2021
- Impfdatum
- 17.11.2021
- Beginn
- 18.11.2021
- Tage bis Beginn
- 1,0
- Dosis
- 1
- Route/Site
- IM / RL
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Injection site erythema
Injection site pruritus
Injection site warmth
Symptomtext
Approx <24 hrs after vaccines, developed redness, warmth, itching at both injection sites. Worsened with spreading redness at 48 hours. No fever. Right vastus lateralis- Tdap with 7x7cm erythema. Left vastus lateralis- Menactra with 9x10cm erythema
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
- 12,0
- Geschlecht
- M
- Eingang
- 21.10.2021
- Impfdatum
- 18.10.2021
- Beginn
- 18.10.2021
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: ja
Erholt: ja
Body temperature increased
Chills
Erythema
Skin warm
Swelling face
Vomiting
Symptomtext
Per patient's mother patient was noted with swelling/redness to face primarily the cheeks, skin hot to the touch and chills about 8PM 10/18/2021. Around 1:00AM 10/19/2021 they called EMS and he was taken to the hospital. On the way to the hospital he vomited once in the ambulance. Patient's temperature was 103.4 at the hospital and was given Tylenol and Motrin. He was discharged after evaluation. Mother unaware of any other medications/treatment/diagnosis given at the hospital.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Chills
- Hospital-Tage
- -
- Labordaten
- Unknown per patient's mother
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- None
- Andere Medikamente
- None
- Allergien
- NKDA
- Vorherige Impfungen
- -
- Staat
- PA
- Alter
- 89,0
- Geschlecht
- F
- Eingang
- 27.09.2021
- Impfdatum
- 20.09.2021
- Beginn
- 22.09.2021
- Tage bis Beginn
- 2,0
- Dosis
- UNK
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Peripheral swelling
Rash pruritic
Symptomtext
Itchy rash and swelling on right arm
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Rash pruritic
- Hospital-Tage
- -
- Labordaten
- None
- Aktuelle Erkrankungen
- Diarrhea, abdominal bloating, nausea
- Vorgeschichte
- Coronary artery disease, systemic hypertension, hypothyroidism, prediabetes
- Andere Medikamente
- Imodium
- Allergien
- Prednisone
- Vorherige Impfungen
- -
- Staat
- NC
- Alter
- 12,0
- Geschlecht
- F
- Eingang
- 27.09.2021
- Impfdatum
- 20.09.2021
- Beginn
- 22.09.2021
- Tage bis Beginn
- 2,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Erythema
Pruritus
Urticaria
Symptomtext
Reports 2 days after receiving vaccines developed hive like areas on her leg. Reports had two areas at a time. Reports every day since that time she has had two areas in different places, her abdomen, back, shoulder around her collar bone. Reports areas itch, no fluid filled or weeping areas. Reports areas go away and leave a red area. Denies any other symptoms.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Pruritus
- Hospital-Tage
- -
- Labordaten
- None
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- None
- Andere Medikamente
- None
- Allergien
- None
- Vorherige Impfungen
- -
- Staat
- CA
- Alter
- 64,0
- Geschlecht
- F
- Eingang
- 21.09.2021
- Impfdatum
- 14.09.2021
- Beginn
- 15.09.2021
- Tage bis Beginn
- 1,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Induration
Mass
Pain in extremity
Tenderness
Symptomtext
next day arm was hard and had a lump under it, tender and sore, lump got bigger over a few days
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Pain in extremity
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- no
- Vorgeschichte
- clogged arteries in her legs
- Andere Medikamente
- baby aspirin, calcium, d3, cilostazol, pantoprazole, rosuvastatin, cetirizine, climara hormone patch, multi vit
- Allergien
- antibiotics
- Vorherige Impfungen
- -
- Staat
- -
- Alter
- 14,0
- Geschlecht
- M
- Eingang
- 11.09.2021
- Impfdatum
- 11.09.2021
- Beginn
- 11.09.2021
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Dizziness
Pallor
Symptomtext
Writer immunized patient with 8 vaccines. Upon exciting office patient appeared pale. Writer asked admin to translate in Spanish if he was dizzy, Patient replied :Yes. Writer escorted mother and patient back to office. Staff made aware , vital signs taken. PAtint observed for 20 minutes. 15:00 vital signs BP:102/57, HR 57, RR 16
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Dizziness
- Hospital-Tage
- -
- Labordaten
- NA
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- FL
- Alter
- 23,0
- Geschlecht
- M
- Eingang
- 08.09.2021
- Impfdatum
- 08.09.2021
- Beginn
- 08.09.2021
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- - / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Aphasia
Blood pressure measurement
Dizziness
Heart rate
Hyperhidrosis
Pallor
Symptomtext
Vasovagal Syncope was suspected. Patient felt lightheadedness and appeared pale a few minutes after receiving the vaccine. He was sweating profusely. 911 was called and patient was helped to lay down flat on the floor with his feet raised. His blood pressure was 97/45 with pulse of 44. Patient was responsive. Ammonium salt was given for patient to inhale to keep patient from fainting. Blood pressure and pulse was continually monitored. After about 10 minutes, patient was able to speak. His blood pressure was improving to 109/58 with pulse of 57. After about 15 minutes, patient was able to sit in a chair and appear alert. 911 has not arrived and patient was eager to leave. Final BP 115/69 with pulse of 63. Patient left store after about 20 minutes. 911 was cancelled.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Dizziness
- Hospital-Tage
- -
- Labordaten
- 9/8/21 4:20pm BP 97/45. P=44 9/8/21 4:22pm BP 99/48. P=44 9/8/21 4:24PM BP 101/51. P=50 9/8/21 4:26PM BP 109/58. P=57 9/8/21 4:30pm BP 112/66. P=65 9/8/21 4:35pm BP 113/69. P=63
- Aktuelle Erkrankungen
- NONE
- Vorgeschichte
- NONE
- Andere Medikamente
- NONE
- Allergien
- NONE
- Vorherige Impfungen
- -
- Staat
- DE
- Alter
- 11,0
- Geschlecht
- M
- Eingang
- 13.08.2021
- Impfdatum
- 09.08.2021
- Beginn
- -
- Tage bis Beginn
- -
- Dosis
- UNK
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Dizziness
Headache
Nausea
Symptomtext
Headache, dizzy, nausea for at least 24 hours
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Dizziness
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- PA
- Alter
- 54,0
- Geschlecht
- F
- Eingang
- 10.08.2021
- Impfdatum
- 04.08.2021
- Beginn
- 07.08.2021
- Tage bis Beginn
- 3,0
- Dosis
- UNK
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Injection site erythema
Injection site induration
Injection site mass
Joint range of motion decreased
Pain in extremity
Symptomtext
Pt not in acute distress and not toxic-appearing. Mild erthema at L deltoid injection site. Firm mass of approximately 1 cm diameter present. No drainage. Low suspicion for cellulitis at injection site. Full strength in LUE on exam. Decreased flexion of L shoulder on exam s/t pain. Prednisone now ordered for vaccine injection site reaction. Advised pt to use APAP for pain. Instructed pt not to use ibuprofen while taking prednisone since concurrent use of these two meds can increase risk for GI bleeding. Advised pt to interchange use of hot and cold compresses for 20 minutes at a time. Advised pt to go to the ED if experiencing severe pain or numbness in affected extremity. Pt agreeable to this plan. Provided pt with educational material regarding prednisone and the tdap vaccine. Pain of left upper extremity - predniSONE 20 MG tablet; Take 2 tablets daily for 2 days, then 1 tablets daily for 2 days, then 1/2 tablet daily for 2 days, take with food or milk Erythema at injection site - predniSONE 20 MG tablet; Take 2 tablets daily for 2 days, then 1 tablets daily for 2 days, then 1/2 tablet daily for 2 days, take with food or milk
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Injection site erythema
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- Type II DM HTN HLD CAD with stent placement Angina COPD - continues to smoke Seasonal Allergies GERD
- Andere Medikamente
- aspirin esomprazole loratadine prednisone nitroglycerin simvastain albuterol diclofenac fluticasone
- Allergien
- Morphine - Anaphylaxis Penicillins - Anaphylaxis Plavix - Hives
- Vorherige Impfungen
- -
- Staat
- MI
- Alter
- 11,0
- Geschlecht
- M
- Eingang
- 04.08.2021
- Impfdatum
- 02.08.2021
- Beginn
- 03.08.2021
- Tage bis Beginn
- 1,0
- Dosis
- 6
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Injection site erythema
Injection site pruritus
Symptomtext
The pt showed mom the area at the right arm injection site evening of 8-3, the red area was about the size of a quarter and was itchy. Today the area that is red is 9cm long, about 9cm wide at the top, tapering down to 6cm on the bottom. The reaction has been assessed this afternoon and is a large local reaction, no treatment given.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Injection site erythema
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- no
- Vorgeschichte
- asthma
- Andere Medikamente
- Singulair 5mg, Zoloft 50mg
- Allergien
- dust mites, dog dander
- Vorherige Impfungen
- -
- Staat
- NC
- Alter
- 3,0
- Geschlecht
- M
- Eingang
- 28.09.2023
- Impfdatum
- 25.07.2022
- Beginn
- 25.07.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / LL
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
No adverse event
Product administered to patient of inappropriate age
Symptomtext
No adverse reaction noted
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- No adverse event
- Hospital-Tage
- -
- Labordaten
- None
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- None
- Andere Medikamente
- Zyrtec 2.5 mg daily
- Allergien
- NKDA
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 12,0
- Geschlecht
- M
- Eingang
- 28.03.2023
- Impfdatum
- 23.03.2023
- Beginn
- 23.03.2023
- 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
Medication error
No adverse event
Symptomtext
expired dose of Adacel was administered with no reported adverse event; Initial information received on 23-Mar-2023 regarding an unsolicited valid non-serious case received from a other health professional. This case involves a 12 years old male patient who received expired dose of diphtheria-2/tetanus/5 AC pertussis vaccine [Adacel] 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 A/C/Y/W CONJ (TET TOX) (Menquadfi) for Immunisation. On 23-Mar-2023, the patient received 0.5 ml dose of suspect diphtheria-2/tetanus/5 AC pertussis vaccine, Suspension for injection (frequency - total (1x), strength - standard, lot - U6984AA, expiry date - 18-Mar-2023) via intramuscular route in right deltoid for prophylactic vaccination (immunization) that was expired with no adverse event (expired product administered) (latency: same day). 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 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
- WI
- Alter
- 7,0
- Geschlecht
- M
- Eingang
- 09.11.2022
- Impfdatum
- 30.10.2022
- Beginn
- 30.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- OT / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Medication error
No adverse event
Product administered to patient of inappropriate age
Symptomtext
7 year old male that received a dose of Adacel with no adverse event; Initial information received on 31-Oct-2022 regarding an unsolicited valid non-serious case from other health professional. This case involves a 7 year old male that received a dose of diphtheria-2/tetanus/5 AC pertussis vaccine [Adacel] with no adverse event. The patient's past medical history, medical treatment(s), vaccination(s), concomitant medication and family history were not provided. On 30-Oct-2022, the patient received suspect diphtheria-2/tetanus/5 AC pertussis vaccine Suspension for injection at an unknown dose (lot U6984AA, strength, expiry date: not reported) via intramuscular route in unknown administration site for prophylactic vaccination(immunisation). On 30-Oct-2022, 7 year old male that received a dose of adacel with no adverse event (product administered to patient of inappropriate age, latency: same day). Action taken: Not applicable. Outcome: Unknown. 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
- Medication error
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- CA
- Alter
- 1,5
- Geschlecht
- M
- Eingang
- 23.06.2022
- Impfdatum
- 05.11.2021
- Beginn
- 05.11.2021
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- IM / RL
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Wrong product administered
Symptomtext
A DTaP immunization was due for patient 11/05/2021. Chief complaint correctly identifies DTaP to be given. However, TDAP was given (or at least that's what was documented).
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Wrong product administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- ?Sodium Fluoride 1.1 (0.5 F) MG/ML Solution 0.5 ml in water or juice Orally Once a day
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- IN
- Alter
- 3,0
- Geschlecht
- M
- Eingang
- 06.06.2022
- Impfdatum
- 23.05.2022
- Beginn
- 23.05.2022
- 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
Wrong product administered
Symptomtext
patient receiving ADACEL instead of DAPTACEL with no reported adverse event; Initial information received on 23-May-2022 regarding an unsolicited valid non-serious case received from a other health professional. This case involves a 3 years old male patient who had received diphtheria-2/tetanus/5 AC pertussis vaccine [Adacel] instead of daptacel with no reported adverse event. The patient's past medical history, medical treatment(s), vaccination(s) and family history were not provided. On 23-May-2022, the patient received a 0.5 ml dose of suspect diphtheria-2/tetanus/5 AC pertussis vaccine (strength, formulation: unknown) (lot U6984AA and expiry date: 18-Mar-2023) (Drug Interval Dosage : Once Drug Treatment Duration) via intramuscular route in unknown administration site for prophylactic vaccination. On 23-May-2022 (latency: same day) the patient receiving adacel instead of daptacel with no reported adverse event (wrong product administered) following the administration of diphtheria-2/tetanus/5 AC pertussis vaccine. Action taken: not applicable. At time of reporting, the outcome was Unknown for the event patient receiving adacel instead of daptacel 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 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
- No adverse event
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- WA
- Alter
- 5,0
- Geschlecht
- F
- Eingang
- 16.05.2022
- Impfdatum
- 16.05.2022
- Beginn
- 16.05.2022
- Tage bis Beginn
- 0,0
- Dosis
- 2
- Route/Site
- IM / LL
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Wrong product administered
Symptomtext
Tdap was given instead of DTaP
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Wrong product administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- none
- Vorgeschichte
- none
- Andere Medikamente
- none
- Allergien
- none
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 12,0
- Geschlecht
- M
- Eingang
- 26.04.2022
- Impfdatum
- 19.04.2022
- Beginn
- 19.04.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / LL
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Extra dose administered
No adverse event
Symptomtext
Patient received MMRV and Varicella. No adverse outcome. No treatment needed.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Extra dose administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- N/A
- Vorgeschichte
- N/A
- Andere Medikamente
- N/A
- Allergien
- N/A
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 17,0
- Geschlecht
- F
- Eingang
- 15.04.2022
- Impfdatum
- 08.03.2022
- Beginn
- 08.03.2022
- 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
DTAP was given when DTAP-HEPB-IPV was given. No adverse symptoms in the clinic. Tried to call pt to see how she was doing, no response. Left voicemail.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Extra dose administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- N/A
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- MO
- Alter
- -
- Geschlecht
- U
- Eingang
- 19.02.2022
- Impfdatum
- -
- Beginn
- -
- Tage bis Beginn
- -
- Dosis
- UNK
- Route/Site
- OT / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Product storage error
Symptomtext
temperature excursion involving unopened ADACEL PFS with no reported adverse event; Initial information received on 07-Feb-2022 regarding an unsolicited valid non-serious case received from a other health professional. This case involves an unknown age and unknown gender patient who experienced temperature excursion involving unopened adacel pfs (pre-filled syringe) 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 dose of suspect DIPHTHERIA-2/TETANUS/5 AC PERTUSSIS VACCINE lot U6984AA via (unknown route and strength) in unknown administration site for prophylactic vaccination. On an unknown date the patient developed a non-serious event "temperature excursion involving unopened adacel pfs with no reported adverse event "(product temperature excursion issue) (unknown latency) following the administration of DIPHTHERIA-2/TETANUS/5 AC PERTUSSIS VACCINE. Action taken with DIPHTHERIA, TETANUS AND ACELLULAR PERTUSSIS VACCINE (ADACEL) was not applicable. It was not reported if the patient received a corrective treatment for the event (temperature excursion involving unopened ADACEL PFS with no reported adverse event). At time of reporting, the outcome was Unknown for the event temperature excursion involving unopened adacel pfs with no reported adverse event.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Product storage error
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- MO
- Alter
- 12,0
- Geschlecht
- F
- Eingang
- 01.02.2022
- Impfdatum
- 27.01.2022
- Beginn
- 27.01.2022
- Tage bis Beginn
- 0,0
- Dosis
- 2
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
No adverse event
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- No adverse event
- Hospital-Tage
- -
- Labordaten
- None
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- None
- Andere Medikamente
- Unknown
- Allergien
- None
- Vorherige Impfungen
- -
- Staat
- MO
- Alter
- 8,0
- Geschlecht
- F
- Eingang
- 31.01.2022
- Impfdatum
- 27.01.2022
- Beginn
- 27.01.2022
- Tage bis Beginn
- 0,0
- Dosis
- 2
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
No adverse event
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- No adverse event
- Hospital-Tage
- -
- Labordaten
- None
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- None
- Andere Medikamente
- Unknown
- Allergien
- None
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 11,0
- Geschlecht
- F
- Eingang
- 05.11.2021
- Impfdatum
- 20.09.2021
- Beginn
- 20.09.2021
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Extra dose administered
No adverse event
Symptomtext
Administration Error: This was an 11yr old female who receive the 0.3ml of Pfizer COVID Vaccine on : 09/20/21 & 10/18/2021 - Adult series complete on a Pedi pt. No complaints from pt. and no reactions voiced. Parent notified
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Extra dose administered
- Hospital-Tage
- -
- Labordaten
- N/A
- Aktuelle Erkrankungen
- Received the following vaccines on the same day as Pfizer: LOT # U6984 / Exp. Date 03/18/2023 / NDC 49281-0400-89 / Left Deltoid. LOT # T029523 / Exp. Date 03/13/2023 / NDC 0006-4121-01/ Left Deltoid. LOT# U719AA /Exp. Date 01/18/2023 / NDC 49281-0589-58.
- Vorgeschichte
- unknown
- Andere Medikamente
- unknown
- Allergien
- NKDA
- Vorherige Impfungen
- -
- Staat
- OH
- Alter
- 17,0
- Geschlecht
- F
- Eingang
- 01.09.2021
- Impfdatum
- 23.08.2021
- Beginn
- 23.08.2021
- Tage bis Beginn
- 0,0
- Dosis
- 2
- Route/Site
- OT / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Syringe issue
Underdose
Symptomtext
when administering ADACEL to a patient a few drops leaked under and around the luer lock, therefore patient did not received entire 0.5mL dose, no AE; Few drops leaked out under the luer lock with no adverse event; Initial information received on 23-Aug-2021 regarding an unsolicited valid non-serious case from consumer/non-health care professional (under the reference 00735729). This case involved a 17 years old female patient who did not received the entire 0.5 ml dose of DIPHTHERIA-2/TETANUS/5 AC PERTUSSIS VACCINE [ADACEL] due to the drops leaked out under the luer lock (underdose, syringe issue). 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 CONJ (DIP TOX) (MENACTRA) (lot number and expiration date not reported) via unknown route in an unknown administration site for prophylactic vaccination on an unknown date. On 23-Aug-2021, the patient received a second dose of suspect DIPHTHERIA-2/TETANUS/5 AC PERTUSSIS VACCINE (suspension for injection, 0.5 ml once, lot U6984AA and expiration date: 18-Mar-2023) via intramuscular route in the left arm for prophylactic vaccination. It was an actual medication error due to vaccine underdose (same day latency) and also a case of syringe leak (same day latency). It was reported Call received from HCP reporting when administering ADACEL to a patient a few drops leaked under and around the luer lock, therefore patient did not received entire 0.5mL dose. Caller with question on whether dose needs repeating. Direct, Indirect from a distributor, neglected to ask; Number of units affected: 1. Is dose not used or not available: used. Whether product is available for return; Leaking (gather as much info as possible); Where is it leaking from? (use vial & syringe guides). Under the luer lock o When did the leakage occur? when administering; Quantity of the leak (e.g. only a few droplets or half the dose) a few drops; Diluent or vaccine leaking? vaccine; During withdrawal from vial? NA (not applicable); Sanofi Pasteur prefilled syringe or your syringe? prefilled syringe; Was air injected into vial? NA; Was there a vacuum in the vial? NA; Was vial punctured multiple times? NA; Did the product spray out of the vial? NA; Any signs of damage or tampering with the vial, stopper, flip seal or carton? No; How often was vial punctured? NA. At time of reporting, it was unknown whether the patient had any adverse event or not and the outcome was unknown for the reported 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. 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
- Syringe issue
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- MENACTRA
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- TN
- Alter
- 44,0
- Geschlecht
- F
- Eingang
- 31.08.2021
- Impfdatum
- 28.08.2021
- Beginn
- 28.08.2021
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- IM / AR
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Erythema
Hypersomnia
Musculoskeletal disorder
Nodule
Peripheral swelling
Skin laceration
Skin warm
Symptomtext
Patient came to the ER because she had a cut from glass table and since it has been a long time since she had her tetanus booster they gave her one. The patient questioned the nurse that was giving her the vaccine because she was giving it more on the back of her arm and the RN stated no this area is fine. She got the vaccine and went home. She woke up the next day and could not move her arm so she took some over the counter pain meds and a muscle relaxer and slept most of the day Friday but tried to see her PCP on Friday because she was told if she has any issues to follow up with her PCP. She went to her PCP on Saturday and her PCP did not think it was a normal allergic reaction. The patient came on Saturday 8/28/21 and showed me her arm/shoulder which was warm to touch and swollen around her upper arm/red across her chest. She even has a knot close to her neck. Her PCP gave her some medication but wanted to her inform the place where she got the shot. I informed her that we would be happy to see her but she stated she is not sure what else they will do for her at this time since her PCP gave her some medications in the office.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Erythema
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- MI
- Alter
- 1,7
- Geschlecht
- M
- Eingang
- 12.08.2021
- Impfdatum
- 11.08.2021
- Beginn
- 11.08.2021
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- IM / RL
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Wrong product administered
Symptomtext
Patient was given Tdap and should have been given Dtap.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Wrong product administered
- Hospital-Tage
- -
- Labordaten
- None
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- Congenital hydronephrosis
- Andere Medikamente
- None
- Allergien
- No known allergies
- Vorherige Impfungen
- -