- Staat
- GA
- Alter
- 49,0
- Geschlecht
- M
- Eingang
- 21.04.2022
- Impfdatum
- 21.04.2022
- Beginn
- 21.04.2022
- Tage bis Beginn
- 0,0
- Dosis
- N/A
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Fall
Syncope
Symptomtext
The patient had syncope. He fell on the floor from a sitting position.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Syncope
- Hospital-Tage
- -
- Labordaten
- n/a
- Aktuelle Erkrankungen
- asthma, he also stated he was immunocompromised
- Vorgeschichte
- asthma
- Andere Medikamente
- n/a
- Allergien
- none
- Vorherige Impfungen
- -
- Staat
- CA
- Alter
- 12,0
- Geschlecht
- F
- Eingang
- 02.12.2021
- Impfdatum
- 07.11.2021
- Beginn
- 14.11.2021
- Tage bis Beginn
- 7,0
- Dosis
- 1
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: ja
Erholt: unbekannt
Computerised tomogram head
Drug screen
Electrocardiogram
Laboratory test
Seizure
Symptomtext
11/14/21 onset seizure. HAD TDAP VACCINE 8/23/2016
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Seizure
- Hospital-Tage
- -
- Labordaten
- 11/14/21 CT if head 11/14/21 Chemistry panel. ECG 11/14/21 urine tox screen
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- NKDA.
- Vorherige Impfungen
- No
- Staat
- AZ
- Alter
- 11,0
- Geschlecht
- F
- Eingang
- 02.08.2021
- Impfdatum
- 02.08.2021
- Beginn
- 02.08.2021
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- - / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Crying
Immediate post-injection reaction
Nervousness
Rash macular
Syncope
Symptomtext
syncope and collapse following vaccination. Occurred at the time of injection; patient seemed nervous at the time of vaccination. when provider came into the room, patient slumped - regained consciousness, and was crying afterwards. denied headache, denies sore nexk pain, no bruising at the site - still blotchy skinny from crying follow syncope episode.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Syncope
- Hospital-Tage
- -
- Labordaten
- none
- Aktuelle Erkrankungen
- n/a
- Vorgeschichte
- n/a
- Andere Medikamente
- n/a
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- CA
- Alter
- 14,0
- Geschlecht
- F
- Eingang
- 25.10.2022
- Impfdatum
- 26.05.2022
- Beginn
- 26.05.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: ja
Erholt: ja
Heart rate increased
Influenza A virus test negative
Influenza B virus test
Palpitations
Respiratory syncytial virus test negative
SARS-CoV-2 test negative
Tachycardia
Symptomtext
Heart palpitations. Elevated heart rate, upwards of 140 BPM while sitting. Vaccine given around 3pm, noticed elevated heart rate around 7pm. Monitored at home for a while and heart rate was not decreasing so went to ER. ER Doctor and staff monitored her for several hours, sleeping heart rate was 115 BPM. ER diagnosis Tachycardia. Discharged from ER at 12:50am with a heart rate of 92 BPM.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Palpitations
- Hospital-Tage
- -
- Labordaten
- Influenza A, NAAT - Negative. Influenza B NAAT - Negative. RSV - Negative. SARS-CoV-2, NAAT (COVID 19) - Negative
- Aktuelle Erkrankungen
- Slight sore throat and lower mid back pain.
- Vorgeschichte
- None
- Andere Medikamente
- None
- Allergien
- None
- Vorherige Impfungen
- -
- Staat
- MO
- Alter
- 53,0
- Geschlecht
- M
- Eingang
- 20.05.2022
- Impfdatum
- 12.05.2022
- Beginn
- 13.05.2022
- Tage bis Beginn
- 1,0
- Dosis
- UNK
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: ja
Disable: unbekannt
ER: unbekannt
Erholt: ja
Blood creatine phosphokinase increased
Cellulitis
Hypoglycaemia
Hypotension
Injection site erythema
Injection site pain
Injection site swelling
Symptomtext
Tdap and Covid 19 booster in left arm 5/12/22. Patient reported left arm pain to his family and was found down by them 5/13/22. He was noted to have left arm swelling, erythema, hypotension, hypoglycemia with elevated CPK. Diagnosis: Secondary cellulitis of left UE extending to left chest wall 2/2 vaccinations.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Hypotension
- Hospital-Tage
- 5,0
- Labordaten
- CK 10,098
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- Schizoaffective disorder
- Andere Medikamente
- divalproex DR, ferrous sulfate, folic acid, levothyroxine, paliperidone palmitate ER, ergocalciferol
- Allergien
- NKA
- Vorherige Impfungen
- -
- Staat
- MO
- Alter
- 56,0
- Geschlecht
- F
- Eingang
- 06.05.2022
- Impfdatum
- 27.04.2022
- Beginn
- 27.04.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: ja
Erholt: ja
Decreased appetite
Feeling abnormal
Impaired work ability
Injection site discolouration
Mobility decreased
Muscular weakness
Symptomtext
PATIENT INITIALLY HAD DISCOLORATION AROUND INJECTION SITE AND BACK OF LEFT ARM. DISCOLORATION PROGESSED DOWN LEFT SIDE SO PATIENT WENT TO ER. PATIENT WAS TOLD AT EVALUATION, REACTION TO SHINGRIX VACCINE AND ADVISED NOT TO RECEIVE SECOND DOSE. BLACK AND BLUE DISCOLORATION PROGRESSED ON LEFT SIDE INCLUDING HER EYE. AFTER RETURNING HOME FROM ER, AROUND MIDNIGHT PATIENT BEGAN TO FEEL MUSCLE WEAKNESS THAT PROGRESSED OVER THE NEXT 2 DAYS. PATIENT DESCRIBED AS FEELING PARALYZED ALTHOUGH SHE COULD STILL MOVE BUT THE EFFECTS WERE SUCH THAT SHE WAS UNABLE TO WORK FOR 2 DAYS AND JUST LAYED ON THE COUCH. SHE ALSO REPORTED FEELING "WEIRD" AND HAVING ANOREXIA. ON THE THIRD DAY THE PATIENT FELT BETTER AND RETURNED TO WORK
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Mobility decreased
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- THYROID,, HEART
- Andere Medikamente
- LEVOTHYROXINE, DILTIAZEM, NP THYROID, HYDROXYZINE, B12 INJECTION, ADACEL VACCINE IN OPPOSING ARM
- Allergien
- CODEINE
- Vorherige Impfungen
- -
- Staat
- CA
- Alter
- 11,0
- Geschlecht
- F
- Eingang
- 20.10.2021
- Impfdatum
- 11.10.2021
- Beginn
- 11.10.2021
- Tage bis Beginn
- 0,0
- Dosis
- 2
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Decreased appetite
Dizziness
Feeling abnormal
Headache
Heart rate decreased
Hypotension
Lethargy
Nausea
Pallor
Pyrexia
Tremor
Visual impairment
Symptomtext
Within minutes of receiving vaccinations, child became dizzy, nauseous and pale. Said her vision was becoming dark. Sat child down and asked nurse to get a doctor and to take her blood pressure, pulse and blood sugar. Child was hypotensive with a low heart rate. Had child drink some juice. Within 10 minutes Childs color began to regain and child stated she was feeling better. Remained in doctors office for 2 hours until her blood pressure recovered to a more normal level. Less than 24hrs later child was complaining about being shaky and dizzy. Soon after she had a low grade fever (99-100 F), complained of a bad headache, no appetite, nauseous, lethargic which lasted 6 days. PCP is referring her to cardiologist for continued hypotension.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Hypotension
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- N/A
- Vorgeschichte
- N/A
- Andere Medikamente
- N/A
- Allergien
- None known
- Vorherige Impfungen
- -
- Staat
- NE
- Alter
- 35,0
- Geschlecht
- F
- Eingang
- 27.06.2022
- Impfdatum
- 24.06.2022
- Beginn
- 25.06.2022
- Tage bis Beginn
- 1,0
- Dosis
- 1
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Fatigue
Headache
Injection site erythema
Injection site pruritus
Injection site swelling
Injection site warmth
Pain
Pain in extremity
Symptomtext
Red, swollen, very hot, itch area approximately 3 inches around injection. Patient felt achy, fatigue, headache and sore arm lasting 3 days at time of reporting. Treatment with tylenol, benadryl cream and sleep. Previous bad reaction for patient with last tetanus shot (approximately 9 years ago...dime size swelling that popped & leaked oozing liquid)...possible patient allergy?
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Fatigue
- Hospital-Tage
- -
- Labordaten
- None.
- Aktuelle Erkrankungen
- None.
- Vorgeschichte
- Adrenal insufficiency.
- Andere Medikamente
- Ubrelvy, levothyroxine, fludrocortisone, meloxicam, prednisone, estradiol, sumatriptan, buproprion, calcium, womens one a day vitamin, probiotic, and i-caps
- Allergien
- None.
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 57,0
- Geschlecht
- F
- Eingang
- 11.06.2022
- Impfdatum
- 05.06.2022
- Beginn
- 10.06.2022
- Tage bis Beginn
- 5,0
- Dosis
- UNK
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Injection site erythema
Injection site pain
Injection site swelling
Limb discomfort
Symptomtext
FIVE DAYS AFTER RECIEVIENG THE VACCINE PATIENT DEVELOPED HEAVY ARM, PAIN, REDNESS AND SWELLING ABOVE INJECTION SITE. RECOMMENDED COLD COMPRESS , ACETAMINOPHEN AND ANTIHISTAMINE. PATIENT INFORMED OF SIGNS OF ANAPHYLAXIS. INFORMED TO CALL EMS IF NEEDED.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Injection site erythema
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- OK
- Alter
- 27,0
- Geschlecht
- F
- Eingang
- 30.05.2022
- Impfdatum
- 27.05.2022
- Beginn
- 30.05.2022
- Tage bis Beginn
- 3,0
- Dosis
- N/A
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Erythema
Pruritus
Skin mass
Skin warm
Symptomtext
large, golf ball size, lump under skin, red hot and itching - not sure when the symptoms started exactly for the patient. She called me on 05/30/2022 at approximately 10:15am. I did refer her to go to a walk-in clinic due to she thought it was getting worse. I tried to call the patient when I started filling this form out but she did not answer. I do not know if patient did go to the walk in clinic or not.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Pruritus
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- trazodone (only current medication I see on profile)
- Allergien
- sulfa, penicillin, latex
- Vorherige Impfungen
- -
- Staat
- FL
- Alter
- 54,0
- Geschlecht
- M
- Eingang
- 12.05.2022
- Impfdatum
- 07.05.2022
- Beginn
- 08.05.2022
- Tage bis Beginn
- 1,0
- Dosis
- 1
- Route/Site
- IM / AR
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Injection site reaction
Symptomtext
A small, localized injection site reaction formed on arm the day after vaccinations.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Injection site reaction
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- N/A
- Vorgeschichte
- N/A
- Andere Medikamente
- Seroquel, Zoloft, Metoprolol Tartrate, Lisinopril, Simvastatin, Doxazosin, Buspirone
- Allergien
- N/A
- Vorherige Impfungen
- -
- Staat
- MO
- Alter
- 32,0
- Geschlecht
- F
- Eingang
- 26.04.2022
- Impfdatum
- 04.04.2022
- Beginn
- 06.04.2022
- Tage bis Beginn
- 2,0
- Dosis
- UNK
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Injection site pain
Injection site swelling
Injection site warmth
Platelet count increased
Weight bearing difficulty
White blood cell count increased
Symptomtext
This is s Adacel T-dap vaccine: She got her vaccine at the clinic, she was fine initially. Two days after she had a swollen, sore arm at the deltoid at the site of injection with some warmth. No erythema, no purulence from the injection site. It seemed to improve after a week. Then it became again sore, swollen and it's been 3 weeks and she is still dealing with this. Her PCP told her to take ibuprofen with Tylenol alternating and warm compresses, conservative approach and to notify if it got worse. She spoke with her PCP a week ago and was reassuring and she called again today stating she still has the problem. Last week she said it was sore, her PCP offered her an anti-inflammatory. She then called today and said she noticed it was more sore with lifting weights, and was informed to stop lifting weights until symptoms improved that she may have a microtear.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Injection site pain
- Hospital-Tage
- -
- Labordaten
- Her WBC was 12.7 and was going to do a repeat to see if it had gone down, platelets were 495. She reported no infectious process. This was routine labs. The reason for her initial visit was to resume medicine for her anxiety.
- Aktuelle Erkrankungen
- URI 2 weeks prior with negative COVID test.
- Vorgeschichte
- Anxiety, alopecia (unknown cause).
- Andere Medikamente
- Bupropion hydrochloride El 150 mg.
- Allergien
- Teen spirit deoderant (scratchy throat).
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 47,0
- Geschlecht
- F
- Eingang
- 19.04.2022
- Impfdatum
- 15.04.2022
- Beginn
- 16.04.2022
- Tage bis Beginn
- 1,0
- Dosis
- UNK
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Injection site erythema
Injection site swelling
Injection site warmth
Pruritus
Urticaria
Symptomtext
pt called , stating she got adacel vaccine on April 15th, and then on 16th she started itching all over body , by 18th she got hives all over body and site on injection is little swollen, red and hot. advice to put icepack over swollen part. pt said she use Benadryl but not that helpful. no shortness of breath so far. pt on vacation and will visit urgent care for evaluation may need steroid.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Injection site erythema
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 13,0
- Geschlecht
- M
- Eingang
- 06.04.2022
- Impfdatum
- 29.03.2022
- Beginn
- 03.04.2022
- Tage bis Beginn
- 5,0
- Dosis
- 2
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Injection site pruritus
Injection site reaction
Injection site urticaria
Rash erythematous
Symptomtext
Patients Left deltoid where the vaccine was administered got very red splotchy hive-like rash, slightly itchy. The rash to the injection site did not appear until 4/3/22. Mom gave him Benadryl and applied over the counter hydrocortisone cream. Resolving.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Injection site pruritus
- Hospital-Tage
- -
- Labordaten
- None
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- None
- Andere Medikamente
- miralax
- Allergien
- N/A
- Vorherige Impfungen
- -
- Staat
- CA
- Alter
- 25,0
- Geschlecht
- F
- Eingang
- 01.10.2021
- Impfdatum
- 28.09.2021
- Beginn
- 29.09.2021
- Tage bis Beginn
- 1,0
- Dosis
- N/A
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Injection site erythema
Injection site pain
Myalgia
Vaccination site pain
Vaccination site swelling
Symptomtext
24 hours after vaccine patient developed pain and swelling at vaccine site that peaked at 24 hours later (9/30/21) and then began to subside; has myalgias that were short lived but no fever. On exam, there is still redness, tenderess and alloydynia in a 6 X 5 cm area. patient is otherwise afebrile and well appearing.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Injection site erythema
- Hospital-Tage
- -
- Labordaten
- none
- Aktuelle Erkrankungen
- none
- Vorgeschichte
- mild intermittent asthma
- Andere Medikamente
- Lessina
- Allergien
- NKDA
- Vorherige Impfungen
- -
- Staat
- CA
- Alter
- 21,0
- Geschlecht
- F
- Eingang
- 20.09.2021
- Impfdatum
- 14.09.2021
- Beginn
- 15.09.2021
- Tage bis Beginn
- 1,0
- Dosis
- 1
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Dry skin
Injection site erythema
Injection site swelling
Injection site warmth
Symptomtext
The injection site of varicella @ left upper arm has redness, swollen, skin is rough , it is warm to touch, size 4.5cm x 5.0 cm, but no fever.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Injection site erythema
- Hospital-Tage
- -
- Labordaten
- no
- Aktuelle Erkrankungen
- No
- Vorgeschichte
- No
- Andere Medikamente
- No
- Allergien
- NKA
- Vorherige Impfungen
- -
- Staat
- MN
- Alter
- 11,0
- Geschlecht
- M
- Eingang
- 01.09.2021
- Impfdatum
- 01.09.2021
- Beginn
- 01.09.2021
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Vomiting
Symptomtext
Patient vomited approx. 10 minutes after vaccination
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Vomiting
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- IN
- Alter
- 11,0
- Geschlecht
- M
- Eingang
- 18.08.2021
- Impfdatum
- 17.08.2021
- Beginn
- 17.08.2021
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: ja
Erholt: ja
Rash
Symptomtext
Was seen at ER on 8/17/2021 16:39. Patient is 11-year-old who presents with an allergic reaction. He just received his HPV, TDAP, MENINGITIS vaccine and he broke out in a rash primarily on his face. Denies any throat, tongue, or mouth swelling. No difficulty breathing, no wheezing, no nausea, or vomiting.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Rash
- Hospital-Tage
- -
- Labordaten
- Was treated at ER with Benadryl with his symptoms resolving. Was observed for some time, then was discharged home with a prescription of prednisone 20mg, 1.5 tab(s) oral every day for 7 days. 0 refills.
- Aktuelle Erkrankungen
- No
- Vorgeschichte
- Seasonal Allergies
- Andere Medikamente
- Ascorbic Acid (Vitamin C) 0.5 tab(s) chewed every day Multivitamin 1 tab oral every day.
- Allergien
- No
- Vorherige Impfungen
- -
- Staat
- OK
- Alter
- 47,0
- Geschlecht
- F
- Eingang
- 06.07.2023
- Impfdatum
- 06.07.2023
- Beginn
- 06.07.2023
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Expired product administered
Symptomtext
No signs or symptoms at this time. Vaccine was expired when given 27 APR23
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Expired product administered
- Hospital-Tage
- -
- Labordaten
- N/A
- Aktuelle Erkrankungen
- N/A
- Vorgeschichte
- N/A
- Andere Medikamente
- -
- Allergien
- Benadryl Glucophage Byetta 10 MCG Pen Ibuprofen Iodine Morphine Sulfate Lasix Lortab MethylPREDNISolone (Pak) Demerol Lyrica Celebrex Penicillin Unstructured/Uncoded allergies will not be considered for drug-allergy warnings. Please remove and re-enter them in structured/coded format. Sulfa Unstructured/Uncoded allergies will not be considered for drug-allergy warnings. Please remove and re-enter them in structured/coded format. Gabapentin
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 42,0
- Geschlecht
- F
- Eingang
- 10.05.2023
- Impfdatum
- 04.05.2023
- Beginn
- 04.05.2023
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- OT / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Expired product administered
No adverse event
Symptomtext
receiving an expired adacel with no reported adverse event; Initial information was received on 05-May-2023 regarding an unsolicited valid non-serious case received from a pharmacist. This case involves 42 years old female patient who receiving an expired 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 hepatitis b vaccine RHBSAG (YEAST) (Recombivax) for Prophylactic vaccination. On 04-May-2023, the patient received a dose 1 of 0.5 ml of suspect diphtheria-2/tetanus/5 ac pertussis vaccine (Suspension for injection) (lot U7004AA, Expiry date :27-Apr-2023) (strength : unknown) via intramuscular route in the left deltoid for immunization. On 04-May-2023 the patient developed a non-serious event of receiving an expired adacel with no reported adverse event (expired product administered) (latency: same day) following the administration of diphtheria-2/tetanus/5 ac pertussis vaccine. Action taken with DIPHTHERIA, TETANUS and acellular pertussis vaccine (Adacel) was not applicable. At time of reporting, the outcome was Unknown for the event receiving an expired 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 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
- LA
- Alter
- 53,0
- Geschlecht
- F
- Eingang
- 13.05.2022
- Impfdatum
- 13.05.2022
- Beginn
- 13.05.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Device breakage
Syringe issue
Underdose
Symptomtext
When I was screwing the needle to the prefilled syringe, I heard a clicking sound, but I did not think anything of it. When I went to inject the vaccine into the patient's arm, majority of the vaccine came out the side where it had cracked. I re-gave another dose of the vaccine with the patient's permission.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Device breakage
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- N/A
- Vorgeschichte
- N/A
- Andere Medikamente
- -
- Allergien
- N/A
- Vorherige Impfungen
- -
- Staat
- NV
- Alter
- 76,0
- Geschlecht
- F
- Eingang
- 28.01.2022
- Impfdatum
- 26.10.2021
- Beginn
- 27.10.2021
- Tage bis Beginn
- 1,0
- Dosis
- UNK
- Route/Site
- IM / AR
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: ja
Disable: unbekannt
ER: ja
Erholt: ja
Fall
Muscular weakness
Symptomtext
Patient stated that their legs fell out from under them the morning after receiving all four vaccines. Patient denies loosing consciousness or any symptoms of syncope or loosing consciousness. Patient was brought to the ER and was kept in the hospital for a three day stay. Stated that she the hospital was not able to determine the cause of her fall.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Fall
- Hospital-Tage
- 3,0
- Labordaten
- N/A
- Aktuelle Erkrankungen
- Patient denies any illness at time of vaccination.
- Vorgeschichte
- Type 2 diabetes
- Andere Medikamente
- Patient stated they do not take any OTC medications. Unknown prescription medication history.
- Allergien
- No known allergies.
- Vorherige Impfungen
- -
- Staat
- CA
- Alter
- 58,0
- Geschlecht
- F
- Eingang
- 05.11.2021
- Impfdatum
- 05.11.2021
- Beginn
- 05.11.2021
- Tage bis Beginn
- 0,0
- Dosis
- N/A
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Extra dose administered
Inappropriate schedule of product administration
Symptomtext
PATIENT RECEIVED A 2ND TDAP WHEN NOT NECESSARY WITHIN THE 10YEAR TIMEFRAME (PREVIOUS ADMINISTRATION DATE 05/26/2021). PATIENT ALSO RECEIVED A 4TH TWINRIX WHEN NOT NECESSARY (PREVIOUS ADMINISTRATION DATE 07/21/2010).
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Extra dose administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- NONE KNOWN
- Vorgeschichte
- BREAST CANCER REMISSION
- Andere Medikamente
- LISINOPRIL ANASTRAZOLE
- Allergien
- NKDA
- Vorherige Impfungen
- -