- Staat
- MP
- Alter
- 11,0
- Geschlecht
- F
- Eingang
- 21.06.2023
- Impfdatum
- 22.06.2023
- Beginn
- 22.06.2023
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Pallor
Syncope
Symptomtext
pt came to clinic for immunization with parent. verified pt name, dob, and allergies with parent. explained to parent what vaccines will be given. parent verbalized understanding. Vaccines administered. upon completion of the 3rd and final vaccine [HPV], pt got up and fainted. father caught the pt. pt responsive, and observed. pt offered water, O2 sat 99%, P 84. pt refused blood pressure check because of the squeezing pain. after the incident the father stated that pt has a hx of fainting after vax when pain is felt. notified father to let healthcare providers know ahead of time to be aware of possible syncope. pt returned to normal pallor and left in stable condition walking with father.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Syncope
- Hospital-Tage
- -
- Labordaten
- NONE
- Aktuelle Erkrankungen
- NONE
- Vorgeschichte
- HX OF SYNCOPE AFTER VACCINATION, PER FATHER.
- Andere Medikamente
- UNKNOWN
- Allergien
- NONE
- Vorherige Impfungen
- PER FATHER, THIS HAPPENS AFTER VAX
- Staat
- TX
- Alter
- 17,0
- Geschlecht
- F
- Eingang
- 26.01.2023
- Impfdatum
- 25.01.2023
- Beginn
- 25.01.2023
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Flushing
Rash
Syncope
Symptomtext
Student was administered above mentioned immunizations at 9:30 am on 1/25/2023, became flushed and Syncopal after receiving Immunizations. Student denies respiratory distress or throat swelling. Endorsed facial flushing, rash on chest, and syncopal sensation after receiving immunizations. B/P during event was 110/80, 80 P, 12 Resp. Student also states she did not eat breakfast and had not had water that morning. Student was given juice, water, and a granola bar after the event, states she felt better, then became syncopal again. This occured three times, then was called for continued syncope. Student was evaluated, states she felt better, and declined to be seen in ED. Student was observed in Clinic for 45 minutes after left. Went home with mom and instructions of when to be seen in ED for certain Sx. Student and mom verbalized understanding and agreed.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Syncope
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- None
- Andere Medikamente
- None
- Allergien
- None
- Vorherige Impfungen
- -
- Staat
- DE
- Alter
- 16,0
- Geschlecht
- M
- Eingang
- 23.12.2022
- Impfdatum
- 09.12.2022
- Beginn
- 09.12.2022
- Tage bis Beginn
- 0,0
- Dosis
- 2
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: ja
Erholt: ja
Electrocardiogram normal
Syncope
Symptomtext
Patient fainted 9 hours after shots. Will be referred to Cardiology
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Syncope
- Hospital-Tage
- -
- Labordaten
- EKG - normal
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- GERD (Acid Reflux)
- Andere Medikamente
- None
- Allergien
- None
- Vorherige Impfungen
- -
- Staat
- -
- Alter
- 17,0
- Geschlecht
- F
- Eingang
- 05.12.2022
- Impfdatum
- 05.12.2022
- Beginn
- 05.12.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- ID / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Syncope
Symptomtext
Patient fainted after vaccine was given.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Syncope
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- COVID19 Vaccine
- Staat
- NC
- Alter
- 16,0
- Geschlecht
- M
- Eingang
- 17.02.2023
- Impfdatum
- 17.02.2023
- Beginn
- 17.02.2023
- Tage bis Beginn
- 0,0
- Dosis
- 2
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Chest pain
Chills
Headache
Malaise
Symptomtext
Malaise, Headache, chills and Chest pain with in the First hour of receiving the vaccines. Treated with Tylenol PRN.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Chest pain
- Hospital-Tage
- -
- Labordaten
- None
- Aktuelle Erkrankungen
- Strep and Ear infection 2 weeks prior
- Vorgeschichte
- None
- Andere Medikamente
- None
- Allergien
- None
- Vorherige Impfungen
- -
- Staat
- MA
- Alter
- 11,0
- Geschlecht
- F
- Eingang
- 18.01.2023
- Impfdatum
- 20.12.2022
- Beginn
- 23.12.2022
- Tage bis Beginn
- 3,0
- Dosis
- 1
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Fatigue
Headache
Injection site reaction
Limb discomfort
Loss of personal independence in daily activities
Pallor
Pyrexia
Subcutaneous haematoma
Tremor
Symptomtext
The MenQuadfi vaccine was administered into the right arm on Dec. 20, 2022 without aspiration and the needle hit a capillary. A subcutaneous hematoma formed afterwards at the injection site. My daughter got up at 5:30 AM on Dec. 23, 2022 with the following symptoms - heavy arms and heavy legs, shaking and a fever of 100.9 F. Then she developed a headache and her body temperature reached 101.5 F. She stayed in bed (skipped a school day) the whole day and was treated with motrin. She still had a headache on Dec. 24, 2022, felt tired and looked pale. The fever ended by Sunday, December 25, 2022.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Tremor
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- None
- Andere Medikamente
- Multivitamin
- Allergien
- Amoxicillin
- Vorherige Impfungen
- -
- Staat
- AZ
- Alter
- 11,0
- Geschlecht
- F
- Eingang
- 23.08.2023
- Impfdatum
- 23.08.2023
- Beginn
- 23.08.2023
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: ja
Erholt: nein
Immediate post-injection reaction
Musculoskeletal stiffness
Mydriasis
Pain in extremity
Symptomtext
Vaccines administered at 8:40 am. Immediately following vaccination patient leaned back on bed. Pupils dilated and arms stiffened for 3-5 seconds. Patient rolled onto side. Patient states she dreamed on eating chicken nuggets. Patient alert and oriented. States that her arms were sore. When asked why she was able to state that she got two shots in her left arm and one in her right. Patient rolled onto back and feet elevated. At 8:45 patient sat up in bed. States that she was fine. At 8:50 am patient given gatorade. Patient drank 2-3 ounces. No complaint on nausea, dizziness, or headache. Patient ambulated out of clinic at 9:08 am. Parents state they were taking her to the emergency room for follow-up.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Pain in extremity
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- None known.
- Vorgeschichte
- None known.
- Andere Medikamente
- None known.
- Allergien
- No knows allergies.
- Vorherige Impfungen
- -
- Staat
- AL
- Alter
- 18,0
- Geschlecht
- M
- Eingang
- 31.07.2023
- Impfdatum
- 31.07.2023
- Beginn
- 31.07.2023
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Cold sweat
Dizziness
Nausea
Pallor
Symptomtext
After receiving the vaccine as patient stood up and got ready to leave clinic became dizzy, clammy to touch / pale, and nauseous. Patient was sat down in chair with feet elevated, a cool cloth was given for neck and forehead, and after nausea passed a snack was given. After a minute are two patients color returned to patient's face was alert and oriented and was able to leave clinic.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Dizziness
- Hospital-Tage
- -
- Labordaten
- not applicable
- Aktuelle Erkrankungen
- denies
- Vorgeschichte
- none
- Andere Medikamente
- none
- Allergien
- none
- Vorherige Impfungen
- -
- Staat
- NY
- Alter
- 13,0
- Geschlecht
- M
- Eingang
- 16.07.2023
- Impfdatum
- 16.07.2023
- Beginn
- 16.07.2023
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Nausea
Vomiting
Symptomtext
Patient felt nauseated and vomited after receiving three vaccines.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Nausea
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- n/a
- Vorgeschichte
- n/a
- Andere Medikamente
- n/a
- Allergien
- n/a
- Vorherige Impfungen
- -
- Staat
- IL
- Alter
- 17,0
- Geschlecht
- M
- Eingang
- 14.07.2023
- Impfdatum
- 06.07.2023
- Beginn
- 14.07.2023
- Tage bis Beginn
- 8,0
- Dosis
- 2
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: ja
Erholt: ja
Chest discomfort
Electrocardiogram normal
Heart rate increased
Malaise
Symptomtext
FEELING OF RAPID HEARTBEAT AND SOMEONE SITTING ON HIS CHEST (STARTING THE AFTERNOON AFTER THE VACCINE) MOM DROVE HIM TO URGENT CARE- EKG AND VITALS TAKEN. NO MEDS GIVEN. ORDERS AFTER OBSERVATION WAS TO GO HOME AND REST. MOM STATES PT. DIDN'T FEEL WELL THE REST OF THE NIGHT BUT BETTER THE NEXT DAY
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Malaise
- Hospital-Tage
- -
- Labordaten
- EKG 7/6/23
- Aktuelle Erkrankungen
- ADHD
- Vorgeschichte
- ADHD
- Andere Medikamente
- none
- Allergien
- strawberry- rash
- Vorherige Impfungen
- -
- Staat
- AK
- Alter
- 16,0
- Geschlecht
- M
- Eingang
- 26.05.2023
- Impfdatum
- 19.05.2023
- Beginn
- 19.05.2023
- Tage bis Beginn
- 0,0
- Dosis
- 2
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Injection site mass
Symptomtext
lump at injection site, started after vaccine and is still continuing. Patient reports it is about marble sized, does not move, not red, not painful, staying the same size. No interventions done. Just wondering if it's normal.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Injection site mass
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- no
- Vorgeschichte
- no
- Andere Medikamente
- No
- Allergien
- amoxicillin
- Vorherige Impfungen
- -
- Staat
- IL
- Alter
- 11,0
- Geschlecht
- F
- Eingang
- 06.04.2023
- Impfdatum
- 03.04.2023
- Beginn
- 03.04.2023
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Allergy test positive
Allergy to vaccine
Hypersensitivity
Injection site bruising
Injection site erythema
Injection site pain
Injection site reaction
Laboratory test
Seasonal allergy
Vaccination site erythema
Symptomtext
During appt. on 4-3-23 pt. had allergic reaction to vaccines on Left arm after vaccinations. Redness at vaccination site was noted. Benadryl 12.5mg 15 ml 7.5ml administered. Pt. observed over 15 minutes, redness improved 4-3-23- No respiratory distress or rash noted at injection sites Labs drawn on 4-3-2023 for seasonal allergies Pt. mom reports allergy to TDAP vaccine. Suspected allergy reaction to TDAP/Boostrix. 4-6-23 Called and spoke with pt. mom, reports redness on Left arm at injection site the next day on 4-4-23. Has since gone away. Also reports soreness in both arms at injection site and bruise on Left arm where injection site reaction ocurred. Denies symptoms of itching, shortness of breath, difficulty swallowing or fever To follow up with provider in regards to labs drawn on 4-3-23 when results are in
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Injection site bruising
- Hospital-Tage
- -
- Labordaten
- Seasonal allergy profiles ordered 4-3-23
- Aktuelle Erkrankungen
- none
- Vorgeschichte
- none
- Andere Medikamente
- none
- Allergien
- none
- Vorherige Impfungen
- -
- Staat
- CO
- Alter
- 11,0
- Geschlecht
- M
- Eingang
- 04.04.2023
- Impfdatum
- 01.04.2023
- Beginn
- 04.04.2023
- Tage bis Beginn
- 3,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect dose administered
Pain in extremity
Symptomtext
COVID Pfizer Bivalent 12+ dose administered to pt that is 11 years old on 4/1. On 4/4 the mother of the patient was informed of the error, she reported that the only side effect experienced was a sore arm. She was reminded of the signs and symptoms of myocarditis and pericarditis and care should be sought immediately if symptoms develop,
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Pain in extremity
- Hospital-Tage
- -
- Labordaten
- None
- Aktuelle Erkrankungen
- none
- Vorgeschichte
- none
- Andere Medikamente
- None
- Allergien
- Amoxicillin - rash, no difficulty breathing, not anaphylaxis
- Vorherige Impfungen
- -
- Staat
- VA
- Alter
- 17,0
- Geschlecht
- F
- Eingang
- 28.03.2023
- Impfdatum
- 02.02.2023
- Beginn
- 02.02.2023
- Tage bis Beginn
- 0,0
- Dosis
- 2
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Discomfort
Injection site pain
Pain in extremity
Symptomtext
Patient was seen on 3/6/23 for the second dose of MenB and when asked if she had any reactions to the previous dose, she and her parent started describing arm pain that she has had since the initial administration. They report it hurts as soon as the dose was administered, constantly for about a week after the administration, and has caused her discomfort almost daily since the constant pain subsided. The pain she rates anywhere from a 5 to 8 out of 10 when it is bothering her. There was no knot appreciated on physical exam by RN, but patient did report discomfort with light squeezing and pressure while doing the assessment. Dose was not given.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Injection site pain
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- Asthma, Headache, Knee pain
- Vorgeschichte
- Migraine, Asthma
- Andere Medikamente
- Albuterol, Fluticasone, Cetirizine, Naproxen
- Allergien
- Dogs, Grass
- Vorherige Impfungen
- -
- Staat
- CO
- Alter
- 11,0
- Geschlecht
- F
- Eingang
- 14.02.2023
- Impfdatum
- 14.02.2023
- Beginn
- 14.02.2023
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Dizziness
Symptomtext
Mild adverse reaction in clinic, delayed recovery lasting longer than 15 minutes. Patient vaccinated at 10:50 am, reported feeling dizzy. Patient ate fruit gummies pouch and drank some fruit juice, MOC reports this as only food intake this morning. Patient laid down on mat from 10:58 until 11:20 am, lights off, drank additional juice, and smelled ammonia inhalant. Patient sat up at 11:25 on mat, at 11:30 sat up in chair. Explained to parents possibility of calling EMS. Additional RN's present, HR 80bpm, respirations normal, walked around clinic space with nurses at side. Patient reports feeling better. Discharged to home, sent with additional fruit juice and pretzels. Advised parents to continue monitoring and seek medical attention for warning signs (loss of consciousness, pain to injection sites worsening). Parents verbalized understanding.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Dizziness
- Hospital-Tage
- -
- Labordaten
- n/a
- Aktuelle Erkrankungen
- Parents report possible lower extremity injury. Patient has been evaluated by medical provider for this issue, no obvious fracture on x-rays.
- Vorgeschichte
- none
- Andere Medikamente
- none
- Allergien
- none
- Vorherige Impfungen
- -
- Staat
- IL
- Alter
- 12,0
- Geschlecht
- F
- Eingang
- 27.12.2022
- Impfdatum
- 07.12.2022
- Beginn
- 08.12.2022
- 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 swelling
Symptomtext
erythema and swelling surrounding injection site approximately 12-24 hours after immunization, parents treated at home with benadryl, symptoms resolved after 2-3 days
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Injection site erythema
- Hospital-Tage
- -
- Labordaten
- none
- Aktuelle Erkrankungen
- unspecified viral illness 2 weeks prior to vaccine: low grade fever and cough; symptoms were completely resolved at time of immunization
- Vorgeschichte
- none
- Andere Medikamente
- None
- Allergien
- none
- Vorherige Impfungen
- -
- Staat
- NJ
- Alter
- 46,0
- Geschlecht
- F
- Eingang
- 14.12.2023
- Impfdatum
- 14.12.2023
- Beginn
- 14.12.2023
- Tage bis Beginn
- 0,0
- Dosis
- 5
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
No adverse event
Wrong product administered
Symptomtext
Patient was given the wrong vaccine the Meningococcal instead of the MMR. The provider and me office manager spoke with patient she was fine laughing and joking with us, was not upset at all.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- No adverse event
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- PA
- Alter
- 12,0
- Geschlecht
- F
- Eingang
- 19.10.2023
- Impfdatum
- 05.09.2023
- Beginn
- 05.09.2023
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Product administered to patient of inappropriate age
Symptomtext
Provider order DTAP instead to TDAP for 12 year old
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Product administered to patient of inappropriate age
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- MenQuadfi (meningococcal) vaccine
- Allergien
- Red Dye
- Vorherige Impfungen
- -
- Staat
- AR
- Alter
- 0,5
- Geschlecht
- F
- Eingang
- 28.03.2023
- Impfdatum
- 27.03.2023
- Beginn
- 27.03.2023
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / RL
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
No adverse event
Wrong product administered
Symptomtext
Menquadfi was given instead of Menveo. No adverse side effects noted or reported.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- No adverse event
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- None known
- Vorgeschichte
- Sickle Cell - hemoglobin C disease without crisis Umbilical hernia
- Andere Medikamente
- PenV
- Allergien
- NKDA
- Vorherige Impfungen
- -
- Staat
- AL
- Alter
- 12,0
- Geschlecht
- F
- Eingang
- 23.02.2023
- Impfdatum
- 21.02.2023
- Beginn
- 21.02.2023
- Tage bis Beginn
- 0,0
- Dosis
- 2
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Extra dose administered
No adverse event
Symptomtext
Patient was previously immunized and doses were overlooked on transcription resulting in patient receiving extra dose of above vaccines. No adverse reaction has been noted.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Extra dose administered
- Hospital-Tage
- -
- Labordaten
- N/A
- Aktuelle Erkrankungen
- N/A
- Vorgeschichte
- N/A
- Andere Medikamente
- N/A
- Allergien
- N/A
- Vorherige Impfungen
- -
- Staat
- OR
- Alter
- 11,0
- Geschlecht
- M
- Eingang
- 30.01.2023
- Impfdatum
- 25.01.2023
- Beginn
- 25.01.2023
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Wrong product administered
Symptomtext
Patient due for HPV immunization. HIB vaccine accidently given instead of HPV. Vaccine checked by 2 people prior to administration of vaccine but mistake was not caught prior to administration. Parent told of incident at time. Nurse Practitioner denied possible adverse reactions from wrong vaccine. Patient and parent denied adverse reactions at time of administration.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Wrong product administered
- Hospital-Tage
- -
- Labordaten
- NA
- Aktuelle Erkrankungen
- Stoamch pain with diahrrea
- Vorgeschichte
- none
- Andere Medikamente
- Ventolin HFA inhaler; Singulair 5 mg daily; Zyrtec 5 mg daily;
- Allergien
- Penicillin
- Vorherige Impfungen
- -
- Staat
- LA
- Alter
- 17,0
- Geschlecht
- F
- Eingang
- 02.01.2023
- Impfdatum
- 23.11.2022
- Beginn
- 23.11.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Exposure during pregnancy
No adverse event
Symptomtext
No additional AE; was administered to a pregnant patient 11/23/2022. She states the patient has not experienced any issues since being vaccinated and did not know she was pregnant.; This spontaneous report was received from a nurse and refers to a pregnant 17-year-old female patient. The patient's medical history, concurrent conditions and concomitant medications were not reported. On 23-NOV-2022, the pregnant patient was vaccinated with varicella virus vaccine live (oka/merck) (VARIVAX) subcutaneous injection, lot #W005208, expiration date: 14-FEB-2024, administered for prophylaxis (anatomical location, and route of administration were not provided) and sterile diluent solution for injection/infusion (strength, lot #, expiry date, route of administration, and indication were not provided) (exposure during pregnancy). The reporter stated that the patient has not experienced any issues since being vaccinated and did not know she was pregnant. No Varicella Zoster Virus Identification Program (VZVIP) information was being sent as patient did not develop symptoms after being vaccinated and health care professional (HCP) stated the patient did not even want to be pregnant and would most likely not be interested in providing a specimen. Last menstrual period (LMP) was estimated at 2022. At the time of the reporting the outcome of pregnancy was outcome pending and fetal outcome was unknown. There were no adverse events reported (no adverse event).
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Exposure during pregnancy
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- PA
- Alter
- 13,0
- Geschlecht
- M
- Eingang
- 16.12.2022
- Impfdatum
- 16.08.2022
- Beginn
- 12.12.2022
- Tage bis Beginn
- 118,0
- Dosis
- UNK
- Route/Site
- OT / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Inappropriate schedule of product administration
No adverse event
Symptomtext
MENQUADFI that were administered in August were administered in error again yesterday with no reported adverse event; Initial information received on 13-Dec-2022 regarding an unsolicited valid non-serious case received from a consumer/non-hcp. This case involves a 13 years old male patient to whom menquadfi that were administered in august were administered in error again yesterday with no reported adverse event after receiving vaccine meningococcal a-c-y-w135 (t conj) vaccine [Menquadfi]. The patient's past medical history, medical treatment(s), vaccination(s) and family history were not provided. Concomitant medications included hepatitis a vaccine (hepatitis a vaccine) for prophylactic vaccination; hepatitis b vaccine (hepatitis b vaccine) for prophylactic vaccination; and varicella zoster vaccine (varicella zoster vaccine) for Prophylactic vaccination. On 16-Aug-2022, the patient received suspect meningococcal a-c-y-w135 (t conj) vaccine at a dose of 0.5 ml (batch number: U7450AB) via intramuscular route in unknown administration site for Immunization 1 other doses were administered on unknown dates for suspect. On 12-Dec-2022 the patient diagnosed with a non-serious event of menquadfi that were administered in august were administered in error again yesterday with no reported adverse event (inappropriate schedule of product administration) 3 months 27 days following the administration of meningococcal a-c-y-w135 (t conj) vaccine. Action taken was not applicable. At time of reporting, the outcome was 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
- Inappropriate schedule of product administration
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- AZ
- Alter
- 17,0
- Geschlecht
- M
- Eingang
- 15.12.2022
- Impfdatum
- 14.12.2022
- Beginn
- 14.12.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / OT
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect product formulation administered
Symptomtext
Patient received 0.5mL of the Moderna Bivalent covid vaccine instead of 0.5mL of the Moderna covid vaccine (primary series)
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- none
- Aktuelle Erkrankungen
- none
- Vorgeschichte
- none
- Andere Medikamente
- none
- Allergien
- none
- Vorherige Impfungen
- -
- Staat
- AZ
- Alter
- 15,0
- Geschlecht
- M
- Eingang
- 15.12.2022
- Impfdatum
- 14.12.2022
- Beginn
- 14.12.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / OT
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect product formulation administered
Symptomtext
Patient received 0.5mL of the Moderna Bivalent covid vaccine instead of 0.5mL of the Moderna covid vaccine (primary series)
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- none
- Aktuelle Erkrankungen
- none
- Vorgeschichte
- none
- Andere Medikamente
- none
- Allergien
- none
- Vorherige Impfungen
- -
- Staat
- AZ
- Alter
- 17,0
- Geschlecht
- M
- Eingang
- 15.12.2022
- Impfdatum
- 14.12.2022
- Beginn
- 14.12.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / OT
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect product formulation administered
Symptomtext
Patient was given 0.5mL of the Moderna Bivalent covid vaccines instead of 0.5mL of the Moderna Covid vaccine (primary series)
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- none
- Aktuelle Erkrankungen
- none
- Vorgeschichte
- none
- Andere Medikamente
- none
- Allergien
- none
- Vorherige Impfungen
- -
- Staat
- AZ
- Alter
- 15,0
- Geschlecht
- M
- Eingang
- 15.12.2022
- Impfdatum
- 14.12.2022
- Beginn
- 14.12.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / OT
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect product formulation administered
Symptomtext
Patient was given 0.5mL of the Moderna Bivalent covid vaccines instead of 0.5mL of the Moderna covid vaccines (primary series)
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- none
- Aktuelle Erkrankungen
- none
- Vorgeschichte
- none
- Andere Medikamente
- none
- Allergien
- none
- Vorherige Impfungen
- -
- Staat
- AZ
- Alter
- 17,0
- Geschlecht
- M
- Eingang
- 15.12.2022
- Impfdatum
- 14.12.2022
- Beginn
- 14.12.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / OT
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
No adverse event
Wrong product administered
Symptomtext
Patient was given 0.5mL of the Moderna Bivalent covid vaccine instead of 0.5mL of the Moderna covid-10 vaccine (primary series). no none symptoms
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- No adverse event
- Hospital-Tage
- -
- Labordaten
- none
- Aktuelle Erkrankungen
- none
- Vorgeschichte
- none
- Andere Medikamente
- none
- Allergien
- none
- Vorherige Impfungen
- -
- Staat
- MN
- Alter
- 12,0
- Geschlecht
- M
- Eingang
- 16.11.2022
- Impfdatum
- 15.11.2022
- Beginn
- 15.11.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
Symptomtext
At the end of day when my nurse was documenting our wasted doses of COVID vaccine she noticed the lot numbers were different and we both quickly realized I must have grabbed a monovalent vial by mistake. I drew up all 6 doses from that multi-dose vial. The patient was given a monovalent 12+ COVID vaccine in error whereas should have been given a Bivalent 12+ COVID vaccine booster.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- none
- Vorgeschichte
- none
- Andere Medikamente
- none
- Allergien
- Amox
- Vorherige Impfungen
- -
- Staat
- WV
- Alter
- 17,0
- Geschlecht
- M
- Eingang
- 28.09.2022
- Impfdatum
- 15.09.2022
- Beginn
- 15.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- OT / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
No adverse event
Wrong product administered
Symptomtext
received menquadfi instead of bexsero,with no reported adverse event; Initial information received on 20-Sep-2022 regarding an unsolicited valid non-serious case received from a other health professional. This case involves a 17 years old male patient who received meningococcal A-C-Y-W135 (T CONJ) vaccine [Menquadfi] instead of Bexsero,with no reported adverse event. The patient's past vaccination(s)has already had their booster Meningococcal (Groups A, C, Y, W) Conjugate Vaccine (MENACTRA) back, on 27-Jul-2022. The patient's past medical history, medical treatment(s) and family history were not provided. On 15-Sep-2022, the patient received 0.5ml dose of suspect meningococcal A-C-Y-W135 (T CONJ) vaccine, solution for injection (lot U7450AB; Expiration Date 10-OCT-2024) via intramuscular route in the right arm for immunization instead of bexsero,with no reported adverse event (wrong product administered) (latency: on 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 Directive 2001/83/EC and Module VI of the Good Pharmacovigilance Practices. The classification as a medical error is in no way intended, nor should it be interpreted or construed as an allegation or claim made by the marketing authorization holder that any third party has contributed to or is to be held liable for the occurrence of this medication error.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- No adverse event
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- WV
- Alter
- 17,0
- Geschlecht
- M
- Eingang
- 28.09.2022
- Impfdatum
- 15.09.2022
- Beginn
- 15.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- OT / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
No adverse event
Wrong product administered
Symptomtext
consumer received MENQUADFI instead of Bexsero with no reported adverse event; Initial information received on 20-Sep-2022 regarding an unsolicited valid non-serious case received from a other health professional. This case involves a 17 years old male patient who received menquadfi (MENINGOCOCCAL A-C-Y-W135 (T CONJ) VACCINE) instead of bexsero with no reported adverse event. The patient's past medical history, medical treatment(s), vaccination(s) and family history were not provided. On 15-Sep-2022, the patient received a dose of 0.5 ml of suspect MENINGOCOCCAL A-C-Y-W135 (T CONJ) VACCINE lot U7450AB, expiration date: 10-Oct-2024 via intramuscular route in the right upper arm as immunization. On 15-SEP-2022 the patient received menquadfi instead of bexsero with no reported adverse event (wrong product administered) same day following the administration of MENINGOCOCCAL A-C-Y-W135 (T CONJ) VACCINE. Caller reported that the consumer has already had their booster Meningococcal (Groups A, C, Y, W) Conjugate Vaccine with MENACTRA back, on 27Jul2022 Action taken was not applicable. It was not reported if the patient received a corrective treatment for the event (consumer received MENQUADFI instead of Bexsero with no reported adverse event). 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
- No adverse event
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -