- Staat
- AR
- Alter
- 17,0
- Geschlecht
- F
- Eingang
- 29.08.2022
- Impfdatum
- 24.08.2022
- Beginn
- 24.08.2022
- Tage bis Beginn
- 0,0
- Dosis
- 2
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: ja
Erholt: ja
Confusional state
Loss of consciousness
Pallor
Retching
Urinary incontinence
Symptomtext
Pt came to Facility to receive menactra and first dose of covid 19 vaccine. Pt was given injection was t alking with nurse and parent when she became pale started gag like motion like she was going to vomit. Pt seated in chair then passes out loses incontinence of urine. Vitals are taken, at parent request 911 activated pt is out approx 5- mintues. Pt regains consciousness pt states she is confused. Pt vitals monitored pt is alert to name place DOB . EMS arrives pt walks to cot and is transferred to hospital per parent request. Vitals 14:15 Resp 12 unlabored BP 97/72 14:20 Resp 14 unlabored BP 102/78
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Loss of consciousness
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- NA
- Vorgeschichte
- NA
- Andere Medikamente
- NA
- Allergien
- Sulfa
- Vorherige Impfungen
- -
- Staat
- CA
- Alter
- 21,0
- Geschlecht
- F
- Eingang
- 24.08.2022
- Impfdatum
- 19.08.2022
- Beginn
- 19.08.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- IM / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Dizziness
Syncope
Symptomtext
pt fainted after immunization of Menactra pt was vaccinated with Menactra and within 2-3 mins. post vaccination, she had a dizzy spell, followed by fainting in her chair. Sister and spouse anticipated this reaction and told pharmacist not to call for EMT. Pt was laid on the ground and monitored. Circulation and breath were stable. After 10 mins., pt was up and able to smile and walk. pt states, she usually faint after vaccination
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Syncope
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- history of fainting after vaccination
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 12,0
- Geschlecht
- M
- Eingang
- 17.08.2022
- Impfdatum
- 17.08.2022
- Beginn
- 17.08.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Seizure like phenomena
Symptomtext
Child had seizure like activity in parking lot. EMS was called. Child recovered on own without any intervention. Left facility in private vehicle with mother.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Seizure like phenomena
- Hospital-Tage
- -
- Labordaten
- None
- Aktuelle Erkrankungen
- None known
- Vorgeschichte
- None known
- Andere Medikamente
- Unknown
- Allergien
- Amoxicillin
- Vorherige Impfungen
- -
- Staat
- GA
- Alter
- 12,0
- Geschlecht
- F
- Eingang
- 08.08.2022
- Impfdatum
- 02.08.2022
- Beginn
- 02.08.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Asthenia
Loss of consciousness
Nausea
Syncope
Vomiting
Symptomtext
Pt became nauseated and vomitted 4-5 mins after receiving the vaccine. Pt. begin to feel weak then loss conciousness and slumped over in chair. Pt. regained consciousness in less than 30 seconds and was able to respond to the nurse. Pt. was monitored until symptoms completely resolved. Pt. was stable and ambulatory with a gaurdian upon leaving the health department.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Loss of consciousness
- Hospital-Tage
- -
- Labordaten
- none
- Aktuelle Erkrankungen
- none
- Vorgeschichte
- none
- Andere Medikamente
- none
- Allergien
- NKA
- Vorherige Impfungen
- -
- Staat
- CA
- Alter
- 18,0
- Geschlecht
- F
- Eingang
- 12.07.2022
- Impfdatum
- 08.07.2022
- Beginn
- 08.07.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Dizziness
Flushing
Hyperhidrosis
Hyperventilation
Injection site pain
Syncope
Unresponsive to stimuli
Symptomtext
Site: Pain at Injection Site-Mild, Systemic: Fainting / Unresponsive-Medium, Systemic: Flushed / Sweating-Medium, Additional Details: patient got the shot and started breathing heavy. I told her to stay seated and the mother said lets move and sit over here. During that move she got light headed and began fainting but caught her self mainly.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Syncope
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 16,0
- Geschlecht
- F
- Eingang
- 07.07.2022
- Impfdatum
- 07.07.2022
- Beginn
- 07.07.2022
- Tage bis Beginn
- 0,0
- Dosis
- 2
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: ja
Erholt: ja
Eye movement disorder
Lip discolouration
Seizure
Tremor
Symptomtext
PT GIVEN VACCINES, DISCHARGED FROM CLINIC, WALKED OUT TO CAR. MOTHER RAN IN TO STATE PT WAS HAVING A SEIZURE. OFFICE STAFF CALLING EMS WHILE OTHER STAFF MEMBER WENT OUT TO CAR WITH O2 TANK & PULSE OX, PT SITTING IN FRONT PASSENGERS SEAT OF CAR WITH SEATBELT ON. ALERT AND ORIENTED X3, LIPS PALE, O2 SAT 99, PULSE 40 ON INITIAL CHECK. PT STATES UNSURE WHAT HAPPENED, MOTHER STATES PT HAD A SEIZURE, WHEN ASKED WHAT HAPPENED DURNING SEIZURE STATES "SHE HAD A SEIZURE" FATHER IN CAR STATES HER EYES ROLLED TO THE BACK OF HER HEAD. WHEN ASKED IF PT GOT TENSE OR STARTED SHAKING HE STATES YES. PT REMAINS A&OX 3, COLOR TO LIPS RETURNED, HEART RATE RETURNS TO HIGH 60S - LOW 70S. MOTHER STATES DOES NOT WANT TO WAIT FOR EMS TO ARRIVE AS LOCAL ER 0.5MILE DOWN THE ROAD. PT REMAINS A&O. NO URINARY INCONTINENCE OBSERVED. PT TAKEN TO ER VIA PRIVATE VEHICLE PER PARENTS.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Seizure
- Hospital-Tage
- -
- Labordaten
- UNKNOWN
- Aktuelle Erkrankungen
- none known
- Vorgeschichte
- anxiety
- Andere Medikamente
- pt has been out of her propranolol 10mg x 1 wk
- Allergien
- nkda
- Vorherige Impfungen
- -
- Staat
- DE
- Alter
- 16,0
- Geschlecht
- F
- Eingang
- 14.04.2022
- Impfdatum
- 14.04.2022
- Beginn
- 14.04.2022
- Tage bis Beginn
- 0,0
- Dosis
- 2
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Blood glucose normal
Syncope
Symptomtext
Fainted while seated about 10 seconds after second injection.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Syncope
- Hospital-Tage
- -
- Labordaten
- blood glucose 86
- Aktuelle Erkrankungen
- none
- Vorgeschichte
- none
- Andere Medikamente
- birth control pill only
- Allergien
- none
- Vorherige Impfungen
- -
- Staat
- NC
- Alter
- 17,0
- Geschlecht
- F
- Eingang
- 13.09.2022
- Impfdatum
- 12.09.2022
- Beginn
- 13.09.2022
- Tage bis Beginn
- 1,0
- Dosis
- 2
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: ja
Erholt: ja
Dyspnoea
Heart rate increased
Symptomtext
Call from school nurse with child having SOB, elevated heart rate, decreased O2 saturation less than 24 hours from vaccines recieved, sent to ER.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Dyspnoea
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- None
- Vorherige Impfungen
- -
- Staat
- IL
- Alter
- 17,0
- Geschlecht
- M
- Eingang
- 23.06.2022
- Impfdatum
- 23.06.2022
- Beginn
- 23.06.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Hot flush
Tremor
Symptomtext
Pt felt hot flash, shaky hands
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Tremor
- Hospital-Tage
- -
- Labordaten
- none
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- asthma
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- VT
- Alter
- 12,0
- Geschlecht
- F
- Eingang
- 10.02.2023
- Impfdatum
- 10.08.2022
- Beginn
- 10.08.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Pain in extremity
Tenderness
Symptomtext
Ongoing soreness in left arm following injection of the TDaP vaccine (boosterix). Patient describes pain as "a faint bruise feeling" only when pressure is applied. No bump on palpation.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Pain in extremity
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- none
- Vorgeschichte
- Anxiety
- Andere Medikamente
- none
- Allergien
- Penicillins
- Vorherige Impfungen
- -
- Staat
- NE
- Alter
- 16,0
- Geschlecht
- F
- Eingang
- 18.10.2022
- Impfdatum
- 13.10.2022
- Beginn
- 14.10.2022
- Tage bis Beginn
- 1,0
- Dosis
- 2
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Nausea
Pain
Pyrexia
Vomiting
Symptomtext
Per mother's report: Had vaccines yesterday. Today she has a fever of 102 and pain throughout body. Also nauseous, vomited once. Says this happened last time with vaccine, so mom believes it is vaccine related. No other symptoms.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Nausea
- Hospital-Tage
- -
- Labordaten
- None
- Aktuelle Erkrankungen
- NONE KNOWN
- Vorgeschichte
- ASTHMA, FATIGUE VITAMIN D DEFICINCY OBESITY
- Andere Medikamente
- PROAIR HFA SYMBICORT HFA FLUTICASONE
- Allergien
- NONE KNOWN
- Vorherige Impfungen
- Unknown date. Mother states this has happened with previous vaccinations.
- Staat
- NJ
- Alter
- 11,0
- Geschlecht
- M
- Eingang
- 15.08.2022
- Impfdatum
- 30.07.2022
- Beginn
- 31.07.2022
- Tage bis Beginn
- 1,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: ja
Hospital: ja
Disable: unbekannt
ER: ja
Erholt: ja
Influenza virus test negative
Nausea
Pain
Pyrexia
SARS-CoV-2 test negative
Streptococcus test negative
Troponin increased
Symptomtext
High fever for 9 days (max: 105), body aches, nausea
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Nausea
- Hospital-Tage
- 5,0
- Labordaten
- Negative flu, COVID, and strep tests. Elevated troponin levels.
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- Asthma, scoliosis
- Andere Medikamente
- Flonase, cetirizine
- Allergien
- None
- Vorherige Impfungen
- -
- Staat
- ND
- Alter
- 16,0
- Geschlecht
- M
- Eingang
- 09.08.2022
- Impfdatum
- 09.08.2022
- Beginn
- 09.08.2022
- Tage bis Beginn
- 0,0
- Dosis
- 2
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Chills
Influenza A virus test negative
Influenza B virus test
Nausea
Pyrexia
SARS-CoV-2 test negative
Streptococcus test negative
Vomiting
Symptomtext
Vaccines given at 0900. Fever, chills, nausea, vomiting started at 1100. Presented to clinic at 1200. Given Tylenol, Zofran and IV fluids. Discharged from clinic around 1500.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Chills
- Hospital-Tage
- -
- Labordaten
- Rapid covid test negative, Influenza A and B negative, Rapid Strep negative
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- None
- Andere Medikamente
- None
- Allergien
- None
- Vorherige Impfungen
- -
- Staat
- NY
- Alter
- 12,0
- Geschlecht
- M
- Eingang
- 04.08.2022
- Impfdatum
- 02.08.2022
- Beginn
- 02.08.2022
- Tage bis Beginn
- 0,0
- Dosis
- N/A
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Pyrexia
Symptomtext
Mother called to report patient developed fever 101.1. Messages left by pediatric nurse to obtain more information..
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Pyrexia
- Hospital-Tage
- -
- Labordaten
- None
- Aktuelle Erkrankungen
- NONE
- Vorgeschichte
- NONW
- Andere Medikamente
- NONE
- Allergien
- NKDA
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 11,0
- Geschlecht
- M
- Eingang
- 01.08.2022
- Impfdatum
- 29.07.2022
- Beginn
- 29.07.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Cold sweat
Hyperhidrosis
Pallor
Peripheral coldness
Vomiting
Symptomtext
Patient observed for 15 min post HPV vaccination. Pt was noted by nursing staff having an episode of emesis. Pt also noted by this Nurse as pale, cold, sweaty and clammy. Per Parent, Pt responds in this way with any medical procedure. Initial baseline BP pre-vaccination was 110/76. Patient tolerated immunization administration well. BP taken after emesis episode was 84/56. Patient was continually monitored and fanned down by this Nurse and Parent. Pt had another episode of emesis and was given sips of water. Final BP taken again was 92/60 and Pt found A/O x 3 by this Nurse. Pt regained color and no longer cold and clammy. Pt stated he felt much better. Pt released to Parent and instructed to seek medical attention if Parent feels Pt needs further assistance. Parent voiced understanding.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Vomiting
- Hospital-Tage
- -
- Labordaten
- None
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- None
- Andere Medikamente
- None
- Allergien
- None
- Vorherige Impfungen
- Per Parent, Pt responds in this way with any medical procedure.
- Staat
- CA
- Alter
- 30,0
- Geschlecht
- F
- Eingang
- 19.11.2023
- Impfdatum
- 16.11.2023
- Beginn
- 17.11.2023
- Tage bis Beginn
- 1,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
No adverse event
Product administered to patient of inappropriate age
Symptomtext
No symptoms experienced.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- No adverse event
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- WA
- Alter
- 15,0
- Geschlecht
- M
- Eingang
- 23.11.2022
- Impfdatum
- 03.11.2022
- Beginn
- 03.11.2022
- Tage bis Beginn
- 0,0
- Dosis
- 2
- Route/Site
- OT / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Inappropriate schedule of product administration
Medication error
No adverse event
Symptomtext
received a dose of MENACTRA intended as a booster dose, but patient received his last dose in 2021; was behind on vaccinations with no reported adverse event; Initial information received on 15-Nov-2022 regarding an unsolicited valid non-serious case received from a physician. This case involves a 15 years old male patient who received a dose of Meningococcal A-C-Y-W135 (D conj) vaccine [Menactra] intended as a booster dose, but patient received his last dose in 2021; was behind on vaccinations with no reported adverse event. The patient's past vaccination(s) included Menactra on 18-Oct-2021. The patient's past medical history, medical treatment(s) and family history were not provided. Concomitant medications included Influenza vaccine (Influenza vaccine) for Prophylactic vaccination; and HPV vaccine (HPV vaccine) for prophylactic vaccination. On 03-Nov-2022, the patient received a 0.25 mL to 2 mL dose for vaccines or 0.1 mL for TB skin test: 0.5ML once, dose 2 (booster dose) of suspect Meningococcal A-C-Y-W135 (D conj) vaccine with standard strength intended as a booster dose, but patient received his last dose in 2021; was behind on vaccinations with no reported adverse event (inappropriate schedule of product administration) (lot U7483AA, expiry date: 20-Oct-2023) via intramuscular route in the right deltoid for immunization with unknown form, . 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
- Inappropriate schedule of product administration
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- GA
- Alter
- 13,0
- Geschlecht
- F
- Eingang
- 14.11.2022
- Impfdatum
- 11.10.2022
- Beginn
- 11.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
No adverse event
Product administered to patient of inappropriate age
Symptomtext
PATIENT WAS GIVEN PROQUAD AND WAS OLDER THAN RECOMMENDATIONS FOR THE VACCINE. NO ADVERSE EVENTS NOTED.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- No adverse event
- Hospital-Tage
- -
- Labordaten
- N/A
- Aktuelle Erkrankungen
- n/a
- Vorgeschichte
- n/a
- Andere Medikamente
- n/a
- Allergien
- nka
- Vorherige Impfungen
- -
- Staat
- MN
- Alter
- 11,0
- Geschlecht
- M
- Eingang
- 19.10.2022
- Impfdatum
- 11.10.2022
- Beginn
- 11.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / RL
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect product formulation administered
Symptomtext
Patient was given COVID Pfizer Bivalent Booster instead of the second dose of COVID Pfizer primary series vaccine.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- None
- Aktuelle Erkrankungen
- Sinus infection
- Vorgeschichte
- Trisomy 21, Global developmental delay, Cognitive developmental delay, Agressive behavior, Oral aversion, Mixed hearing loss, bilateral, Eczema, Constipation
- Andere Medikamente
- Zyrtec 10mg daily, Benadryl 12.5mg PRN, Flonase 2 sprays daily, Cortaid 1% cream twice daily, Melatonin 10mg daily, Miralax 17g daily, Kenalog 0.1% cream twice daily, Viloxazine ER 200mg daily
- Allergien
- None
- Vorherige Impfungen
- -
- Staat
- CA
- Alter
- 45,0
- Geschlecht
- F
- Eingang
- 29.09.2022
- Impfdatum
- 07.09.2022
- Beginn
- 01.09.2022
- Tage bis Beginn
- -
- Dosis
- UNK
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Pigmentation disorder
Symptomtext
The side I received the mmr and meningitis shot somehow the shot caused pigmentation and now I have bandaid tattoos. Only on left arm. So it was something in the shot.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Pigmentation disorder
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- None
- Allergien
- Grass
- Vorherige Impfungen
- MMR
- Staat
- NY
- Alter
- 12,0
- Geschlecht
- M
- Eingang
- 18.08.2022
- Impfdatum
- 05.08.2022
- Beginn
- 05.08.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- OT / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Inappropriate schedule of product administration
Medication error
No adverse event
Symptomtext
administered menactra to a 12-year-old patient which is a dose too early with no reported adverse event; Initial information received on 12-Aug-2022 regarding an unsolicited valid non-serious case received from a other health professional. This case involves a 12 years old male patient and it was reported that menactra (MENINGOCOCCAL A-C-Y-W135 (D CONJ) VACCINE) was administered to a 12-year-old patient which is a dose too early with no reported adverse event while receiving vaccine [MENACTRA]. The patient's past medical history, medical treatment(s), vaccination(s) and family history were not provided. Concomitant medications included HPV VACCINE VLP RL1 4V (YEAST) (GARDASIL) for Immunisation; COVID-19 VACCINE (COVID-19 VACCINE) for Immunisation; and TETANUS VACCINE (TETANUS VACCINE) for Immunisation. On 05-Aug-2022, the patient received a dose of 0.5 ml of suspect MENINGOCOCCAL A-C-Y-W135 (D CONJ) VACCINE (formulation, strength: unknown) lot U7483AA via intramuscular route in the right deltoid as immunization. On 05-AUG-2022 the patient was administered menactra which is a dose too early with no reported adverse event (inappropriate schedule of product administration) same day following the administration of MENINGOCOCCAL A-C-Y-W135 (D CONJ) VACCINE. Action taken was not applicable. It was not reported if the patient received a corrective treatment for the event (administered menactra to a 12-year-old patient which is a dose too early 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
- Inappropriate schedule of product administration
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- NY
- Alter
- 14,0
- Geschlecht
- F
- Eingang
- 11.08.2022
- Impfdatum
- 11.08.2022
- Beginn
- 11.08.2022
- Tage bis Beginn
- 0,0
- Dosis
- N/A
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Wrong patient received product
Symptomtext
Patient was here with 16 year old sibling. RN verified the name, birthdate and the wrong child stepped forward to get the vaccine. Rn noticed mistake and notified the provider and Nurse manager immediately. The RN went to tell the family with the Nurse manager and mom understood that the 14 year old child will need another Menactra dose when she is of age.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Wrong patient received product
- Hospital-Tage
- -
- Labordaten
- no adverse effect noticed.
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 12,0
- Geschlecht
- F
- Eingang
- 27.07.2022
- Impfdatum
- 15.06.2022
- Beginn
- 16.06.2022
- Tage bis Beginn
- 1,0
- Dosis
- 1
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Muscle spasms
Symptomtext
RT leg spasms
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Muscle spasms
- Hospital-Tage
- -
- Labordaten
- none
- Aktuelle Erkrankungen
- none
- Vorgeschichte
- none
- Andere Medikamente
- none
- Allergien
- none
- Vorherige Impfungen
- -
- Staat
- FL
- Alter
- 49,0
- Geschlecht
- M
- Eingang
- 12.07.2022
- 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
Diplopia
Laboratory test
Magnetic resonance imaging
Photophobia
Visual impairment
Symptomtext
Around 8:00 a.m. on 6/25/22, when walking outside of house, client noticed photophobia. Then, noticed double vision. Vision has decreased since 6/25/22
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Diplopia
- Hospital-Tage
- -
- Labordaten
- Saw ophthalmologist (follow up app't 7/21/22), MRI, lab work, saw PCP, following up with neurologist
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- HTN
- Andere Medikamente
- PRN: Ibuprofen, Benadryl; Vitamin B12 Complex
- Allergien
- NKA
- Vorherige Impfungen
- -
- Staat
- PA
- Alter
- -
- Geschlecht
- U
- Eingang
- 09.07.2022
- Impfdatum
- -
- Beginn
- -
- Tage bis Beginn
- -
- Dosis
- UNK
- Route/Site
- OT / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Medication error
No adverse event
Poor quality product administered
Symptomtext
Unknown amount of time with a minimum temperature of 24.9?F with no adverse event; vaccines were administered post-excursion with no adverse event; Initial information received on 27-Jun-2022 regarding an unsolicited valid non-serious case received from a other health professional. This case involves an unknown age and unknown gender patient to whom vaccines was administered post-excursion with no adverse event and Pneumovax, meningococcal A-C-Y-W135 (D CONJ) vaccine [Menactra] was kept at unknown amount of time with a minimum temperature of 24.9?f with no adverse event. The patient's past medical history, medical treatment(s), vaccination(s) and family history were not provided. On an unknown date it was reported that vaccines was kept at unknown amount of time with a minimum temperature of 24.9?f with no adverse event (product storage error). On an unknown date, the patient received a dose of suspect meningococcal A-C-Y-W135 (D CONJ) vaccine, Solution for injection, (lot U7483AA, Expiry date; 20-Oct-2023) via unknown route in unknown administration site and patient received a dose of suspect PNEUMOVAX not produced by Sanofi Pasteur lot number not reported via unknown route in unknown administration site for Prophylactic vaccination was administered post-excursion with no adverse event (poor quality product administered) (unknown latency) 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.; Sender's Comments: 01164014: 01164336:
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Medication error
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 1,0
- Geschlecht
- F
- Eingang
- 29.06.2022
- Impfdatum
- 28.06.2022
- Beginn
- 28.06.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / LG
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Wrong product administered
Symptomtext
vaccines for multiple patients set out for admin and the wrong vaccines were mistakenly grabbed and administered the wrong vaccines to patient
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Wrong product administered
- Hospital-Tage
- -
- Labordaten
- none
- Aktuelle Erkrankungen
- n/a
- Vorgeschichte
- n/a
- Andere Medikamente
- Vitamin D; Famotidine 40mg/5ml; Lactulose
- Allergien
- NKA
- Vorherige Impfungen
- -
- Staat
- OH
- Alter
- 11,0
- Geschlecht
- M
- Eingang
- 27.06.2022
- Impfdatum
- 24.06.2022
- Beginn
- 24.06.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- - / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect product formulation administered
Symptomtext
Patient was given the dose of the Pfizer that was for those 12 and older.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- NA
- Aktuelle Erkrankungen
- None noted
- Vorgeschichte
- No known health conditions
- Andere Medikamente
- None
- Allergien
- No known allergies
- Vorherige Impfungen
- -
- Staat
- IL
- Alter
- -
- Geschlecht
- M
- Eingang
- 17.06.2022
- Impfdatum
- -
- Beginn
- -
- Tage bis Beginn
- -
- Dosis
- UNK
- Route/Site
- OT / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Intercepted product storage error
Medication error
No adverse event
Symptomtext
Vaccine stored for 10 hours at high temperature due to human error with no adverse event; Initial information received on 02-Jun-2022 regarding an unsolicited valid non-serious case received from a other health professional. This case involves an unknown age male patient who experienced vaccine stored for 10 hours at high temperature due to human error with no adverse event while receiving vaccine MENINGOCOCCAL A-C-Y-W135 (D CONJ) VACCINE [MENACTRA]. 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 MENINGOCOCCAL A-C-Y-W135 (D CONJ) VACCINE lot U7483AA (expiry date 20-Oct-2023) via unknown route in unknown administration site for prophylactic vaccination. On an unknown date the patient developed a non-serious vaccine stored for 10 hours at high temperature due to human error with no adverse event (intercepted product storage error) (unknown latency) following the administration of MENINGOCOCCAL A-C-Y-W135 (D CONJ) VACCINE. Action taken with MENINGOCOCCAL VACCINE (MENACTRA) was not applicable. It was not reported if the patient received a corrective treatment for the event (Vaccine stored for 10 hours at high temperature due to human error with no adverse event). At time of reporting, the outcome was Unknown for the event vaccine stored for 10 hours at high temperature due to human error with no adverse event. This suspected adverse reaction report is submitted and classified as a medication error solely and exclusively to ensure the marketing authorization holder's compliance with the requirements set out in the 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
- Intercepted product storage error
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -