- Staat
- NJ
- Alter
- 66,0
- Geschlecht
- F
- Eingang
- 27.02.2023
- Impfdatum
- 05.10.2022
- Beginn
- 06.10.2022
- Tage bis Beginn
- 1,0
- Dosis
- 1
- Route/Site
- SC / -
Tod: ja
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Balance disorder
Death
JC virus infection
Progressive multifocal leukoencephalopathy
Symptomtext
Pt experienced loss of balance after vaccine, after progression of symptoms was diagnosed with progressive multifocal leukoencephalopathy, JC Virus, Pt expired Jan 3, 2023.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Death
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- Myelodysplastic Syndrome, Acute Myeloid Leukemia, s/p allogeneic bone marrow transplant
- Vorgeschichte
- Pericarditis, Atrial fibrillation, neuropathy
- Andere Medikamente
- Acyclovir
- Allergien
- Vancomycin
- Vorherige Impfungen
- -
- Staat
- CO
- Alter
- 66,0
- Geschlecht
- M
- Eingang
- 10.02.2023
- Impfdatum
- 30.07.2022
- Beginn
- 15.08.2022
- Tage bis Beginn
- 16,0
- Dosis
- 1
- Route/Site
- SYR / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: ja
Disable: unbekannt
ER: ja
Erholt: nein
Amnesia
Back pain
Balance disorder
Blood test
Computerised tomogram
Feeling abnormal
Gait inability
Guillain-Barre syndrome
Headache
Hypoaesthesia
Immunoglobulin therapy
Insomnia
Laboratory test
Lumbar puncture abnormal
Magnetic resonance imaging
Musculoskeletal disorder
Pain
Paraesthesia
Symptomtext
GBS/AIDP: Aug 15 I started feeling some numbness in my fingers and toes. By the 17th I was also getting some headaches and backaches. By the 19th I was seeking medical assistance from my general practitioner and a dial a nurse. I did get in the next day to see a NP at my regular Dr.?s office on that Saturday. She wanted to schedule an MRI the next week at the next door hospital . Unfortunately, they have no staff for that on the weekends. I was told to go to the emergency room if this got any worse. I did not get any sleep or rest that afternoon or night so I went to the emergency room around 6 AM. I was told to go to a hospital and they would let them know I was coming. I arrived around 10 AM and was finally admitted through emergency to the Neurology ward around 4 PM. I received several blood tests, motion tests, breathing tests, and finally a CT at 6 PM and an MRI at midnight. The next morning, I was given a spinal puncture and was diagnosed with GBS. At this point I could not walk or barely lift a leg or arm. I spent 7 days on the Neuro ward receiving a 5 day series if IVIG. I was then transferred to the inpatient physical therapy ward to learn how to walk and move again for the next 10 days. I was released on Sept 6th. My daughter drove me the two hours home. I went to see my GP the next day who recommended I see a local Neurologist. The local physical therapy is almost impossible to get into so I continued with exercises at home. I got in to see Dr. at hospital on November 7th for a Neuro checkup and will see her again on June 5th. She felt my progress was good considering what I had but also did notice some balance issues and numbness tingling in hands and feet. She said if in June this was still occurring, we may try another round of IVIG. As of today I am still taking gabapentin 300mg twice a day for nerve tingling/pain. I still question my balance at times though I have not fallen down. I am also concerned about some memory loss/brain fog as remembering short term things and names is difficult.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Guillain-Barre syndrome
- Hospital-Tage
- 17,0
- Labordaten
- This is to lengthy to list but I am happy to share as will hospital
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- Large B-cell lymphoma diagnosed and treated with chemo May 2018. Have since tested cancer free.
- Andere Medikamente
- N/A
- Allergien
- Scallops
- Vorherige Impfungen
- -
- Staat
- CO
- Alter
- 35,0
- Geschlecht
- M
- Eingang
- 07.12.2022
- Impfdatum
- 07.12.2022
- Beginn
- 07.12.2022
- Tage bis Beginn
- 0,0
- Dosis
- N/A
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Hyperhidrosis
Immediate post-injection reaction
Loss of consciousness
Symptomtext
about 30 seconds after patient received his 2 vaccines, he lost consciousness. his head slumped toward his chest, his eyes closed. he remained in his chair. I applied a cold pack to his neck and about 1 minute later he began regaining consciousness. He asked for some water, drank about 8 ounces and noticed he was sweating on his forehead. after about 10 minutes he said he was fine and walked out of the immunization room.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Loss of consciousness
- Hospital-Tage
- -
- Labordaten
- none
- Aktuelle Erkrankungen
- none
- Vorgeschichte
- none
- Andere Medikamente
- none
- Allergien
- nka
- Vorherige Impfungen
- patient reports he faints after every vaccine he is given
- Staat
- TX
- Alter
- 17,0
- Geschlecht
- F
- Eingang
- 07.10.2022
- Impfdatum
- 07.10.2022
- Beginn
- 07.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Hyperhidrosis
Nausea
Pallor
Seizure
Syncope
Vomiting
Symptomtext
Pt arrived to the country approximately 7 days ago. As per mom patient has no immunization record. Adm. Hep B, IPV, Var, and Tdap to left arm, with no adverse reaction. Administered MCV4 to right deltoid, pt had an episode to syncope followed by a seizure that lasted one minute. Pt awake, alert and oriented X3. States she felt nausea and vomited. Pt was pale and diaphoretic. 11:30, laid pt down and elevated lower extremities. Pt's face and lip color returned to her normal. States she feels fine and requested to sit up. Mother requested for the last two vaccines to be administered. Mom states pt always faints with vaccines and the sight of blood. Administered MMR and HPV to right arm with no adverse reaction. Pt states she felt fine. Instructed mom to go to the ER in case of emergency. Mother verbalized understanding.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Seizure
- Hospital-Tage
- -
- Labordaten
- N/A
- Aktuelle Erkrankungen
- N/A
- Vorgeschichte
- N/A
- Andere Medikamente
- N/A
- Allergien
- NKA
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 12,0
- Geschlecht
- M
- Eingang
- 20.10.2023
- Impfdatum
- 16.10.2023
- Beginn
- 16.10.2023
- 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 pain
Injection site rash
Injection site warmth
Rash erythematous
Rash papular
Symptomtext
Right arm was warm to touch, raised red rash measuring 8.5 in L x 8in W, tenderness present . Starting 2 inches below right shoulder. Left arm, warm to touch raised red rash measuring 3in L x 4W, tenderness present. Vaccines were administered on 10/16/2023, mother state during time at home only zytec was administered. Pt was seen in clinic on 10/19/23 for evaluation of reaction by Dr., and second Dr. assessed pt. Treatment: Ibuprofen and Tylenol alternating for discomfort, cool compress. Instructed to continue to monitor adverse reaction, contact office with any changes.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Injection site pain
- Hospital-Tage
- -
- Labordaten
- N/A
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- N/A
- Andere Medikamente
- Mother denied any otc medication administration prior to vaccinations.
- Allergien
- Benadryl
- Vorherige Impfungen
- -
- Staat
- CA
- Alter
- 62,0
- Geschlecht
- F
- Eingang
- 26.12.2022
- Impfdatum
- 19.12.2022
- Beginn
- 01.12.2022
- Tage bis Beginn
- -
- Dosis
- 1
- Route/Site
- - / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Injection site erythema
Injection site pruritus
Injection site swelling
Symptomtext
Patient received ADACEL vaccine on 12/19/2022; she said the next day she started getting redness, swelling, and itchiness at the injected site. She started applying Neosporin and it seems to help; today 12/26/2022 she said the swelling is going down but there is still some itchiness; recommended benadryl pill but she said she does not want to get sleepy, so I recommended second option as claritin tablets
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
- MO
- Alter
- 12,0
- Geschlecht
- M
- Eingang
- 20.12.2022
- Impfdatum
- 06.12.2022
- Beginn
- 06.12.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Malaise
Product storage error
Pyrexia
Symptomtext
Vaccine given was invalid due to exposure to out-of-range temperatures during transport. Manufacturer, CDC, and medical director recommended re-vaccination. Parent of child notified of situation on 12/8/22, declined re-vaccination at that time. Parent stated child did not feel well after vaccination and ran a fever.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Malaise
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- UNKNOWN
- Vorgeschichte
- UNKNOWN
- Andere Medikamente
- UNKNOWN
- Allergien
- NONE
- Vorherige Impfungen
- -
- Staat
- OK
- Alter
- 16,0
- Geschlecht
- F
- Eingang
- 08.11.2022
- Impfdatum
- 03.11.2022
- Beginn
- 03.11.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Asthenia
Inappropriate schedule of product administration
Pain
Symptomtext
Tdap vaccine was given earlier than recommended. There was no history of pertussis-containing vaccination having been given, so Tdap was administered, before realizing that it was earlier than recommended since a previous dose of Td was received on 9/10/2022. Shortly afterwards, the patient's father (who was present in the clinic with the patient) was notified that the vaccine was given earlier than recommended. A phone call was placed to the patient's father on 11/7/2022 in order to follow-up. Patient had no adverse reactions, other than common side effects including soreness and weakness.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Pain
- Hospital-Tage
- -
- Labordaten
- None
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- None
- Andere Medikamente
- None
- Allergien
- None
- Vorherige Impfungen
- -
- Staat
- CA
- Alter
- 12,0
- Geschlecht
- F
- Eingang
- 14.09.2022
- Impfdatum
- 14.09.2022
- Beginn
- 14.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Nausea
Symptomtext
Nausea. No vomiting. Had pt lie down with elevated legs. Pt felt better immediately, and was completely fine 15 minutes later. observed total of 30 minutes after symptoms of nausea, with guardian and pt's school counselor also carefully monitoring pt.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Nausea
- Hospital-Tage
- -
- Labordaten
- none
- Aktuelle Erkrankungen
- none
- Vorgeschichte
- none
- Andere Medikamente
- none
- Allergien
- none
- Vorherige Impfungen
- -
- Staat
- CA
- Alter
- 20,0
- Geschlecht
- M
- Eingang
- 07.09.2022
- Impfdatum
- 07.09.2022
- Beginn
- 07.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- N/A
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: ja
Disable: unbekannt
ER: ja
Erholt: ja
Pain
Pyrexia
Symptomtext
body pain / fever 101.9
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Pain
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- CEREBAL PALSEY
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- AS
- Alter
- 10,0
- Geschlecht
- F
- Eingang
- 24.08.2022
- Impfdatum
- 23.08.2022
- Beginn
- 23.08.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Axillary pain
Incorrect dose administered
Pain in extremity
Product preparation issue
Symptomtext
PT WAS ADMINISTERED UNDILUTED COVID-19 VACCINE. SHE SHOULD HAVE RECEIVED 10 MCG BUT INSTEAD RECEIVED 20MCG. ERROR WAS REPORTED TO MOM ON 08/23/2022 @ 1700 BY DR. WHEN ERROR WAS REALIZED. MOM STATED THAT PT HAD SORE ARM AND ARMPIT BUT NO OTHER SYMPTOMS.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Axillary pain
- Hospital-Tage
- -
- Labordaten
- NONE
- Aktuelle Erkrankungen
- NONE
- Vorgeschichte
- NONE
- Andere Medikamente
- NONE
- Allergien
- NKDA
- Vorherige Impfungen
- -
- Staat
- CO
- Alter
- 9,0
- Geschlecht
- F
- Eingang
- 28.11.2023
- Impfdatum
- 21.11.2022
- Beginn
- 21.11.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- 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
adacel was administered to a 9 year old less than the approved age in the product labeling with no reported adverse event; Initial information received on 21-Nov-2023 regarding an unsolicited valid non-serious case received from a health professional. This case involves a 9 years old female patient who administered with Diphtheria-2/Tetanus/5 Ac Pertussis Vaccine [Adacel] which was less than the approved age in the product labeling, with no reported adverse event. The patient's past medical history, medical treatment(s), vaccination(s) and family history were not provided. On 21-Nov-2022, the 9 years old patient received (0.5 ml, once) dose 1 of suspect Diphtheria-2/Tetanus/5 Ac Pertussis Vaccine, suspension for injection (strength: unknown) (lot: U7534AA, Expiry date: 2-Aug-2024) which is old less than the approved age in the product labeling with no reported adverse event (product administered to patient of inappropriate age) (latency: same day) via intramuscular route in unknown administration site for immunization. No lab data reported. 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 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
- Medication error
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- VA
- Alter
- 2,0
- Geschlecht
- F
- Eingang
- 04.04.2023
- Impfdatum
- 04.04.2023
- Beginn
- 04.04.2023
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- IM / RL
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
No adverse event
Product administration error
Wrong product administered
Symptomtext
vaccine administration error. tdap given in error instead of dtap. no adverse reaction noted in patient at time of this report. mother notified of error.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- No adverse event
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- n/a
- Allergien
- no
- Vorherige Impfungen
- -
- Staat
- MO
- Alter
- 12,0
- Geschlecht
- M
- Eingang
- 21.12.2022
- Impfdatum
- 06.12.2022
- Beginn
- 06.12.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Product storage error
Symptomtext
Vaccine given was invalid due to exposure to out-of-range temperatures during transport. Manufacturer, CDC, and medical director recommended revaccination.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Product storage error
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- MO
- Alter
- 13,0
- Geschlecht
- F
- Eingang
- 21.12.2022
- Impfdatum
- 06.12.2022
- Beginn
- 06.12.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Product storage error
Symptomtext
Vaccine given was invalid due to exposure to out-of-range temperatures during transport. Manufacturer, CDC, and medical director recommended revaccination.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Product storage error
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- MO
- Alter
- 13,0
- Geschlecht
- F
- Eingang
- 21.12.2022
- Impfdatum
- 06.12.2022
- Beginn
- 06.12.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Product storage error
Symptomtext
Vaccine given was invalid due to exposure to out-of-range temperatures during transport. Manufacturer, CDC, and medical director recommended revaccination.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Product storage error
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- MO
- Alter
- 13,0
- Geschlecht
- M
- Eingang
- 21.12.2022
- Impfdatum
- 06.12.2022
- Beginn
- 06.12.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Product storage error
Symptomtext
Vaccine given was invalid due to exposure to out-of-range temperatures during transport. Manufacturer, CDC, and medical director recommended revaccination.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Product storage error
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- MO
- Alter
- 13,0
- Geschlecht
- F
- Eingang
- 21.12.2022
- Impfdatum
- 06.12.2022
- Beginn
- 06.12.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Poor quality product administered
Product storage error
Symptomtext
Vaccine given was invalid due to exposure to out-of-range temperatures during transport. Manufacturer, CDC, and medical director recommended revaccination.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Poor quality product administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- MO
- Alter
- 13,0
- Geschlecht
- M
- Eingang
- 21.12.2022
- Impfdatum
- 06.12.2022
- Beginn
- 06.12.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Product storage error
Symptomtext
Vaccine given was invalid due to exposure to out-of-range temperatures during transport. Manufacturer, CDC, and medical director recommended revaccination.
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
- 21.12.2022
- Impfdatum
- 06.12.2022
- Beginn
- 06.12.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Product storage error
Symptomtext
Vaccine given was invalid due to exposure to out-of-range temperatures during transport. Manufacturer, CDC, and medical director recommended revaccination.
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
- 21.12.2022
- Impfdatum
- 06.12.2022
- Beginn
- 06.12.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Product storage error
Symptomtext
Vaccine given was invalid due to exposure to out-of-range temperatures during transport. Manufacturer, CDC, and medical director recommended revaccination.
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
- M
- Eingang
- 21.12.2022
- Impfdatum
- 06.12.2022
- Beginn
- 06.12.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Product storage error
Symptomtext
Vaccine given was invalid due to exposure to out-of-range temperatures during transport. Manufacturer, CDC, and medical director recommended revaccination.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Product storage error
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- MO
- Alter
- 13,0
- Geschlecht
- M
- Eingang
- 21.12.2022
- Impfdatum
- 06.12.2022
- Beginn
- 06.12.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Product storage error
Symptomtext
Vaccine given was invalid due to exposure to out-of-range temperatures during transport. Manufacturer, CDC, and medical director recommended revaccination.
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
- M
- Eingang
- 21.12.2022
- Impfdatum
- 06.12.2022
- Beginn
- 06.12.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Product storage error
Symptomtext
Vaccine given was invalid due to exposure to out-of-range temperatures during transport. Manufacturer, CDC, and medical director recommended revaccination.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Product storage error
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- CO
- Alter
- 20,0
- Geschlecht
- F
- Eingang
- 09.12.2022
- Impfdatum
- 02.12.2022
- Beginn
- 02.12.2022
- Tage bis Beginn
- 0,0
- Dosis
- N/A
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Extra dose administered
Symptomtext
The RN accidentally administered a Tdap on 12/02/2022 despite the patient already having Tdap on 05/2022. Right after the incident, the RN notified the incident to the patient. She didn't have any symptoms at the time and left her home. The RN sent a secure message to the patient three days later; she opened the message but did not respond.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Extra dose administered
- Hospital-Tage
- -
- Labordaten
- None
- Aktuelle Erkrankungen
- Anxety
- Vorgeschichte
- Anxety
- Andere Medikamente
- -
- Allergien
- No
- Vorherige Impfungen
- -
- Staat
- CA
- Alter
- 11,0
- Geschlecht
- M
- Eingang
- 09.11.2022
- Impfdatum
- 18.10.2022
- Beginn
- 18.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Wrong product administered
Symptomtext
N/A - Reporting incorrect vaccine given - COVID booster
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Wrong product administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- CA
- Alter
- 11,0
- Geschlecht
- F
- Eingang
- 09.11.2022
- Impfdatum
- 17.10.2022
- Beginn
- 17.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Wrong product administered
Symptomtext
N/A - Reporting incorrect vaccine given - COVID booster
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Wrong product administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- OK
- Alter
- 18,0
- Geschlecht
- F
- Eingang
- 08.11.2022
- Impfdatum
- 03.11.2022
- Beginn
- 03.11.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- SC / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Inappropriate schedule of product administration
Symptomtext
Inadvertently gave TDAP to soon
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Inappropriate schedule of product administration
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- none
- Vorgeschichte
- none
- Andere Medikamente
- none
- Allergien
- none
- Vorherige Impfungen
- -
- Staat
- OK
- Alter
- 15,0
- Geschlecht
- M
- Eingang
- 08.11.2022
- Impfdatum
- 03.11.2022
- Beginn
- 03.11.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Inappropriate schedule of product administration
Symptomtext
Inadvertently gave TDAP to soon
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Inappropriate schedule of product administration
- Hospital-Tage
- -
- Labordaten
- none
- Aktuelle Erkrankungen
- none
- Vorgeschichte
- none
- Andere Medikamente
- none
- Allergien
- none
- Vorherige Impfungen
- -
- Staat
- MI
- Alter
- 11,0
- Geschlecht
- F
- Eingang
- 31.10.2022
- Impfdatum
- 26.10.2022
- Beginn
- 26.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- 6
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect product formulation administered
No adverse event
Symptomtext
Pt. was given Pfizer Monovalent instead of Pfizer Bivalent. As far as I am aware pt. has not suffered any adverse events but just only given the wrong vaccine. Our office has filled out an incident report and have contacted the manufacturer for recommendations on when/if an additional dose is needed.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- n/a
- Vorgeschichte
- n/a
- Andere Medikamente
- n/a
- Allergien
- n/a
- Vorherige Impfungen
- -
- Staat
- CA
- Alter
- 11,0
- Geschlecht
- M
- Eingang
- 15.09.2022
- Impfdatum
- 15.09.2022
- Beginn
- 15.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- SYR / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Incorrect product formulation administered
No adverse event
Product administered to patient of inappropriate age
Wrong product administered
Symptomtext
Incorrect vaccine given. Given Bivalent booster 0.3ml (patient 11years of age) No symptoms noted waited 15 min in waiting room.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- N/A
- Aktuelle Erkrankungen
- N/A
- Vorgeschichte
- N/A
- Andere Medikamente
- N/A
- Allergien
- N/A
- Vorherige Impfungen
- -
- Staat
- NE
- Alter
- 12,0
- Geschlecht
- F
- Eingang
- 13.09.2022
- Impfdatum
- 12.09.2022
- Beginn
- 12.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect product formulation administered
No adverse event
Symptomtext
Patient was given Monovalent COVID vaccine as a booster. It is no longer approved for patients age 12 years and up. Patient is not experiencing any symptoms at this time.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- none
- Aktuelle Erkrankungen
- none
- Vorgeschichte
- Seasonal Allergic Rhinitis
- Andere Medikamente
- none
- Allergien
- none
- Vorherige Impfungen
- -
- Staat
- MD
- Alter
- 11,0
- Geschlecht
- F
- Eingang
- 01.09.2022
- Impfdatum
- 31.08.2022
- Beginn
- 01.09.2022
- Tage bis Beginn
- 1,0
- Dosis
- 2
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Extra dose administered
No adverse event
Symptomtext
Additional dose of Tdap given mistakenly. Did not see that she had received a dose on 9-21-21 and therefore did not require this dose. No adverse effect reported. Spoke with parent to let them know of error.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Extra dose administered
- Hospital-Tage
- -
- Labordaten
- none
- Aktuelle Erkrankungen
- none known
- Vorgeschichte
- None
- Andere Medikamente
- MVI
- Allergien
- none
- Vorherige Impfungen
- -