- Staat
- FL
- Alter
- 42,0
- Geschlecht
- M
- Eingang
- 14.05.2023
- Impfdatum
- 14.05.2023
- Beginn
- 14.05.2023
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Loss of consciousness
Syncope
Symptomtext
After receiving vaccines, patient asked for water. Before receiving water, patient passed out/or fainted. EMT's called. No physical injury and vitals within normal range. Patient expressed having needle phobia.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Loss of consciousness
- Hospital-Tage
- -
- Labordaten
- None
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- None
- Andere Medikamente
- Patient did not disclose
- Allergien
- NKA
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 12,0
- Geschlecht
- F
- Eingang
- 06.12.2022
- Impfdatum
- 05.12.2022
- Beginn
- 05.12.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Cold sweat
Nausea
Syncope
Symptomtext
11:50 AM the patient was syncope, clammy , and nausea Blood Pressure on the Right Arm 76/46. Patient was given Ammonia Inhalants followed by a cup of water and some crackers. Patient Blood Pressure taken again at 11:55 am and was 76/49 on the left arm HR 100 Sp02 99. Patient was taken into exam room to lie down and elevate feet. 12:00 pm Patient Blood Pressure 96/64 lying down left arm. Patient sat up and walked out of exam no complaints.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Syncope
- Hospital-Tage
- -
- Labordaten
- N/A
- Aktuelle Erkrankungen
- N/A
- Vorgeschichte
- N/A
- Andere Medikamente
- N/A
- Allergien
- N/A
- Vorherige Impfungen
- -
- Staat
- KS
- Alter
- 15,0
- Geschlecht
- M
- Eingang
- 30.10.2022
- Impfdatum
- 30.10.2022
- Beginn
- 30.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: ja
Erholt: ja
Face injury
Facial bones fracture
Loss of consciousness
Symptomtext
Patient was given an fluzone quad and Tdap. He was in the waiting area and stood up to go to the bathroom approximately 2 min after receiving his vaccinations. He took about 5 steps and passed out, hitting his face on the concrete. He was out for a short period and when we woke, he was aware of his surroundings and could answer basic questions. I believe he experienced vasovagal syncope. He appeared to have a broken nose from hitting the concrete and his parents were going to take him to the ER. I will follow up with family tonight to see if any addition issues occurred.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Loss of consciousness
- Hospital-Tage
- -
- Labordaten
- n/a at this time
- Aktuelle Erkrankungen
- no
- Vorgeschichte
- no
- Andere Medikamente
- unknown
- Allergien
- no
- Vorherige Impfungen
- -
- Staat
- OK
- Alter
- 13,0
- Geschlecht
- M
- Eingang
- 09.09.2022
- Impfdatum
- 09.09.2022
- Beginn
- 09.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 2
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: ja
Hospital: unbekannt
Disable: unbekannt
ER: ja
Erholt: ja
Anaphylactic reaction
Dyspnoea
Hyperhidrosis
Pharyngeal swelling
Swelling face
Urticaria
Symptomtext
Patient's mother came in later in the day to pick up epi-pen and steroid. I inquired about what happened. She states that about an hour after her son received the vaccine, he was at school and started to experience an anaphylactic reaction. He developed welps, profuse sweating, swelling of the throat and face, trouble breathing. The ambulance was called and arrived. Epinephrine was administered and he was rushed to ER where his symptoms began to subside. He was prescribed an epi-pen and medrol dose pack. He was referred to an allergist.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Anaphylactic reaction
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- None
- Allergien
- Mold, bushes
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 38,0
- Geschlecht
- F
- Eingang
- 06.02.2023
- Impfdatum
- 19.12.2022
- Beginn
- 19.12.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Hypoaesthesia
Immediate post-injection reaction
Injection site erythema
Injection site pain
Injection site warmth
Pain in extremity
Paraesthesia
Symptomtext
Patient got the IMZ high up and behind the arm. Immediately felt pain, and shortly after redness. Just took ibuprofen. Redness, but the pain moved down and felt her pinkie and pointer finger start to get tingly and numb. Been over a month and still feeling the numbness and tingling.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Paraesthesia
- Hospital-Tage
- -
- Labordaten
- Doctor measured her arm for inflammation and felt the area still being "hot to the touch". Prescribed antibiotics and steroids to help with the AE.
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- None
- Andere Medikamente
- Just took ibuprofen for the pain, nothing else.
- Allergien
- No known allergies
- Vorherige Impfungen
- -
- Staat
- PA
- Alter
- 11,0
- Geschlecht
- F
- Eingang
- 15.05.2023
- Impfdatum
- 11.05.2023
- Beginn
- 12.05.2023
- Tage bis Beginn
- 1,0
- Dosis
- 5
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Erythema
Pain in extremity
Peripheral swelling
Symptomtext
Left hand swollen, red, painful. Patient applied warm compress, Tylenol & used Medrol Pack
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Pain in extremity
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- Asthma
- Andere Medikamente
- None
- Allergien
- NKA
- Vorherige Impfungen
- -
- Staat
- PA
- Alter
- 59,0
- Geschlecht
- F
- Eingang
- 10.05.2023
- Impfdatum
- 10.05.2023
- Beginn
- 10.05.2023
- Tage bis Beginn
- 0,0
- Dosis
- N/A
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Balance disorder
Dizziness
Malaise
Symptomtext
The patient received 3 vaccinations in the following order. Covid19 in the right arm, then Tdap in the left arm, then Twinrix in the left arm. Shortly after the Twinrix, the pt stated that she didn't feel well. Pt stated that she felt faint and wobbly. Pt was provided a cold compress to place on the back of her neck. A short period of time later, she felt better and left after making an appointment for her 2nd dose of Twinrix.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Dizziness
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- MIGRAINE
- Andere Medikamente
- -
- Allergien
- PENICILLIN - ANAPHYLAXIS
- Vorherige Impfungen
- -
- Staat
- NC
- Alter
- 21,0
- Geschlecht
- F
- Eingang
- 10.05.2023
- Impfdatum
- 08.05.2023
- Beginn
- 09.05.2023
- Tage bis Beginn
- 1,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Injection site erythema
Injection site oedema
Injection site pruritus
Injection site swelling
Injection site warmth
Pruritus
Symptomtext
Area at site of injection is red, edematous, warm to touch, raised, and patient reports the skin around the area itches.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Injection site erythema
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- none.
- Vorgeschichte
- none.
- Andere Medikamente
- unknown.
- Allergien
- none.
- Vorherige Impfungen
- -
- Staat
- OH
- Alter
- 52,0
- Geschlecht
- F
- Eingang
- 22.03.2023
- Impfdatum
- 13.03.2023
- Beginn
- 14.03.2023
- Tage bis Beginn
- 1,0
- Dosis
- UNK
- Route/Site
- IM / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Hypoaesthesia
Injection site pain
Nausea
Vomiting
Symptomtext
Patient complained of pain at injection site, nausea and vomiting and numbness of extremity of right arm.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Injection site pain
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- CT
- Alter
- 50,0
- Geschlecht
- F
- Eingang
- 23.02.2023
- Impfdatum
- 22.02.2023
- Beginn
- 23.02.2023
- Tage bis Beginn
- 1,0
- Dosis
- UNK
- Route/Site
- SYR / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Insomnia
Malaise
Middle insomnia
Pain in extremity
Rhinorrhoea
Sneezing
Symptomtext
Patient complained of extreme pain in the arm 'extending all the way down to hand', general malaise, runny nose, sneezing, waking up at 3am and being unable to sleep.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Malaise
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- AR
- Alter
- 63,0
- Geschlecht
- M
- Eingang
- 21.11.2022
- Impfdatum
- 14.11.2022
- Beginn
- 15.11.2022
- Tage bis Beginn
- 1,0
- Dosis
- N/A
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Erythema
Inflammation
Joint swelling
Pruritus
Symptomtext
PATIENT HAS A SWOLLEN, RED, ITCHY ELBOW. VACCINE SITE LOOKS FINE JUST LOTS OF INFLAMMATION IN THE ELBOW AREA AND VERY RED. HE WENT TO THE URGENT CARE AND HAD TO HAVE A STEROID SHOT. HE SAID THE PROVIDER THERE ALSO TOLD HIM TO TAKE BENADRYL.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Pruritus
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- AMLODIPINE, LEVOTHYROXINE, ATORVASTATIN
- Allergien
- ASPIRIN AND PENICILLIN
- Vorherige Impfungen
- -
- Staat
- ID
- Alter
- 12,0
- Geschlecht
- F
- 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: ja
Altered state of consciousness
Disorientation
Dizziness
Fatigue
Hyperhidrosis
Nausea
Pain in extremity
Pallor
Respiratory rate decreased
Speech disorder
Unresponsive to stimuli
Vomiting
Symptomtext
On 11/15/22 patient came in to receive catch-up vaccines. She had one vaccine in the past about one year ago (Tdap). Father did ask about side effects and response if the patient received 8 vaccines. I discussed with the father that we have provided that many vaccines to patients in the past and they did well. But it It?s hard to know because everyone is different. Usual side effects are redness, some swelling at the injection site and the day after some fatigue. I stated that everyone response differently. He chose to do 4 out of the 8 vaccines but the patient wanted and insisted to do all 8 and get them over with so the father decided to do the 8 vaccines to get her caught up. I did educate the patient and father again of side effects-sore arm, and legs. Maybe redness and swelling at the injection site. If she did get a fever to give her Tylenol and or Ibuprofen as directed on the bottle. Patient was educated to drink water- stay hydrated and to move extremities for soreness. Patient and patients father voiced understanding. At approximately 3:25 9 vaccines (Hep A, Hep B, MMR, Varicella, Tdap, IPV, HPV, Menquadfi) were administered to the patient. She received the vaccines in both right/left deltoids and 2 vaccines in both thighs- right and left. A few seconds after the last vaccine administration patient became unresponsive very pale, diaphoretic, and respirations decreased. She would respond to stimuli by opening her eyes. Her face and lips turned pale and she was had slow respirations. I precede to use the ammonia inhalant and that aroused her. Pt was not oriented. She would respond to her name and open her eyes. She was asked to say her name and she was unable to say her name or birthday. She stated she felt nausea and dizzy and wanted to vomit. She was given a few sips of water from her father. He assisted in trying to arouse and talk to her. She then vomited and stated she felt better. She continued to be pale and go in and out of consciousness so I used the ammonia inhalant and that aroused her. At approximately 3:41pm called EMS and I drew up 0.45msl of epinephrine to have on hand. At approximately 3:50 EMS and fire department showed up. I gave them report of the situation and helped move the exam table out to lie the patient down they asked the patients father questions about allergies, last meal. They took vital signs and monitored the patient. After about 35 minutes of the paramedics/ fire department monitoring the patient, she stated she felt better and she sat up. She was able to stand up and walk on her own around the room. At that time the patients father reported he felt comfortable taking the patient home. They set up the next visit in 2 months for one vaccine. I did educate both the patient and father that prior to that appointment make sure the patient has had something to eat, and to come in hydrated. They both voiced understanding. She exited the building ambulating next to her father. EMS and fire department also exited the building approximately the same time 4:25pm. 11/16/22 at approximately 10:52 a.m. I followed up via phone with the patient?s father on how the patient was feeling today. He reported that she stayed home from school because she did vomit in the morning. He reported that the patient stated she?s feeling better, she did report feeling tired and her arms and legs are sore. Re-educated patients? father on the important of movement in the extremities and keeping hydrated as much as possible. He voiced understanding. I did let him know I made a VAERS report and explained that to help. He voiced understanding. VAERS report done on 11/16/22.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Dizziness
- Hospital-Tage
- -
- Labordaten
- n/a
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- none
- Andere Medikamente
- none
- Allergien
- none
- Vorherige Impfungen
- -
- Staat
- GA
- Alter
- 62,0
- Geschlecht
- F
- Eingang
- 31.10.2022
- Impfdatum
- 20.10.2022
- Beginn
- 22.10.2022
- Tage bis Beginn
- 2,0
- Dosis
- UNK
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Injection site erythema
Pruritus
Symptomtext
pt had her adacel vaccine along with her flu shot( on right arm). she came in 10 days later with redness and at the site and complaint of itchiness. she was counseled to take benadryl and topical hydrocortisone which has been shown to have some benefit. pt have no other adverse reaction.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Injection site erythema
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- GA
- Alter
- 25,0
- Geschlecht
- F
- Eingang
- 29.10.2022
- Impfdatum
- 28.10.2022
- Beginn
- 28.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Exposure during pregnancy
Nausea
Sleep disorder
Vomiting
Symptomtext
Patient called the next day to say she was up all night vomiting. I advised her to call her obstetrician. Her OB office advised her to take ondansetron tablet and that the vomiting was most likely not due to the vaccine. At this point her nausea has mostly subsided.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Nausea
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- MS
- Alter
- 57,0
- Geschlecht
- F
- Eingang
- 27.09.2022
- Impfdatum
- 24.09.2022
- Beginn
- 25.09.2022
- Tage bis Beginn
- 1,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Injection site erythema
Injection site pain
Injection site swelling
Injection site warmth
Symptomtext
Redness, hot touch, swelling and pain to the injection site on right arm
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Injection site erythema
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- WV
- Alter
- 53,0
- Geschlecht
- F
- Eingang
- 26.09.2022
- Impfdatum
- 29.08.2022
- Beginn
- 29.08.2022
- Tage bis Beginn
- 0,0
- Dosis
- N/A
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: ja
Erholt: ja
Decreased appetite
Fatigue
Hyperhidrosis
Liver function test increased
Nausea
Night sweats
Pyrexia
Symptomtext
high fever, severe fatigue, elevated LFTs, nausea and loss of appetite, soaking and severe night sweats beginning the evening after vaccine administration
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Fatigue
- Hospital-Tage
- -
- Labordaten
- Pt went to ER
- Aktuelle Erkrankungen
- N/A
- Vorgeschichte
- Hyperlipidemia, Asthma, Migraines
- Andere Medikamente
- Alprozalam, Multivitamin, Zyrtec
- Allergien
- Cefuroxime
- Vorherige Impfungen
- -
- Staat
- IN
- Alter
- 11,0
- Geschlecht
- F
- Eingang
- 22.08.2022
- Impfdatum
- 22.08.2022
- Beginn
- 22.08.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Hypoacusis
Pain in extremity
Pallor
Tinnitus
Symptomtext
Patient become pale, complaint of ears ringing and trouble hearing, and arm pain.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Pain in extremity
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- N/A
- Vorgeschichte
- N/A
- Andere Medikamente
- N/A
- Allergien
- None
- Vorherige Impfungen
- -
- Staat
- VA
- Alter
- 39,0
- Geschlecht
- M
- Eingang
- 15.08.2022
- Impfdatum
- 04.08.2022
- Beginn
- 10.08.2022
- Tage bis Beginn
- 6,0
- Dosis
- UNK
- Route/Site
- - / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Cellulitis
Injection site erythema
Injection site pain
Injection site swelling
Injection site warmth
Symptomtext
Patient seen at walk in care for redness/swelling/heat and pain to injection site/ Treated with Benadryl, Cephalexin and Prednisone for cellulitis
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Injection site erythema
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- none
- Vorgeschichte
- gout
- Andere Medikamente
- Allopurinol
- Allergien
- Tylenol
- Vorherige Impfungen
- -
- Staat
- NJ
- Alter
- 42,0
- Geschlecht
- F
- Eingang
- 09.08.2022
- Impfdatum
- 09.08.2022
- Beginn
- 09.08.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Pruritus
Symptomtext
Patient started itching all over
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Pruritus
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- latex and morphine
- Vorherige Impfungen
- -
- Staat
- WA
- Alter
- 17,0
- Geschlecht
- M
- Eingang
- 06.06.2023
- Impfdatum
- 24.05.2023
- Beginn
- 24.05.2023
- Tage bis Beginn
- 0,0
- Dosis
- 2
- Route/Site
- OT / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Extra dose administered
Medication error
No adverse event
Symptomtext
they have given a patient an extra dose of Adacel, with no reported adverse event; Initial information received on 02-Jun-2023 regarding an unsolicited valid non-serious case received from other health professional. This case involves a 17 years old male patient who was given an extra dose of diphtheria-2/tetanus/5 AC pertussis vaccine [Adacel], with no reported adverse event. The patient's past medical history, medical treatment(s), vaccination(s) and family history were not provided. Concomitant medications included meningococcal vaccine conj (Meningococcal Conjugate); and HPV vaccine for Prophylactic vaccination. On 24-May-2023, the patient received an extra 0.5 mL dose 2 of suspect diphtheria-2/tetanus/5 AC pertussis vaccine, suspension for injection (Strength: Standard) (batch number: U7548AA; expiry date: 14-Oct-2024) via intramuscular route in the left deltoid for immunization with no reported adverse event (extra dose administered) (same day latency). Action taken: not applicable. At time of reporting, the outcome was Unknown for the event they have given a patient an extra dose of adacel, with no reported adverse event. This suspected adverse reaction report is submitted and classified as a medication error solely and exclusively to ensure the marketing authorization holder's compliance with the requirements set out in the 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
- Extra dose administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- MENINGOCOCCAL CONJUGATE; HPV VACCINE
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- MI
- Alter
- 1,5
- Geschlecht
- M
- Eingang
- 10.05.2023
- Impfdatum
- 28.04.2023
- Beginn
- 28.04.2023
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- IM / LL
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Product administered to patient of inappropriate age
Wrong product administered
Symptomtext
Pt was given Tdap instead of a Dtap. Which he still was not due for. Pt recieved a pediarix on 4/19/23 and it had not dropped into system before his next appointment on 4/28/23 so when the system was pulled it appeared pt was still due for a Dtap. Pt did not have any reactions from the second dose.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Product administered to patient of inappropriate age
- Hospital-Tage
- -
- Labordaten
- none
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- none
- Andere Medikamente
- none
- Allergien
- none
- Vorherige Impfungen
- -
- Staat
- IN
- Alter
- 7,0
- Geschlecht
- M
- Eingang
- 03.03.2023
- Impfdatum
- 28.02.2023
- Beginn
- 01.02.2023
- Tage bis Beginn
- -
- Dosis
- UNK
- Route/Site
- IM / LL
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Circumstance or information capable of leading to medication error
Extra dose administered
Inappropriate schedule of product administration
No adverse event
Symptomtext
Immunization counseling provided. Discussed TdaP, MMRV, Hep. B, and IPV as well as influenza. Components discussed. Discussed risks and benefits. After immunization administration, printed updated immunization record from registry. At that time, discovered that child had received other immunizations that were not recorded in our records. Thus, received vaccines that were not due or necessary (TdaP, MMRV, Hep. B, and IPV). Informed father and apologized; discussed that he had received vaccines since the time we saw him last and dad was unaware of that. Also, the Hep. B received in June 2016 was not recorded in the registry printout from December 2020 that we used to enter vaccines into our records. Vaccines ordered at time of visit were based on information in records at the time. No adverse outcomes expected from getting extra protection through vaccines administered other than usual temporary risks of vaccines such as soreness.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Circumstance or information capable of leading to medication error
- Hospital-Tage
- -
- Labordaten
- None
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- Small for age (both weight and height) but normal BMI
- Andere Medikamente
- N/a
- Allergien
- None
- Vorherige Impfungen
- -
- Staat
- AZ
- Alter
- 11,0
- Geschlecht
- M
- Eingang
- 26.01.2023
- Impfdatum
- 23.01.2023
- Beginn
- 23.01.2023
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Local reaction
Symptomtext
developed a local reaction to HPV site , no fever, shortness of breath no skin lesions. Started on topical steroid, use cool compress as needed and continue supportive measures. He is to follow up in 2-3 days.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Local reaction
- Hospital-Tage
- -
- Labordaten
- none
- Aktuelle Erkrankungen
- none
- Vorgeschichte
- none
- Andere Medikamente
- none
- Allergien
- none
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 11,0
- Geschlecht
- F
- Eingang
- 04.01.2023
- Impfdatum
- 22.11.2022
- Beginn
- 22.11.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Incorrect dose administered
No adverse event
Symptomtext
Patient was 11 yrs old at the time of visit. Incorrect dose was ordered and given to patient. No symptoms, no signs of adverse reaction.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect dose administered
- Hospital-Tage
- -
- Labordaten
- None
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- None
- Andere Medikamente
- none
- Allergien
- Amoxicillin-pot Clavulanate,
- Vorherige Impfungen
- -
- Staat
- WA
- Alter
- 11,0
- Geschlecht
- M
- Eingang
- 22.12.2022
- Impfdatum
- 22.12.2022
- Beginn
- 01.12.2022
- Tage bis Beginn
- -
- Dosis
- 2
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Extra dose administered
Symptomtext
no known adverse event. Patient received duplicate vaccine 3 mos apart. No signs or symptoms 24hrs post receiving vaccines.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Extra dose administered
- Hospital-Tage
- -
- Labordaten
- N/A
- Aktuelle Erkrankungen
- none
- Vorgeschichte
- none
- Andere Medikamente
- none
- Allergien
- KNA
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 40,0
- Geschlecht
- M
- Eingang
- 01.12.2022
- Impfdatum
- 01.12.2022
- Beginn
- 01.12.2022
- Tage bis Beginn
- 0,0
- Dosis
- 2
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Product preparation issue
Underdose
Symptomtext
Pt requested Pfizer Booster/Bivalent to be given, with other vaccines of TDaP and Flu. Pt was given Pedi Pfizer (5-11yo) dose, that was undiluted. AE was noted when counting waste of vaccine for day. Pfizer was called for advise of treatment or steps to be completed for Pt health concerns. Pfizer reported, "Pedi Pfizer Bivalent (5-11yo) dose undiluted , is same as Pfizer Bivalent 12 and up." No further treatment or steps should be taken.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Product preparation issue
- Hospital-Tage
- -
- Labordaten
- N/A
- Aktuelle Erkrankungen
- N/A
- Vorgeschichte
- N/A
- Andere Medikamente
- N/A
- Allergien
- NKDA
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 38,0
- Geschlecht
- F
- Eingang
- 01.12.2022
- Impfdatum
- 01.12.2022
- Beginn
- 01.12.2022
- Tage bis Beginn
- 0,0
- Dosis
- 2
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Product administered to patient of inappropriate age
Product preparation error
Symptomtext
Pt requested to have Pfizer Booster/Bivalent #4 in series, along with TDaP and Flu Vaccines. Pt was given Pedi Pfizer 5-11yo dose, undiluted. AE noted when counting left over/wasted vaccine. Pfizer was call for advise r/t what treatments or steps should be taken for Pt's health concerns. Pfizer reported, " Pedi dose(5-11yo) undiluted, is the same dose as 12 and up dosage. No, further action should be taken
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Product administered to patient of inappropriate age
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- N/A
- Vorgeschichte
- None reported at appt
- Andere Medikamente
- Pyridostigmine
- Allergien
- NKDA
- Vorherige Impfungen
- -
- Staat
- MS
- Alter
- 76,0
- Geschlecht
- F
- Eingang
- 11.11.2022
- Impfdatum
- 11.11.2022
- Beginn
- 11.11.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Product administered to patient of inappropriate age
Symptomtext
try to call patient but line is busy. patient is 76 years and adacel is for patient up to 64 years old.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Product administered to patient of inappropriate age
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- CO
- Alter
- 7,0
- Geschlecht
- M
- Eingang
- 28.10.2022
- Impfdatum
- 13.10.2022
- Beginn
- 13.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- N/A
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Wrong patient received product
Wrong product administered
Symptomtext
Medical Assistant drew up the vaccines mixing up with another patient and gave vaccines to wrong patient.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Wrong patient received product
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- CO
- Alter
- 7,0
- Geschlecht
- M
- Eingang
- 28.10.2022
- Impfdatum
- 13.10.2022
- Beginn
- 13.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- N/A
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Wrong patient received product
Wrong product administered
Symptomtext
Medical Assistant drew up the vaccines mixing up with another patient and gave vaccines to wrong patient.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Wrong patient received product
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- KS
- Alter
- 5,0
- Geschlecht
- M
- Eingang
- 10.10.2022
- Impfdatum
- 10.10.2022
- Beginn
- 10.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / LL
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Unevaluable event
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Unevaluable event
- Hospital-Tage
- -
- Labordaten
- None at this time
- Aktuelle Erkrankungen
- None known
- Vorgeschichte
- None
- Andere Medikamente
- None known
- Allergien
- None
- Vorherige Impfungen
- -
- Staat
- GA
- Alter
- 33,0
- Geschlecht
- F
- Eingang
- 26.08.2022
- Impfdatum
- 24.08.2022
- Beginn
- 24.08.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Hallucination
Hypoaesthesia
Peripheral swelling
Symptomtext
About 2 hours after recieving vaccine patient experienced swelling of the arm, numbness, and tingling sensation on arm and hand, she also reported to have had hallucinations. She went to the emergency room and was given Benadryl.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Hallucination
- Hospital-Tage
- -
- Labordaten
- unknown
- Aktuelle Erkrankungen
- n/a
- Vorgeschichte
- n/a
- Andere Medikamente
- Albuterol sulfate, buspirone, diphenhydramine, vitamin d2, flticasone propionate, hydroxyzine pamoate, loratadine, seroquel,sertraline
- Allergien
- Penicillin, latex
- Vorherige Impfungen
- -