- Staat
- VA
- Alter
- 29,0
- Geschlecht
- M
- Eingang
- 03.12.2022
- Impfdatum
- 03.12.2022
- Beginn
- 03.12.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Face injury
Fall
Syncope
Symptomtext
Patient fainted approximately 3-5 minutes after receiving the the shot..During the vaccine patient showed no signs of an adverse reaction. While walking away after the vaccine was administered patient fell onto the floor. Patient a had two minor injuries to the face. After being alerted, I rushed to the patient's side to assess the situation. Upon assessment, patient a had two minor injuries to the face, he was breathing and talking with no issues. I asked him if he was currently taking any medications or had any medical conditions, to which he responded no. I assisted him to his feet and supported his arms while he walked to our clinical services room. While there, I cleaned his wounds with peroxide and gave him an ice pack for his forehead. I then sat with him until he was stable and his mother came to pick him up.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Syncope
- Hospital-Tage
- -
- Labordaten
- None
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- None
- Andere Medikamente
- None
- Allergien
- None
- Vorherige Impfungen
- -
- Staat
- IA
- Alter
- 38,0
- Geschlecht
- F
- Eingang
- 23.09.2023
- Impfdatum
- 18.09.2023
- Beginn
- 23.09.2023
- Tage bis Beginn
- 5,0
- Dosis
- UNK
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Injection site mass
Injection site swelling
Symptomtext
Patient called 9/23/23 to report a adverse reaction from vaccine on 9/18/23. Patient states the side effect started the morning of 9/23/23 when she called. Patient complained of a swollen arm around the injection site and that the lump was about the size of 1/2-1 baseball. Patient stated it was not red or hot to the touch and that she was going to be icing it.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Injection site mass
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- none
- Vorgeschichte
- gastroparesis and migraines
- Andere Medikamente
- unknown
- Allergien
- none
- Vorherige Impfungen
- -
- Staat
- CA
- Alter
- 15,0
- Geschlecht
- F
- Eingang
- 18.08.2023
- Impfdatum
- 21.07.2023
- Beginn
- 02.08.2023
- Tage bis Beginn
- 12,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Blister
Pruritus
Scab
Scar
Symptomtext
Patient received MMR, IPV, Tdap and Varicella Vaccines on 8/21/2023. Mother reported that around August 2, 2023 around 9:00AM , 12 days after being vaccinated her daughter began to experience itching, and later noticed fluid filled vesicles to her upper torso that looked like she had chicken pox. No other symptoms reported by mother. Upon further assessment today, noted one dry crusty scar to mid upper umbilical region. No rashes, scars or other fluid filled vesicles noted.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Pruritus
- Hospital-Tage
- -
- Labordaten
- None
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- None
- Andere Medikamente
- None
- Allergien
- None
- Vorherige Impfungen
- -
- Staat
- -
- Alter
- 58,0
- Geschlecht
- M
- Eingang
- 29.06.2023
- Impfdatum
- 24.01.2023
- Beginn
- 24.01.2023
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: ja
Erholt: ja
Injection site erythema
Symptomtext
Reported Symptoms: 10022061:INJECTION SITE ERYTHEMA; 10022075:INJECTION SITE
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Injection site erythema
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 12,0
- Geschlecht
- F
- Eingang
- 25.05.2023
- Impfdatum
- 22.05.2023
- Beginn
- 23.05.2023
- 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 pain
Injection site swelling
Local reaction
Symptomtext
Per mom they noticed swelling and slight redness on the left upper arm on 05/23/23. The following days the swelling began to worsen, pain on palpation, and the redness more defined and spreading. Mom scheduled an appt on 05/25/23 where the patient was diagnosed with a local reaction and prescribed Triamcinolone 0.1% apply small application to area bid and Zithromax 250mg 2 tabs on day 1, and 1 tab days 2 and 3. Advised to monitor and no follow up appt necessary at this time.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Injection site erythema
- Hospital-Tage
- -
- Labordaten
- none
- Aktuelle Erkrankungen
- none
- Vorgeschichte
- none
- Andere Medikamente
- none
- Allergien
- nkda
- Vorherige Impfungen
- -
- Staat
- GA
- Alter
- 50,0
- Geschlecht
- M
- Eingang
- 12.05.2023
- Impfdatum
- 11.05.2023
- Beginn
- 12.05.2023
- Tage bis Beginn
- 1,0
- Dosis
- 1
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Blood pressure increased
Headache
Symptomtext
Patient said the 3 imz he got yesterday gave him HighBloodPressure. Turns out he didn't take his bp med yesterday and then he woke with a headache this morning. Says he knows his bp is high when he has a HA so then he takes a bp pill. At one point he said he takes bp pill when he has HA and later he said he takes everyday. Not really clear but he didn't take it yesterday. Said his bp was elevated this morning. He took it again and it was still elevated but not as much. About an hour ago he decided to take a 2nd bp pill. HA and elevated bp/pulse were his only complaints. We advised him to sit for a bit (because he was currently on the clock and busy working) and then take bp again. I advised him to see his dr, urgentcare, or hospital if bp does not come down. He sat for a bit but then left.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Headache
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- none reported
- Vorgeschichte
- high blood pressure and diabetes
- Andere Medikamente
- unknown
- Allergien
- none
- Vorherige Impfungen
- -
- Staat
- KS
- Alter
- 53,0
- Geschlecht
- F
- Eingang
- 07.05.2023
- Impfdatum
- 04.05.2023
- Beginn
- 04.05.2023
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Erythema
Hypersensitivity
Injection site erythema
Injection site pruritus
Peripheral swelling
Symptomtext
had redness and swelling in both right and left arm, was more pronounced in the left arm which received two vaccine, she also had intense itching at the site of administration and significant erythema, was told to take benadryl for itching and allergic reaction and to seek medical care if she has facial swelling or trouble breathing or any worsening symptoms
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Injection site erythema
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- NC
- Alter
- 63,0
- Geschlecht
- M
- Eingang
- 23.04.2023
- Impfdatum
- 14.01.2023
- Beginn
- 14.01.2023
- 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 erythema
Injection site pruritus
Symptomtext
redness and itching at site of the injection 4 months after the injection. Applied allergy cream and antibiotic ointment. I suggested hydrocortisone cream today and to contact his doctor Monday
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Injection site erythema
- Hospital-Tage
- -
- Labordaten
- n/a
- Aktuelle Erkrankungen
- n/a
- Vorgeschichte
- unknown
- Andere Medikamente
- n/a
- Allergien
- n/a
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 41,0
- Geschlecht
- M
- Eingang
- 29.03.2023
- Impfdatum
- 24.03.2023
- Beginn
- 29.03.2023
- Tage bis Beginn
- 5,0
- Dosis
- UNK
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Pain
Pain in extremity
Tenderness
Symptomtext
Nurse Received call from Employee at this time. Pt. states he is calling due to his "arm is quite sore." Pt. reports he was given a TDAP to the right arm on Friday 03/24/23. Pt. reports his arm is sore when he lifts it to turn on the light. Pt. denies redness, swelling, and/or bruising to right arm injection site at this time. Pt. reports pain as a "4" on a 1-10 pain scale at this time. Pt. reports taking Tylenol this morning. Pt. states, "tender when I push on it." Pt. denies taking Motrin as he reports having recent gastritis issues. Pt. was forwarded to the vaccine hotline for guidance. Nurse Received call from vaccine support hotline staff member stating she spoke with the pt. and counseled him to wait another two days to monitor site and "exercise it out." also reports she counseled the pt. to call back if it gets worse.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Pain
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- Pt denies taking Motrin as he reports having recent gastritis issues.
- Vorgeschichte
- Pt denies taking Motrin as he reports having recent gastritis issues.
- Andere Medikamente
- -
- Allergien
- N/A
- Vorherige Impfungen
- -
- Staat
- PA
- Alter
- 11,0
- Geschlecht
- F
- Eingang
- 10.03.2023
- Impfdatum
- 06.02.2023
- Beginn
- 07.02.2023
- Tage bis Beginn
- 1,0
- Dosis
- 2
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect dose administered
Myalgia
Pyrexia
Symptomtext
Patient received adult dose of vaccine and experienced fever and myalgia on day one post vaccine. Patient's parent reported patient had good relief with Tylenol and no symptoms on day two post vaccine.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Myalgia
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- Partial pacreatectomy
- Andere Medikamente
- -
- Allergien
- NKDA
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 11,0
- Geschlecht
- F
- Eingang
- 11.01.2023
- Impfdatum
- 27.12.2022
- Beginn
- 28.12.2022
- Tage bis Beginn
- 1,0
- Dosis
- 1
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Injection site erythema
Injection site induration
Injection site urticaria
Pyrexia
Symptomtext
erythematous wheal with induration on left arm( Menquadfi) site, 4"X4"TDaP site also with mild erythema and induration .
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Injection site erythema
- Hospital-Tage
- -
- Labordaten
- Started on amoxicilin due to fever - 12/29/2022
- Aktuelle Erkrankungen
- No
- Vorgeschichte
- No
- Andere Medikamente
- No
- Allergien
- No
- Vorherige Impfungen
- -
- Staat
- OH
- Alter
- -
- Geschlecht
- U
- Eingang
- 11.01.2023
- Impfdatum
- -
- Beginn
- -
- Tage bis Beginn
- -
- Dosis
- UNK
- Route/Site
- OT / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Headache
Ocular discomfort
Surgery
Visual impairment
Symptomtext
suffering visual disturbances; requiring emergent surgery due to pressure in eyes; headache; Initial information received on 05-Jan-2023 regarding an unsolicited valid non-serious case received from a pharmacist. This case involves an unknown age and unknown gender patient who experienced suffering visual disturbances, requiring emergent surgery due to pressure in eyes and headache while receiving vaccine diphtheria-2/tetanus/5 ac pertussis vaccine [adacel]. 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 diphtheria-2/tetanus/5 ac pertussis vaccine Suspension for injection (unknown strength, dose, frequency) lot U7561AA, expiry date: 09-11-2024 via unknown route in unknown administration site for prophylaxis. On an unknown date the patient developed a non-serious suffering visual disturbances (visual impairment), requiring emergent surgery due to pressure in eyes (ocular discomfort), headache (unknown latency). Lab data was not reported. Action taken was not applicable. It was not reported if the patient received a corrective treatment for all the events. At time of reporting, the outcome was Unknown for all the events.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Headache
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- -
- Alter
- 46,0
- Geschlecht
- M
- Eingang
- 05.01.2023
- Impfdatum
- 25.12.2022
- Beginn
- 26.12.2022
- Tage bis Beginn
- 1,0
- Dosis
- 1
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: ja
Erholt: unbekannt
Burning sensation
Discomfort
Musculoskeletal stiffness
Neuralgia
Pain of skin
Vision blurred
Visual impairment
Symptomtext
Pt is a 46 yo M who presented for finger laceration from breaking glass window while on duty as a firefighter on 12/25. Pt stated his tetanus was not up-to-date and received a dose at the ED. Pt returned to the ED on 12/28 complained about R facial burning sensation and R visual disturbances. Symptom started on 12/26 AM with R paracervical neck stiffness, R parietal scalp pain/pressure, and R blurry vision, without improvement. 12/25 13:10 ? Presented to ED 12/25 14:04 ? Tdap given 12/25 14:30 ? Discharged from ED 12/28 07:15 ? Presented to ED 12/28 10:5 - Discharged from ED Pt received meds include diphenhydramine, fluorescein, ketorolac, prochlorperazine, and tetracaine, during 12/28 admission. Per clinical note, consulted with neuro and agreed presentation was likely neuropathic pain, but no other significant neuro issue. Neck muscle stiffness may be secondary to the Tdap but no local inflammation or pain with ROW with R shoulder/upper arm. Pain improved and blurry vision resolved at the time of discharge. Face sheet sent to ophthalmology clinic for further evaluation. It is not immediately clear if eye-related issue was associated with Tdap; it was not listed as a known side effect. Neck stiffness was likely a side effect to Tdap.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Pain of skin
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- NKDA
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 26,0
- Geschlecht
- F
- Eingang
- 30.12.2022
- Impfdatum
- 23.12.2022
- Beginn
- 23.12.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Magnetic resonance imaging
Pain in extremity
Symptomtext
Pain in arm. I saw her in clinic a week after injection. No injection site abnormality. Pain in consistent part of arm. Shoulder joint itself does not appear involved.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Pain in extremity
- Hospital-Tage
- -
- Labordaten
- MRI is pending
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- None; Tubersol
- Allergien
- Ibuprofen
- Vorherige Impfungen
- -
- Staat
- MA
- Alter
- 37,0
- Geschlecht
- F
- Eingang
- 01.12.2022
- Impfdatum
- 29.11.2022
- Beginn
- 01.12.2022
- Tage bis Beginn
- 2,0
- Dosis
- UNK
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Injection site mass
Injection site pain
Muscle tightness
Neck mass
Tenderness
Symptomtext
I developed soreness and a lump at the injection site about 24 hours afterwards. About 40 hours after I received the vaccine I noticed the right side of my neck just above the collarbone was sore and tight. When I rubbed the area I noticed a marble sized lump on the side of my neck that is tender to the touch.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Injection site mass
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- Hypertension, anxiety/depression
- Andere Medikamente
- Spironolactone, venlafaxine, lisinopril, vitamin D, CoQ10, fish oil, berberine, turmeric, melatonin
- Allergien
- Morphine, latex
- Vorherige Impfungen
- -
- Staat
- IL
- Alter
- 71,0
- Geschlecht
- M
- Eingang
- 13.07.2023
- Impfdatum
- 11.07.2023
- Beginn
- 11.07.2023
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Product administered to patient of inappropriate age
Symptomtext
GIVEN TO PATIENT OUTSIDE AGE RANGE, DID NOT REPORT ANY ADVERSE EFFECTS, PER MFR MAY NOT BE AS EFFECTIVE AS BOOSTRIX FOR OVER 64
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Product administered to patient of inappropriate age
- Hospital-Tage
- -
- Labordaten
- N/A
- Aktuelle Erkrankungen
- none
- Vorgeschichte
- hyperlipidemia
- Andere Medikamente
- zetia lipitor prilosec
- Allergien
- nkda
- Vorherige Impfungen
- -
- Staat
- -
- Alter
- 17,0
- Geschlecht
- M
- Eingang
- 06.06.2023
- Impfdatum
- 01.06.2023
- Beginn
- 01.06.2023
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Wrong product administered
Symptomtext
Patient received incorrect vaccine Tdap instead HPV due to ordering error.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Wrong product administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- AL
- Alter
- 15,0
- Geschlecht
- M
- Eingang
- 22.05.2023
- Impfdatum
- 17.05.2023
- Beginn
- 17.05.2023
- Tage bis Beginn
- 0,0
- Dosis
- 5
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
No adverse event
Product administered to patient of inappropriate age
Vaccination error
Symptomtext
5/22/2023 0955 Patient is 15 years old and was administered ProQuad(MMRV) SQ right arm on 5/17/2023. The patient should have been administered MMR and Varicella separately. ProQuad is not to be administered to patients 13 years or older. Patient tolerated the vaccines well and did not have any adverse reactions.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- No adverse event
- Hospital-Tage
- -
- Labordaten
- N/A
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- None
- Vorherige Impfungen
- -
- Staat
- IN
- Alter
- 2,0
- Geschlecht
- M
- Eingang
- 11.04.2023
- Impfdatum
- 04.04.2023
- Beginn
- 04.04.2023
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / RL
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
No adverse event
Product administered to patient of inappropriate age
Symptomtext
no adverse effects but gave to early
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- No adverse event
- Hospital-Tage
- -
- Labordaten
- none
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- None
- Andere Medikamente
- None
- Allergien
- None
- Vorherige Impfungen
- -
- Staat
- WY
- Alter
- 1,0
- Geschlecht
- F
- Eingang
- 28.03.2023
- Impfdatum
- 27.03.2023
- Beginn
- 27.03.2023
- Tage bis Beginn
- 0,0
- Dosis
- N/A
- Route/Site
- IM / LL
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
No adverse event
Wrong product administered
Symptomtext
Patient came to clinic 3/27/23 for 18 month well child check. She was due for Dtap and Hepatitis A. Family was in agreement to proceed with immunizations. I went back to nurse's station and accidentally grabbed a Tdap vaccine instead of Hepatitis A. I was not aware of this mistake until I was charting the vaccines in chart. I then notified the Vaccine Coordinator who helped me look up potential side effects and potential adverse reaction. Dr. was then notified of the error. She instructed me to contact family and let them know of the error. Family was notified today (3/28/23) and was instructed to watch for adverse reactions and side effects. They were also notified that patient could not receive another vaccine for 1 month. Patient is feeling well and had no symptoms at this time.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- No adverse event
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- No
- Vorgeschichte
- No
- Andere Medikamente
- No
- Allergien
- NKDA
- Vorherige Impfungen
- -
- Staat
- NJ
- Alter
- 31,0
- Geschlecht
- F
- Eingang
- 01.02.2023
- Impfdatum
- 31.01.2023
- Beginn
- 31.01.2023
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- SYR / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
No adverse event
Wrong product administered
Symptomtext
TDAP adacel 0.5 mL administered IM in L deltoid. Pt tolerated well. Lot u7561aa Exp 11/09/2024 NDC 492140089. Tdap vaccine was given instead of the flu vaccine. NO adverse effects to patient or fetus at this time.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- No adverse event
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- n/a
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- no known allergies
- Vorherige Impfungen
- -
- Staat
- NY
- Alter
- 54,0
- Geschlecht
- F
- Eingang
- 10.01.2023
- Impfdatum
- 29.12.2022
- Beginn
- 29.12.2022
- 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
No adverse event
Symptomtext
the patient received a booster dose of Adacel before the ten years of tenivac with no reported adverse event; Initial information received on 04-Jan-2023 regarding an unsolicited valid non-serious case received from a other health professional. This case involves a 54 years old female patient who received a booster dose of diphtheria-2/tetanus/5 ac pertussis vaccine [adacel] before the ten years of tenivac 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 diphtheria vaccine toxoid, tetanus vaccine toxoid (tenivac) for Prophylactic vaccination. On 29-Dec-2022, the patient received a 0.5 ml dose once total of suspect diphtheria-2/tetanus/5 ac pertussis vaccine (Suspension for injection) (lot: U7561AA; expiry date: 09-Nov-2024; strength: standard) via intramuscular route in the right deltoid for Immunization. On 29-Dec-2022 the patient received a booster dose of adacel before the ten years of tenivac with no reported adverse event (inappropriate schedule of product administration) (latency: same day). Action taken was 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
- Inappropriate schedule of product administration
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- TENIVAC
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- OH
- Alter
- -
- Geschlecht
- U
- Eingang
- 07.01.2023
- Impfdatum
- -
- Beginn
- 30.12.2022
- Tage bis Beginn
- -
- Dosis
- UNK
- Route/Site
- OT / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Product storage error
Symptomtext
excursion was due to the door being ajar. The temperature of the refrigerator reached 41.0-62.0 degrees Fahrenheit with no adverse event; Initial information received on 03-Jan-2023 regarding an unsolicited valid serious case received from a other health professional. This case involves an event of product storage error of MENINGOCOCCAL A-C-Y-W135 (T CONJ) VACCINE [MENQUADFI], DIPHTHERIA-2/TETANUS/5 AC PERTUSSIS VACCINE [ADACEL] and DIPHTHERIA/TETANUS/5 HYBRID AC PERTUSSIS/IPV(MRC5)/HIB(PRP/T) VACCINE [PENTACEL] (excursion was due to the door being ajar. the temperature of the refrigerator reached 41.0-62.0 degrees fahrenheit with no adverse event). On 30-Dec-2022, it was reported DIPHTHERIA/TETANUS/5 HYBRID AC PERTUSSIS/IPV(MRC5)/HIB(PRP/T) VACCINE (lot UJ680ABA), DIPHTHERIA-2/TETANUS/5 AC PERTUSSIS VACCINE (lot U7561AA) and MENINGOCOCCAL A-C-Y-W135 (T CONJ) VACCINE lot (U7576AD) (strength, formulation, dose, route and expiry date: unknown) to be used for immunization was exposed to excursion due to the door being ajar. the temperature of the refrigerator reached 41.0-62.0 degrees fahrenheit with no adverse event (product storage error) (unknown latency). Action taken: not applicable. It was not reported if the patient received a corrective treatment for the events. 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
- Product storage error
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -