- Staat
- WA
- Alter
- 4,0
- Geschlecht
- M
- Eingang
- 12.07.2023
- Impfdatum
- 12.07.2023
- Beginn
- 12.07.2023
- Tage bis Beginn
- 0,0
- Dosis
- 5
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Cough
Feeling cold
Papule
Respiratory distress
Tremor
Urticaria
Symptomtext
After vaccines dad said patient had cough and felt cold. RN took patient's temp and was 97.5 ax, patient alert and talking to RN. Did not seem in any respiratory distress. Doctor came in room and listened to lungs and examined him. Injection sites looked normal. Dad then mentioned he was worried and before patient was shaky some after vaccine. Dr. told to monitor for 10 more minutes. RN checked on patient 10 mins later-noticed one hive on stomach. RN took patients oxygen saturation and was 99% and heart rate was 113. Dr. came back in to check on patient and ordered Benadryl. Family declined benadryl. Monitored patient for another 10 minutes. Dr. went back to check on patient and papule was fading upon re check and had continued reassuring exam (per notes of Dr).
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Respiratory distress
- Hospital-Tage
- -
- Labordaten
- none
- Aktuelle Erkrankungen
- dad mentioned patient had had a "cold" about 3 weeks ago and some lingering runny nose.
- Vorgeschichte
- congenital glaucoma, amblyopia of left eye, soy and egg allergy, constipation
- Andere Medikamente
- 2 types of eye drops(dad wasn't aware of the names)
- Allergien
- soy and egg
- Vorherige Impfungen
- -
- Staat
- CA
- Alter
- 4,0
- Geschlecht
- F
- Eingang
- 08.06.2023
- Impfdatum
- 02.06.2023
- Beginn
- 08.06.2023
- Tage bis Beginn
- 6,0
- Dosis
- 2
- Route/Site
- SC / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Febrile convulsion
Symptomtext
Febrile seizure, lasted a few minutes. No prior history of febrile seizures.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Febrile convulsion
- Hospital-Tage
- -
- Labordaten
- None
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- None
- Andere Medikamente
- None
- Allergien
- None
- Vorherige Impfungen
- -
- Staat
- MI
- Alter
- 4,0
- Geschlecht
- M
- Eingang
- 19.05.2023
- Impfdatum
- 20.04.2023
- Beginn
- 04.05.2023
- Tage bis Beginn
- 14,0
- Dosis
- 5
- Route/Site
- IM / LL
Tod: unbekannt
Lebensbedrohlich: ja
Hospital: ja
Disable: unbekannt
ER: ja
Erholt: ja
Condition aggravated
Electroencephalogram abnormal
Encephalopathy
Intensive care
Magnetic resonance imaging head abnormal
Postictal state
Pyrexia
Seizure
Vomiting
Symptomtext
Symptoms began on 5/2/23 with vomiting once, then on 5/3 had more vomiting. On 5/4, he began a fever, then had a seizure. After the seizure, he had a prolonged post-ictal phase. He was transported to a local hospital and transferred to the PICU at a hospital. He was diagnosed with encephalopathy which last several days.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Intensive care
- Hospital-Tage
- 12,0
- Labordaten
- MRI showed enhancement of bilateral thalami, improved at the end of his hospitalization. EEG showed continuous background slowing and attenuation.
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- History of febrile seizure once in the past.
- Andere Medikamente
- None
- Allergien
- None
- Vorherige Impfungen
- -
- Staat
- NY
- Alter
- 4,0
- Geschlecht
- M
- Eingang
- 28.04.2023
- Impfdatum
- 27.04.2023
- Beginn
- 27.04.2023
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: ja
Erholt: ja
Cough
Hypotension
Oxygen saturation decreased
Rash
Sneezing
Swelling face
Symptomtext
coughing, sneezing, facial swelling, rash, low blood pressure, low oxygen saturation; epinephrine and oxygen given, taken to ER for observation where benadryl was also given,
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Hypotension
- Hospital-Tage
- -
- Labordaten
- n/a
- Aktuelle Erkrankungen
- no
- Vorgeschichte
- chrom 9p deletion, global developmental delay-improving, ptosis; ASD; VSD; L foot metatarsus adductus; abnormal brain MRI (hemorrhagic conversions of infacts); hypotonia; umbilical hernia; metopic craniosynostosis and trigonocephaly; L nasolacrimal duct obstruction; L eye glaucoma ; oculplasty 12/18/19; bifrontal orbital advancement with ant vault remodeling-3/2020; post op incision site infection/complication- wound washout and hospitalization from 4/10/20-4/20/20;
- Andere Medikamente
- none
- Allergien
- no
- Vorherige Impfungen
- -
- Staat
- UT
- Alter
- 4,0
- Geschlecht
- F
- Eingang
- 28.11.2023
- Impfdatum
- 17.11.2023
- Beginn
- 17.11.2023
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect dose administered
Pain in extremity
Product preparation error
Symptomtext
*Forgot to use Diluelent for vaccine covid 19 6mo-4yrs* -patient just complained of sore arm for 12 hours. no other symptoms.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Pain in extremity
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- FL
- Alter
- 4,0
- Geschlecht
- F
- Eingang
- 21.10.2023
- Impfdatum
- 18.10.2023
- Beginn
- 19.10.2023
- Tage bis Beginn
- 1,0
- Dosis
- N/A
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Blister
Erythema
Peripheral swelling
Injection site rash
Injection site vesicles
Symptomtext
Left arm developed very large (8.5x4.5cm) area of erythema/swelling with large blisters in center.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Injection site rash
- Hospital-Tage
- -
- Labordaten
- None
- Aktuelle Erkrankungen
- none
- Vorgeschichte
- none
- Andere Medikamente
- none
- Allergien
- none
- Vorherige Impfungen
- -
- Staat
- AZ
- Alter
- 4,0
- Geschlecht
- M
- Eingang
- 08.09.2023
- Impfdatum
- 05.09.2023
- Beginn
- 07.09.2023
- Tage bis Beginn
- 2,0
- Dosis
- UNK
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Erythema
Pain
Skin warm
Swelling
Symptomtext
Redness, swelling, painful, hot to the touch
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Pain
- Hospital-Tage
- -
- Labordaten
- None
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- None
- Andere Medikamente
- Ibuprofen
- Allergien
- NKDA
- Vorherige Impfungen
- -
- Staat
- FL
- Alter
- 5,0
- Geschlecht
- M
- Eingang
- 01.09.2023
- Impfdatum
- 23.08.2023
- Beginn
- 23.08.2023
- Tage bis Beginn
- 0,0
- Dosis
- 5
- Route/Site
- OT / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Immunisation reaction
Pyrexia
Vaccination site erythema
Vaccination site swelling
Symptomtext
diffuse swelling of the entire upper arm; reported vaccine reaction that there was redness; fever; Initial information was received on 25-Aug-2023 regarding an unsolicited valid non-serious case received from a physician. This case involves 5 years old male patient who reported that diffuse swelling of the entire upper arm, reported vaccine reaction that there was redness and fever after receiving diphtheria-15/tetanus/5 hybrid AC pertussis/IPV (MRC5) vaccine [Quadracel]. The patient's past medical history, medical treatment(s), vaccination(s) and family history were not provided. On 23-Aug-2023, the patient received a dose 5 of 0.5 ml of suspect diphtheria-15/tetanus/5 hybrid AC pertussis/IPV (MRC5) vaccine (Suspension for injection) (Frequency : Once, lot U7564AA, Expiry date : 08-Nov-2024, strength was unknown) via intramuscular route in the right arm for Immunization. On 23-Aug-2023 the patient developed diffuse swelling of the entire upper arm (peripheral swelling), reported vaccine reaction that there was redness (erythema) and fever (pyrexia) (latency : same day) following the administration of diphtheria-15/tetanus/5 hybrid AC pertussis/IPV (MRC5) vaccine. Action taken was not applicable. It was not reported if the patient received a corrective treatment for the events (reported vaccine reaction that there was redness, diffuse swelling of the entire upper arm, fever). At time of reporting, the outcome was Unknown for all the events.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Pyrexia
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 4,0
- Geschlecht
- F
- Eingang
- 11.08.2023
- Impfdatum
- 07.08.2023
- Beginn
- 09.08.2023
- Tage bis Beginn
- 2,0
- Dosis
- 1
- Route/Site
- IM / RL
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Pain
Pain of skin
Vaccination site erythema
Vaccination site induration
Vaccination site pain
Vaccination site warmth
Symptomtext
Skin localized pain, tenderness with erythema, induration, and warmth to vaccination area. Treatment : Start Cephalexin Suspension Reconstituted
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Pain
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 4,0
- Geschlecht
- F
- Eingang
- 31.07.2023
- Impfdatum
- 24.07.2023
- Beginn
- 25.07.2023
- Tage bis Beginn
- 1,0
- Dosis
- 4
- Route/Site
- IM / LL
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Immunisation reaction
Injection site erythema
Injection site pain
Injection site warmth
Symptomtext
Patient came in to receive the vaccines above on 07/24/2023. The next day patient started experiencing pain, redness, and mild heat in her left lateral thigh . Patient was seen by PA for the vaccine reaction on 07/26/2023. PA counseled the mother about the reaction. Patient was prescribed benadryl allergy liquid, and ibuprofen. And to follow up if the reaction spreads or symptoms get worse.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Injection site erythema
- Hospital-Tage
- -
- Labordaten
- none
- Aktuelle Erkrankungen
- no illnesses at the time of vaccination
- Vorgeschichte
- none
- Andere Medikamente
- no medications were being taken at the time of vaccination
- Allergien
- Cefdinir
- Vorherige Impfungen
- -
- Staat
- MA
- Alter
- 4,0
- Geschlecht
- M
- Eingang
- 17.07.2023
- Impfdatum
- 14.07.2023
- Beginn
- 15.07.2023
- Tage bis Beginn
- 1,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Hypersensitivity
Injection site erythema
Injection site infection
Injection site rash
Symptomtext
Mom called our office today stating that she believes starting yesterday, patient has large red rash on left deltoid area where he received vaccine. I requested that she send photos to our secure triage email and I had Dr. review them. Per Dr., looks more like an allergy type reaction to the vaccine and luckily, we will not have to provide him with another Kinrix in his lifetime. Mom given signs and symptoms to monitor for advancing allergic reaction or injection site infection as well. Zyrtec, Benadryl and Topical Hydrocortisone 1% advised for treatment and to call if anything changes/worsens.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Injection site erythema
- Hospital-Tage
- -
- Labordaten
- None
- Aktuelle Erkrankungen
- Bilateral serous otitis media
- Vorgeschichte
- None
- Andere Medikamente
- None
- Allergien
- NKA
- Vorherige Impfungen
- -
- Staat
- VA
- Alter
- 4,0
- Geschlecht
- F
- Eingang
- 03.07.2023
- Impfdatum
- 28.06.2023
- Beginn
- 29.06.2023
- Tage bis Beginn
- 1,0
- Dosis
- 5
- Route/Site
- IM / LL
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Contusion
Injection site erythema
Injection site swelling
Peripheral swelling
Rash
Rash macular
Symptomtext
Day 1 after shots, localized redness and swelling at injection sites (sub q, worse than IM). Day 2 after shots, left leg was swollen from thigh crease to knee. Red blotchy rash covering entire thigh. Day 3, swelling was subsiding and area was bruised in appearance. No treatment was needed other than Tylenol and cool compresses.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Injection site erythema
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- Parent described mild redness and swelling with previous vaccines
- Staat
- GA
- Alter
- 4,0
- Geschlecht
- F
- Eingang
- 28.06.2023
- Impfdatum
- 27.06.2023
- Beginn
- 27.06.2023
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- IM / LL
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Injection site erythema
Injection site swelling
Symptomtext
swelling and redness at injection site L thigh. No shortness of breath.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Injection site erythema
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- no
- Vorgeschichte
- no
- Andere Medikamente
- no
- Allergien
- no
- Vorherige Impfungen
- -
- Staat
- CA
- Alter
- 4,0
- Geschlecht
- M
- Eingang
- 28.06.2023
- Impfdatum
- 22.06.2023
- Beginn
- 23.06.2023
- Tage bis Beginn
- 1,0
- Dosis
- UNK
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: ja
Erholt: ja
Blister rupture
Erythema
Injection site vesicles
Scab
Swelling
Ultrasound scan
Symptomtext
According to mom, received 4-year-old vaccines on Thursday. On Friday, patient developed redness and swelling. Patient was seen at clinic, started on Augmentin. Swelling and redness worsen. Patient was seen by radius urgent care 2 days ago was started on clindamycin and Benadryl. Seen at ER 6/25 overall, redness has lessened. However extending towards the distal portion of the upper arm. Ultra sound reassuring. No abscess formation. Labs overall reassuring. We will continue on clinda. At follow up today 6/28 no redness, mild crusting to popped blisters near injection site
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Injection site vesicles
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- Cough for 2 day. Cough is mild per mom. No fever. PE is normal at this time. Probable viral uri.
- Vorgeschichte
- anemia
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- IL
- Alter
- 4,0
- Geschlecht
- M
- Eingang
- 22.06.2023
- Impfdatum
- 20.06.2023
- Beginn
- 22.06.2023
- Tage bis Beginn
- 2,0
- Dosis
- 1
- Route/Site
- IM / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Injection site erythema
Injection site swelling
Injection site warmth
Symptomtext
Redness, swelling, warmth to right deltoid injection site. Dr came in to see patient. Cephalexin and Benadryl prescribed to local pharmacy. Return 2 days for reevaluation.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Injection site erythema
- Hospital-Tage
- -
- Labordaten
- None
- Aktuelle Erkrankungen
- Obesity, Speech delay.
- Vorgeschichte
- Asthma , Autism
- Andere Medikamente
- Flovent inhaler, Albuterol inhaler, Tylenol suspension.
- Allergien
- None
- Vorherige Impfungen
- -
- Staat
- KY
- Alter
- 5,0
- Geschlecht
- F
- Eingang
- 13.06.2023
- Impfdatum
- 09.06.2023
- Beginn
- 10.06.2023
- Tage bis Beginn
- 1,0
- Dosis
- 1
- Route/Site
- IM / LL
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Rash
Rash erythematous
Rash pruritic
Rash vesicular
Symptomtext
Patient developed an erythematous vesicular rash localized to her anterior trunk, flanks, and bilateral hips 24 hours after receiving her routine vaccinations (MMRV and DTaP-IPV) at her 5 year WCC on 6/9/2023. Parent reports the rash was initially faint and became more prominent within 48 hours. Patient reports the rash is itchy. Parent treated with OTC antihistamine which he reports did offer some relief. At her OV on 6/12/2023 parent reports the rash is improving in appearance. Parent reports no associated sx including fever, URI sx, sore throat, vomiting, and diarrhea. No known sick contacts.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Rash
- Hospital-Tage
- -
- Labordaten
- None
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- None
- Andere Medikamente
- None
- Allergien
- None
- Vorherige Impfungen
- -
- Staat
- MA
- Alter
- 4,0
- Geschlecht
- M
- Eingang
- 02.06.2023
- Impfdatum
- 06.02.2023
- Beginn
- 06.02.2023
- Tage bis Beginn
- 0,0
- Dosis
- N/A
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: ja
Erholt: ja
Body temperature increased
Cough
Eye swelling
Feeling hot
Lip swelling
Urticaria
Symptomtext
4 and a half-year-old girl with a known allergy to dogs presented to the ER for lip swelling, eye swelling and hives all over her body. Child had her well-child care visit at which she received DTaP/IPV and MMRV, all antigens she has received before. Child went to bed and then parents heard her scratching furiously with a very mild cough and when they went to check on her they saw that she had "welts" all over her body. She also felt very hot so they took her temperature and found it to be 104. She was not given any Tylenol or Motrin but given the eye swelling, parents called EMS who responded and gave child an EpiPen Junior on route to the ED. Child has been referred to an allergist and is awaiting appointment.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Urticaria
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- Allergy to dogs
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 4,0
- Geschlecht
- F
- Eingang
- 25.05.2023
- Impfdatum
- 23.05.2023
- Beginn
- 24.05.2023
- Tage bis Beginn
- 1,0
- Dosis
- UNK
- Route/Site
- IM / RL
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Injection site erythema
Injection site pain
Injection site swelling
Symptomtext
Parent reports the day following immunization administration, the patient developed redness, swelling, and tenderness to the right thigh overlying the injection site that has been worsening.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Injection site erythema
- Hospital-Tage
- -
- Labordaten
- None
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- None
- Andere Medikamente
- None
- Allergien
- No known drug or food allergies
- Vorherige Impfungen
- -
- Staat
- PA
- Alter
- 4,0
- Geschlecht
- M
- Eingang
- 14.04.2023
- Impfdatum
- 12.04.2023
- Beginn
- 13.04.2023
- Tage bis Beginn
- 1,0
- Dosis
- 5
- Route/Site
- IM / LL
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Erythema
Induration
Injection site erythema
Injection site induration
Injection site swelling
Injection site warmth
Joint swelling
Joint warmth
Pain
Symptomtext
Pain and local mild induration within 12 hours of injection. Worsening induration/redness/warmth AND swelling of entire left upper thigh and left knee by 24 hours (office visit at that time).
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Injection site erythema
- Hospital-Tage
- -
- Labordaten
- None
- Aktuelle Erkrankungen
- Mildly erythematous oropharynx with a few "blisters" on right oropharynx at time of vaccination, no sore throat or fever (incidental finding on exam)
- Vorgeschichte
- NONE
- Andere Medikamente
- NONE
- Allergien
- AMOXIL and CEFPROZIL on allergy list
- Vorherige Impfungen
- -
- Staat
- OK
- Alter
- 4,0
- Geschlecht
- M
- Eingang
- 06.04.2023
- Impfdatum
- 08.03.2023
- Beginn
- 08.03.2023
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / RL
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: ja
Erholt: ja
Injection site discomfort
Injection site erythema
Injection site induration
Injection site oedema
Injection site pain
Symptomtext
Patient's mother reported firmness, redness, slight edema & pain at injection sites via phone call. Call took place 10 PM on 03/08/2023; approx. 12 hours after patient's receipt of DTaP/IPV and MMRV vaccines. Mother's concerns were triaged, and she was advised to have the child assessed at ER / Urgent Care. When the child had workup at ER, he was diagnosed with mild injection site discomfort that had evidently resolved. Tylenol/motrin and continued observation by parent at home recommended by ER. When further contact w/ mother was sought by clinic after this visit (on 03/13/2023), calls were refused due to invalid number / lack of voicemail.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Injection site discomfort
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 4,0
- Geschlecht
- F
- Eingang
- 06.04.2023
- Impfdatum
- 04.04.2023
- Beginn
- 06.04.2023
- Tage bis Beginn
- 2,0
- Dosis
- 5
- Route/Site
- IM / LL
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Injection site erythema
Injection site induration
Injection site pain
Injection site swelling
Injection site warmth
Pain
Symptomtext
Child did well immediately after vaccine with minimal pain and soreness. About 36 hours after vaccination, she developed redness, tenderness, and swelling at the site of quadracel injection. She reported pain with walking, movement, and touch. Area was very hot to touch and firm.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Injection site erythema
- Hospital-Tage
- -
- Labordaten
- 4/6/23 - physical exam findings of large (approx 8 x 8 cm area) of erythema, warmth with central firmness on the left thigh
- Aktuelle Erkrankungen
- none
- Vorgeschichte
- none
- Andere Medikamente
- Multivitamin with iron
- Allergien
- No known allergies
- Vorherige Impfungen
- -
- Staat
- NJ
- Alter
- 4,0
- Geschlecht
- F
- Eingang
- 27.03.2023
- Impfdatum
- 27.03.2023
- Beginn
- 27.03.2023
- Tage bis Beginn
- 0,0
- Dosis
- 5
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: ja
Erholt: ja
Rash
Swelling face
Urticaria
Symptomtext
Patient was given both vaccines at her appointment today, about 45 minutes after leaving mom called to say that the patient was having a reaction to the vaccines, Rash (hives) on face and swollen face and ear. No trouble breathing. Had only had orange juice and crackers that day. Advised patient to go to the ER to be examined and take some benadryl. Was seen at Medical center and given an oral steroid and observed for a period of time. No wheezing. and was discharged and told to follow up with us in the office tomorrow. Called Mom to check on patient later in the day and Pt. was doing fine no symptoms.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Rash
- Hospital-Tage
- -
- Labordaten
- None
- Aktuelle Erkrankungen
- 2/27/23 Upper Respiratory infection with Fever
- Vorgeschichte
- Asthma, Allergic rhinitis, eczema, Increased tone
- Andere Medikamente
- Flovent HFA 44 mcg/ACT, Flonase, zyrtec
- Allergien
- NKDA
- Vorherige Impfungen
- -
- Staat
- FL
- Alter
- 4,0
- Geschlecht
- M
- Eingang
- 24.03.2023
- Impfdatum
- 23.03.2023
- Beginn
- 23.03.2023
- Tage bis Beginn
- 0,0
- Dosis
- 5
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Erythema
Peripheral swelling
Pyrexia
Symptomtext
swelling and redness on right arm and low grade fever (as described by mother)
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Pyrexia
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- FL
- Alter
- 4,0
- Geschlecht
- F
- Eingang
- 06.03.2023
- Impfdatum
- 01.03.2023
- Beginn
- 03.03.2023
- Tage bis Beginn
- 2,0
- Dosis
- 5
- Route/Site
- IM / LL
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Injection site discomfort
Injection site erythema
Injection site inflammation
Injection site swelling
Symptomtext
Late onset (48hrs) large local inflammatory reaction in left thigh, with erythema, disconfort upon palpation , swelling. No fever, no systemic reaction.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Injection site discomfort
- Hospital-Tage
- -
- Labordaten
- none
- Aktuelle Erkrankungen
- none
- Vorgeschichte
- none
- Andere Medikamente
- none
- Allergien
- none
- Vorherige Impfungen
- -
- Staat
- PA
- Alter
- 4,0
- Geschlecht
- M
- Eingang
- 24.02.2023
- Impfdatum
- 22.02.2023
- Beginn
- 23.02.2023
- Tage bis Beginn
- 1,0
- Dosis
- 5
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Injection site swelling
Symptomtext
Abnormal swelling at the injection site.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Injection site swelling
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- CA
- Alter
- 12,0
- Geschlecht
- F
- Eingang
- 05.10.2023
- Impfdatum
- 01.09.2023
- Beginn
- 01.09.2023
- Tage bis Beginn
- 0,0
- Dosis
- N/A
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Wrong product administered
Symptomtext
QUADRACEL (DTAP/IPV) VACCINE WAS GIVEN IN ERROR.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Wrong product administered
- Hospital-Tage
- -
- Labordaten
- N/A
- Aktuelle Erkrankungen
- NONE
- Vorgeschichte
- NONE
- Andere Medikamente
- NONE
- Allergien
- NONE
- Vorherige Impfungen
- -
- Staat
- UT
- Alter
- 7,0
- Geschlecht
- M
- Eingang
- 20.09.2023
- Impfdatum
- 09.08.2023
- Beginn
- 09.08.2023
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- IM / LL
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
No adverse event
Product administered to patient of inappropriate age
Symptomtext
Quadracel, an immunization licensed for ages 4-6, was given to this 7 year old patient. I confirmed with family he did not have any side effects they noted.
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
- CT
- Alter
- 4,0
- Geschlecht
- F
- Eingang
- 12.09.2023
- Impfdatum
- 12.09.2023
- Beginn
- -
- Tage bis Beginn
- -
- Dosis
- 4
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
No adverse event
Product preparation error
Symptomtext
MMR and Varicella were diluted usinf normal saline instead of sterile water. Patient did not have any adverse reaction post vaccination. patient will be contacted to repeat MMR and Varicella vaccine in no earlier than 28 days
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- No adverse event
- Hospital-Tage
- -
- Labordaten
- None
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- None
- Andere Medikamente
- None
- Allergien
- N.K.D.A
- Vorherige Impfungen
- -
- Staat
- CA
- Alter
- 1,3
- Geschlecht
- M
- Eingang
- 25.08.2023
- Impfdatum
- 25.08.2023
- Beginn
- 25.08.2023
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Product administration error
Wrong product administered
Symptomtext
Incident Description: On 25Aug2023, at approximately 1502, an incident occurred involving MAs. MA mistakenly pulled out the incorrect vaccine (Quadracel instead of Pentacel) from the medication storage area, and MA administered the vaccine without properly verifying if it was the correct one as ordered by the doctor. Sequence of Events: 1. MA, while preparing for the vaccination procedure, retrieved a vial of Quadracel from the medication storage area. 2. Due to a momentary lapse in concentration or confusion, MA inadvertently selected the wrong vaccine, which was not the one prescribed by the doctor for the patient. 3. MA, who was responsible for administering the vaccine, did not double-check the vial to ensure it matched the doctor's order. 4. MA proceeded to administer the vaccine to the patient without realizing that it was the incorrect one. Immediate Actions Taken: 1. As soon as the error was identified, MA immediately informed the doctor in charge of the patient's care. 2. The patient was closely monitored for any adverse reactions or side effects resulting from the administration of the incorrect vaccine. 3. The doctor was promptly notified of the incident and provided with all relevant details. 4. The patient's medical records were updated to reflect the incident, including the type of vaccine administered and the incorrect vaccine that was pulled out. Follow-up Actions: 1. Both MAs were counseled regarding the importance of double-checking medications and vaccines before administration. 2. MA was reminded to exercise caution and attentiveness when retrieving medications from the storage area to prevent similar incidents in the future. 3. MA received additional training on medication verification protocols and the importance of adhering to doctor's orders. 4. The incident was reported for further investigation and analysis to identify any system or process failures that may have contributed to the incident.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Product administration error
- Hospital-Tage
- -
- Labordaten
- N/A
- Aktuelle Erkrankungen
- NONE
- Vorgeschichte
- N/A
- Andere Medikamente
- NONE
- Allergien
- NKDA
- Vorherige Impfungen
- -
- Staat
- FL
- Alter
- 5,0
- Geschlecht
- M
- Eingang
- 25.08.2023
- Impfdatum
- 23.08.2023
- Beginn
- 24.08.2023
- Tage bis Beginn
- 1,0
- Dosis
- 5
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Limb girth increased
Vaccination site erythema
Vaccination site induration
Vaccination site swelling
Vaccination site warmth
Symptomtext
Diffuse erythematous swelling on the inner side of the right arm around the vaccine site. Non tender . Mildly firm and warm to touch. Increased girth of the arm due to the swelling ( 22 cms proximally and 19.5 cms distally ) . Swelling is rectangular, 6 inches long and 2.5 inches wide.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Limb girth increased
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- None
- Andere Medikamente
- None
- Allergien
- Eggs . Allergy test positive to Lentils and Peanuts as well but tolerating .
- Vorherige Impfungen
- -
- Staat
- AZ
- Alter
- 0,6
- Geschlecht
- M
- Eingang
- 25.08.2023
- Impfdatum
- 13.07.2023
- Beginn
- 13.07.2023
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- IM / LL
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Product administered to patient of inappropriate age
Symptomtext
outside of recommended age range, no need to repeat
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Product administered to patient of inappropriate age
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- NONE
- Vorgeschichte
- NONE
- Andere Medikamente
- NONE
- Allergien
- SQUASH-RASH
- Vorherige Impfungen
- -
- Staat
- AZ
- Alter
- 3,0
- Geschlecht
- M
- Eingang
- 25.08.2023
- Impfdatum
- 21.07.2023
- Beginn
- 21.07.2023
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Product administered to patient of inappropriate age
Symptomtext
age inappropriate, no need to repeat dose
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Product administered to patient of inappropriate age
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- None
- Andere Medikamente
- None
- Allergien
- NKDA
- Vorherige Impfungen
- -
- Staat
- NY
- Alter
- 1,5
- Geschlecht
- F
- Eingang
- 24.08.2023
- Impfdatum
- 19.05.2023
- Beginn
- 19.05.2023
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- OT / LL
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
No adverse event
Wrong product administered
Symptomtext
18 month old patient received Quadracel instead of the intended dose of Pentacel with no reported adverse event; Initial information received on 21-Aug-2023 regarding an unsolicited valid non-serious case received from a other health professional. This case involves a 18 month old female patient who received diphtheria-15/tetanus/5 hybrid AC pertussis/IPV (VERO) vaccine [Quadracel (VERO)] instead of the intended dose of diphtheria/tetanus/5 hybrid AC pertussis/IPV(VERO)/HIB(PRP/T) vaccine [Pentacel (VERO)] with no reported adverse event. The patient's past medical history, medical treatment(s), vaccination(s) and family history were not provided. On 19-May-2023, the patient received a dose 4 dose 0.5 ml of suspect Diphtheria-15/Tetanus/5 Hybrid AC Pertussis/IPV (VERO) Vaccine Solution for injection lot U7564AA expiry date: 08-Nov-2024 via intramuscular route in the left thigh for immunization. On 19-MAY-2023 18 month old patient received quadracel instead of the intended dose of pentacel with no reported adverse event (wrong product administered) on the same day following the administration of Diphtheria-15/Tetanus/5 Hybrid AC Pertussis/IPV (VERO) Vaccine. Action taken was not applicable. At time of reporting, the outcome was Unknown for the event 18 month old patient received quadracel instead of the intended dose of pentacel 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
- No adverse event
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- AZ
- Alter
- 9,0
- Geschlecht
- M
- Eingang
- 10.08.2023
- Impfdatum
- 19.07.2023
- Beginn
- 19.07.2023
- Tage bis Beginn
- 0,0
- Dosis
- 5
- Route/Site
- IM / LA
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
- Aktuelle Erkrankungen
- none
- Vorgeschichte
- none
- Andere Medikamente
- none
- Allergien
- none
- Vorherige Impfungen
- -
- Staat
- OK
- Alter
- 4,0
- Geschlecht
- M
- Eingang
- 31.07.2023
- Impfdatum
- 24.07.2023
- Beginn
- 24.07.2023
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / LL
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Extra dose administered
Symptomtext
Patient had already received his vaccines on 3/27/23. Then received an additional dose on 7/24/23.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Extra dose administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- NONE
- Vorgeschichte
- TYPE 1 DIABETES, SENSORY DISORDER
- Andere Medikamente
- HUMALOG, CETIRIZINE, GLULCAGON
- Allergien
- NONE
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 1,8
- Geschlecht
- M
- Eingang
- 20.07.2023
- Impfdatum
- 12.07.2023
- Beginn
- 12.07.2023
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- OT / RL
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
No adverse event
Wrong product administered
Symptomtext
22-month-old patient was given QUADRACEL vaccine formulated for a 4?6-year-old with no reported adverse event; Initial information was received on 14-Jul-2023 regarding an unsolicited valid non-serious case received from a other health professional. This case involves 22 months old male patient was given diphtheria-15/tetanus/5 hybrid ac pertussis/ipv (mrc5) (quadracel) vaccine formulated for a 4 to 6-year-old 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 hepatitis a vaccine; and pneumococcal vaccine CONJ 13V (CRM197) (Prevnar 13). On 12-Jul-2023, the patient received a dose of 0.5 ml of suspect diphtheria-15/tetanus/5 hybrid ac pertussis/ipv (mrc5) vaccine(Suspension for injection) (strength was unknown) lot U7564AA, Expiry date : 08-Nov-2024) via intramuscular route in the right thigh for Imunization. On 12-Jul-2023 the patient developed a non-serious event of 22-month-old patient was given quadracel vaccine formulated for a 4 to 6-year-old with no reported adverse event (wrong product administered) (latency: same day) following the administration of diphtheria-15/tetanus/5 hybrid ac pertussis/ipv (mrc5) vaccine. Action taken with DIPHTHERIA, TETANUS, AC PERTUSSIS and ipv VACCINE (Quadracel) was not applicable. At time of reporting, the outcome was Unknown for the event 22-month-old patient was given quadracel vaccine formulated for a 4 to 6-year-old 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 guidelines. The classification as a medical error is in no way intended, nor should it be interpreted or construed as an allegation or claim made by the marketing authorization holder that any third party has contributed to or is to be held liable for the occurrence of this medication error.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- No adverse event
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- AS
- Alter
- 4,0
- Geschlecht
- M
- Eingang
- 14.07.2023
- Impfdatum
- 10.07.2023
- Beginn
- 10.07.2023
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Unevaluable event
Symptomtext
I looked at the box that had the flu shot too fast and mistaked the number of the month. After the vaccine was administered mom had left already so the doctor gave the mom a call.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Unevaluable event
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- CA
- Alter
- 4,0
- Geschlecht
- F
- Eingang
- 28.06.2023
- Impfdatum
- 22.06.2023
- Beginn
- 28.06.2023
- Tage bis Beginn
- 6,0
- Dosis
- 5
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Unevaluable event
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Unevaluable event
- Hospital-Tage
- -
- Labordaten
- Na
- Aktuelle Erkrankungen
- NA
- Vorgeschichte
- Na
- Andere Medikamente
- Na
- Allergien
- NA
- Vorherige Impfungen
- -
- Staat
- MS
- Alter
- 4,0
- Geschlecht
- M
- Eingang
- 22.06.2023
- Impfdatum
- 20.06.2023
- Beginn
- 20.06.2023
- Tage bis Beginn
- 0,0
- Dosis
- 5
- Route/Site
- IM / LL
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: ja
Erholt: nein
Erythema
Local reaction
Skin warm
Symptomtext
Large localized reaction of the left leg with redness and warmth spreading rapidly requiring a visit to ER for steroid administration.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Erythema
- Hospital-Tage
- -
- Labordaten
- none
- Aktuelle Erkrankungen
- not sure
- Vorgeschichte
- N/A
- Andere Medikamente
- not sure
- Allergien
- NKDA
- Vorherige Impfungen
- -
- Staat
- CA
- Alter
- 7,0
- Geschlecht
- F
- Eingang
- 12.06.2023
- Impfdatum
- 19.05.2023
- Beginn
- 19.05.2023
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
No adverse event
Symptomtext
NO KNOWN ADVERSE REACTION REPORTED
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- No adverse event
- Hospital-Tage
- -
- Labordaten
- NONE
- Aktuelle Erkrankungen
- None Known
- Vorgeschichte
- None Known
- Andere Medikamente
- None
- Allergien
- NKA/NKDA
- Vorherige Impfungen
- -
- Staat
- NC
- Alter
- 3,0
- Geschlecht
- M
- Eingang
- 01.06.2023
- Impfdatum
- 01.06.2023
- Beginn
- 01.06.2023
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- IM / LL
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
No adverse event
Symptomtext
Patient was given Quadracel (DTap and Polio) combination in the left vastus lateralis on 06/01/2023. Patient was 3 years and 5 months of age. This was the patients 3rd dose of DTap as well as 3rd dose of Polio. Patient's mother stated the patient had no allergies or previous reactions to any immunizations and signed an immunization consent in chart. Patient was monitored for 20 minutes with no adverse events or any abnormal reactions. Patient alert and well upon leaving Health Dept. Pt left ambulating with parents and siblings.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- No adverse event
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- None
- Andere Medikamente
- N/A
- Allergien
- None
- Vorherige Impfungen
- -
- Staat
- CO
- Alter
- 11,0
- Geschlecht
- F
- Eingang
- 18.05.2023
- Impfdatum
- 18.05.2023
- Beginn
- 18.05.2023
- Tage bis Beginn
- 0,0
- Dosis
- 6
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Extra dose administered
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Extra dose administered
- Hospital-Tage
- -
- Labordaten
- None
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- None
- Andere Medikamente
- None
- Allergien
- None
- Vorherige Impfungen
- -
- Staat
- AR
- Alter
- 4,0
- Geschlecht
- F
- Eingang
- 15.05.2023
- Impfdatum
- 01.05.2023
- Beginn
- 02.05.2023
- Tage bis Beginn
- 1,0
- Dosis
- 5
- Route/Site
- IM / LL
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Erythema
Feeling hot
Nodule
Skin fissures
Skin haemorrhage
Skin swelling
Symptomtext
Mother reported a knot at the site the night of vaccines and gave Motrin and Benadryl. on 5/2/2023. The knot became bigger with heat/redness. Mother reports that the site continued to grow and the skin started crack and bled due to swelling. Patient came into clinic on 05/03/2023 and patient was gave a steroid shot due to reaction, after receiving the injection the redness started to go down along with swelling, 05/15/2023 mother reports that swelling/redness is still there, but has improved.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Erythema
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- N/A
- Vorgeschichte
- N/A
- Andere Medikamente
- guanfacine 1 mg
- Allergien
- Sunscreen causes a rash.
- Vorherige Impfungen
- -
- Staat
- WA
- Alter
- 4,0
- Geschlecht
- M
- Eingang
- 12.05.2023
- Impfdatum
- 12.05.2023
- Beginn
- 12.05.2023
- Tage bis Beginn
- 0,0
- Dosis
- 5
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Extra dose administered
No adverse event
Symptomtext
This writer noted that patient accidently received 2 doses of IPV when lot numbers were entered in electronic medical chart. This writer notified mother of error immediately and assessed patient for adverse reaction. Noted that patient did not have adverse reaction while in clinic. Pt was assessed by provider 40 minutes after this writer administered vaccines. Provider reviewed s/sx mother is to report to clinic.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Extra dose administered
- Hospital-Tage
- -
- Labordaten
- N/A - patient in NAD. VSS.
- Aktuelle Erkrankungen
- NA
- Vorgeschichte
- NA
- Andere Medikamente
- NO
- Allergien
- NKDA
- Vorherige Impfungen
- -
- Staat
- MA
- Alter
- 4,0
- Geschlecht
- F
- Eingang
- 21.04.2023
- Impfdatum
- 21.04.2023
- Beginn
- -
- Tage bis Beginn
- -
- Dosis
- 5
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect dose administered
No adverse event
Product administered to patient of inappropriate age
Wrong product administered
Symptomtext
There were no adverse events/treatments needed for this encounter. Patient was given the Pfizer Bivalent 5-12 y/o, instead of receiving the Pfizer Bivalent 6mos-4 y/o . Patient remained in the office for 30 mins post administration with no complications. Department supervisor reached out to epidemiology and the state to confirm that dose will count towards the series/harm to patient if any.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect dose administered
- Hospital-Tage
- -
- Labordaten
- N/A
- Aktuelle Erkrankungen
- No known illnesses
- Vorgeschichte
- No known health conditions
- Andere Medikamente
- No known medications taken at the time of the vaccination Patient has the following medications on file as PRN: Miralax 17 gm/scoop powder Take 8.5 g by mouth if needed each day (Constipation).
- Allergien
- No known allergies
- Vorherige Impfungen
- -
- Staat
- MO
- Alter
- 4,0
- Geschlecht
- M
- Eingang
- 16.04.2023
- Impfdatum
- 14.04.2023
- Beginn
- 15.04.2023
- Tage bis Beginn
- 1,0
- Dosis
- 1
- Route/Site
- IM / RL
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Erythema
Skin warm
Symptomtext
Adverse Event: Distal half of the right thigh pink, warm, and edematous; pink surrounds entire circumference of thigh. This was noticed by parent 24 hours after the injection. Treatment: Ibuprofen and Benadryl Q 6-8 hours. Cold compresses and elevation. Mom will monitor for worsening. Outcome: TBD
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Erythema
- Hospital-Tage
- -
- Labordaten
- Examination by provider on 4/16/23.
- Aktuelle Erkrankungen
- No
- Vorgeschichte
- None
- Andere Medikamente
- None
- Allergien
- NKA
- Vorherige Impfungen
- -
- Staat
- UT
- Alter
- 1,3
- Geschlecht
- M
- Eingang
- 07.04.2023
- Impfdatum
- 14.03.2023
- Beginn
- 14.03.2023
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- OT / LL
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Medication error
No adverse event
Product administered to patient of inappropriate age
Wrong product administered
Symptomtext
15-month-old patient was inadvertently administered QUADRACEL instead of the intended PENTACEL with no reported AE; 15-month-old patient was inadvertently administered QUADRACEL instead of the intended PENTACEL with no reported AE; Initial information received on 14-Mar-2023 regarding an unsolicited valid non-serious case received from a other health professional. This case involves a 15 months old male patient to whom inadvertently administered diphtheria-15/tetanus/5 hybrid AC pertussis/IPV (VERO) vaccine [Quadracel (VERO)] instead of the intended pentacel with no reported adverse event. The patient's past medical history, medical treatment(s), vaccination(s), concomitant(s) and family history were not provided. Concomitant medications included Varicella zoster vaccine (Varicella Vaccine) for Immunisation. On 14-Mar-2023, the patient received a dose of 0.5 mL dose 4 (primary/booster) of suspect diphtheria-15/tetanus/5 hybrid AC pertussis/IPV (VERO) vaccine, solution for injection, (strength: standard, lot number: U7564AA and expiry date: 08-Nov-2024) via intramuscular route in the left thigh for immunisation. On 14-MAR-2023 the 15-month-old patient was inadvertently administered quadracel instead of the intended pentacel with no reported ae (wrong product administered) (product administered to patient of inappropriate age) (latency: same day) following the administration of diphtheria-15/tetanus/5 hybrid AC pertussis/IPV (VERO) vaccine. On follow up it was reported that, "After receiving quadracel patient had no adverse reaction." No lab data was reported. Action taken was not applicable. At time of reporting, the outcome was Unknown for the events. 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. Additional information received on 04-Apr-2023 from other healthcare professional. Dose number 4 of suspect product was added. Clinical course updated and text amended accordingly.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Medication error
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- VARICELLA VACCINE
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- OH
- Alter
- -
- Geschlecht
- U
- Eingang
- 16.02.2023
- 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
Product storage error
Symptomtext
the temperature excursion was caused by the door to the refrigerator being left open was Negative 5.6 C for 8 HOURS with no reported adverse event; One patient was administered QUADRACEL after not being suitable to use post with no reported adverse event; Initial information received on 13-Feb-2023 regarding an unsolicited valid non-serious case received from a other health professional. This case is linked to cases 2023SA051439, 2023SA051499 and 2023SA052444. This case involves an unknown age/gender patient was administered Diphtheria-15/tetanus/5 hybrid ac pertussis/ipv (mrc5) vaccine [Quadracel] after not being suitable to use post with no reported adverse event and temperature excursion was caused by the door to the refrigerator being left open was negative 5.6 c for 8 hours with no reported adverse event The patient's past medical history, medical treatment(s), vaccination(s) and family history were not provided. On an unknown date, the patient received suspect Diphtheria-15/tetanus/5 hybrid ac pertussis/ipv (mrc5) vaccine Suspension for injection (strength and dose were not reported) (lot U7564AA and expiry date- 08-Nov-2024 ) via unknown route in unknown administration site for immnunisation. On an unknown date one patient was administered quadracel after not being suitable to use post with no reported adverse event (poor quality product administered) It was reported -The temperature excursion was caused by the door to the refrigerator being left open was negative 5.6 c for 8 hours with no reported adverse event (product storage error) (unknown latency). Action taken was not applicable. At time of reporting, the outcome was Unknown for both the events. 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
- TX
- Alter
- 0,2
- Geschlecht
- F
- Eingang
- 06.02.2023
- Impfdatum
- 02.02.2023
- Beginn
- 02.02.2023
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- SYR / LL
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Wrong product administered
Symptomtext
VACCINE SHOULD HAVE BEEN VAXELIS (DTAP/IPV/HEPB/HIB). STAFF GAVE DTAP-IPV.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Wrong product administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- AL
- Alter
- 1,5
- Geschlecht
- M
- Eingang
- 14.12.2022
- Impfdatum
- 08.12.2022
- Beginn
- 08.12.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- OT / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Medication error
No adverse event
Wrong product administered
Symptomtext
was prescribed a DTaP vaccine (manufacturer not named). The administering HCP gave a QUADRACEL DTaP/ IPV instead with no reported adverse event; Initial information received on 09-Dec-2022 regarding an unsolicited valid non-serious case received from a other health professional. This case involves a 18 months old male patient who was prescribed a dtap vaccine (manufacturer not named). The administering hcp(health care professional) gave a quadracel dtap/ ipv instead (DIPHTHERIA-15/TETANUS/5 HYBRID AC PERTUSSIS/IPV (MRC5) VACCINE)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 HEPATITIS B VACCINE (HEPATITIS B VACCINE) for Immunisation; and PNEUMOCOCCAL VACCINE CONJ (PNEUMOCOCCAL CONJUGATE VACCINE) (PCV13)for Immunisation. On 08-Dec-2022, the patient received a dose of 0.5 ml of suspect DIPHTHERIA-15/TETANUS/5 HYBRID AC PERTUSSIS/IPV (MRC5) VACCINE lot U7564AA , expiration date: 08-Nov-2024, via intramuscular route in left VL (full form not specified) as Immunization. On 08-DEC-2022 the patient was prescribed a dtap vaccine (manufacturer not named). the administering hcp gave a quadracel dtap/ ipv instead with no reported adverse event (wrong product administered) same day following the administration of DIPHTHERIA-15/TETANUS/5 HYBRID AC PERTUSSIS/IPV (MRC5) VACCINE. Action taken was not applicable. It was not reported if the patient received a corrective treatment for the event (was prescribed a DTaP vaccine (manufacturer not named). The administering HCP gave a QUADRACEL DTaP/ IPV instead 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
- Medication error
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -