- Staat
- MO
- Alter
- 12,0
- Geschlecht
- F
- Eingang
- 16.11.2023
- Impfdatum
- 16.11.2023
- Beginn
- 16.11.2023
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Syncope
Symptomtext
Client was scheduled to receive vaccines at her school immunization clinic. Client had a syncopal episode lasting approximately 15 seconds following Tdap and MCV4 injections. She was given juice to drink and an ice pack to back of neck then felt much better and was ready to get the other vaccines. She had another syncopal episode after receiving the HPV and Flu vaccine injections, this episode also lasting only a few seconds. She drank more juice and was escorted to the school nurse's office where she rested and then was able to return to class.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Syncope
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- VA
- Alter
- 18,0
- Geschlecht
- M
- Eingang
- 11.10.2023
- Impfdatum
- 10.10.2023
- Beginn
- 10.10.2023
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Hyperhidrosis
Syncope
Symptomtext
18 year old male presented for vaccine follow-up. Pt did not have any records and proceeded with catch-up vaccination for school entry. Parent accompanied the pt. Prior to vaccine administration, Pt was feeling nervous but was comfortable to proceed. Pt had a vasovagal response after receiving all intramuscular and intradermal injections. Pt was diaphoretic, and was laid down. Initial BP taken of 84/60, Pt was responsive but eyes were closed. Pt opened eyes given an ice pack to neck and juice. Responded well. Pt was laid down for 10 minutes. After sitting, retake BP 110/75. Pt states that he was feeling better and wanted to continue with remaining subcutaneous injections. Pt left clinic stable. Pt was instructed if any other reactions occur to visit emergency care. Pt will follow up in 2 days at the clinic for TB test review and for a general nurse visit to ensure no further reactions occurred to vaccines.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Syncope
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- NKA
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 11,0
- Geschlecht
- M
- Eingang
- 11.09.2023
- Impfdatum
- 08.09.2023
- Beginn
- 08.09.2023
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Syncope
Symptomtext
Patient was given HPV, Tdap and MCV4 as well as having a finger stick (capillary) to check Lipid panel. Patient was extremely nervous before and after vaccines, and the site of blood seemed to bother him. About five of minutes after receiving the vaccines, he fainted from a sitting position. The doctor immediately went back in, juice and a snack was given. Monitored for another 20 minutes in office and was feeling better shortly after the event
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Syncope
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- AL
- Alter
- 83,0
- Geschlecht
- M
- Eingang
- 31.08.2023
- Impfdatum
- 30.07.2023
- Beginn
- 04.08.2023
- Tage bis Beginn
- 5,0
- Dosis
- 1
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: ja
Disable: ja
ER: unbekannt
Erholt: nein
Guillain-Barre syndrome
Intensive care
Paralysis
Transfusion
Symptomtext
Paralyzed feet, started about a week after receiving vaccines, stated from Dr that it was Guillian Barre syndrome. Received transfusion while in the hospital and in the ICU for 2 weeks. In a long term care facility now
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Guillain-Barre syndrome
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- -
- Alter
- 11,0
- Geschlecht
- F
- Eingang
- 27.07.2023
- Impfdatum
- 27.07.2023
- Beginn
- 27.07.2023
- Tage bis Beginn
- 0,0
- Dosis
- 7+
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Feeling abnormal
Immediate post-injection reaction
Loss of consciousness
Pain
Pain in extremity
Pallor
Vomiting
Symptomtext
Immediately following the MenQuadfi, pt. states her arm was hurting. She said moving the arm made the pain worse. She said she was okay to receive the second vaccine (her Adacel/Tdap), but while administering the vaccine, she stated she didn't feel good and lost consciousness. After about 10-15 seconds, pt. regained consciousness, but was pale and saying she didn't feel good. Pt. then vomited. Dr. went in to assess her and she was still pale and saying she didn't feel well. A few minutes later she vomited again and was given a zofran. 42 minutes into the incident, I checked her vitals again and they were WNL and pt was stating she felt much better and was ready to go home. She was reassessed by the Dr. and sent home stating arm pain was the only remaining symptom.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Loss of consciousness
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- IL
- Alter
- 11,0
- Geschlecht
- F
- Eingang
- 25.07.2023
- Impfdatum
- 05.07.2023
- Beginn
- 22.07.2023
- Tage bis Beginn
- 17,0
- Dosis
- UNK
- Route/Site
- IM / -
Tod: unbekannt
Lebensbedrohlich: ja
Hospital: ja
Disable: unbekannt
ER: ja
Erholt: nein
Albumin globulin ratio decreased
Anaphylactic reaction
Angiogram cerebral normal
Anti-thyroid antibody negative
Areflexia
Arteriogram carotid normal
Ascending flaccid paralysis
Ataxia
Bacterial test positive
Blood albumin decreased
Blood alkaline phosphatase normal
Blood creatinine decreased
Blood culture negative
Blood glucose normal
Blood iron normal
Blood lactate dehydrogenase
Blood test abnormal
Blood urea nitrogen/creatinine ratio increased
Symptomtext
Pt received vaccine on 7/5/23. She began having rhinorrhea around 7/10 or 7/12 so parents started treating with cetirizine & benadryl. Had a headache and possibly vomiting around 7/9. She began having a circumoral rash around 7/15 or 7/18 and parents went to urgent care on 7/21, was prescribed bactrim for the rash, and had two doses that night and the morning of 7/22 at about 10 am. She began having a blotchy rash on the hands around 11 am so parents presented to the emergency department thinking there was a reaction to the bactrim. From the time they left their house, patient was able to walk with slightly ataxic gait, and upon presentation to nearby ER (within approx 15 minutes), patient was unable to walk at all. She continued to have rapid ascending paralysis up to the upper arms. In the ER patient did have vomiting with the hand rash and was treated for anaphylaxis (benadryl, intramuscular epinephrine). Admitted to PICU and received IVIG x2 doses and now on high dose steroids. Has also been on antibiotics since 7/22 - 7/25 at time of filling the form. Developed fevers 2 days after IVIG treatments and has thick secretions/congestion. Her neurologic exam from 7/22 - 7/25 has stayed stable (complete weakness of lower extremities without any movement, no reflexes of lower extremities or upper extremities, and poor coordination of upper arms but can flex biceps and very subtly lift arm off the bed).
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Anaphylactic reaction
- Hospital-Tage
- 3,0
- Labordaten
- CT head without contrast 7/22/23 - negative for acute intracranial process MRI/MRA brain, MRA neck, MRI C-spine, MRI thoracic spine wo contrast on 7/22/23 were normal - MRI C/T spine w/ contrast 7/23 normal - MRI lumbar spine w/ contrast (7/23): small amount of fluid in left lateral & dorsal aspect of L1-L3 level corresponding to the fluid collection w/ mild enhancement - inflammatory vs hyperemic, no clear epidural abscess, continue evaluation recommended. Also w/ abnormal enhancement at S4/S5 sacral levels show mild edema & enhancement at presacral aspect and subcutaneous region possibly, correlate for infection vs inflammation. CSF 7/22: 1 WBC, normal protein, glucose 83, meningitis / encephalitis panel negative 7/22: Plasma cell profile with beta 0.5, gamma 2.0, albumin 3.2, normal ferritin, ceruloplasmin, LDH, normal iron studies, normal anti-thyroglobulin & TPO Ab 7/24 CMP BUN/Cr ratio 27, albumin 2.7, globulin 5.2, A/G ratio serum - 0.5 7/25 CMP: Alk phose 103, albumin 2.4, globulin 4.9, serum A/G ratio 0.5, glucose 145, Cr 0.35, BUN/Cr ratio 37 7/25: procalcitonin 2.04 CBC 7/24 Hgb 9.4, CBC 7/25 8.9 CRP 7/25 0.3 (negative) Urinalysis 7/25 - few bacteria, otherwise normal Ab lyme screen on blood (7/23) - negative Blood culture 7/23 - no growth x2 days
- Aktuelle Erkrankungen
- none
- Vorgeschichte
- Autism spectrum disorder
- Andere Medikamente
- none
- Allergien
- amoxicillin
- Vorherige Impfungen
- -
- Staat
- FL
- Alter
- 25,0
- Geschlecht
- M
- Eingang
- 13.06.2023
- Impfdatum
- 13.06.2023
- Beginn
- 13.06.2023
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Dizziness
Pallor
Presyncope
Symptomtext
Patient and dad came to the pharmacy asking for travel vaccines, and they decided to get 4 vacines each. On questionnaire they answered no to all questions and they weren't afraid or nervous at the time of administration. After patient got the vaccines when he went outside he started feeling dizzy, pale, and almost passed out. I went outside with one of my techs, we gave him alcohol pad to smell, lie down him on his back on one of our benches, and raised his legs. We also put an ice pack on his neck, and recommended him to stay down for about 15-30 min. We also offered him to call EMS.After 10 minutes he tried to sit and he was still feeling dizzy, and nauseated and throwed up a little bit. We checked his blood pressure, was 100/58,pulse was 68.We recommended him to remain lie down on the bench for another 15-20 min. After 20 min more we checked his blood pressure again, it was still low 98/45,pulse was over 100,but he said he want to go outside, and that that has happened to him on the past but when seen blood. Dad was close to him all times. Then, dad decided to take him to the car, when he came back we asked him and the patient was feeling better.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Presyncope
- Hospital-Tage
- -
- Labordaten
- NKA
- Aktuelle Erkrankungen
- NKA
- Vorgeschichte
- NKA
- Andere Medikamente
- NKA
- Allergien
- NKA
- Vorherige Impfungen
- As per patient he has always been impressed by medical procedures, and when he sees blood .As per him not with vaccines before b
- Staat
- PA
- Alter
- 18,0
- Geschlecht
- M
- Eingang
- 25.05.2023
- Impfdatum
- 23.05.2023
- Beginn
- 24.05.2023
- Tage bis Beginn
- 1,0
- Dosis
- 2
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: ja
Erholt: ja
Blindness
Blood glucose
Blood magnesium
Differential white blood cell count
Dizziness
Echocardiogram
Electrocardiogram
Full blood count
Metabolic function test
Syncope
Symptomtext
light headed, vision went out and syncope
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Syncope
- Hospital-Tage
- -
- Labordaten
- Echocardiogram, EKG, magnesium, CMP, glucose and cbc with diff
- Aktuelle Erkrankungen
- 4/24/2023 cough, congestion
- Vorgeschichte
- adhd, central auditory processing disorder, anxiety, autism
- Andere Medikamente
- claritin, flonase
- Allergien
- none
- Vorherige Impfungen
- -
- Staat
- OH
- Alter
- 25,0
- Geschlecht
- F
- Eingang
- 04.05.2023
- 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: ja
Syncope
Symptomtext
vasovagal syncope
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Syncope
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- none
- Vorgeschichte
- no PMH
- Andere Medikamente
- none
- Allergien
- NKA, NKDA
- Vorherige Impfungen
- -
- Staat
- RI
- Alter
- 60,0
- Geschlecht
- F
- Eingang
- 28.08.2023
- Impfdatum
- 24.08.2023
- Beginn
- 28.08.2023
- Tage bis Beginn
- 4,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Condition aggravated
Injection site erythema
Injection site pain
Injection site warmth
Pain
Symptomtext
on 8/25/23 - pt called in with moderate pain. No OTC taken as pt did not want to mask reaction ssx. on 8/28/23 - pt seen with L deltoid erythema- arm is warm to touch and very painful (fire sensation) - Tylenol, Aleve, Ice does not improve. No ssx of infection and defer ABX - to continue Tylenol/NSAID, Ice, and Benadryl.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Condition aggravated
- Hospital-Tage
- -
- Labordaten
- No labs drawn
- Aktuelle Erkrankungen
- none
- Vorgeschichte
- chronic pain disorder; encephalomalacia, depression, seizure disorder, hypertrophic cardiomyopathy , urge incontinence.
- Andere Medikamente
- none
- Allergien
- none
- Vorherige Impfungen
- -
- Staat
- KS
- Alter
- 23,0
- Geschlecht
- F
- Eingang
- 28.06.2023
- Impfdatum
- 28.06.2023
- Beginn
- 28.06.2023
- Tage bis Beginn
- 0,0
- Dosis
- 7+
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Blepharospasm
Chest discomfort
Diarrhoea
Dizziness
Dyspnoea
Extremity contracture
Hypoacusis
Pallor
Paraesthesia
Vomiting
Symptomtext
Patient became lightheaded, dizzy, pallor, felt like it was hard to breath with chest heaviness. Extremities fell asleep and then starting contracting. eye twitching, vomiting, diarrhea. Muffled hearing Patient was given sprite and peanut butter crackers. B/P 100/70 Patient sat in the office for approx. 30 minutes and was monitored. She then stated she felt back to normal and left with her father.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Dyspnoea
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- WA
- Alter
- 50,0
- Geschlecht
- F
- Eingang
- 20.06.2023
- Impfdatum
- 13.06.2023
- Beginn
- 13.06.2023
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Arthralgia
Injected limb mobility decreased
Muscular weakness
Pain
Pain in extremity
Product administered at inappropriate site
Tenderness
Symptomtext
Injection was given into Left lower shoulder above deltoid. Shoulder joint became extremely painful. Shoulder is painful to touch. I have limited range of motion in the left arm related to weakness and pain. Pain is constant with a burning sensation and sharp with movement of arm. I am unable to lift anything with the left arm.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Injected limb mobility decreased
- Hospital-Tage
- -
- Labordaten
- I have not had any testing done. Physician recommended ibuprofen and ice so far.
- Aktuelle Erkrankungen
- none
- Vorgeschichte
- hypertension
- Andere Medikamente
- lisinopril 20mg daily, Wellbutrin 100mg daily, protonix 20mg daily. asprin 81mg daily
- Allergien
- no known allergy
- Vorherige Impfungen
- -
- Staat
- VA
- Alter
- 59,0
- Geschlecht
- F
- Eingang
- 17.10.2023
- Impfdatum
- 12.09.2023
- Beginn
- 14.09.2023
- Tage bis Beginn
- 2,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Injection site erythema
Injection site swelling
Injection site warmth
Symptomtext
Client states she developed redness near the injection site with swelling. Mildly warm to the touch. Denied itching. She stated the redness and swelling lasted for one week before fading away.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Injection site erythema
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- Multi vitamin
- Allergien
- PCN
- Vorherige Impfungen
- -
- Staat
- IA
- Alter
- 19,0
- Geschlecht
- F
- Eingang
- 12.09.2023
- Impfdatum
- 10.09.2023
- Beginn
- 11.09.2023
- Tage bis Beginn
- 1,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: ja
Erholt: nein
Injection site nodule
Injection site pruritus
Injection site swelling
Urticaria
Symptomtext
Donor was given Tdap immunization on 9/10/23. Donor stated on 9/11/23 she had started to develop a nodule, swelling, and itching at the injection site. Donor tried to massage the area and when that did not help, she poured an entire bottle of isopropyl alcohol all over the injection site and arm and then allowed to air dry. When that failed to help she followed her parents' advice and went and worked out. Donor states on 9/12/23 the symptoms have worsened and she has no developed hives that extend from her elbow to the side of her neck on the left side. Donor had called clinic to notify medical staff of the reaction and as of that calling, she was awaiting a ride to go to the emergency room. Unknown if any further issues.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Injection site nodule
- Hospital-Tage
- -
- Labordaten
- Unknown
- Aktuelle Erkrankungen
- Unknown
- Vorgeschichte
- Unknown
- Andere Medikamente
- Unknown
- Allergien
- Latex allergy is only allergy known to our center.
- Vorherige Impfungen
- -
- Staat
- AZ
- Alter
- 28,0
- Geschlecht
- F
- Eingang
- 07.09.2023
- Impfdatum
- 05.09.2023
- Beginn
- 07.09.2023
- Tage bis Beginn
- 2,0
- Dosis
- N/A
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Dizziness
Nausea
Pallor
Retching
Symptomtext
Within approximately 30 minutes from TDAP administration, at approximately 8:15 am, patient experienced lightheadedness, dizziness, nausea, dry heaving, appeared pale per coworkers. Patient work for the day, declined need for medical evaluation. Per patient, all symptoms appeared resolved by 12 pm on date of administration.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Dizziness
- Hospital-Tage
- -
- Labordaten
- None.
- Aktuelle Erkrankungen
- Regular seasonal allergies
- Vorgeschichte
- Anemia, Wolfe-Parkinsons White Syndrome
- Andere Medikamente
- Spironolactone 50 mg PO BID, Daysee Birth Control Pill once daily, Vitamin C Supplement once daily
- Allergien
- None known
- Vorherige Impfungen
- -
- Staat
- IL
- Alter
- 11,0
- Geschlecht
- M
- Eingang
- 11.08.2023
- Impfdatum
- 10.08.2023
- Beginn
- 11.08.2023
- Tage bis Beginn
- 1,0
- Dosis
- 1
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Headache
Nausea
Pain in extremity
Symptomtext
PAIN TO RIGHT ARM, NAUSEA, HEADACHE
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Headache
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- adhd
- Andere Medikamente
- -
- Allergien
- milk protein, hornet venom, anti bacterial soap per mom.
- Vorherige Impfungen
- -
- Staat
- OK
- Alter
- 55,0
- Geschlecht
- F
- Eingang
- 04.08.2023
- Impfdatum
- 01.08.2023
- Beginn
- 02.08.2023
- Tage bis Beginn
- 1,0
- Dosis
- UNK
- Route/Site
- IM / LL
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Injection site erythema
Injection site nodule
Injection site pain
Injection site swelling
Pyrexia
Symptomtext
Patient called back the day after immunization to report injection site was swollen, red and painful. She scheduled for a follow up visit the next day after calling back again and reporting subjective fever, continued pain, and continued redness and nodule. She was seen in clinic on 8/3/23 where she was noted to have a 10 cm erythematous patch over left lateral thigh/glute region with tender central subcutaneous nodule approx 1.5 cm .
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Injection site erythema
- Hospital-Tage
- -
- Labordaten
- NA
- Aktuelle Erkrankungen
- N/A
- Vorgeschichte
- Hypertension, prediabetes, neoplasm right kidney s/p partial nephrectomy 2012
- Andere Medikamente
- Aspirin 81 mg, atorvastatin 40 mg, lisinopril 20- HCTZ 12.5, naproxen 500 mg
- Allergien
- No known allergies
- Vorherige Impfungen
- -
- Staat
- GA
- Alter
- 11,0
- Geschlecht
- F
- Eingang
- 20.07.2023
- Impfdatum
- 13.06.2023
- Beginn
- 13.06.2023
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Fatigue
Loss of personal independence in daily activities
Pain in extremity
Symptomtext
The left arm has been feeling tired with activities, in particular with playing the violin. If she tries to push herself to use the arm her arm, then feels sore and eventually starts to hurt. If she continues to use the arm after this point her arm can feel like it is giving out. Once she gets to that point it takes a while for it to feel better again. This was worse in the first couple of weeks after the vaccine, then improved slightly but has continued to now - 5 weeks postvaccine. She is being sent to physical therapy for an evaluation and treatment.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Fatigue
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- probiotic
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- OH
- Alter
- 56,0
- Geschlecht
- M
- Eingang
- 13.07.2023
- Impfdatum
- 28.06.2023
- Beginn
- 29.06.2023
- Tage bis Beginn
- 1,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Pruritus
Symptomtext
Patient states that he has had a persistent itching in his arm since the day after he received the vaccine on06/28/2023
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Pruritus
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- VA
- Alter
- 53,0
- Geschlecht
- F
- Eingang
- 12.07.2023
- Impfdatum
- 30.05.2023
- Beginn
- 02.06.2023
- Tage bis Beginn
- 3,0
- Dosis
- UNK
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Erythema
Feeling hot
Injection site erythema
Injection site pain
Injection site swelling
Pain in extremity
Peripheral swelling
X-ray
Rash
Symptomtext
On June 2 or 3 2023, my left arm including the injection site became red and swollen with pain that couldn't be controlled. by the morning of June 4, 2023, my arm was double in size, very hot and red and painful. That afternoon, I went to Urgent Care where I was given a steroid injection to stop the swelling and given a 4 day prescription of prednisone to be taken. The swelling stoped but did not reduce so I went back to Urgent Care where they referred me to Sports medicine and was given a steroid taper for 7 days and did x rays in that area, Most of the swelling has gone but the pain is still there and nothing makes it go away.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Rash
- Hospital-Tage
- -
- Labordaten
- x ray tracing
- Aktuelle Erkrankungen
- none
- Vorgeschichte
- none
- Andere Medikamente
- Lyrica 100mg Allergy Relief D
- Allergien
- Benadryl, Topamax, Toradol, Aspirin, Lortab, Ultram, Artificial Strawberries
- Vorherige Impfungen
- -
- Staat
- VA
- Alter
- 53,0
- Geschlecht
- F
- Eingang
- 12.07.2023
- Impfdatum
- 30.05.2023
- Beginn
- 02.06.2023
- Tage bis Beginn
- 3,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Erythema
Feeling hot
Injection site erythema
Injection site pain
Injection site swelling
Pain in extremity
Peripheral swelling
X-ray
Rash
Symptomtext
On June 2 or 3 2023, my left arm including the injection site became red and swollen with pain that couldn't be controlled. by the morning of June 4, 2023, my arm was double in size, very hot and red and painful. That afternoon, I went to Urgent Care where I was given a steroid injection to stop the swelling and given a 4 day prescription of prednisone to be taken. The swelling stoped but did not reduce so I went back to Urgent Care where they referred me to Sports medicine and was given a steroid taper for 7 days and did x rays in that area, Most of the swelling has gone but the pain is still there and nothing makes it go away.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Rash
- Hospital-Tage
- -
- Labordaten
- x ray tracing
- Aktuelle Erkrankungen
- none
- Vorgeschichte
- none
- Andere Medikamente
- Lyrica 100mg Allergy Relief D
- Allergien
- Benadryl, Topamax, Toradol, Aspirin, Lortab, Ultram, Artificial Strawberries
- Vorherige Impfungen
- -
- Staat
- PA
- Alter
- 53,0
- Geschlecht
- M
- Eingang
- 09.07.2023
- Impfdatum
- 08.07.2023
- Beginn
- 09.07.2023
- Tage bis Beginn
- 1,0
- Dosis
- N/A
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Chills
Headache
Pyrexia
Sleep disorder
Symptomtext
Pt stated they woke up @ 3am on 7/9/23 with a headache, fever, and chills. They reported feeling gradually better throughout the day and felt back to normal by time of phone call around 5:15pm on 7/9/23
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Chills
- Hospital-Tage
- -
- Labordaten
- n/a
- Aktuelle Erkrankungen
- NONE REPORTED
- Vorgeschichte
- BLOOD CLOT/CARDIAC ISSUES
- Andere Medikamente
- AMLODIPINE, LOSARTAN, PRAVASTATIN, ELIQUIS
- Allergien
- NKA
- Vorherige Impfungen
- -
- Staat
- VA
- Alter
- 59,0
- Geschlecht
- F
- Eingang
- 17.06.2023
- Impfdatum
- 04.06.2023
- Beginn
- 05.06.2023
- Tage bis Beginn
- 1,0
- Dosis
- 1
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Injection site rash
Peripheral swelling
Symptomtext
PATIENT RECEIVED 2 VACCINES ON 06/04/2023 ( ADACEL ON THE RIGHT ARM) AND ( SHINGRIX ON THE LEFT ARM). SHE COMPLAINED FROM SWOLLEN ARM AND RASH IN HER ( RIGHT ARM ONLY) WHERE ADACEL WAS INJECTED , AND HER LEFT ARM WAS OKAY, SHE CONTACTED HER HEALTH CAREPROVIDER WHO ASKED HER TO CONTACT THE PHARMACY AND REPORT THIS REACTION
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Injection site rash
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- NA
- Vorgeschichte
- NA
- Andere Medikamente
- NA
- Allergien
- Hydrocodone, oxycodone, Acetaminophen
- Vorherige Impfungen
- -
- Staat
- -
- Alter
- 59,0
- Geschlecht
- F
- Eingang
- 31.05.2023
- Impfdatum
- 25.05.2023
- Beginn
- 25.05.2023
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Lymphadenopathy
Pyrexia
Symptomtext
Fever, swollen lymph nodes.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Pyrexia
- Hospital-Tage
- -
- Labordaten
- n/a
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- CA
- Alter
- 11,0
- Geschlecht
- F
- Eingang
- 28.11.2023
- Impfdatum
- 01.11.2023
- Beginn
- -
- Tage bis Beginn
- -
- Dosis
- UNK
- Route/Site
- IM / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
No adverse event
Wrong product administered
Symptomtext
Patient was given Meningococcal B vs Meningococcal. No advers reaction. Patient will need to return for the correct vaccine
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- No adverse event
- Hospital-Tage
- -
- Labordaten
- Not indicated per provider
- Aktuelle Erkrankungen
- congenital vascular malformation,congenital exophthalmos,strab
- Vorgeschichte
- congenital vascular malformation,congenital exophthalmos,strabismus
- Andere Medikamente
- IBU
- Allergien
- NKDA
- Vorherige Impfungen
- -
- Staat
- GA
- Alter
- 2,0
- Geschlecht
- F
- Eingang
- 27.11.2023
- Impfdatum
- 21.11.2023
- Beginn
- 21.11.2023
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- IM / LL
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Wrong product administered
Symptomtext
Tdap was administered to child instead of Dtap in error .
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Wrong product administered
- Hospital-Tage
- -
- Labordaten
- none
- Aktuelle Erkrankungen
- none
- Vorgeschichte
- none
- Andere Medikamente
- none
- Allergien
- none
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 11,0
- Geschlecht
- M
- Eingang
- 18.09.2023
- Impfdatum
- 15.09.2023
- Beginn
- 15.09.2023
- Tage bis Beginn
- 0,0
- Dosis
- 2
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Product administration error
Wrong product administered
Symptomtext
PATIENT RECEIVED TDAP VACCINE INSTEAD OF HPV IN ERROR.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Product administration error
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- NY
- Alter
- 11,0
- Geschlecht
- F
- Eingang
- 15.09.2023
- Impfdatum
- 18.08.2023
- Beginn
- 18.08.2023
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Unevaluable event
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Unevaluable event
- Hospital-Tage
- -
- Labordaten
- n/a
- Aktuelle Erkrankungen
- n/a
- Vorgeschichte
- n/a
- Andere Medikamente
- n/a
- Allergien
- n/a
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 11,0
- Geschlecht
- M
- Eingang
- 29.08.2023
- Impfdatum
- 28.08.2023
- Beginn
- 28.08.2023
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Product administration error
Wrong product administered
Symptomtext
ADMINISTRATION ERROR A Medical Assistant had given the wrong vaccine to the patient. Vaccine that was suppose to be given was MCV Menquadfi but was given instead Men B Bexsero. Provider was informed and parents were contacted to informed them by the provider. CDC and manufacture were contacted for advise on 08/29/23 in the morning, was informed by both parties that there is no harm to the patient as Men B Bexsero can be received to ages 10-20 years old. Patient has not had a reaction.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Product administration error
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- Attention deficit hyperactivity disorder, Autism, Chiari Malformation Type 1, Tourettes Syndrome
- Andere Medikamente
- Dextroamphetamine sulfate, Dyanavel XR
- Allergien
- NKDA
- Vorherige Impfungen
- -
- Staat
- CA
- Alter
- 16,0
- Geschlecht
- M
- Eingang
- 25.08.2023
- Impfdatum
- 25.08.2023
- Beginn
- 25.08.2023
- Tage bis Beginn
- 0,0
- Dosis
- 2
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Inappropriate schedule of product administration
Symptomtext
After administering vaccine to patient, I realized I administered Tdap vaccine sooner than need. I went back to room spoke with patient and legal guardian uncle. I explained the error on my part. I let Uncle know vaccine is not valid. I let Uncle know to keep an eye out for adverse reactions, recommended to go to ER if urgent. Any non-urgent question or concerns he can call public health or PCP. I told uncle, I will be calling him in a week to follow up with patient.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Inappropriate schedule of product administration
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- unknown
- Vorgeschichte
- unknown
- Andere Medikamente
- unknown
- Allergien
- unknown
- Vorherige Impfungen
- -
- Staat
- TN
- Alter
- 22,0
- Geschlecht
- M
- Eingang
- 18.08.2023
- Impfdatum
- 15.08.2023
- Beginn
- 15.08.2023
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- OT / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Accidental exposure to product
Medication error
No adverse event
Syringe issue
Symptomtext
vaccine leaked from the neck of the syringe(tip cap), was shot into the air and dripped onto the patient's arm with no reported adverse event; Initial information received on 15-Aug-2023 regarding an unsolicited valid non-serious case received from a other health professional. This case involves a 22 years old male patient and diphtheria-2/tetanus/5 AC Pertussis Vaccine [Adacel] leaked from the neck of the syringe(tip cap), was shot into the air and dripped onto the patient's arm with no reported adverse event. The patient's past medical history, medical treatment(s), vaccination(s) and family history were not provided. On 15-Aug-2023, the patient received a dose 1 at a dose of 0.5 ml of suspect diphtheria-2/tetanus/5 AC Pertussis Vaccine Suspension for injection (strength: standard, frequency: once, expiry date: 18-Mar-2025 and lot U7671AA) via intramuscular route in the left deltoid for Immunization and on the same day vaccine leaked from the neck of the syringe(tip cap), was shot into the air and dripped onto the patient's arm with no reported adverse event (accidental exposure to product). Action taken: not applicable. At time of reporting, the outcome was Unknown for the event. This suspected adverse reaction report is submitted and classified as a medication error solely and exclusively to ensure the marketing authorization holder's compliance with the requirements set out in the Directive 2001/83/EC and Module VI of the Good Pharmacovigilance Practices. The classification as a medical error is in no way intended, nor should it be interpreted or construed as an allegation or claim made by the marketing authorization holder that any third party has contributed to or is to be held liable for the occurrence of this medication error.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Accidental exposure to product
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- MS
- Alter
- 74,0
- Geschlecht
- F
- Eingang
- 17.07.2023
- Impfdatum
- 11.07.2023
- Beginn
- 11.07.2023
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Hypersensitivity
Symptomtext
LOCAL ALLERGIC REACTION
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Hypersensitivity
- Hospital-Tage
- -
- Labordaten
- N/A
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- SULFUR
- Vorherige Impfungen
- -
- Staat
- MS
- Alter
- 56,0
- Geschlecht
- F
- Eingang
- 14.07.2023
- Impfdatum
- 03.07.2023
- Beginn
- 06.07.2023
- Tage bis Beginn
- 3,0
- Dosis
- UNK
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Erythema
Peripheral swelling
Swelling
Symptomtext
Patient came in 3 days later with a significant swelling in her left arm about 4 cm but she also had a little bit on rash on the left side of her neck with one possible small blister and she looked red in multiple areas of her skin that didn't have rash. there were no breathing or throat findings.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Erythema
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- n/a
- Vorgeschichte
- hypertension, hypothyroidism, imparied fasting glycemia, hand pain
- Andere Medikamente
- losartan, flonase, naproxen, synthroid
- Allergien
- none
- Vorherige Impfungen
- -
- Staat
- OH
- Alter
- 57,0
- Geschlecht
- F
- Eingang
- 03.07.2023
- Impfdatum
- 26.06.2023
- Beginn
- 26.06.2023
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Feeling hot
Symptomtext
pt felt hot, sat and fanned herself. was okay after sitting a few mins
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Feeling hot
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- VA
- Alter
- 47,0
- Geschlecht
- F
- Eingang
- 30.06.2023
- Impfdatum
- 26.06.2023
- Beginn
- 26.06.2023
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Erythema
Induration
Skin swelling
Skin warm
Symptomtext
bright red and warm to touch spot with hard bump under the skin that expanded over the course of 4 days.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Erythema
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- n/a
- Vorgeschichte
- n/a
- Andere Medikamente
- n/a
- Allergien
- sulfa medications, valtrex, triptan medications, Lyrica
- Vorherige Impfungen
- -
- Staat
- NY
- Alter
- 25,0
- Geschlecht
- F
- Eingang
- 26.06.2023
- Impfdatum
- 26.06.2023
- Beginn
- 26.06.2023
- Tage bis Beginn
- 0,0
- Dosis
- N/A
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Wrong product administered
Symptomtext
Wrong vaccination ? Tdap Adsorbed (Adacal) 0.5 mL IM injection mistakenly and initially administered in lieu of intended vaccine HPV Valent 9 (Gardasil 9) 0.5 mL IM injection. Patient involved, unit manager, and ordering MD immediately notified and correct vaccination/ Gardasil 9 subsequently administered in opposite arm s/p confirming no contraindication between simultaneous administration of each medication.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Wrong product administered
- Hospital-Tage
- -
- Labordaten
- Patient received 1st dose of Gardasil 9 Vaccination Series on 04/21/2023 Patient received 2nd dose of Gardasil 9 Vaccination Series on 06/26/2023 Patient received Tdap Adsorbed (Adacel) vaccination on 06/26/2023 Dates of any DTap/ Tdap/ Td doses given previously or date of initial immunization not documented within patient's chart and unknown as per patient, at time of vaccine administration on 06/26/2023. Patient's medical chart marked or flagged for potential gap and tentative need of Tdap vaccination as a result, prior to the administration of both vaccines on 06/23/1993.
- Aktuelle Erkrankungen
- N/A
- Vorgeschichte
- N/A
- Andere Medikamente
- Fluoxetine 30mg once daily
- Allergien
- No Known Allergies
- Vorherige Impfungen
- -
- Staat
- MI
- Alter
- 31,0
- Geschlecht
- F
- Eingang
- 22.06.2023
- Impfdatum
- 14.06.2023
- Beginn
- 14.06.2023
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- OT / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Accidental exposure to product
Device malfunction
Exposure via skin contact
Medication error
No adverse event
Symptomtext
when they were administering ADACEL to a patient, it did not go through needle and medication got onto patient's skin with no reported adverse event; Initial information received on 16-Jun-2023 regarding an unsolicited valid non-serious case received from a consumer/non-hcp. This case involves a 31 years old female patient and reporter reported that Diphtheria-2/Tetanus/5 Ac Pertussis Vaccine [Adacel] administering to her, it did not go through needle and medication got onto patient's skin with no reported adverse event. It was unknown if the patient had any medical history, concomitant disease or risk factor. The patient's past medical treatment(s), vaccination(s) and family history were not provided. On 14-Jun-2023, the patient received a 0.5 ml dose of suspect Diphtheria-2/Tetanus/5 Ac Pertussis Vaccine Suspension for injection (strength: standard, frequency: once, expiry date: 18-Mar-2025, lot U7671AA) via intramuscular route in the right deltoid for immunization and on the same day they were administering adacel to a patient, it did not go through needle and medication got onto patient's skin with no reported adverse event (accidental exposure to product). It was unknown if there were lab data/results available. Reportedly: when they attempted to inject the medication, all of the medication shot out above the needle; states it came from where they attach the needle to the syringe; the serum shot through the side and did not go through the needle. The medication got onto the patient's skin on their arm. The caller states that they had the patient immediately rinse off the affected area and made her wait while they monitored her for any potential reactions; states that the patient was fine and did not experience any reactions afterwards. There was no Broke or cracked during preparation or use and received broken or cracked in the carton. There were not any signs of damage to any other vial in the carton. Action taken: not applicable. At time of reporting, the outcome was Unknown for the event. This suspected adverse reaction report is submitted and classified as a medication error solely and exclusively to ensure the marketing authorization holder's compliance with the requirements set out in the 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
- Accidental exposure to product
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- MI
- Alter
- 93,0
- Geschlecht
- F
- Eingang
- 20.06.2023
- Impfdatum
- 14.06.2023
- Beginn
- 14.06.2023
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- OT / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Incorrect route of product administration
Medication error
Peripheral swelling
Symptomtext
swelling on the forearm; administering it to a 93 year old patient intradermally; Initial information received on 15-Jun-2023 regarding an unsolicited valid non-serious case received from a other health professional. This case involves a 93 years old female patient who had swelling on the forearm and administering it to a 93 year old patient intradermally after 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 14-Jun-2023, the patient received a dose 1 0.5 ml once of suspect diphtheria-2/tetanus/5 ac pertussis vaccine Suspension for injection, (unknown strength, expiration date), lot U7671AA via intradermal route in the left arm for immunisation. On 14-JUN-2023 the patient developed a non-serious swelling on the forearm (peripheral swelling) and administering it to a 93 year old patient intradermally (incorrect route of product administration) (latency: same day). Lab data was not reported. Action taken was not applicable. The patient was treated with FLUOCINONIDE (FLUOCINONIDE) for Peripheral swelling. Outcome: Unknown for all 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 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
- Incorrect route of product administration
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- OH
- Alter
- 12,0
- Geschlecht
- F
- Eingang
- 30.05.2023
- Impfdatum
- 30.05.2023
- Beginn
- 30.05.2023
- Tage bis Beginn
- 0,0
- Dosis
- 6
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: ja
Erholt: ja
Face injury
Fall
Pallor
Secretion discharge
Skin laceration
Symptomtext
Client received vaccines at 1350. Client's skin color normal. Client was engaged with siblings and mother in the room, answering questions appropriately, and moving around the room as normal. RN discussed updated record and client's next appointment with client before dismissing family to leave. Fifteen seconds after family left room, RN hears a heavy impact to the floor. RN leaves clinic room to witness client on floor prone in process of picking herself up from lying to standing fifteen feet from clinic room door. Deep laceration about 0.5" across client's chin observed that was not present before client left clinic room. Client's skin color pale. Client alert and answering mother's and RN's questions appropriately. RN encouraged client to sit down. Gauze and pressure applied to chin laceration by client. Cold water provided to client; client able to sip without issue. Mother stated client has received stitches on chin in the past. After three minutes of sitting, client stated feels well enough to leave. Client denied dizziness and lightheadedness. RN encouraged mother to drive private vehicle closer. RN sat with client on bench inside the entrance of the public building while mother brings vehicle forward. Client told RN that she had not felt well earlier that day, experiencing nausea and "vomited a couple times" that morning. Client stated vomiting had stopped, and she told her mother she felt well enough to receive vaccines. However, client stated she did not eat a lunch before coming to the appointment because of the nausea she experienced that morning. Client stated sipping on water helped her feel better. RN was in the process of encouraging client to eat a snack when she returned home when client became nauseous and vomited water and clear mucous (about 0.5 cup volume). After client vomited, proceeded to drink water; RN advised client to sip water slowly. Mother arrived with vehicle. RN told mother client had vomited. Client stated was feeling better and felt stable to go. RN released client with mother to private vehicle where mother will take client to seek further medical attention for chin laceration.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Face injury
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- Client stated was nauseous and "vomitted a couple times" in the morning of 5/30/2023. Client stated felt better before lunch and told mother felt well enough to receive vaccines. Mother marked on screening form that client was not sick today.
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -