- Staat
- NY
- Alter
- 13,0
- Geschlecht
- M
- Eingang
- 25.09.2023
- Impfdatum
- 23.09.2023
- Beginn
- 23.09.2023
- Tage bis Beginn
- 0,0
- Dosis
- N/A
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Pallor
Syncope
Symptomtext
Patient experienced syncope after receiving Hep A, influenza, MenACWY, Tdap, and varicella vaccines. Briefly unresponsive, pale complexion. Recovered quickly; monitored for almost 1 hour.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Syncope
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- Unknown
- Vorgeschichte
- Unknown
- Andere Medikamente
- Unknown
- Allergien
- No known allergies
- Vorherige Impfungen
- -
- Staat
- NH
- Alter
- 12,0
- Geschlecht
- F
- Eingang
- 13.09.2023
- Impfdatum
- 13.09.2023
- Beginn
- 13.09.2023
- Tage bis Beginn
- 0,0
- Dosis
- N/A
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Eye movement disorder
Headache
Hyperhidrosis
Nausea
Pallor
Seizure like phenomena
Tremor
Symptomtext
Patient experienced seizure like activity including eyes rolling, shaking, pale skin and sweating. After a few seconds, patient alert but experienced nausea and headache. Patient was provided ice packs behind the neck, arms and groin. Once able to sit up, patient was provided with juice. After 30min, color back to baseline, no further nausea/headache. Patient able to sit up, stand slowly and ambulate normally. Patient left the office with mom.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Seizure like phenomena
- Hospital-Tage
- -
- Labordaten
- n/a
- Aktuelle Erkrankungen
- n/a
- Vorgeschichte
- n/a
- Andere Medikamente
- Multi vitamin with floride
- Allergien
- NKDA
- Vorherige Impfungen
- -
- Staat
- MI
- Alter
- 4,0
- Geschlecht
- M
- Eingang
- 15.12.2023
- Impfdatum
- 13.12.2023
- Beginn
- 13.12.2023
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: ja
Erholt: nein
Injection site erythema
Injection site swelling
Injection site warmth
Symptomtext
Reported by father that child came home from school on 12/13/23 with right arm swelling (3 golf balls in size) and redness at the deltoid muscle site of injection. Right arm was hot to the touch. Left arm deltoid was red at site of injection. Child was taken to the emergency room for evaluation. Emergency room provided evaluation and then sent home. Child was then taken to the Urgent Care, where patient was evaluated and father told that system was "overstimulated." Patient was provided prescription for antibiotics and steroids.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Injection site erythema
- Hospital-Tage
- -
- Labordaten
- None described by parent.
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- None
- Andere Medikamente
- None
- Allergien
- None
- Vorherige Impfungen
- -
- Staat
- WI
- Alter
- 15,0
- Geschlecht
- F
- Eingang
- 15.10.2023
- Impfdatum
- 13.10.2023
- Beginn
- 15.10.2023
- Tage bis Beginn
- 2,0
- Dosis
- N/A
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Rash
Rash erythematous
Rash pruritic
Therapeutic product ineffective
Urticaria
Symptomtext
Situation: Patient's mother is calling regarding wide spread rash or hives for one day(s) Background: Pertinent Medical Hx: Received flu shot on 10/13/23. Known allergies to latex and penicillins. Mother reports patient has a history of food sensitivity to squash. Patient did eat pumpkin pie yesterday evening. Patient has had mild congested with sneezing over the last couple of weeks. Assessment: Symptoms: itchy, wide spread rash. Described as many small red dots. They are not fluid filled. Denies: fever, oozing, s/s of acute illness, SOB or breathing difficulties. No exposure to any new drugs, foods, soaps, detergents. Denies head ache, belly ache, sore throat. Pain Severity: 0/10 Treatment Tried: none Mom will offer Benadryl and call back if Benadryl is not effective for itching or for rash lasting longer than 3 days.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Rash
- Hospital-Tage
- -
- Labordaten
- N/A
- Aktuelle Erkrankungen
- Congestion and sneezing
- Vorgeschichte
- depression, anxiety, poor sleep
- Andere Medikamente
- melatonin
- Allergien
- Latex and Penicillin (diagnosed) Squash (mother reported)
- Vorherige Impfungen
- -
- Staat
- VA
- Alter
- 49,0
- Geschlecht
- F
- Eingang
- 11.10.2023
- Impfdatum
- 20.09.2023
- Beginn
- 20.09.2023
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: ja
ER: unbekannt
Erholt: nein
Arthralgia
Immediate post-injection reaction
Injection site pain
Musculoskeletal stiffness
Pain in extremity
Product administered at inappropriate site
Tendon pain
Symptomtext
Immediately when the vaccine was injected I felt a sharp pain go down my arm a few inches from the injection site. The injection was placed much higher than I've had previously. My arm has been very painful in the time since (now 3 weeks). It hurts in the shoulder joint, and in the biceps tendon. It is very stiff and painful at night and in the morning, and even once I get it moving it is still very painful during the day. Pain relievers don't work. I have been applying heat per my primary care doctor's recommendation, but it is not getting better.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Arthralgia
- Hospital-Tage
- -
- Labordaten
- None yet. PCP appointment 10/10/23. I was told to apply heat for a few weeks and it should get better. If it does not improve in a few weeks, I will request an MRI.
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- None
- Andere Medikamente
- Singulair 10mg, Lexapro 7.5mg, Multivitamin, Iron, vitamin C, Calcium, Ashwaganda, S-Acetyl Glutathione, SBI Protect, Magnesium Glycinate, GI Revive
- Allergien
- Shellfish, Augmenten
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 11,0
- Geschlecht
- F
- Eingang
- 04.10.2023
- Impfdatum
- 04.10.2023
- Beginn
- 04.10.2023
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Dizziness
Nausea
Nervousness
Pallor
Symptomtext
11 year old female patient came in with parents for school vaccines. She received 5 vaccines (tdap. flu, MCV4, varicella and polio). Immediately after being vaccinated patient became nervous, hot, paleness to skin, dizziness and some nausea. Vitals was taken and a wet cold cloth was put behind her neck. Pt. drank small sips of water and after a few minutes she started to get color back to her skin. She then open her eyes, raised her head. Recovered in 5 minutes.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Dizziness
- Hospital-Tage
- -
- Labordaten
- none
- Aktuelle Erkrankungen
- No
- Vorgeschichte
- No
- Andere Medikamente
- Vitamins
- Allergien
- No
- Vorherige Impfungen
- -
- Staat
- MD
- Alter
- 29,0
- Geschlecht
- F
- Eingang
- 26.09.2023
- Impfdatum
- 08.09.2023
- Beginn
- 01.09.2023
- Tage bis Beginn
- -
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Arthralgia
Exposure during pregnancy
Pain
Pain in extremity
Sleep disorder
Symptomtext
27 weeks pregnant Pain localized to upper deltoid and superior aspect of the shoulder joint and around that area. Not severe but feels it when moving her arm and when she wakes up in the morning after she has been sleeping on her left side She denies having redness or swelling in are of injection after the received the vaccine
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Arthralgia
- Hospital-Tage
- -
- Labordaten
- n/a
- Aktuelle Erkrankungen
- 27 weeks pregnancy
- Vorgeschichte
- -
- Andere Medikamente
- unknown
- Allergien
- n/a
- Vorherige Impfungen
- -
- Staat
- NH
- Alter
- 2,0
- Geschlecht
- M
- Eingang
- 26.09.2023
- Impfdatum
- 25.09.2023
- Beginn
- 26.09.2023
- Tage bis Beginn
- 1,0
- Dosis
- 1
- Route/Site
- IM / RL
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Discomfort
Erythema
Pyrexia
Skin reaction
Swelling
Symptomtext
Developed fever and significant thigh redness and swelling overnight, fever and discomfort have improved, redness and swelling persist, diagnosed as large localized reaction without systemic symptoms
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Pyrexia
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- none
- Vorgeschichte
- none
- Andere Medikamente
- none
- Allergien
- none
- Vorherige Impfungen
- -
- Staat
- KY
- Alter
- 0,6
- Geschlecht
- M
- Eingang
- 11.12.2023
- Impfdatum
- 28.11.2023
- Beginn
- 28.11.2023
- Tage bis Beginn
- 0,0
- Dosis
- 2
- Route/Site
- IM / LL
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Inappropriate schedule of product administration
Symptomtext
Flu vaccine #2 was given 21 days after Flu vaccine #1 was given. It was given 7 days to early since there is supposed to be 28 days between Flu vaccine #1 and Flu vaccine #2.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Inappropriate schedule of product administration
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- VT
- Alter
- 1,0
- Geschlecht
- F
- Eingang
- 29.11.2023
- Impfdatum
- 01.11.2023
- Beginn
- 01.11.2023
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / RL
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Inappropriate schedule of product administration
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Inappropriate schedule of product administration
- Hospital-Tage
- -
- Labordaten
- none
- Aktuelle Erkrankungen
- none
- Vorgeschichte
- Iron-deficiency anemia
- Andere Medikamente
- Ferrous Sulfate Luride
- Allergien
- NKA
- Vorherige Impfungen
- -
- Staat
- VA
- Alter
- 48,0
- Geschlecht
- F
- Eingang
- 20.11.2023
- Impfdatum
- -
- Beginn
- -
- Tage bis Beginn
- -
- Dosis
- UNK
- Route/Site
- OT / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
No adverse event
Product storage error
Symptomtext
products been administered post excursion with no reported adverse event; Initial information received on 08-Nov-2023 regarding an unsolicited valid non-serious case received from other health professional. This case involves a 48 years old female patient who has been administered Influenza Quadrival A-B Multidose vaccine Preserved [fluzone] post excursion 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 an unknown dose of suspect Influenza Quadrival A-B Multidose vaccine preserved Suspension for injection of lot U8041DA and expiry: 28-Jun-2024 via unknown route in unknown administration site for immunization; post excursion with no reported adverse event (poor quality product administered) (latency: same day). No lab data was reported. 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.; Sender's Comments: US-SA-2023SA353747:01836277 US-SA-2023SA353755:01835076, 01836277, 01836324 US-SA-2023SA351631:01835076
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- No adverse event
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- NC
- Alter
- 1,2
- Geschlecht
- M
- Eingang
- 13.11.2023
- Impfdatum
- 10.11.2023
- Beginn
- 10.11.2023
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / RL
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Inappropriate schedule of product administration
No adverse event
Symptomtext
patient was not due for Hep B, was given Hep B in error, No adverse reaction reported by mom
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Inappropriate schedule of product administration
- Hospital-Tage
- -
- Labordaten
- N/A
- Aktuelle Erkrankungen
- N/A
- Vorgeschichte
- -
- Andere Medikamente
- acyclovir hydrocortisone hydroxyzine HCl mupirocin triamcinolone acetonide
- Allergien
- NKDA
- Vorherige Impfungen
- -
- Staat
- KY
- Alter
- 0,5
- Geschlecht
- F
- Eingang
- 02.11.2023
- Impfdatum
- 30.10.2023
- Beginn
- 01.11.2023
- Tage bis Beginn
- 2,0
- Dosis
- 1
- Route/Site
- IM / RL
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Alopecia
Alopecia areata
Haemangioma of skin
Symptomtext
Patient has a small capillary hemangioma in hair line at nape of neck just R of midline. 1 day after her vaccine family noted hair loss overlying this hemangioma. They were seen by myself on 11/2 and she did have a smooth area of hair loss overlying her hemangioma with ongoing hair loss noted circumferentially around this area consistent with alopecia areata. She has been referred to dermatology for additional evaluation
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Alopecia
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- None
- Andere Medikamente
- None
- Allergien
- None
- Vorherige Impfungen
- -
- Staat
- DC
- Alter
- 35,0
- Geschlecht
- F
- Eingang
- 26.09.2023
- Impfdatum
- 29.08.2023
- Beginn
- 29.08.2023
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Bursitis
Product administered at inappropriate site
Shoulder injury related to vaccine administration
X-ray abnormal
Symptomtext
Pt was administered the above Influenza vaccine (she is a RN) and immediately noticed after the vaccine was administered that it was administered too high in the arm. Approximately 1-2 hours later she began to feel pain that did not improve and saw MD who dx pt with SIRVA and Bursitis r/t vaccine administration
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Bursitis
- Hospital-Tage
- -
- Labordaten
- 9/15/2023 Left shoulder x-ray ordered, suggested tylenol along with ice use prn pain 9/25/2023 Dr. suggested Medrol dose pack steroids 9/26/2023 Physical Therapy evaluation visit for shoulder pain r/t SIRVA
- Aktuelle Erkrankungen
- hx of cerebral aneurysm 11/16/2022 Mood and anxiety disorder
- Vorgeschichte
- asthma migraines depression
- Andere Medikamente
- sertraline aspirin Prenatal Vitamin meclizine prn
- Allergien
- No known allergies
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 11,0
- Geschlecht
- M
- Eingang
- 21.09.2023
- Impfdatum
- 12.09.2023
- Beginn
- 12.09.2023
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Discontinued product administered
Symptomtext
Covid vaccine was administered before receiving notice to discard all bivalent covid vaccines
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Discontinued product administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- ADHD
- Vorgeschichte
- -
- Andere Medikamente
- Concerta 27 mg tablet, extended release
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 13,0
- Geschlecht
- F
- Eingang
- 21.09.2023
- Impfdatum
- 12.09.2023
- Beginn
- 12.09.2023
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Discontinued product administered
Symptomtext
Vaccine was administered before receiving notice to discard all bivalent covid vaccines
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Discontinued product administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
