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Reporte zur Charge UJ504AA

Verknuepft ueber VAERS_ID mit VAERSDATA, Vax und Symptoms

1Reporte angezeigt
0Todesfaelle
0Hospitalisiert
0Lebensbedrohlich
0Bleibende Schaeden
GA 1

VAERS 1391214

UNKNOWN MANUFACTURER · VACCINE NOT SPECIFIED (NO BRAND NAME) · Charge UJ504AA

gering
Staat
GA
Alter
1,3
Geschlecht
F
Eingang
11.06.2021
Impfdatum
19.05.2021
Beginn
19.05.2021
Tage bis Beginn
0,0
Dosis
4
Route/Site
OT / LL
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Extra dose administered No adverse event

Symptomtext

Patient received PENTACEL and DAPTACEL this morning, no AE; Initial information was received on 19-May-2021 regarding an unsolicited valid non-serious case from a physician via other health care professional. This case involves a 15 months old female patient who received 0.5 ml fourth dose of DIPHTHERIA/TETANUS/5 HYBRID AC PERTUSSIS/IPV(VERO)/HIB(PRP/T) VACCINE [PENTACEL (VERO)] (lot UJ504AA) and 0.5 ml first dose of DIPHTHERIA-15/TETANUS/5 AC PERTUSSIS VACCINE [DAPTACEL] (lot C5743AA) via intramuscular route in the left thigh for prophylactic vaccination on 19-May-2021 (Extra dose administered) Medical history, medical treatment(s), vaccination(s), concomitant medications and family history were not provided. It was a case of an actual medication error due to Extra dose administered (latency same day) At the time of report, no adverse event was reported. A 15-month-old patient received PENTACEL and DAPTACEL this morning, so patient was duplicated on the DTAP. They were calling to see what they needed to do and what to expect. They were suggested to be on a lookout for any adverse reaction or side effect. They were requesting a response as soon as possible, preferably within 24 hours 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. The classification as a medical error is in no way intended, nor should it be interpreted or construed as an allegation or claim made by the marketing authorization holder that any third party has contributed to or is to be held liable for the occurrence of this medication error.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Extra dose administered
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
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Andere Medikamente
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Allergien
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Vorherige Impfungen
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