- Staat
- FL
- Alter
- 16,0
- Geschlecht
- M
- Eingang
- 01.03.2022
- Impfdatum
- 25.02.2022
- Beginn
- 26.02.2022
- Tage bis Beginn
- 1,0
- Dosis
- 5
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: ja
Hospital: ja
Disable: unbekannt
ER: ja
Erholt: nein
Activated partial thromboplastin time shortened
Benzodiazepine drug level increased
Blood fibrinogen
Blood gases
Blood pH decreased
C-reactive protein increased
Chest X-ray abnormal
Coma scale
Computerised tomogram head normal
Cortical dysplasia
Culture negative
Electroencephalogram abnormal
Endotracheal intubation
Fibrin D dimer
International normalised ratio normal
Magnetic resonance imaging head normal
Mechanical ventilation
N-terminal prohormone brain natriuretic peptide normal
Symptomtext
At 6:50am on 02/26 (approximately 20 hours post immunization) patient was found by parents in bed with active seizures. EMS arrived and found patient with seizures. Transported to Medical Center. On arrival intermittent seizures with Glascow Coma Scale of 3. Electively intubated. Mechanically ventilated for 36 hours. Extubated on 02/27/22
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Coma scale
- Hospital-Tage
- -
- Labordaten
- Work up shows WBC 31.8k with 45S, 1B, 38L. Platelets 449k. Blood gas shows pH 7.17 with a base deficit of 12.2. PT 12.6. INR 1.1. PTT 39.1. D-Dimer 677. Fibrinogen 352. CRP 1.1. ESR 3. N-Pro NBT 44. Troponin <0.012. UA negative. COVID negative. Cultures negative. Tox screen negative except for benzodiazepine. CXR with possible RML infiltrate. CT scan of the brain negative. MRI of the brain in normal. Continuous video EEG is abnormal due to the presence of intermittent left frontotemporal slowing, often sharply contoured, admixed with the background in awake and sleep states. Findings indicate focal cortical dysfunction in this region.
- Aktuelle Erkrankungen
- COVID on 01/02/2022. URI symptoms with cough and congestion but no fever the week of 02/21/22
- Vorgeschichte
- none
- Andere Medikamente
- none
- Allergien
- none
- Vorherige Impfungen
- -
- Staat
- MI
- Alter
- 3,0
- Geschlecht
- M
- Eingang
- 24.01.2022
- Impfdatum
- 17.01.2022
- Beginn
- 23.01.2022
- Tage bis Beginn
- 6,0
- Dosis
- UNK
- Route/Site
- IM / RL
Tod: ja
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Death
Symptomtext
Specific events unknown to this nurse. Child death was reported from local office with request for records from last 12 months including immunization records. Vaccines were given 6 days prior to death.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Death
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- MI
- Alter
- 3,0
- Geschlecht
- M
- Eingang
- 07.07.2022
- Impfdatum
- 17.05.2022
- Beginn
- 17.06.2022
- Tage bis Beginn
- 31,0
- Dosis
- 1
- Route/Site
- IM / LL
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: ja
Erholt: ja
Crying
Fall
Haematoma
Head injury
Loss of consciousness
Symptomtext
A couple of minutes after receiving a flu vaccine, Patient was sitting in a chair. RN and mom ehard a "thud" on the heater vent and patient was on the floor. Mom immediately picked him up and he started to cry. Mom believes his head hit the vent and floor. Patient was alert and oriented, answering questions appropriately. Ice was placed on his forehead. Mom thinks he looked like he passed out. RN did not witness the fall to to position in the room. Patient had a hematoma on his forehead.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Loss of consciousness
- Hospital-Tage
- -
- Labordaten
- NA
- Aktuelle Erkrankungen
- Unknown
- Vorgeschichte
- Unknown
- Andere Medikamente
- Unknown
- Allergien
- Unknown
- Vorherige Impfungen
- -
- Staat
- HI
- Alter
- 21,0
- Geschlecht
- F
- Eingang
- 21.12.2021
- Impfdatum
- 17.12.2021
- Beginn
- 17.12.2021
- Tage bis Beginn
- 0,0
- Dosis
- 6
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: ja
Erholt: nein
Aphasia
Bell's palsy
COVID-19
Computerised tomogram normal
Facial paralysis
Herpes simplex test negative
Magnetic resonance imaging normal
Paraesthesia oral
SARS-CoV-2 test positive
Vulval ulceration
Symptomtext
She had COVID vaccine on 12/10/2021 then had flu vaccine on 12/17/2021. Patient started to feel tong tingling hours after she got influenza vaccine. She started to have difficulty talking and right sided facial drooping on the next day. She went to emergency department and got diagnosed as Bell's Palsy. She also got diagnosed COVID infection incidentally at ED.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Bell's palsy
- Hospital-Tage
- -
- Labordaten
- COVID positive on 12/18/2021. CT, MRI all normal to exclude stroke at Emergency department on 12/18/2021. Herpes PCR negative on 12/17/2021 at vulva from two 2mm sized ulcers. Waiting for Herpes IgG.
- Aktuelle Erkrankungen
- Possible HSV
- Vorgeschichte
- Corneal Abrasion
- Andere Medikamente
- Tri Sprintec 0.18/0.215/0.25mg/35mcg
- Allergien
- None
- Vorherige Impfungen
- -
- Staat
- CA
- Alter
- 28,0
- Geschlecht
- F
- Eingang
- 29.10.2021
- Impfdatum
- 28.10.2021
- Beginn
- 28.10.2021
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Hypoaesthesia
Paraesthesia oral
Pruritus
Skin warm
Symptomtext
Arm felt itchy/warm and numb, tingling sensation in lips
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Paraesthesia oral
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- penicillin, possibly PEG
- Vorherige Impfungen
- -
- Staat
- VA
- Alter
- 0,8
- Geschlecht
- F
- Eingang
- 01.04.2022
- Impfdatum
- -
- Beginn
- 25.09.2021
- Tage bis Beginn
- -
- Dosis
- UNK
- Route/Site
- - / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Rash
Symptomtext
a rash all over the child's body; Initial information received on 28-Mar-2022 regarding an unsolicited valid non-serious case received from a other health professional. This case involves a 9 months old female patient who experienced a rash all over the body while receiving vaccines HEPATITIS B VACCINE and INFLUENZA QUADRIVAL A-B VACCINE [FLUZONE QIV]. The patient's past medical history, medical treatment(s), vaccination(s) and family history were not provided. On an unknown date, the patient received a dose of suspect INFLUENZA QUADRIVAL A-B VACCINE (formulation, strength: unknown) lot UJ696AA in unknown administration site as immunization. On an unknown date, the patient received a dose of 0.25 ml of suspect HEPATITIS B VACCINE produced by unknown manufacturer (formulation, strength: unknown) lot number not reported in unknown administration site as immunization. The patient used the vaccines for the first time. On 25-SEP-2021 the patient developed a non-serious event a rash all over the child's body (rash) (unknown latency) following the administration of all suspect vaccines. Action taken was not applicable. The patient was treated with DIPHENHYDRAMINE HYDROCHLORIDE (BENADRYL [DIPHENHYDRAMINE HYDROCHLORIDE]) for Rash. At time of reporting, the outcome was Recovering / Resolving for the event.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Rash
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- VA
- Alter
- 0,8
- Geschlecht
- F
- Eingang
- 30.03.2022
- Impfdatum
- 25.09.2021
- Beginn
- 25.09.2021
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / RL
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: ja
Erholt: unbekannt
Oral mucosal eruption
Rash
Symptomtext
Child received Hep B and Fluzone on 9/25/2021. The same day developed rash, so parents took child to ER, was diagnosed: Nonspecific rash around mouth and trunk. Benadry (12.5mg/5ml) 7.875mg was given in the ER
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Rash
- Hospital-Tage
- -
- Labordaten
- Child was sent to see Allergist by PCP
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- IL
- Alter
- 34,0
- Geschlecht
- F
- Eingang
- 09.12.2021
- Impfdatum
- 07.12.2021
- Beginn
- 07.12.2021
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Depressed level of consciousness
Dizziness
Symptomtext
Light headed, Subconscious B/P: 120/76, 40, 86
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Dizziness
- Hospital-Tage
- -
- Labordaten
- NA
- Aktuelle Erkrankungen
- NA
- Vorgeschichte
- NO
- Andere Medikamente
- Birth control, Prozac (antidepressant) , Liammotrigrine (Mood stabilized).
- Allergien
- NA
- Vorherige Impfungen
- -
- Staat
- MD
- Alter
- 21,0
- Geschlecht
- F
- Eingang
- 13.11.2021
- Impfdatum
- 12.11.2021
- Beginn
- 12.11.2021
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: ja
Erholt: nein
Urticaria
Symptomtext
Patient called the pharmacy at about 1 pm, 1 hour after receiving the vaccine that she was experiencing "a reaction." Described hives/vague topical symptoms. I instructed patient to take oral Benadryl and to continue to monitor her symptoms. Instructed her to contact urgent care/emergency services if symptoms worsened. Patient said ok and hung up. I asked her to provide updates when she could. Followed up by phone with her 6 hours later, no answer. I left a voicemail asking for updates as soon as possible.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Urticaria
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- NONE REPORTED
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- NONE REPORTED
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 5,0
- Geschlecht
- F
- Eingang
- 28.10.2021
- Impfdatum
- 26.10.2021
- Beginn
- 26.10.2021
- Tage bis Beginn
- 0,0
- Dosis
- N/A
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Burning sensation
Limb mass
Rash
Rash erythematous
Symptomtext
PT RECEIVED FLU VACCINE 10/26/2021 ON LEFT ARM, AND PT DEVELOPED LUMP WITH A RASH AFTER THE VACCINE, RASH CAN BE DESCRIBED AS RED AND BURNING.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Rash
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- MI
- Alter
- 36,0
- Geschlecht
- M
- Eingang
- 12.10.2021
- Impfdatum
- 11.10.2021
- Beginn
- 11.10.2021
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Abdominal discomfort
Frequent bowel movements
Pruritus
Urticaria
Symptomtext
Received Flu Shot at work (hospital) around 1:00 pm. Developed GI discomfort and frequent stooling between 1:30 to 5:00 pm. At 8pm noticed itching on tops of feet. Woke up at 4 am to itching/hives on tops of both feet, around both armpits, and behind left knee. I've worked in healthcare for over a decade, have gotten my flu shot every year while working in healthcare, have gotten both sets of pfizer Covid vaccines (december 2020/jan 2021) and have never had a reaction to any vaccine previously.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Pruritus
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- Atrial Tachycardia (periodic, taking atenolol for) Irritable Bowel Syndrome
- Andere Medikamente
- Atenolol 25mg PO Daily
- Allergien
- None
- Vorherige Impfungen
- -
- Staat
- -
- Alter
- 36,0
- Geschlecht
- M
- Eingang
- 17.09.2021
- Impfdatum
- 15.09.2021
- Beginn
- 16.09.2021
- Tage bis Beginn
- 1,0
- Dosis
- 1
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Arthralgia
Chills
Headache
Injection site pain
Pain in extremity
Symptomtext
injection site pain left and right arms beginning two hours after injection and worsening over the next 24 hours before gradually decreasing. Pain was worse in left arm versus right. Headache and chills around 3 AM the following morning post injection resolved within 3 hours. Significant right shoulder joint pain at 3 AM approximately 39 hours post injection. Pain was not relieved with 600mg Ibuprofen, stretching or postural changes. Pain eventually resolved spontaneously after about 2 hours.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Arthralgia
- Hospital-Tage
- -
- Labordaten
- none
- Aktuelle Erkrankungen
- none
- Vorgeschichte
- none
- Andere Medikamente
- none
- Allergien
- none
- Vorherige Impfungen
- -
- Staat
- AL
- Alter
- 0,5
- Geschlecht
- F
- Eingang
- 25.03.2022
- Impfdatum
- 23.03.2022
- Beginn
- 23.03.2022
- 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
given too early. first dose received 3/3/2022.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Inappropriate schedule of product administration
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- PA
- Alter
- -
- Geschlecht
- M
- Eingang
- 01.03.2022
- Impfdatum
- 11.11.2021
- Beginn
- 18.02.2022
- Tage bis Beginn
- 99,0
- Dosis
- 3
- Route/Site
- OT / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Product use issue
Symptomtext
patient received 3 doses of FLUZONE QUADRIVALENT with no reported adverse event; Initial information from was received on 22-Feb-2022 regarding an unsolicited valid non-serious case received from other health professional via call center. This case involves a 1years old male patient who received 3 doses of Influenza USP trival A-B high dose subvirion vaccine [Fluzone senior] with no reported adverse event. The patient's past medical history, medical treatment(s), vaccination(s) and family history were not provided. Concomitant medications included Diphtheria vaccine toxoid, pertussis vaccine acellular, tetanus vaccine toxoid (DTAP) and Hepatitis a vaccine (Hepatitis A) for immunization. It was reported that the patient received first dose of suspect Influenza USP trival A-B high dose subvirion vaccine (batch number: UJ696AA) (formulation, lot number, strength, route of administration, administration site: unknown) on 11-Nov-2021, second dose on 20-Dec-2021 and third dose on 18-Feb-2022 (via intramuscular route in the right thigh) for immunization with no reported adverse event (product use issue). Action Taken: not applicable. It was not reported if the patient received a corrective treatment for the event (product use issue). At time of reporting, the outcome was Unknown for the event (product use issue). This suspected adverse reaction report is submitted and classified as a medication error solely and exclusively to ensure the marketing authorization holder's compliance with the requirements set out in the guidelines. The classification as a medical error is in no way intended, nor should it be interpreted or construed as an allegation or claim made by the marketing authorization holder that any third party has contributed to or is to be held liable for the occurrence of this medication error.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Product use issue
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- DTAP; HEPATITIS A
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- TN
- Alter
- 1,5
- Geschlecht
- F
- Eingang
- 12.12.2021
- Impfdatum
- 08.12.2021
- Beginn
- 08.12.2021
- Tage bis Beginn
- 0,0
- Dosis
- N/A
- Route/Site
- IM / LL
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
No adverse event
Symptomtext
No adverse SE were reported or experienced by patient.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- No adverse event
- Hospital-Tage
- -
- Labordaten
- None needed.
- Aktuelle Erkrankungen
- NA
- Vorgeschichte
- NA
- Andere Medikamente
- NA
- Allergien
- NKA
- Vorherige Impfungen
- -
- Staat
- TN
- Alter
- 1,5
- Geschlecht
- F
- Eingang
- 12.12.2021
- Impfdatum
- 08.12.2021
- Beginn
- 08.12.2021
- Tage bis Beginn
- 0,0
- Dosis
- N/A
- Route/Site
- IM / LL
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
No adverse event
Symptomtext
No adverse event or s/s of acute SE noted.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- No adverse event
- Hospital-Tage
- -
- Labordaten
- NA
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- NA
- Andere Medikamente
- NA
- Allergien
- NKA
- Vorherige Impfungen
- -
- Staat
- ME
- Alter
- 88,0
- Geschlecht
- F
- Eingang
- 08.12.2021
- Impfdatum
- 25.10.2021
- Beginn
- 19.11.2021
- Tage bis Beginn
- 25,0
- Dosis
- 2
- Route/Site
- OT / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Extra dose administered
Medication error
Symptomtext
patient received two doses of FLUZONE QUADRIVALENT this year with no adverse event; Initial information received on 30-Nov-2021 regarding an unsolicited valid non-serious case from an other health professional via Agency (under reference 00878749). This case involves an 88 years old female patient who received two doses of INFLUENZA QUADRIVAL A-B MULTIDOSE VACCINE PRESERVED [FLUZONE] this year (extra dose administered). The patient's medical history, medical treatment(s), vaccination(s) and family history were not provided. The patient had no other concomitant vaccines The patient received 0.5 mL first dose of INFLUENZA QUADRIVAL A-B MULTIDOSE VACCINE PRESERVED (lot UJ696AA and expiration date: 30-Jun-2022) via intramuscular route in the left arm on 25-Oct-2021 and 0.5 mL second dose of same vaccine in the right arm on 19-Nov-2021 for prophylactic vaccination. It was a case of an actual medication error due to extra dose administered (same day latency). It was reported "Medical Assistant reported that a patient received two doses of FLUZONE QUADRIVALENT this year. The caller would like to know if there are any adverse events to monitor for and how to proceed. The first dose was administered on 25OCT2021 and the second dose was administered on 19NOV2021. The caller reported that the patient has not reported any adverse side effects or adverse events." At time of reporting, no adverse event 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.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Extra dose administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- AZ
- Alter
- 46,0
- Geschlecht
- F
- Eingang
- 28.09.2021
- Impfdatum
- 28.09.2021
- Beginn
- 28.09.2021
- Tage bis Beginn
- 0,0
- Dosis
- N/A
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Confusional state
Gaze palsy
Mental status changes
Symptomtext
Approximately 10 minutes after receiving vaccine, patient exhibited altered mental status and confusion; eyes fixated upward and to the right for approximately 10-15 seconds. Patient was placed on O2 and EMS called immediately; this practitioner called her name to reorient her and was successful. She was able to answer simple questions at this time. Vitals signs stable when EMS arrived. Full assessment performed by EMS. Patient's son notified. He drove to office and drove her home. She was then notified by our office upon returning home.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Confusional state
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- Baclofen, Duloxetine, Metoprolol, Naproxen, Nortriptyline, Omega-3 fatty acids
- Allergien
- Augmentin, Covid vaccine
- Vorherige Impfungen
- COVID vaccine