- Staat
- TX
- Alter
- 5,0
- Geschlecht
- F
- Eingang
- 10.01.2022
- Impfdatum
- 06.01.2022
- Beginn
- 06.01.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / LL
Tod: unbekannt
Lebensbedrohlich: ja
Hospital: unbekannt
Disable: unbekannt
ER: ja
Erholt: ja
Anaphylactic reaction
Breath sounds abnormal
Cough
Dyspnoea
Symptomtext
anaphylaxis within 10 minutes of immunizations administered - acute onset of cough without ability to catch breath, diminished lung sounds with bilateral breathing, epinephrine 0.2 mg IM administered with improvement but not resolution in lung sounds. Sent immediately to ED where patient received dose of albuterol nebulized.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Anaphylactic reaction
- Hospital-Tage
- -
- Labordaten
- none
- Aktuelle Erkrankungen
- none
- Vorgeschichte
- underimmunization status
- Andere Medikamente
- none
- Allergien
- none
- Vorherige Impfungen
- -
- Staat
- KY
- Alter
- 8,0
- Geschlecht
- F
- Eingang
- 11.11.2021
- Impfdatum
- 11.11.2021
- Beginn
- 11.11.2021
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Crying
Fall
Loss of consciousness
Visual impairment
Symptomtext
Pt received vaccine in right arm, got off the exam table and sat in a blue chair right next to the exam table, pt then passed out/lost consciousness and fell out of the chair and landed on her right side. Mother who panicked picked pt up off the floor and then laid her on her back. Pt then became conscious and asked "what just happened." Pt then very upset started to cry. She states she sat in the chair and all of the sudden she got black and white spots in her eyes but does not remember falling. Pt then reports she got a similar feeling earlier this year when she got her finger poked. After event, VS stable, pupils PERRLA, pt alert and oriented x4. No bumps or bruises observed specifically on pts head. It was unclear if pt hit her head as I did not witness the start or actual fall of the event. Pt did not seem to think she hit her head. Pt denied any pain after. Pt stable, ambulated out of the clinic with her mother.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Loss of consciousness
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- none
- Vorgeschichte
- none
- Andere Medikamente
- none
- Allergien
- none
- Vorherige Impfungen
- -
- Staat
- -
- Alter
- 51,0
- Geschlecht
- M
- Eingang
- 28.03.2022
- Impfdatum
- 02.12.2021
- Beginn
- 09.01.2022
- Tage bis Beginn
- 38,0
- Dosis
- 1
- Route/Site
- - / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: ja
Disable: unbekannt
ER: ja
Erholt: unbekannt
Cardiac failure acute
Cardiac failure congestive
Dyspnoea
Hypotension
Imaging procedure
Left ventricular failure
White blood cell count increased
Symptomtext
Acute on chronic systolic congestive heart failure - On the day after admission he was given IV lasix and his work of breathing continued to improve. He was transitioned to his home dose of torsemide, 20mg BID. He did develop a slightly elevated white count, however, his breathing was improved, no consolidation seen on imaging, and he had no fever, so there was little clinical concern for pneumonia. His PTA hypertension medications were held due to low pressures. His breathing was improved and he was stable for discharge. ED visit to hospital admission within 6 weeks of receiving the COVID vaccine.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Dyspnoea
- Hospital-Tage
- 2,0
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- NC
- Alter
- 0,6
- Geschlecht
- F
- Eingang
- 14.01.2022
- Impfdatum
- 14.01.2022
- Beginn
- 14.01.2022
- Tage bis Beginn
- 0,0
- Dosis
- 2
- Route/Site
- SYR / RL
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Rash
Symptomtext
Pt presented for 2nd flu shot. A few min after injection, she developed full body rash. No other sx, breathing normal, behaving normally. She was observed for over 30min and rash did not worsen and no other sx developed. recommended zyrtec and tylenol. I am indicating she has not yet recovered b/c the rash is still present.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Rash
- Hospital-Tage
- -
- Labordaten
- N/A
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- None
- Andere Medikamente
- None
- Allergien
- None known
- Vorherige Impfungen
- -
- Staat
- CA
- Alter
- 69,0
- Geschlecht
- F
- Eingang
- 02.01.2022
- Impfdatum
- 31.12.2021
- Beginn
- 31.12.2021
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Headache
Malaise
Symptomtext
patient says that she fell sick after few hours of getting the flu shot this time and she had vomiting vast. this happened later in the night after getting her vaccination. She feels that while she has never felt sick after getting flu shots for many years, this year has very different and she is not feeling very well still. She also headache after for few days which is now better as she took aleve for treating her headache. She says that she has never had any reaction to any vaccines in the past and therefore this was a little abnormal
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Headache
- Hospital-Tage
- -
- Labordaten
- n/a
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- rheumatoid arthritis
- Andere Medikamente
- n/a
- Allergien
- n/a
- Vorherige Impfungen
- -
- Staat
- FL
- Alter
- 4,0
- Geschlecht
- M
- Eingang
- 24.11.2021
- Impfdatum
- 19.11.2021
- Beginn
- 19.11.2021
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / LL
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Erythema
Skin warm
Swelling
Tenderness
Urticaria
Symptomtext
large hives on the entire upper left thigh from front to back , redness mild swelling and increased warmth, tender to touch. No treatment needed at this time , it was improving at the visit on 11-23-21
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Urticaria
- Hospital-Tage
- -
- Labordaten
- no
- Aktuelle Erkrankungen
- no
- Vorgeschichte
- no
- Andere Medikamente
- no
- Allergien
- NKDA, no food allergies
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 48,0
- Geschlecht
- F
- Eingang
- 26.10.2021
- Impfdatum
- 21.10.2021
- Beginn
- 22.10.2021
- Tage bis Beginn
- 1,0
- Dosis
- UNK
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Injection site induration
Symptomtext
Induration at injection site. Onset about a day after vaccine. This resolved on follow up 5 days later
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Injection site induration
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- BC Powder
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 45,0
- Geschlecht
- F
- Eingang
- 13.10.2021
- Impfdatum
- 12.10.2021
- Beginn
- 12.10.2021
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: ja
Erholt: nein
Blood glucose normal
Blood pressure increased
Muscle rigidity
Pain in extremity
Somnolence
Symptomtext
About 10 min after receiving vaccine in her left arm she began complaining about severe pain in her entire right arm and began holding her right arm out rigidly. She got sleepier as the evaulation continued. Elevated bp 170s/100s, O2 sats 96-97%
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Pain in extremity
- Hospital-Tage
- -
- Labordaten
- Blood sugar 105
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- Type 2 diabetes Hypertension
- Andere Medikamente
- none
- Allergien
- Hydrocodone
- Vorherige Impfungen
- -
- Staat
- AR
- Alter
- -
- Geschlecht
- M
- Eingang
- 07.10.2022
- Impfdatum
- 03.10.2022
- Beginn
- 03.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- OT / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Expired product administered
Symptomtext
patient was administered expired fluzone quad (with no reported adverse event); Initial information received on 03-Oct-2022 regarding an unsolicited valid non-serious case received from a other health professional. This case involves adult male patient who was administered expired INFLUENZA QUADRIVAL A-B VACCINE [FLUZONE QUADRIVALENT] with no reported adverse event. The patient's past medical history, medical treatment(s), vaccination(s) and family history were not provided. On 03-Oct-2022, the patient received suspect INFLUENZA QUADRIVAL A-B VACCINE at dose of 0.5 mL, once (1x) (formulation., strength: standard) (lot UJ705AB and expiry date: 30-Jun-2022) via intramuscular route in the right deltoid for immunization which was expired with no reported adverse event expired product administered) (latency: same day). Action taken was not applicable. 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
- Expired product administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- -
- Alter
- 78,0
- Geschlecht
- M
- Eingang
- 17.06.2022
- Impfdatum
- 17.11.2021
- Beginn
- 17.11.2021
- Tage bis Beginn
- 0,0
- Dosis
- 2
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Extra dose administered
Symptomtext
It appears that the patient received a high-dose flu vaccine on 9/30/21 and then a regular flu vaccine on 11/17/21.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Extra dose administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- NH
- Alter
- 0,8
- Geschlecht
- M
- Eingang
- 06.06.2022
- Impfdatum
- 14.04.2022
- Beginn
- 14.04.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- OT / LL
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Poor quality product administered
Product storage error
Symptomtext
administered FLUZONE QUADRIVALENT MDV post excursion.; Initial information received on 24-May-2022 regarding an unsolicited valid non-serious case received from a other health professional. This case involves a 10 months old male patient who was administered fluzone quadrivalent mdv post excursion. while receiving vaccine influenza quadrival a-b vaccine [Fluzone Quadrivalent]. The patient's past medical history, medical treatment(s), vaccination(s) and family history were not provided. On 14-Apr-2022, the patient received a dose of suspect influenza quadrival a-b vaccine lot UJ705AB via intramuscular route in the left thigh. (formulation: unknown, strength: standard, and expiry date: 30-June-2022) the patient was administered fluzone quadrivalent mdv post excursion. (poor quality product administered) following the administration of influenza quadrival a-b vaccine. Action taken with quadrivalent influenza vaccine was not applicable. At time of reporting, the outcome was Unknown for the event administered fluzone quadrivalent mdv post excursion. 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
- Poor quality product administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- NH
- Alter
- 0,8
- Geschlecht
- M
- Eingang
- 24.05.2022
- Impfdatum
- 14.04.2022
- Beginn
- 14.04.2022
- Tage bis Beginn
- 0,0
- Dosis
- 2
- Route/Site
- IM / LL
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
No adverse event
Product storage error
Symptomtext
No adverse event or treatment for patient. Multidose vial experience excursion on the following days due to brief excursion related to inventory & stocking - April 6, 2022 - 8 minutes at 8.1 C April 8, 2022 - 59 minutes at 9.6 C April 11, 2022 - 56 minutes at 9.1 C Vaccine was administered on April 14, 2022 is the dose valid?
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
- KY
- Alter
- 3,0
- Geschlecht
- F
- Eingang
- 25.04.2022
- Impfdatum
- 16.12.2021
- Beginn
- 16.12.2021
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / LL
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Product administered to patient of inappropriate age
Symptomtext
This child was accidently given a COVID injection.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Product administered to patient of inappropriate age
- Hospital-Tage
- -
- Labordaten
- None
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- None
- Andere Medikamente
- No
- Allergien
- No
- Vorherige Impfungen
- -
- Staat
- TN
- Alter
- 22,0
- Geschlecht
- M
- Eingang
- 24.01.2022
- Impfdatum
- 18.11.2021
- Beginn
- 19.11.2021
- Tage bis Beginn
- 1,0
- Dosis
- 6
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Abnormal behaviour
Aggression
Symptomtext
severe aggression, hitting parents, hitting strangers. behavior that is completely out of the normal for him.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Abnormal behaviour
- Hospital-Tage
- -
- Labordaten
- none
- Aktuelle Erkrankungen
- none
- Vorgeschichte
- autism spectrum disorder, obsessive compulsive disorder
- Andere Medikamente
- Xanax, Zyprexa, clonidine, Risperdal, buspirone, topical clindamycin gel, differin, benzyol peroxide, olanzapine, benztropine, lamictal
- Allergien
- penicillins
- Vorherige Impfungen
- -
- Staat
- CO
- Alter
- -
- Geschlecht
- M
- Eingang
- 22.12.2021
- Impfdatum
- 25.10.2021
- Beginn
- -
- Tage bis Beginn
- -
- Dosis
- 2
- Route/Site
- OT / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Respiratory tract congestion
Sinus congestion
Sinus disorder
Wrong product administered
Symptomtext
sinus problems as well as chest congestion; MD stated patient was to have a allergy shot instead of the 2nd vaccine; Initial information received on 10-Dec-2021 regarding an unsolicited valid non-serious case received from a physician via Agency (under the reference 00893233). This case involves a 59 years old male patient who had sinus problems as well as chest congestion (sinus congestion) and md stated patient was to have a allergy shot instead of the 2nd INFLUENZA QUADRIVAL A-B VACCINE [FLUZONE QUADRIVALENT] (wrong product administered). The patient's medical history, medical treatment(s), vaccination(s), concomitant medication(s) and family history were not provided. On 25-Oct-2021, the patient received a first dose of suspect FLUZONE QUADRIVALENT (0.5 ml, lot UJ705AB and expiration date: 30-Jun-2021) via intramuscular route in the right deltoid and on 27-Nov-2021 he also received a second dose of the same vaccine (0.5 ml, lot UJ695AA and expiration date: 30-Jun-2021) via intramuscular route in the left deltoid for prophylactic vaccination. On an unknown date the patient developed a non-serious sinus problems as well as chest congestion (sinus congestion) (unknown latency) following the administration of vaccine. It was an actual medication error due wrong vaccine administered (same day latency). No laboratory data reported. It was not reported if the patient received a corrective treatment. The patient was recovering from the event sinus congestion. 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
- Respiratory tract congestion
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 7,0
- Geschlecht
- M
- Eingang
- 01.11.2021
- Impfdatum
- 31.10.2021
- Beginn
- 31.10.2021
- 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
No adverse event
Product administered to patient of inappropriate age
Product administration error
Symptomtext
No adverse events known at this time. We are reporting an administration error where the patient received the incorrect vaccine and dosage for their age. Patient received a full dose of Pfizer-BioNTech COVID-19 vaccine.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect dose administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- -
- Geschlecht
- F
- Eingang
- 28.10.2021
- Impfdatum
- 27.09.2021
- Beginn
- 12.10.2021
- Tage bis Beginn
- 15,0
- Dosis
- 2
- Route/Site
- OT / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: ja
Erholt: nein
Blood pressure increased
Extra dose administered
Medication error
Muscle spasms
Symptomtext
spasms of the opposite arm; rapid increase of blood pressure; extra dose of FLUZONE QIV MDV being administered to a patient; Initial information received on 13-Oct-2021 regarding an unsolicited valid non-serious case received from an other health professional via agency (under the reference 00810876). This case involves a 45 years old female patient had spasms of the opposite arm (muscle spasms) and rapid increase of blood pressure (blood pressure increased) after receiving extra dose of INFLUENZA QUADRIVAL A-B MULTIDOSE VACCINE PRESERVED [FLUZONE] (extra dose administered). The patient's past vaccination(s) included FLUZONE QUADRIVALENT with once had a previous dose on 27-SEP-2021 (0.5 ml, total) for prophylactic vaccination. The patient's medical history, medical treatment(s), concomitant medication(s) and family history were not provided. On 12-Oct-2021, the patient received a second dose of suspect FLUZONE (0.5 ml, total, once, lot UJ705AB and expiration date not provided) via intramuscular route in the left deltoid for prophylactic vaccination. On 12-OCT-2021 the patient developed a non-serious spasms of the opposite arm (muscle spasms) and rapid increase of blood pressure (blood pressure increased), same day following the administration of vaccine. It was an actual medication error due to extra dose administered (same day latency) No laboratory data reported. It was reported "Nurse calling in regards to a extra dose of FLUZONE QIV MDV being administered to a patient. Nurse would like to know which adverse events to look out for in the patient? Patient received a second dose of the flu vaccine at a doctors office, patient did seem to exhibit adverse reactions and was transported to the ER (emergency room) where they were treated and discharged" An unknown corrective treatment was received for the events. 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.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Blood pressure increased
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -