- Staat
- MN
- Alter
- 61,0
- Geschlecht
- F
- Eingang
- 10.02.2022
- Impfdatum
- 14.10.2021
- Beginn
- 01.11.2021
- Tage bis Beginn
- 18,0
- Dosis
- 3
- Route/Site
- IM / RA
Tod: ja
Lebensbedrohlich: ja
Hospital: ja
Disable: ja
ER: ja
Erholt: nein
Blood test
Computerised tomogram
Death
Endoscopy
Feeding disorder
Nausea
Pancreatic cyst
Symptomtext
Patient was unable to eat within 2 weeks of the second Covid-19 shot. Her nausea got worse and worse until she went back into the doctor on 12/1 and it was found that she has many large cysts surrounding her pancreas. Patient made several appointments with some having to schedule months out due to availability. Died 1/13/22.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Death
- Hospital-Tage
- 13,0
- Labordaten
- Blood work 9/23/21, 12/1/2021, 1/1/2022 CT scan 12/1/2021, 1/2/2022 Endoscopy 1/2/2022
- Aktuelle Erkrankungen
- Gout Fatty Liver Acid Reflux High Blood Pressure Cronic Kidney Disease Stage IV Vitamin D Deficiency Parathyroid Disorders Pancreatitis
- Vorgeschichte
- High Blood Pressure Cronic Kidney Disease Stage IV Pancreatitis
- Andere Medikamente
- allopurinol 100 mg tablet carvedilol 25 mg tablet furosemide 20 mg tablet omeprazole 20 mg delayed release capsule hydrALAZINE 100 mg tablet
- Allergien
- Isosorbide Atorvastatin Simvastatin
- Vorherige Impfungen
- -
- Staat
- MI
- Alter
- 72,0
- Geschlecht
- F
- Eingang
- 16.09.2021
- Impfdatum
- 14.09.2021
- Beginn
- 14.09.2021
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: ja
Disable: ja
ER: ja
Erholt: nein
Blindness unilateral
Cerebrovascular accident
Computerised tomogram head abnormal
Hemianopia
Symptomtext
Within minutes of receiving the vaccine the patient suffered a right-sided visual loss consistent with a hemi-anopsia. She saw an eye specialist the following day and was sent emergently to the hospital where a CT showed a new left occipital lobe CVA
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Cerebrovascular accident
- Hospital-Tage
- 4,0
- Labordaten
- CAT scan
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- diabetes,depression
- Andere Medikamente
- lipitor,toprol,norvasc, ASA, wellbutrin,premerin,glucotrol,levemir,aldactone
- Allergien
- sulfa iodine
- Vorherige Impfungen
- -
- Staat
- SD
- Alter
- -
- Geschlecht
- F
- Eingang
- 06.01.2022
- Impfdatum
- 28.10.2021
- Beginn
- 15.11.2021
- Tage bis Beginn
- 18,0
- Dosis
- 1
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Electromyogram abnormal
Guillain-Barre syndrome
Neuralgia
SARS-CoV-2 test negative
Streptococcus test positive
Symptomtext
11/15/21 neuropathic pain noted to feet 11/19/21 neuropathic pain has spread to both upper and lower extremities. 11/22/21 provider appt - EMG ordered gabapentin initiated 11/26/21 neuropatic pain increased severly and an ER visit indicated negative COVID test, positive Strep test. neurology consulted and 1gm Rocpehon Iv x 4 days initiated 11/30/21 neurology evalution with EMG & nerve conduction study revealed Acute Demylinating Polyradiculoneuropathy 12/1/21 Gammaguard infusions initiated X 5 doses.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Guillain-Barre syndrome
- Hospital-Tage
- -
- Labordaten
- 11/30/21 EMG / muscle conduction study - acute demylinating polyradiculoneuropathy
- Aktuelle Erkrankungen
- tested positive for strep after symptoms started
- Vorgeschichte
- hyperlipidemia, chronic pain
- Andere Medikamente
- Lipitor, Estrodial, Imiprimine, Hydrocodone, Bacolfen, Oxybutnin, Vitamin B12, Vitamn D3, Magnesium, Potassium, Biotin
- Allergien
- no known allergies
- Vorherige Impfungen
- 02/28/21 COVID 19 vaccination - 2nd dose of Moderna caused elevated temperature, headache ache, severe body aches and lethar
- Staat
- OH
- Alter
- 40,0
- Geschlecht
- M
- Eingang
- 11.12.2021
- Impfdatum
- 10.12.2021
- Beginn
- 10.12.2021
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- SYR / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Dizziness
Loss of consciousness
Presyncope
Symptomtext
PT received the Pfizer booster vaccine and flu vaccine , PT described feeling light headed and dizzy about 4 minutes after the vaccine administration, Pt crossed his legs to help ease his symptoms as this has worked in the past. PT vasovagal and regained consciousness about 5 seconds later. Pt states that he felt like he just went to sleep. Pt was provided water at his request. Pt admitted to not eating before receiving the vaccination. Pt stated that he felt fine about 2 minutes after regaining consciousness and waited 30 minutes before leaving the clinic.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Loss of consciousness
- Hospital-Tage
- -
- Labordaten
- none
- Aktuelle Erkrankungen
- No recent or current illnesses
- Vorgeschichte
- none
- Andere Medikamente
- No medications, supplements, or herbal remedies being taken.
- Allergien
- No allergies
- Vorherige Impfungen
- 1 st dose of pfizer vaccine, in May (no date provided)
- Staat
- OH
- Alter
- 30,0
- Geschlecht
- M
- Eingang
- 27.11.2021
- Impfdatum
- 27.11.2021
- Beginn
- 27.11.2021
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Cold sweat
Dizziness
Interchange of vaccine products
Pallor
Paraesthesia
Presyncope
Symptomtext
On 11/27/21, Patient presented to clinic to receive both Pfizer COVID booster vaccine (after receiving J&J COVID vaccine 06/05/2021) as well as flu vaccine. Pt was sitting in chair and became nervous before vaccine administered. Denied any issues with prior vaccines. After Flublok vaccine was administered in left deltoid at 4:11pm, pt quickly became pale and clammy. Pt continue to have vasovagal response, but provider able to hold patient up in chair. After only a minute, patient able to speak but still felt clammy with tingling in hands and light-headed. Pt was told to lie down on exam table with feet up and cold towel placed on forehead. Pt was able to speak but was told to rest for a bit. Door left open so staff could assist as needed. After 10 minutes or so, patient stated he still wanted to receive COVID vaccine booster. While pt was lying down, Pfizer booster administered in right deltoid. Pt did not have vasovagal response and radial pulse remained strong and regular. Pt was told to remain reclined for a few more minutes. After an additional 10 minutes or so, pt able to leave clinic with steady gait.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Presyncope
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- OR
- Alter
- 56,0
- Geschlecht
- F
- Eingang
- 27.10.2021
- Impfdatum
- 12.10.2021
- Beginn
- 12.10.2021
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Dyspnoea
Nausea
Oropharyngeal pain
Pyrexia
Vaccine positive rechallenge
Symptomtext
Nausea, Shortness of breath, low grade fever 99-100, sore throat
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Dyspnoea
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- Methocarbamol, Vyvanse, estradiol, Ventolin, valacyclovir
- Allergien
- tylenol, amoxicillin, belladona alkaloids, morphine, macrolides, nsaids, nystatin, sulfa
- Vorherige Impfungen
- she received the Pfizer doses 1 and 2 in Feb 2021 and she got same side effects but each time was progresively worse
- Staat
- MD
- Alter
- 51,0
- Geschlecht
- F
- Eingang
- 30.03.2022
- Impfdatum
- 22.12.2021
- Beginn
- 22.12.2021
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- SYR / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Arthralgia
Pain
Pain in extremity
Symptomtext
Received the annual flu vaccination on 12/22/21 in my left arm. My arm/shoulder were sore. I took tylenol and ibuprofen for the soreness/pain for the next few days. It never got better and my arm hurts all of the time. I still have movement in it, but it hurts to lift over my head or in certain directions. It is constantly sore/pain. I have tried my own physical therapy on it and it does not help. I just keep hoping that it will get better and go away.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Arthralgia
- Hospital-Tage
- -
- Labordaten
- going to seek medical attention through my primary physician in one week.
- Aktuelle Erkrankungen
- none
- Vorgeschichte
- none
- Andere Medikamente
- Multi vit. Vit D Zinc
- Allergien
- None known
- Vorherige Impfungen
- -
- Staat
- OH
- Alter
- 53,0
- Geschlecht
- F
- Eingang
- 21.12.2021
- Impfdatum
- 20.12.2021
- Beginn
- 20.12.2021
- Tage bis Beginn
- 0,0
- Dosis
- N/A
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Injection site induration
Injection site pain
Injection site pruritus
Injection site swelling
Injection site warmth
Symptomtext
Almost immediatley after receiving vaccine patient experienced intense itching and burning at injection site and within 30 minutes swelling started as well. Reports soreness, and hardness, and swelling. Patient examined it visually at home and circled reaction with a pen at 1:39 pm and site was around 2 inches by 3 inches large. By 11am 12/21/21 patient came back to pharmacy to report reaction and area of reaction was around the same size but had shifted down about one inch on arm. Patient still reports heat, swelling and itching from reaction site but that it is slightly more mild than yesterday. She hasn't taken any medications for symptoms.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Injection site induration
- Hospital-Tage
- -
- Labordaten
- none
- Aktuelle Erkrankungen
- none
- Vorgeschichte
- High blood pressure
- Andere Medikamente
- None
- Allergien
- None
- Vorherige Impfungen
- -
- Staat
- MI
- Alter
- 49,0
- Geschlecht
- F
- Eingang
- 24.11.2021
- Impfdatum
- 19.11.2021
- Beginn
- 19.11.2021
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Pruritus
Urticaria
Wheezing
Symptomtext
wheezing, itchy, chest hives
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Pruritus
- Hospital-Tage
- -
- Labordaten
- none
- Aktuelle Erkrankungen
- none
- Vorgeschichte
- asthma, fibromyalgia ,rheumatoid arthritis
- Andere Medikamente
- albuterol, symbicory, ativan ,prilosec
- Allergien
- amox, cepholexin, latex, ms peanuts erythromycin tetanous vaccine
- Vorherige Impfungen
- -
- Staat
- AZ
- Alter
- 67,0
- Geschlecht
- F
- Eingang
- 31.10.2021
- Impfdatum
- 29.10.2021
- Beginn
- 30.10.2021
- Tage bis Beginn
- 1,0
- Dosis
- 1
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Erythema
Induration
Injection site induration
Pruritus
Skin warm
Symptomtext
Pt called and spoke to me and explained that her arm had turned red and hard from the injection site down towards the elbow and was about 4 inches tall, She too said that it then wrapped around to the back side of her arm in that 4 inch strip to where it stopped about midarm. She said it was warm to hot to the touch, somewhat itchy as well. Pt said that she was taking Benedryl to try and counter the reaction. She came in and saw me today and showed her arm to me. She said it was looking somewhat better than it did yesterday. She said it was still warm to the touch but not as red today.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Injection site induration
- Hospital-Tage
- -
- Labordaten
- None
- Aktuelle Erkrankungen
- None known
- Vorgeschichte
- Unknown
- Andere Medikamente
- Unknown
- Allergien
- NO Know allergies
- Vorherige Impfungen
- She only stated that a previous shot caused the same kind of a reaction
- Staat
- VA
- Alter
- 56,0
- Geschlecht
- F
- Eingang
- 26.10.2021
- Impfdatum
- 14.10.2021
- Beginn
- 15.10.2021
- Tage bis Beginn
- 1,0
- Dosis
- 1
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Injection site erythema
Injection site pain
Injection site swelling
Injection site warmth
Symptomtext
From injection site to right elbow, from anterior to posterior arm was red, hot swollen, painful, burning for two days on day three it started to resolve with the application of warm soaks. Saw the Workers Comp doctor and my PCP.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Injection site erythema
- Hospital-Tage
- -
- Labordaten
- none
- Aktuelle Erkrankungen
- none
- Vorgeschichte
- arthritis in R knee
- Andere Medikamente
- wellbutrin, etodelac, buspar, detrol, xanax
- Allergien
- libruim
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 39,0
- Geschlecht
- M
- Eingang
- 05.10.2021
- Impfdatum
- 01.10.2021
- Beginn
- 03.10.2021
- Tage bis Beginn
- 2,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Erythema
Pain in extremity
Symptomtext
Patient had a sore arm and redness.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Pain in extremity
- Hospital-Tage
- -
- Labordaten
- n/a
- Aktuelle Erkrankungen
- none
- Vorgeschichte
- none
- Andere Medikamente
- methylphenidate 36er
- Allergien
- none
- Vorherige Impfungen
- -
- Staat
- OH
- Alter
- 39,0
- Geschlecht
- F
- Eingang
- 01.10.2021
- Impfdatum
- 01.10.2021
- Beginn
- 01.10.2021
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Abdominal discomfort
Dizziness
Symptomtext
Patient felt as if she would pass out and as if she needed to have diarrhea; resolved with positioning, time and application of cool rag over 10 minutes without LOC.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Dizziness
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 94,0
- Geschlecht
- M
- Eingang
- 30.09.2021
- Impfdatum
- 23.09.2021
- Beginn
- 24.09.2021
- Tage bis Beginn
- 1,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: ja
Erholt: ja
Injection site reaction
Skin infection
Symptomtext
patient reported a skin infection on the injection site after getting the vaccine.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Injection site reaction
- Hospital-Tage
- -
- Labordaten
- unknown.
- Aktuelle Erkrankungen
- unknown
- Vorgeschichte
- -
- Andere Medikamente
- unknown
- Allergien
- nkda
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 41,0
- Geschlecht
- F
- Eingang
- 30.09.2021
- Impfdatum
- 25.09.2021
- Beginn
- 26.09.2021
- Tage bis Beginn
- 1,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Hypersensitivity
Rash
Urticaria
Symptomtext
I asked if there was any swelling or redness at the injection site and she said no. Patient states that she had an overall body rash 24 hours after the vaccine that looked more live hives. She said she took benadryl and that helped significantly. Patient states hives have diminished with the passing of each day. I suggested she take a second antihistamine such as Zyrtec or Claritin during the day and she said she would. Will follow up with patient to see how she is doing in 24 hours. She was not sure if it was the vaccine or if it was something she came across that caused her to have an allergic reaction.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Rash
- Hospital-Tage
- -
- Labordaten
- None reported
- Aktuelle Erkrankungen
- None reported
- Vorgeschichte
- None reported
- Andere Medikamente
- None reported
- Allergien
- NKDA
- Vorherige Impfungen
- -
- Staat
- FL
- Alter
- 62,0
- Geschlecht
- F
- Eingang
- 26.09.2021
- Impfdatum
- 22.09.2021
- Beginn
- 26.09.2021
- Tage bis Beginn
- 4,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Chills
Headache
Rhinorrhoea
Symptomtext
Patient called stating that she received her flu vaccine and today experiencing chills, headache and runny nose. Advised patient to follow up with doctor. Per patient she is seeing her doctor tomorrow.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Chills
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- FL
- Alter
- 46,0
- Geschlecht
- F
- Eingang
- 26.09.2021
- Impfdatum
- 14.09.2021
- Beginn
- 15.09.2021
- Tage bis Beginn
- 1,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Injection site bruising
Injection site haematoma
Injection site pain
Symptomtext
Pain in injection site, bruising (hematoma like) for about 2 weeks
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Injection site bruising
- Hospital-Tage
- -
- Labordaten
- NA
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- Levothyroxine
- Allergien
- NKDA
- Vorherige Impfungen
- -
- Staat
- -
- Alter
- 53,0
- Geschlecht
- F
- Eingang
- 23.09.2021
- Impfdatum
- 22.09.2021
- Beginn
- 22.09.2021
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- - / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Peripheral swelling
Skin warm
Urticaria
Symptomtext
swelling spread 7 inches wide and long below injection site/hives , warm to touch
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Urticaria
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- allegra
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- CA
- Alter
- 54,0
- Geschlecht
- F
- Eingang
- 22.09.2021
- Impfdatum
- 18.09.2021
- Beginn
- 18.09.2021
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Feeling hot
Injection site pruritus
Symptomtext
AROUND 1 PM PATIENT START ITCHING AT THE POINT OF INJECTION AND THEN IT SWALLOW AND FELT WARM PATIENT TOOK IBUPROFEN 200 MG ONCE A DAY FOR 3 DAY AND ALL SYMPTOMS DISAPEARED ON TUESDAY 09/21/2021
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Injection site pruritus
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- NO
- Vorgeschichte
- NO
- Andere Medikamente
- NO
- Allergien
- NO
- Vorherige Impfungen
- SHINGRIX FLU LIKE SYMPTOMS
- Staat
- SC
- Alter
- 29,0
- Geschlecht
- F
- Eingang
- 15.09.2021
- Impfdatum
- 15.09.2021
- Beginn
- 15.09.2021
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Asthenia
Blood pressure increased
Dizziness
Feeling hot
Heart rate increased
Symptomtext
Pt was okay immediately following the shots. She became hot, lightheaded and weak about 15 minutes later. BP and HR were very slightly elevated, but not of a concerning value. She lied down and rested. Family member came to pick her up to go home.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Dizziness
- Hospital-Tage
- -
- Labordaten
- none
- Aktuelle Erkrankungen
- none
- Vorgeschichte
- none
- Andere Medikamente
- none
- Allergien
- none
- Vorherige Impfungen
- -
- Staat
- MI
- Alter
- 59,0
- Geschlecht
- M
- Eingang
- 17.06.2022
- Impfdatum
- 10.03.2022
- Beginn
- 10.03.2022
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- - / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Product preparation issue
Underdose
Symptomtext
Covid19 Pfizer Gray Top was dilute with 1.8 ml of diluent in error. Patient received diluted dose.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Product preparation issue
- Hospital-Tage
- -
- Labordaten
- NA
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- Type II, Diabetes, Hyperlipidemia, Back Pain, Neuropathy
- Andere Medikamente
- Lipitor, Jardiance, Neurontin, Motrin, Glucophage
- Allergien
- Iodinated Contrast Media
- Vorherige Impfungen
- -
- Staat
- OH
- Alter
- 17,0
- Geschlecht
- F
- Eingang
- 14.01.2022
- Impfdatum
- 14.01.2022
- Beginn
- 14.01.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Product administered to patient of inappropriate age
Symptomtext
Patient requested a flu vaccine along with her Pfizer Booster. Patient verbalized that she was 18 when I asked. I administered a Flublok vaccination in her right deltoid along with her Pfizer Booster in her left deltoid. Patient waited the 15 minutes post administration without any concerns. After she left, upon documentation I realized that she was 17yo. I notified my healthcare provider and filled out appropriate reports.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Product administered to patient of inappropriate age
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- N/A
- Vorgeschichte
- N/A
- Andere Medikamente
- N/A
- Allergien
- NKDA
- Vorherige Impfungen
- -
- Staat
- IL
- Alter
- 15,0
- Geschlecht
- F
- Eingang
- 31.12.2021
- Impfdatum
- 11.12.2021
- Beginn
- 11.12.2021
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
No adverse event
Product administered to patient of inappropriate age
Symptomtext
patient is 15 years old and received a vaccine indicated for 18+ only. patient didnt experience any side effects
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- No adverse event
- Hospital-Tage
- -
- Labordaten
- n/a
- Aktuelle Erkrankungen
- n/a
- Vorgeschichte
- n/a
- Andere Medikamente
- unknown - pt given flublok when under 18.
- Allergien
- n/a
- Vorherige Impfungen
- -
- Staat
- OH
- Alter
- 17,0
- Geschlecht
- M
- Eingang
- 25.12.2021
- Impfdatum
- 17.12.2021
- Beginn
- 17.12.2021
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- OT / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
No adverse event
Off label use
Product administered to patient of inappropriate age
Symptomtext
This case involves a 17 years old male patient who received a dose of flublok, with no reported adverse event while receiving vaccine INFLUENZA QUADRIVALENT RECOMBINANT VACCINE [FLUBLOK QIV]. The patient's past medical history, medical treatment(s), vaccination(s) and family history were not provided. The patient received unknown concomitant medication of Pfizer. On 17-Dec-2021, the patient received 0.5 ml dose of suspect INFLUENZA QUADRIVALENT RECOMBINANT VACCINE, once with lot UJ723AA via intramuscular route in the right deltoid as prophylactic immunization. On 17-DEC-2021 the patient developed a non-serious "17 yo paitent received a dose of flublok, with no reported adverse event" (off label use) following the administration of INFLUENZA QUADRIVALENT RECOMBINANT VACCINE. Action taken with QUADRIVALENT RECOMBINANT INFLUENZA VACCINE (FLUBLOK QIV) was not applicable. It was not reported if the patient received a corrective treatment for the event (17 yo paitent received a dose of FLUBLOK, with no reported adverse event). At time of reporting, the outcome was Unknown for the event 17 yo paitent received a dose of flublok, with no reported adverse event.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- No adverse event
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- OH
- Alter
- 17,0
- Geschlecht
- M
- Eingang
- 21.12.2021
- Impfdatum
- 21.12.2021
- Beginn
- 21.12.2021
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Product administered to patient of inappropriate age
Symptomtext
FLUBLOK QUAD given to a 17 year old male patient; indicated for 18 years and older. patient left facility in stable condition.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Product administered to patient of inappropriate age
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- N/A
- Vorgeschichte
- N/A
- Andere Medikamente
- N/A
- Allergien
- N/A
- Vorherige Impfungen
- -
- Staat
- OH
- Alter
- 17,0
- Geschlecht
- M
- Eingang
- 17.12.2021
- Impfdatum
- 17.12.2021
- Beginn
- 17.12.2021
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Product administered to patient of inappropriate age
Symptomtext
Patient was 17 years old and Flublok is approved for >18.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Product administered to patient of inappropriate age
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- WA
- Alter
- 12,0
- Geschlecht
- F
- Eingang
- 11.11.2021
- Impfdatum
- 11.11.2021
- Beginn
- 11.11.2021
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Product administered to patient of inappropriate age
Symptomtext
patient was administered Flublok vaccine- it is indicated for 18+ years of age. patient was 13yrs old
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Product administered to patient of inappropriate age
- Hospital-Tage
- -
- Labordaten
- n/a
- Aktuelle Erkrankungen
- none
- Vorgeschichte
- none
- Andere Medikamente
- none
- Allergien
- none
- Vorherige Impfungen
- -
- Staat
- TN
- Alter
- 15,0
- Geschlecht
- F
- Eingang
- 16.10.2021
- Impfdatum
- 25.09.2021
- Beginn
- 25.09.2021
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Product administered to patient of inappropriate age
Symptomtext
She was only 15 and flublok is only approved in 18 and above
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Product administered to patient of inappropriate age
- Hospital-Tage
- -
- Labordaten
- none
- Aktuelle Erkrankungen
- none
- Vorgeschichte
- none
- Andere Medikamente
- unknown
- Allergien
- none
- Vorherige Impfungen
- -
- Staat
- TN
- Alter
- 15,0
- Geschlecht
- F
- Eingang
- 16.10.2021
- Impfdatum
- 25.09.2021
- Beginn
- 25.09.2021
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- OT / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Medication error
Product administered to patient of inappropriate age
Symptomtext
FLUBLOK was mistakenly administered to an underage patient with no adverse event; Initial information was received on 08-Oct-2021 regarding an unsolicited valid non-serious case received from a pharmacist via consumer via physician via phone (Inquiry Number: 00804698). This case involves a 15-years old female patient who was mistakenly administered INFLUENZA QUADRIVALENT RECOMBINANT VACCINE [FLUBLOK QIV] with no adverse event (product administered to patient of inappropriate age). The patient's medical history, past medical treatment, vaccination, concomitant medication and family history were not provided. On 25-Sep-2021, the patient received a 0.5ml dose of suspect INFLUENZA QUADRIVALENT RECOMBINANT VACCINE lot number: UJ723AA and expiry date: 30-Jun-2022 via intramuscular route in the right deltoid for prophylactic vaccination. It was of actual medication error due to inappropriate age at vaccine administration (latency: same day). It was reported "FLUBLOK was mistakenly administered to an underage patient, caller would like to know safety and how to proceed." At the time of reporting, no adverse event 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.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Medication error
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- NY
- Alter
- 62,0
- Geschlecht
- F
- Eingang
- 09.10.2021
- Impfdatum
- 29.09.2021
- Beginn
- 29.09.2021
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- OT / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Eye swelling
Hypersensitivity
Swelling of eyelid
Throat irritation
Symptomtext
feeling groggy; throat is itchy; allergic reaction; right eye began swelling/ both eyes are swollen shut; Initial information received on 30-Sep-2021 regarding an unsolicited valid non-serious case from a consumer/non-healthcare professional via regulatory authority (under reference 00792629). This case involves a 62 years old female patient who had allergic reaction (hypersensitivity) after receiving QUADRIVALENT RECOMBINANT INFLUENZA VACCINE (FLUBLOK QIV) and feeling groggy (somnolence), after receiving DIPHENHYDRAMINE HYDROCHLORIDE (BENADRYL). The patient's past vaccination(s) included Influenza vaccine (lot number and expiration date were not reported) via unknown route in an unknown administration site for prophylactic vaccination. It was also reported that the patient had several flu shots in the past, probably five flu shots in her lifetime. The patient's past medical history, medical treatment(s), concomitant medication(s) and family history were not provided. On 29-Sep-2021 at 10:00AM EST, the patient received a dose of suspect FLUBLOK QIV (Total, lot UJ723AA and expiration date: 30-Jun-2022) via unknown route in the left arm for prophylactic vaccination. On an unknown date, the patient received a dose of suspect BENADRYL (50 mg, lot number and expiration date were not reported) via unknown route for Hypersensitivity. On 29-Sep-2021, the patient developed a non-serious allergic reaction (hypersensitivity) and right eye began swelling (eye swelling) on the same day following the administration of vaccine. On 30-Sep-2021, the patient's both eyes are swollen shut (eye swelling, non-serious) and throat is itchy (throat irritation, non-serious), one day following the administration of vaccine. On an unknown date, the patient was feeling groggy (somnolence, non-serious) (unknown latency) following the administration of BENADRYL. It was reported "Caller (patient) reporting allergic reaction to a flu vaccine. Caller states that she does not know which vaccine was administered to her but has the lot number and expiration date and is sure it is a SANOFI product. The caller states the vaccine was administered on 29SEP2021 at 10:00AM EST and shortly after in the parking lot on the way out, the caller's right eye began swelling. Caller states she was able to drive home but on 30SEP201 at time of call both eyes are swollen shut and her throat is itchy. Caller states she has spoken to the clinic where the shot was administered. Patient states that she is calling to let the company know about her reaction and to ask for the name of the flu vaccine that she received. Patient states that she got the lot number and expiration date from her doctor's office. Called Sanofi Pasteur Customer Service and spoke with customer service. Informed the Sanofi Pasteur Customer Service representative of the lot number provided by the patient. Sanofi Pasteur Customer Service representative stated that the product name is FLUBLOK. Relayed the information to the patient that the product name associated with the lot number provided is FLUBLOK. I only saw a small vial with a red top. My daughter also works in the pharmaceutical industry and she said that you all would need to know about my reaction. I am feeling groggy now. That is probably because I have been taking Benadryl every four hours. I can't drive. I can't put my contacts in. After I get off the phone with you and am going to go back and take a nap." No laboratory data were reported. Action taken with DIPHENHYDRAMINE HYDROCHLORIDE (BENADRYL) was unknown. The patient was given 50mg of antihistamine every four hours as a corrective treatment. At time of reporting, the outcome was unknown for the reported events.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Eye swelling
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- BENADRYL
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- AR
- Alter
- -
- Geschlecht
- F
- Eingang
- 09.10.2021
- Impfdatum
- 25.09.2021
- Beginn
- -
- Tage bis Beginn
- -
- Dosis
- UNK
- Route/Site
- OT / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Product administered to patient of inappropriate age
Symptomtext
A patient under the age of 18 received flublok with no reported adverse event; Initial information received on 27-Sep-2021 regarding an unsolicited valid non-serious case from a pharmacist via Media Information (under the reference 00787298). This case involves an 11 years old female patient who received INFLUENZA QUADRIVALENT RECOMBINANT VACCINE [FLUBLOK QIV] under the age of 18 (product administered to patient of inappropriate age). The patient's past medical history, medical treatment(s), vaccination(s), Concomitant medication(s) and family history were not provided. On 25-Sep-2021, the patient received a dose of suspect FLUBLOK QIV (0.5 ml, total, lot UJ723AA and expiration date: 30-jun-2022) via intramuscular route in the left arm for prophylactic vaccination. It was an actual medication error due to vaccine administered to patient of inappropriate age. At time of reporting, the outcome was unknown for the reported 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. 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 administered to patient of inappropriate age
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- MA
- Alter
- 38,0
- Geschlecht
- F
- Eingang
- 05.10.2021
- Impfdatum
- 04.10.2021
- Beginn
- 05.10.2021
- Tage bis Beginn
- 1,0
- Dosis
- UNK
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Angioedema
Symptomtext
Angioedema of right eyelid, approximately 9hrs post injection of vaccine
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Angioedema
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- Hashimotos
- Vorgeschichte
- Hashimoto?s thyroiditis / hypothyroidism
- Andere Medikamente
- Synthroid 125mg daily po
- Allergien
- Dairy Allergy-Egg Sensitivity- hives
- Vorherige Impfungen
- -
- Staat
- MA
- Alter
- 15,0
- Geschlecht
- F
- Eingang
- 05.10.2021
- Impfdatum
- 04.10.2021
- Beginn
- 04.10.2021
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
No adverse event
Product administered to patient of inappropriate age
Symptomtext
Pt given adult flublok instead of fluzone. No adverse reactions at this time
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- No adverse event
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- EpiPen, Proair Inhaler, Junel FE1/20
- Allergien
- Apple, soy, and tree nuts
- Vorherige Impfungen
- -
- Staat
- IL
- Alter
- 15,0
- Geschlecht
- F
- Eingang
- 24.09.2021
- Impfdatum
- 24.09.2021
- Beginn
- 24.09.2021
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Product administered to patient of inappropriate age
Symptomtext
THIS PATIENT IS 15 YEARS OLD AND RECEIVED A THE FLUBLOK VACCINE FOR 18 YEARS AGE AND OVER. THE PATIENT HAS NOT REPORTED ANY ADVERSE EVENTS. FILLING OUT THIS FORM DUE TO THE FACT THE FLUBLOK WAS GIVEN FOR SOMEONE UNDER 18. WE DID NOTIFY HER PRIMARY CARE PHYSICIAN BUT HE HAS NOT RETURNED THE CALL
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Product administered to patient of inappropriate age
- Hospital-Tage
- -
- Labordaten
- NONE
- Aktuelle Erkrankungen
- NONE
- Vorgeschichte
- NONE
- Andere Medikamente
- NONE
- Allergien
- NONE
- Vorherige Impfungen
- -
- Staat
- ID
- Alter
- 58,0
- Geschlecht
- F
- Eingang
- 17.09.2021
- Impfdatum
- 17.09.2021
- Beginn
- 17.09.2021
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Wrong product administered
Symptomtext
Patient came into the flu clinic and was asked by pharmacy personel if she was getting her flu vaccine. Patient handed the healthcare worker her paperwork. Patient was actually seeking a COVID-19 vaccine. Patient was given Flublok without verifying the vaccine she was about to receive. Patient later returned and asked if she received the flu vaccine or her covid vaccine, when pharmacist replied that she was given the flu shot, she stated she did not want the flu shot and wanted the COVID vaccine. Patient stated that she rarely got the flu vaccine and did not want it at this time. Patient then received the appropriate COVID-19 vaccine (Pfizer).
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Wrong product administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- NE
- Alter
- 61,0
- Geschlecht
- F
- Eingang
- 12.09.2021
- Impfdatum
- 06.09.2021
- Beginn
- 10.09.2021
- Tage bis Beginn
- 4,0
- Dosis
- 1
- Route/Site
- IM / UN
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Cellulitis
Symptomtext
Pt called a few days post immunizations and reported sever cellulitis which need to be treated by a medical doctor
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Cellulitis
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -