- Staat
- OK
- Alter
- 80,0
- Geschlecht
- M
- Eingang
- 16.11.2021
- Impfdatum
- 05.10.2021
- Beginn
- 06.11.2021
- Tage bis Beginn
- 32,0
- Dosis
- 1
- Route/Site
- IM / RA
Tod: ja
Lebensbedrohlich: unbekannt
Hospital: ja
Disable: unbekannt
ER: unbekannt
Erholt: nein
Atrial fibrillation
Cardioversion
Chest X-ray
Condition aggravated
Death
Dysphagia
Fatigue
Full blood count
Influenza virus test negative
Metabolic function test
Respiratory distress
Respiratory tract congestion
Rheumatoid arthritis
Rhonchi
SARS-CoV-2 test negative
Somnolence
Urine analysis
Symptomtext
DEATH 5 DAYS POST VACCINE.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Death
- Hospital-Tage
- 1,0
- Labordaten
- HOSPITLIZATION
- Aktuelle Erkrankungen
- HNT, CHF, A FIB. HE HAD RECENT WT LOSS AND GENERAL DECLINE BEFORE VACCINATION. FLU SHOT ON 10/5. NO FEVER OR S/S OTHER THAN FATIUGE ON 10/6. 10/10 CONGESTION 02 84% RA AUDIABLE RHONCHI DROWSY. DR ORDERED CHEST X RAY, CBC, CMP, AND UA AS WELL AS DUO NEB AND AUGMINTIN. COVID AND FLU SWABS NEGATIVE. UNABLE TO GET HIM TO SWALLOW AUGMINTIN. CALLED DR BACK NEW ORDER FOR ROCEPHIN 1 GM I X 7 DAYS. FIRST SHOT GIVEN 0024 10/10. @ 1219 RESPITORY DISTRESS AND A FIB. SENT TO HOSPITAL BY AMBULANCE. 1500 CALLED TO CHECK ON HIM. THEY STATED HE WAS CARDIO CONVERTED BUT ACTIVELY DYING. 2250 TIME OF DEATH.
- Vorgeschichte
- ALZHEIMER, CHF, HNT, A FIB, HYPOKALEMIA
- Andere Medikamente
- OMEPRAZOL; Naproxen; Melatonin; Doxazosin; DUONEB, DEPOKOTE; POT; CHLOR. LASIX; Metoprolol; Spironolactone; Setraline; ASA; FLOMAX
- Allergien
- NKDA
- Vorherige Impfungen
- -
- Staat
- GA
- Alter
- 70,0
- Geschlecht
- F
- Eingang
- 29.10.2021
- Impfdatum
- 13.10.2021
- Beginn
- 13.10.2021
- Tage bis Beginn
- 0,0
- Dosis
- N/A
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Joint swelling
Thrombosis
Ultrasound scan
Symptomtext
PATIENT STATES THAT AFTER ABOUT 2-3 HOURS OF VACCINATION STARTED TO HAVING SOME SWELLING IN HER LEFT ANKLE . SHE STATES THAT THE SWELLING WAS VERY BAD.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Thrombosis
- Hospital-Tage
- -
- Labordaten
- PATIENT STATES THAT ULTRASOUND WAS DONE AND BLOOD CLOT WAS CONFIRMED.
- Aktuelle Erkrankungen
- NOT KNOWN
- Vorgeschichte
- NOT KNOWN
- Andere Medikamente
- NOT KNOWN
- Allergien
- NOT KNOWN
- Vorherige Impfungen
- -
- Staat
- CA
- Alter
- 79,0
- Geschlecht
- F
- Eingang
- 11.11.2021
- Impfdatum
- 23.10.2021
- Beginn
- 24.10.2021
- Tage bis Beginn
- 1,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Arthralgia
Back pain
Blood glucose normal
C-reactive protein increased
Condition aggravated
Culture urine negative
Full blood count
Groin pain
Loss of personal independence in daily activities
Pain
Pain in extremity
Pyrexia
Pyuria
Red blood cell sedimentation rate increased
Tenderness
Urine analysis abnormal
Symptomtext
Oct 23 flu shot followed by my usual reaction: low grade fever and malaise x 2 days and shortly after relatively severe increased back pain radiating through groin and legs and pain in upper body arms/ shoulders, tenderness in my spinous processes in lower back. This pattern continues every day, this kind of widespread pain in the morning where I have trouble putting on shoes or picking up things on the floor. It gradually improves with exercise throughout the day although the back pain remains a dull ache. Pain is steady, not a shooting nerve type. Yoga, back exercises, heat, massage and Aleve help. Treated with Tylenol, meloxicam with improvement over 1 week
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Condition aggravated
- Hospital-Tage
- -
- Labordaten
- CBC, chem panel normal except Glucose 142. Urine with pyuria with negative culture. Elevated ESR, CRP.
- Aktuelle Erkrankungen
- Low back pain
- Vorgeschichte
- Allergic rhinitis, osteopenia, osteoarthritis , paroxysmal atrial tachycardia
- Andere Medikamente
- zolpidem, Vitamin D, hydroxyzine
- Allergien
- N/a
- Vorherige Impfungen
- -
- Staat
- KS
- Alter
- 69,0
- Geschlecht
- F
- Eingang
- 26.12.2021
- Impfdatum
- 23.12.2021
- Beginn
- 24.12.2021
- Tage bis Beginn
- 1,0
- Dosis
- 1
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Injection site pruritus
Injection site swelling
Injection site warmth
Peripheral swelling
Skin warm
Symptomtext
PT DAUGHTER REPORTED SWELLING AND HOT AT THE SITE OF INJECTION AND SOME SWELLING AND HOTTNESS THAT WENT DOWN THE ARM TO ELBOW- A LITTLE ITCHING AT THE SITE -- REACTION WAS REPORTED THE DAY AFTER IMMUNIZATION --TOLD PT TO ICE ARM AND TAKE IBUPROFEN AND MAYBE A BENADRYL IF ITCHING GOT WORSE-- IF SWELLING GOT WORSE OR IF BREATHING PROBLEMS --GET TO ER AND HAVE DR. CHECK HER OUT
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Injection site pruritus
- Hospital-Tage
- -
- Labordaten
- UNKOWN
- Aktuelle Erkrankungen
- NONE AWARE OF
- Vorgeschichte
- ASTHMA
- Andere Medikamente
- UNKOWN
- Allergien
- NKA
- Vorherige Impfungen
- -
- Staat
- NV
- Alter
- 78,0
- Geschlecht
- F
- Eingang
- 12.11.2021
- 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: nein
Chills
Confusional state
Disorientation
Nausea
Symptomtext
At approximately 1830 on 11/11/21 patient was confused, disoriented to event, and names of family member and pet. Patient experienced nausea and chills. Symptoms were reported to healthcare staff on 11/12/21 at approximately 1300 at which time it was reported that patient's symptoms were improving. Advised patient to be seen by provider at Urgent Care or ER to be evaluated.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Chills
- Hospital-Tage
- -
- Labordaten
- None
- Aktuelle Erkrankungen
- lump under right axillary area
- Vorgeschichte
- Essential hypertension; Hyperlipidemia; GAD (generalized anxiety disorder); Seasonal allergies; History of atrial fibrillation; Decreased GFR; Age-related macular degeneration
- Andere Medikamente
- metoprolol SR (TOPROL XL) 25 MG TABLET SR 24 HR; hydroCHLOROthiazide (HYDRODIURIL) 25 MG Tab; potassium chloride SA (KDUR) 20 MEQ Tab CR; montelukast (SINGULAIR) 10 MG Tab; fluticasone (FLONASE) 50 MCG/ACT nasal spray; pravastatin (PRAVACHO
- Allergien
- Penicillin; Shellfish
- Vorherige Impfungen
- -
- Staat
- IL
- Alter
- 87,0
- Geschlecht
- F
- Eingang
- 08.10.2021
- Impfdatum
- 21.09.2021
- Beginn
- 21.09.2021
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Neck pain
Pain in extremity
Symptomtext
Patient described Arm pain that persisted for at least a week which has resolved. However, the patient has now reported neck pain after the resolution of the arm pain.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Neck pain
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- Hypothyroidism, HTN
- Andere Medikamente
- Levothyroxine, Rosuvastatin, Lisinopril, Naproxen
- Allergien
- Codeine
- Vorherige Impfungen
- -
- Staat
- ND
- Alter
- 66,0
- Geschlecht
- M
- Eingang
- 01.10.2021
- Impfdatum
- 13.09.2021
- Beginn
- 13.09.2021
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Arthralgia
Movement disorder
Product administered at inappropriate site
Symptomtext
Vaccine given too high. Patient experiencing shoulder pain and difficulty with movement weeks after administration.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Arthralgia
- Hospital-Tage
- -
- Labordaten
- None up to this point.
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- None
- Andere Medikamente
- None
- Allergien
- None
- Vorherige Impfungen
- -
- Staat
- MS
- Alter
- 69,0
- Geschlecht
- F
- Eingang
- 27.09.2021
- Impfdatum
- 22.09.2021
- Beginn
- 23.09.2021
- Tage bis Beginn
- 1,0
- Dosis
- N/A
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Amnesia
Chills
Peripheral swelling
Pruritus
Skin reaction
Skin warm
Symptomtext
arm was swollen and red and fevered, and itchy; patient claimed to have memory lose and chills over 48 hours after receiving vaccination
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Chills
- Hospital-Tage
- -
- Labordaten
- none
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- NC
- Alter
- 67,0
- Geschlecht
- F
- Eingang
- 26.09.2021
- Impfdatum
- 24.09.2021
- Beginn
- 24.09.2021
- Tage bis Beginn
- 0,0
- Dosis
- N/A
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: ja
Erholt: nein
Erythema
Inflammation
Injection site infection
Limb discomfort
Symptomtext
Patient remarked several hours post vaccination arm uncomfortable, inflamed and redness began later. Patient went to urgent care and received antibiotics for infection ( injection site reaction)
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Injection site infection
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- none
- Vorgeschichte
- cholesterol, hypertension
- Andere Medikamente
- pantoprazole, losartan, carvedilol, isosorbide mononitrate, hyoscyamine, rosuvastatin
- Allergien
- none
- Vorherige Impfungen
- -
- Staat
- PA
- Alter
- 75,0
- Geschlecht
- F
- Eingang
- 26.09.2021
- Impfdatum
- 18.09.2021
- Beginn
- 21.09.2021
- Tage bis Beginn
- 3,0
- Dosis
- N/A
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Injection site erythema
Injection site pain
Injection site reaction
Injection site swelling
Muscle tightness
Rash
Symptomtext
Patient complained that 3 days after getting the flu shot she had tightness , red, swollen, and painful right upper arm. There were little flat rashes that were not itchy . Patient took Tylenol for the pain. Her arm is getting better after 3 days and is going back to normal.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Injection site erythema
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- Hypertension, dyslipidemia
- Andere Medikamente
- Tylenol
- Allergien
- Penicillin
- Vorherige Impfungen
- -
- Staat
- MI
- Alter
- 73,0
- Geschlecht
- F
- Eingang
- 20.09.2021
- Impfdatum
- 17.09.2021
- Beginn
- 18.09.2021
- Tage bis Beginn
- 1,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Injection site erythema
Injection site pruritus
Injection site swelling
Injection site warmth
Symptomtext
Patient got Fluzone HD Friday evening. By the next morning, her upper arm was red, swollen, warm and itchy around the injection site. Patient came into pharmacy 48 hours later to have pharmacist look at redness. Pharmacist recommended applying ice to area, taking tylenol, and allergy medication for itching. Pharmacist called to follow up 9/20 and patient was doing better but asked pharmacist to complete this form so the event could be documented since she has never had a similar reaction post immunization.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Injection site erythema
- Hospital-Tage
- -
- Labordaten
- None
- Aktuelle Erkrankungen
- N/A
- Vorgeschichte
- RA, anxiety, HTN, hyperlipidemia, GERD
- Andere Medikamente
- Atorvastatin 40mg, HCTZ 25mg, Metoprolol ER 25mg, Omeprazole 20mg, Flonase, Gabapentin 300mg, Lexapro 5mg, Methotrexate 2.5mg, Folic acid 1mg
- Allergien
- NKA
- Vorherige Impfungen
- -
- Staat
- NH
- Alter
- 75,0
- Geschlecht
- M
- Eingang
- 16.09.2021
- Impfdatum
- 13.09.2021
- Beginn
- 15.09.2021
- Tage bis Beginn
- 2,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Injection site bruising
Injection site erythema
Injection site induration
Symptomtext
Patient described feeling hardness under the skin and redness/bruising at the injection site. Patient said he was not experiencing any pain or itchiness. He did see a doctor and was prescriber Keflex but the patient could not tell us what his diagnosis was.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Injection site bruising
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- CT
- Alter
- 72,0
- Geschlecht
- F
- Eingang
- 13.09.2021
- Impfdatum
- 08.09.2021
- Beginn
- 09.09.2021
- Tage bis Beginn
- 1,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Injection site discolouration
Pain in extremity
Symptomtext
PATIENT CAME TO THE PHARMACY ON 9-13-2019.HER UPER LEFT ARM WAS BLACK AND BLUE . HER ARM WAS SORE. I REFERED HER TO DR.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Injection site discolouration
- Hospital-Tage
- -
- Labordaten
- MD WILL EXAMINE. NO ORDERS YET.
- Aktuelle Erkrankungen
- no
- Vorgeschichte
- High blood pressure
- Andere Medikamente
- nka
- Allergien
- nka
- Vorherige Impfungen
- -
- Staat
- OK
- Alter
- 75,0
- Geschlecht
- F
- Eingang
- 19.11.2021
- Impfdatum
- 18.11.2021
- Beginn
- 18.11.2021
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Wrong technique in product usage process
Symptomtext
patient received a flu vaccine with a 5/8 inch needle instead of a 1 inch needle
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Wrong technique in product usage process
- Hospital-Tage
- -
- Labordaten
- n/a
- Aktuelle Erkrankungen
- n/a
- Vorgeschichte
- n/a
- Andere Medikamente
- n/a
- Allergien
- n/a
- Vorherige Impfungen
- -
- Staat
- MS
- Alter
- 73,0
- Geschlecht
- F
- Eingang
- 11.11.2021
- Impfdatum
- 02.11.2021
- Beginn
- 02.11.2021
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- OT / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Extra dose administered
No adverse event
Symptomtext
had two influenza vaccines this season with no reported adverse event; Initial information was regarding an unsolicited valid non serious case was received from a pharmacist via Medical Information (Reference number- 00839292) and transmitted to Sanofi on 02-Nov-2021 in a specific country. This case involves a 73-year-old female patient who received INFLUENZA QUADRIVAL A-B HIGH DOSE HV VACCINE [FLUZONE HIGH-DOSE QUADRIVALENT] (extra dose administered). The patient's medical history, past medical treatment(s), vaccination(s), concomitant medications and family history were not provided. On 02-Nov-2021, the patient received a 0.7 mL dose of suspect INFLUENZA QUADRIVAL A-B HIGH DOSE HV VACCINE (lot UJ732AA, expiry date: 30-Jun-2022) via intramuscular route in the left deltoid for prophylactic vaccination. It was an actual medication error due to extra dose administered. (latency: same day). It was reported Pharmacist reports consumer had two influenza vaccines this season. 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
- HI
- Alter
- 80,0
- Geschlecht
- F
- Eingang
- 31.10.2021
- Impfdatum
- 29.08.2021
- Beginn
- 30.08.2021
- Tage bis Beginn
- 1,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Heart rate increased
Symptomtext
patient stated that she exprienced rapid heart beat forcouple of hours few days after the vaccination
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Heart rate increased
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- GA
- Alter
- 77,0
- Geschlecht
- F
- Eingang
- 03.10.2021
- Impfdatum
- 01.10.2021
- Beginn
- 01.10.2021
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Erythema
Swelling
Symptomtext
Redness, Swelling, Lump
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Erythema
- Hospital-Tage
- -
- Labordaten
- None so far
- Aktuelle Erkrankungen
- No known
- Vorgeschichte
- No per PQCF
- Andere Medikamente
- no known
- Allergien
- NKDA
- Vorherige Impfungen
- -
- Staat
- ND
- Alter
- 65,0
- Geschlecht
- F
- Eingang
- 25.09.2021
- Impfdatum
- 23.09.2021
- Beginn
- 24.09.2021
- Tage bis Beginn
- 1,0
- Dosis
- UNK
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Swelling
Symptomtext
PATIENT EXPERIENCED LOTS OF SWELLING IN THE ARMPIT NOT ASSOCIATED WITH LYMPH NODES
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Swelling
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- TETRACYCLINES
- Vorherige Impfungen
- -
- Staat
- IN
- Alter
- 69,0
- Geschlecht
- M
- Eingang
- 03.09.2021
- Impfdatum
- 03.09.2021
- Beginn
- 03.09.2021
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Extra dose administered
Interchange of vaccine products
No adverse event
Symptomtext
Pt. only requested to get the flu shot. A Pfizer covid shot was given by mistake. Pt. already had received 2 moderna shots in the past. Pt. was aware of the vaccine given and did not have any ADR.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Extra dose administered
- Hospital-Tage
- -
- Labordaten
- None
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- Unknown, not reported on VAR
- Andere Medikamente
- Unknown
- Allergien
- NKDA
- Vorherige Impfungen
- -