- Staat
- UT
- Alter
- 79,0
- Geschlecht
- F
- Eingang
- 22.10.2022
- Impfdatum
- 17.10.2022
- Beginn
- 17.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / AR
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Dysarthria
Feeling abnormal
Mobility decreased
Symptomtext
Per the husband, the patient was walking and suddenly said she didn't feel good. Her speech became slurred and she nearly fell down but her husband caught her. He laid her down in bed and she could not move her arms or legs. Her speech remained slurred and gradually improved over the course of about 10 hours. The episode lasted about 10 hours and she feels fine now.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Mobility decreased
- Hospital-Tage
- -
- Labordaten
- the patient did not seek medical care
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- UT
- Alter
- 90,0
- Geschlecht
- M
- Eingang
- 10.09.2022
- Impfdatum
- 07.09.2022
- Beginn
- 08.09.2022
- Tage bis Beginn
- 1,0
- Dosis
- 1
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: ja
Erholt: ja
Abdominal discomfort
Back pain
Chest pain
Electrocardiogram normal
Laboratory test normal
Painful respiration
Symptomtext
Pt started feeling an upset stomach the morning after the vaccines (9/8 ~10AM) this then progressed to sharp pains in the chest and back in the evening towards the next morning (9/9). pt stated it hurt when he breathed in so he went to the ER on 9/9 at 3:30 PM and had a full workup to evaluate heart conditions, EKG, checked his a-fib, looked at arteries and everything came back fine. Was told to call the pharmacy to evaluate the possibility of the vaccines since nothing else made sense.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Chest pain
- Hospital-Tage
- -
- Labordaten
- 9/9 in ER per pt- EKG, checked arteries and evaluated Afib Came back normal on all tests
- Aktuelle Erkrankungen
- none
- Vorgeschichte
- A-Fib, neuropathy, hypercholesteremia
- Andere Medikamente
- Multi-vit
- Allergien
- NKA
- Vorherige Impfungen
- -
- Staat
- PA
- Alter
- 70,0
- Geschlecht
- M
- Eingang
- 26.03.2023
- Impfdatum
- 12.10.2022
- Beginn
- 12.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Arthralgia
Injection site mass
Injection site pain
Pain
Symptomtext
Site: Pain at Injection Site-Medium, Systemic: Body Aches Generalized-Medium, Systemic: continued complaint of hard lump at injection site-Medium, Systemic: Joint Pain-Mild
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Arthralgia
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- MI
- Alter
- 82,0
- Geschlecht
- M
- Eingang
- 21.10.2022
- Impfdatum
- 17.10.2022
- Beginn
- 17.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Injection site pain
Injection site pruritus
Symptomtext
Site: Itching at Injection Site-Mild, Site: Pain at Injection Site-Mild
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Injection site pain
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- OH
- Alter
- 90,0
- Geschlecht
- M
- Eingang
- 13.10.2022
- Impfdatum
- 23.09.2022
- Beginn
- 23.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: ja
Erholt: nein
Injection site bruising
Symptomtext
Site: Bruising at Injection Site-Medium, Systemic: dark bruising from bicep to below elbow, area spreading-Medium, Additional Details: patient presented to the pharmacy on 10/9/22, stating he has had bruising/blood under skin since he received the flu shot on 9/23/22. There was older yellow bruising in the deltoid area and dark skin areas extending from bicep toward elbow and below and patient said the area had been growing since receiving the flu shot. Patient stated he is on eliquis, blood thinner. I advised him to go to ER to have it looked at as he seemed concerned.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Injection site bruising
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- MA
- Alter
- 68,0
- Geschlecht
- F
- Eingang
- 11.10.2022
- Impfdatum
- 15.09.2022
- Beginn
- 15.09.2022
- 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 pain
Injection site swelling
Symptomtext
Site: Pain at Injection Site-Medium, Site: Swelling at Injection Site-Medium
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Injection site pain
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- MA
- Alter
- 66,0
- Geschlecht
- F
- Eingang
- 30.09.2022
- Impfdatum
- 27.09.2022
- Beginn
- 27.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Blood glucose increased
Headache
Nausea
Retching
Symptomtext
Headache, nausea, dry heaving, high blood glucose
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Headache
- Hospital-Tage
- -
- Labordaten
- Blood glucose home test, 9/28/2022, >200
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- Diabetes-type 1
- Andere Medikamente
- Insulin, zoloft, simvastatin, various vitamins, allegra
- Allergien
- Allergic to codeine
- Vorherige Impfungen
- Same events, same age
- Staat
- IL
- Alter
- 72,0
- Geschlecht
- F
- Eingang
- 28.09.2022
- Impfdatum
- 12.09.2022
- Beginn
- 13.09.2022
- 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 rash
Symptomtext
Site: Itching at Injection Site-Mild, Site: Redness at Injection Site-Mild, Additional Details: Patient came to pharmacy to show us itchy rash/bumps on deltoid area that developed after her flu shot. I counseled her to apply hydrocortisone to relieve the itching. I left a note, and they confirmed she used a 5/8" needle when administering the flu shot.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Injection site erythema
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- WI
- Alter
- 76,0
- Geschlecht
- F
- Eingang
- 14.09.2022
- Impfdatum
- 07.09.2022
- Beginn
- 08.09.2022
- Tage bis Beginn
- 1,0
- Dosis
- 1
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Fatigue
Injection site bruising
Injection site erythema
Injection site pain
Injection site pruritus
Injection site swelling
Lethargy
Rash
Symptomtext
Site: Bruising at Injection Site-Severe, Site: Itching at Injection Site-Severe, Site: Pain at Injection Site-Severe, Site: Redness at Injection Site-Severe, Site: Swelling at Injection Site-Severe, Systemic: Allergic: Rash Generalized-Severe, Systemic: Exhaustion / Lethargy-Mild, Additional Details: She came into the pharmacy on 9/10/22 and she still had brusing and swelling was better. She is allergic to latex but has had the vaccine before
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Fatigue
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- NV
- Alter
- 68,0
- Geschlecht
- F
- Eingang
- 13.09.2022
- Impfdatum
- 09.09.2022
- Beginn
- 13.09.2022
- Tage bis Beginn
- 4,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Injection site erythema
Injection site pruritus
Symptomtext
PATIENT PRESENTED WITH REDNESS AND ITCHING AROUND INJECTION SITE
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Injection site erythema
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- NONE
- Vorgeschichte
- UNKNOWN
- Andere Medikamente
- INDAPAMIDE 2.5MG, LACTULOSE 10GM/15ML, METOPROLOL TART 50MG
- Allergien
- PREDNISONE, PREGABALIN
- Vorherige Impfungen
- -
- Staat
- NV
- Alter
- 67,0
- Geschlecht
- F
- Eingang
- 10.09.2022
- Impfdatum
- 08.09.2022
- Beginn
- 09.09.2022
- Tage bis Beginn
- 1,0
- Dosis
- UNK
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Vaccination site pain
Vaccination site rash
Vaccination site warmth
Symptomtext
pt had a rash on left arm that was painful and hot to the touch and expanding on area where vaccines were administered.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Vaccination site pain
- Hospital-Tage
- -
- Labordaten
- I do not know
- Aktuelle Erkrankungen
- none
- Vorgeschichte
- hypertension, hypercholesterolemia
- Andere Medikamente
- Ativan, Losartan, Crestor
- Allergien
- none
- Vorherige Impfungen
- -
- Staat
- CA
- Alter
- 74,0
- Geschlecht
- F
- Eingang
- 05.09.2022
- Impfdatum
- 02.09.2022
- Beginn
- 05.09.2022
- Tage bis Beginn
- 3,0
- Dosis
- UNK
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Injection site erythema
Pruritus
Urticaria
Symptomtext
Awoke with 2 inch circular nonpruritic red patch on right biceps. 2 hours later noted 2 separate hives on right arm itching
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Injection site erythema
- Hospital-Tage
- -
- Labordaten
- None at this time. Await advice. Will take one tablet 25 mgs. Chlorpheniramine antihistamine at 1:00 PM.
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- Labile hypertension, hyperlipidemia, keratoconus
- Andere Medikamente
- Vit.C, Brinzolamide OP, vit.D, CoQ10, Adderall XR, Omega 3, estradiol PO, ketorolac gtt, metoprolol, montelukast, naproxen, simvastatin, Vyzulta gtt, brinzolamide gtt
- Allergien
- Keflex, compazine, benadryl, erythromycin, biaxin, horseradish, garlic,terragon, cilantro
- Vorherige Impfungen
- Red patch on arm after pneumonia vaccine
- Staat
- CO
- Alter
- 67,0
- Geschlecht
- F
- Eingang
- 05.10.2022
- Impfdatum
- 03.10.2022
- Beginn
- 04.10.2022
- Tage bis Beginn
- 1,0
- Dosis
- N/A
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Peripheral swelling
Skin reaction
Skin warm
Symptomtext
Within 24 hours, arm was very red, hot to touch, and swollen. Redness was spreading down/around arm, continuing to get worse as time went on. Went to doctor 10/5/22 and was prescribed triamcinolone 0.5% ointment and prednisone 20mg tablets.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Peripheral swelling
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- N/A
- Vorgeschichte
- Hypertension, hypercholesterolemia, anxiety with depression, asthma/COPD
- Andere Medikamente
- Lisinopril 40mg, levothyroxine 50mcg, wellbutrin XL 150mg, duloxetine 60mg, clopidogrel 75mg, atorvastatin 40mg, metoprolol ER 25mg, methocarbamol 500mg, spiriva respimat 1.25mcg, omeprazole 20mg
- Allergien
- Cox-2 Inhibitors (celecoxib)
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 51,0
- Geschlecht
- M
- Eingang
- 28.09.2022
- Impfdatum
- 20.09.2022
- Beginn
- 20.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- OT / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
No adverse event
Product administered to patient of inappropriate age
Symptomtext
FLUZONE HD was administered to a 51 year old patient with no reported adverse event; Initial information received on 20-Sep-2022 regarding an unsolicited valid non-serious case via health professional and physician. Agency number: 01287082. This case involves a 51-year-old male patient to whom INFLUENZA QUADRIVAL A-B HIGH DOSE HV VACCINE [FLUZONE HIGH-DOSE QUADRIVALENT] was administered 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 PNEUMOCOCCAL VACCINE CONJ (PCV 20). On 20-Sep-2022, the 51-year patient received suspect FLUZONE HIGH-DOSE QUADRIVALENT at dose 0.7ml once via intramuscular route in the left arm (lot: UJ904AB, expiry: 30-Jun-2023) for immunization with no reported adverse event (product administered to patient of inappropriate age) a same day latency. Action taken: Not applicable. At time of reporting, the outcome was Unknown. 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
- No adverse event
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- PNEUMOCOCCAL CONJUGATE VACCINE
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- NJ
- Alter
- -
- Geschlecht
- F
- Eingang
- 17.09.2022
- Impfdatum
- 29.08.2022
- Beginn
- 29.08.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- OT / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Poor quality product administered
Product storage error
Symptomtext
Fluzone HD was administered but vaccines had been in transit too long and were not suitable for use, administration post excursion with no reported adverse event; Fluzone HD was administered but vaccines had been in transit too long and were not suitable for use, administration post excursion with no reported adverse event; Initial information received on 29-Aug-2022 regarding an unsolicited valid non-serious case received from a pharmacist. This case involves a 65 years old female patient who was administered Fluzone HD but vaccines had been in transit too long and were not suitable for use, administration post excursion with no reported adverse event, after receiving vaccine INFLUENZA QUADRIVAL A-B HIGH DOSE HV VACCINE [FLUZONE HIGH-DOSE QUADRIVALENT]. The patient's past medical history, medical treatment(s), vaccination(s) and family history were not provided. On 29-Aug-2022, the patient received a dose of suspect INFLUENZA QUADRIVAL A-B HIGH DOSE HV VACCINE (lot UJ904AB and expiration date: 30-Jun-2023) at an unknown dose via unknown route in unknown administration site for immunization. On 29-Aug-2022,the patient developed a non-serious event of fluzone hd was administered but vaccines had been in transit too long and were not suitable for use, administration post excursion with no reported adverse event (poor quality product administered)(latency: same day) (product storage error). Action taken :not applicable. It was not reported if the patient received a corrective treatment for the events Outcome: Unknown for both 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
- Poor quality product administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- VA
- Alter
- 72,0
- Geschlecht
- M
- Eingang
- 12.09.2022
- Impfdatum
- 29.08.2022
- Beginn
- 29.08.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- OT / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
No adverse event
Product administration error
Product storage error
Symptomtext
received a dose of the Fluzone High-Dose Quadrivalent before they found out that the vaccine needed to be quarantined with no reported adverse event; received a dose of the Fluzone High-Dose Quadrivalent before they found out that the vaccine needed to be quarantined with no reported adverse event; Initial information received on 30-Aug-2022 regarding an unsolicited valid non-serious case received from a pharmacist. This case involves a 72 years old male patient who reported received a dose of the fluzone high-dose quadrivalent before they found out that the vaccine needed to be quarantined with no reported adverse event while receiving vaccine influenza quadrival a-b high dose hv vaccine (Fluzone High-Dose Quadrivalent). Concomitant medications: shingles vaccine. The patient's past medical history, medical treatment(s), vaccination(s) and family history were not provided. On 29-Aug-2022, the patient received a dose of suspect influenza quadrival a-b high dose hv vaccine via prefilled syringe at a dose of 0.7 ml with lot UJ904AB and expiry date: 30-Jun-2023 via intramuscular route in right arm for Immunization. On 29-Aug-2022 (latency: same day) the patient developed a non-serious received a dose of the fluzone high-dose quadrivalent before they found out that the vaccine needed to be quarantined with no reported adverse event (product storage error) and (product administration error) following the administration of influenza quadrival a-b high dose hv vaccine. Action taken: not applicable Outcome: unknown 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
- No adverse event
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -