- Staat
- AZ
- Alter
- 70,0
- Geschlecht
- M
- Eingang
- 11.11.2022
- Impfdatum
- 19.10.2022
- Beginn
- 24.10.2022
- Tage bis Beginn
- 5,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: ja
Hospital: ja
Disable: ja
ER: ja
Erholt: nein
Asthenia
Balance disorder
Endotracheal intubation
Hypotonia
Immunoglobulin therapy
Laboratory test
Lumbar puncture normal
Magnetic resonance imaging spinal normal
Muscular weakness
Paraesthesia
Plasmapheresis
Syncope
Tracheostomy
Symptomtext
Four days after receiving flu vaccine (10/23/2023), patient started feeling pins and needles in his hands and his toes and then started getting weakness. On 10/28/2023, patient presented to emergency room; he got to the point where he could not hold himself up and collapsed as his legs were so weak. Patient was admitted for further work up. Providers believe possible Guillan-Barre syndrome possibly from influenza vaccine. During this admission, patient has received 0.4 g/kg IVIG x5 days (completed 11/2), followed by 7 days of plasmapheresis (completed 11/10). Patient was intubated (11/1) during hospital admission and ultimately received trachostomy (11/7). As of 11/11, patient is still with bilater lower extremity flaccid, although patient reports sensation. Upper extremities +2 off of the bed, but very weak, equal bilateral. Can raise shoulders. Can stick out tongue.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Syncope
- Hospital-Tage
- 15,0
- Labordaten
- MRI of lumber spine (10/28) = no acute changes MRI of spine (10/29) negative for cord compression LP (10/31) = negative for anything significant further labs pending per neurology
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- COPD, pulmonary fibrosis, hypertension
- Andere Medikamente
- albuterol, budesonide/formoterol, nintedanib, olmesartan, pantoprazole, rosuvastatin
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- CA
- Alter
- 75,0
- Geschlecht
- M
- Eingang
- 11.10.2022
- Impfdatum
- 28.09.2022
- Beginn
- 28.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: ja
Erholt: unbekannt
Cerebral small vessel ischaemic disease
Computerised tomogram head normal
Confusional state
Lacunar infarction
Tremor
Seizure
Urinary incontinence
Symptomtext
I am retired MD. About 6 hours after vaccine, I experienced moderate to severe symmetrical upper body and upper extremity trembling (no frank tremor or seizure activity) that was almost gone within an hour. I then went to sleep, awakening about an hour later with mild confusion although oriented x3, and noticed incontinence of urine. Still no seizure activity. The confusion resolved indicated a possible generalized seizure - No previous history of seizures - So I had my wife dive me to ER. After workup, I was released to home and told no driving till cleared by Neurologist.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Seizure
- Hospital-Tage
- -
- Labordaten
- All on 09/29/2022 all Normal except as noted. Head CT w/o contract normal except one caudate chronic 5MM Lacunar infarct and white matter microvascular ischemic changes consistent
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- Coronary Artery Disease, GERD, Sciatica, Dysphagia, All stable
- Andere Medikamente
- See Attached
- Allergien
- None
- Vorherige Impfungen
- -
- Staat
- MT
- Alter
- 76,0
- Geschlecht
- M
- Eingang
- 16.11.2022
- Impfdatum
- 10.10.2022
- Beginn
- 11.10.2022
- Tage bis Beginn
- 1,0
- Dosis
- 1
- Route/Site
- IM / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: ja
Disable: ja
ER: ja
Erholt: nein
Adverse drug reaction
Asthenia
Axillary pain
Back pain
Bradykinesia
Blister
Fatigue
Malaise
Chest X-ray
Cogwheel rigidity
Computerised tomogram head
Dehydration
Dizziness
Dysgraphia
Electrocardiogram
Full blood count
Gait disturbance
Herpes zoster
Symptomtext
10/12/22 and 10/13/22: seen in clinic for chest wall pain and extensive shingles rash / pain Rt anterolateral chest and axilla day after vaccines, then spread to back in following week. 10/24/22 Seen in ER for : Weakness, fatigue, dizziness, dehydration, medication side effects, discharged home. 11/1/22 Seen in ER for: Weakness, fatigue/malaise, orthostatic hypotension 11/1/22 -11/4/22 Admit to hospital ACF inpatient - MD suspicious of pt developing Parkinson's like disorder d/t hand tremor at rest, cogwheel rigitity, flat facies, slow shuffling gait and changes in handwriting - referral to neurologist, PT, OT, ST were made. 11/7/22 Follow up with PCP, Dr. 11/16/22 Follow up with FNP,
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Dehydration
- Hospital-Tage
- 4,0
- Labordaten
- EKG, CXR, Head CT, UA, CBC, CMP, ESR
- Aktuelle Erkrankungen
- No acute illness at time of vaccines or within the prior month
- Vorgeschichte
- Depression,Arthritis,Vertigo, TIA, LUTS,
- Andere Medikamente
- ASA,Buproprion,Citalopram,Clopidogrel,Simvastatin,Vit D3,Vit B
- Allergien
- NKDA
- Vorherige Impfungen
- -
- Staat
- MT
- Alter
- 76,0
- Geschlecht
- M
- Eingang
- 16.11.2022
- Impfdatum
- 10.10.2022
- Beginn
- 11.10.2022
- Tage bis Beginn
- 1,0
- Dosis
- UNK
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: ja
Disable: ja
ER: ja
Erholt: nein
Adverse drug reaction
Asthenia
Axillary pain
Back pain
Bradykinesia
Blister
Fatigue
Malaise
Chest X-ray
Cogwheel rigidity
Computerised tomogram head
Dehydration
Dizziness
Dysgraphia
Electrocardiogram
Full blood count
Gait disturbance
Herpes zoster
Symptomtext
10/12/22 and 10/13/22: seen in clinic for chest wall pain and extensive shingles rash / pain Rt anterolateral chest and axilla day after vaccines, then spread to back in following week. 10/24/22 Seen in ER for : Weakness, fatigue, dizziness, dehydration, medication side effects, discharged home. 11/1/22 Seen in ER for: Weakness, fatigue/malaise, orthostatic hypotension 11/1/22 -11/4/22 Admit to hospital ACF inpatient - MD suspicious of pt developing Parkinson's like disorder d/t hand tremor at rest, cogwheel rigitity, flat facies, slow shuffling gait and changes in handwriting - referral to neurologist, PT, OT, ST were made. 11/7/22 Follow up with PCP, Dr. 11/16/22 Follow up with FNP,
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Dehydration
- Hospital-Tage
- 4,0
- Labordaten
- EKG, CXR, Head CT, UA, CBC, CMP, ESR
- Aktuelle Erkrankungen
- No acute illness at time of vaccines or within the prior month
- Vorgeschichte
- Depression,Arthritis,Vertigo, TIA, LUTS,
- Andere Medikamente
- ASA,Buproprion,Citalopram,Clopidogrel,Simvastatin,Vit D3,Vit B
- Allergien
- NKDA
- Vorherige Impfungen
- -
- Staat
- OR
- Alter
- 82,0
- Geschlecht
- M
- Eingang
- 03.11.2022
- Impfdatum
- 31.10.2022
- Beginn
- 31.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Hyperhidrosis
Hypoacusis
Migraine
Photopsia
Tremor
Visual impairment
Symptomtext
Patient states that 5 hours after receiving flu vaccine on 10/31/22 patient began having reaction. Migraine started in back of head, went to eyebrows, whole head aching pain. Hearing became "staticky like an old radio." Sight got dark with flashes of light. Persisted for 45 minutes. Patient also shook for 3 hours even though not cold. Wife thought patient was having seizure because patient was shaking. Patient was sweating. Patient states this is the sixth year patient has had these symptoms the evening after getting flu vaccine. Last two years have been the worst.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Migraine
- Hospital-Tage
- -
- Labordaten
- NA
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- gout vitiligo LUTS actinic keratosis essential HTN ischemic cardiomyopathy senile purpura Hx of squamous cell carcinoma
- Andere Medikamente
- alfuzosin 10mg allopurinol 100mg atorvastatin 10mg coenzyme Q10 entresto 24 mg ferrous gluconate flaxseed oil fluticasone metoprolol 25mg mirabegron 50mg spironolactone 25mg
- Allergien
- NKDA
- Vorherige Impfungen
- patient reports similar reactions from high dose influenza vaccines for past six years
- Staat
- CA
- Alter
- 80,0
- Geschlecht
- M
- Eingang
- 14.11.2022
- Impfdatum
- 09.11.2022
- Beginn
- -
- Tage bis Beginn
- -
- Dosis
- 2
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Extra dose administered
Fatigue
Symptomtext
PT CAME TO THE PHARMACY AND ASKED FOR THE FLU SHOT. HE WAS GIVEN FLUZONE HD. AFTERWARD WE FOUND HE HAD ALREADY HD ONE IN OCTOBER AND HE DIDN'T KNOW AND HAD CAME FOR A SECOND ONE. i IMMIDIETLY CALLED THE PATIENT TALKED WITH HIM, CONSULTED THAT IF HE HAS ANY REACTION CALL EMS IMMIDIETLY AND HAVE SOME BENADRYL HANDY . HE SAID HE IS DOING OK AND HAS NO PROBLEMS. I CHECKED ON HIM 4 TIMES THAT DAY ( 11/9/220 AND TODAY AGAIN I CALLED HIM TWICE AND HE IS DOING GREAT . HE ONLY SAID HE FEEELS A LITTLE TIRED BUT HE HAD JUST CAME BACK FROM A WALK
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Fatigue
- Hospital-Tage
- -
- Labordaten
- NA
- Aktuelle Erkrankungen
- NONE
- Vorgeschichte
- -
- Andere Medikamente
- TAMSULOSIN, PROPRANOLOL, FAMOTIDINE, PRAVASTATIN, DUTASTERIDE, ASPIRIN, MAGNESIUM OXIDE, ALEANDRONATE, ISOSORBIDE
- Allergien
- NO KNOWN ALLERGIES
- Vorherige Impfungen
- -
- Staat
- AK
- Alter
- 68,0
- Geschlecht
- F
- Eingang
- 14.10.2022
- Impfdatum
- 26.09.2022
- Beginn
- 26.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Injection site pain
Symptomtext
Pain in upper shoulder soon after following immunization. Pain started soon after immunization. Patient taking Ibuprofen, applying ice and heat to affected area for comfort.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Injection site pain
- Hospital-Tage
- -
- Labordaten
- Physical examination. Referral from physician at Urgent Care Clinic to go to Physical Therapy.
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- None
- Andere Medikamente
- None
- Allergien
- Gluten
- Vorherige Impfungen
- -
- Staat
- WA
- Alter
- 87,0
- Geschlecht
- M
- Eingang
- 05.10.2022
- Impfdatum
- 29.09.2022
- Beginn
- 03.10.2022
- Tage bis Beginn
- 4,0
- Dosis
- N/A
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Injection site rash
Symptomtext
Patient called the pharmacy on 10/5/22 stating that he started to notice a rash developing on his arm near the injection site around 10/3/22. He stated that today the rash has grown in size but has not caused more discomfort. He has had Fluzone-HD in the past with no issues.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Injection site rash
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- TN
- Alter
- 65,0
- Geschlecht
- M
- Eingang
- 12.11.2022
- Impfdatum
- 07.11.2022
- Beginn
- 07.11.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- OT / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: ja
Erholt: nein
Medication error
No adverse event
Poor quality product administered
Product storage error
Symptomtext
temperature excursion due to a power outage, normal fridge temperature stays around 41 F, the temperature was 49 F when they discovered the vaccines after the power outage, with no reported adverse event; The FLUZONE HD QIV has been administered post excursion, with no reported adverse event; Initial information received on 07-Nov-2022 regarding an unsolicited valid non-serious case received from a healthcare professional. This case involves a 65-year-old male patient to whom INFLUENZA QUADRIVAL A-B HIGH DOSE HV VACCINE [FLUZONE HIGH-DOSE QUADRIVALENT] has been administered post excursion and temperature excursion due to a power outage, normal fridge temperature stays around 41 F, the temperature was 49 F when they discovered the vaccines after the power outage, with no reported adverse event. The patient's past medical history, medical treatment(s), vaccination(s) and family history were not provided. On 07-Nov-2022, the patient received 0.7 ml dose of suspect INFLUENZA QUADRIVAL A-B HIGH DOSE HV VACCINE (formulation, strength: unknown) (lot number: UJ919AD and expiry date: 30-Jun-2023) via intramuscular route in the right deltoid for Immunization and it has been administered post excursion, with no reported adverse event (poor quality product administered) (latency: same day) and temperature excursion due to a power outage, normal fridge temperature stays around 41 f, the temperature was 49 f when they discovered the vaccines after the power outage, with no reported adverse event (product storage error. It was reported, they are not sure what the temperature reached over the weekend. They are not sure if the temperature went any higher than that. They were told that the power was out for approximately 6 hours. This situation is reported as a medication error due to temperature excursion that exceeded the stability data documented in the local labelling and additional supporting stability data. This situation is reported as a medication error due to the possible inappropriate administration of FLUZONE HD QIV to a patient post excursion. Action taken with QUADRIVALENT INFLUENZA VACCINE (FLUZONE HIGH-DOSE QUADRIVALENT) was not applicable. At time of reporting, the outcome was 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
- Medication error
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- MN
- Alter
- 64,0
- Geschlecht
- F
- Eingang
- 28.10.2022
- Impfdatum
- 19.10.2022
- Beginn
- 19.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- OT / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Medication error
No adverse event
Product administered to patient of inappropriate age
Symptomtext
64 year old patients were given fluzone high-dose quadrivalent per their request when they declined fluzone qiv with no reported ae; Initial information received on 20-Oct-2022 regarding an unsolicited valid non-serious case received from a other health professional. This case involves a 64 years old female patient who was given fluzone high-dose quadrivalent per their request when they declined fluzone qiv with no reported adverse event while receiving vaccine. The patient's past medical history, medical treatment(s), vaccination(s) and family history were not provided. Concomitant medications included ELASOMERAN (MODERNA COVID-19 VACCINE). On 19-Oct-2022, the patient received a dose of 0.7 ml suspect INFLUENZA QUADRIVAL A-B HIGH DOSE HV VACCINE (lot UJ919AD) (Frequency: once ) (Strength: Fluzone HD ) (expiry date: 30-Jun-2023) (formulation was unknown) via intramuscular route in the right deltoid as prophylactic vaccination. On 19-OCT-2022 the patient was given fluzone high-dose quadrivalent per their request when they declined fluzone qiv with no reported adverse event (Product administered to patient of inappropriate age) (latency: same day). Action taken: not applicable. At time of reporting, the 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
- Medication error
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- MN
- Alter
- 64,0
- Geschlecht
- M
- Eingang
- 28.10.2022
- Impfdatum
- 19.10.2022
- Beginn
- 19.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- OT / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Product administered to patient of inappropriate age
Symptomtext
64 year old patient given FLUZONE HIGH-DOSE QUADRIVALENT with no reported adverse event; Initial information received on 20-Oct-2022 regarding an unsolicited valid non-serious case received from a other health professional. This case involves a 64 years old male patient who was given fluzone high-dose quadrivalent with no reported adverse event while 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. Concomitant medications included ELASOMERAN (MODERNA COVID-19 VACCINE) for Immunisation. On 19-Oct-2022, the patient received 0.7 mL dose of suspect INFLUENZA QUADRIVAL A-B HIGH DOSE HV VACCINE (lot UJ919AD and expiry date: 30-Jun-2023) via intramuscular route in the right deltoid for prophylactic vaccination. On 19-Oct-2022, (latency: same day) the 64 year old patient was given fluzone high-dose quadrivalent with no reported adverse event (product administered to patient of inappropriate age) following the administration of INFLUENZA QUADRIVAL A-B HIGH DOSE HV VACCINE. It was reported, two 64 year old patients were given FLUZONE HIGH-DOSE QUADRIVALENT per their request when they declined FLUZONE QIV. Action taken was not applicable. At time of reporting, the 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.; Sender's Comments: US-SA-2022SA439832:
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Product administered to patient of inappropriate age
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- IN
- Alter
- 69,0
- Geschlecht
- M
- Eingang
- 22.10.2022
- Impfdatum
- 05.10.2022
- Beginn
- 05.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- N/A
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Feeling abnormal
Nasopharyngitis
Symptomtext
That evening he started feeling "lousy" and proceeded into a really bad cold. As of today, 10;22.22 , it has only gotten a little better. He states he was not around anyone else that could have just given him a cold, without getting the flu shot.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Feeling abnormal
- Hospital-Tage
- -
- Labordaten
- None
- Aktuelle Erkrankungen
- 1 & 1/2 weeks before the vaccination he had the stomach flu, but this was cleared up before he got the vaccination.
- Vorgeschichte
- None
- Andere Medikamente
- Chlorhexidine oral rinse, Furosemide 40mg, Lisinopril 20mg, Potassium Chloride 20meq, Propranolol 40mg, Rosuvastatin 20mg.
- Allergien
- No known allergies.
- Vorherige Impfungen
- -
- Staat
- IA
- Alter
- 51,0
- Geschlecht
- F
- Eingang
- 22.10.2022
- Impfdatum
- 17.10.2022
- Beginn
- 17.10.2022
- Tage bis Beginn
- 0,0
- 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 fluzone high-dose quadrivalent was inadvertently given to patient under the age of 65 years with no reported adverse event; Initial information received on 17-Oct-2022 regarding an unsolicited valid non-serious case received from a pharmacist. This case involves a 51 years old female patient to whom fluzone high-dose quadrivalent was inadvertently given to patient under the age of 65 years with no reported adverse event. The patient's past medical history, medical treatment(s), vaccination(s) and family history were not provided. On 17-Oct-2022, the patient received 0.7 ml of suspect INFLUENZA QUADRIVAL A-B HIGH DOSE HV VACCINE [FLUZONE HIGH-DOSE QUADRIVALENT] (lot UJ919AD, expiry-30-06-23) (strength: unknown) via intramuscular route in the left deltoid for immunization. On 17-OCT-2022 the patient developed a non-serious a fluzone high-dose quadrivalent was inadvertently given to patient under the age of 65 years with no reported adverse event (product administered to patient of inappropriate age) (latency same day) Action taken with QUADRIVALENT INFLUENZA VACCINE (FLUZONE HIGH-DOSE QUADRIVALENT) was 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 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
- Product administered to patient of inappropriate age
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- OR
- Alter
- 56,0
- Geschlecht
- F
- Eingang
- 19.10.2022
- Impfdatum
- 16.10.2022
- Beginn
- 01.10.2022
- Tage bis Beginn
- -
- Dosis
- UNK
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Dry mouth
Product administered to patient of inappropriate age
Symptomtext
Patient (age 56) was accidentally given Fluzone HD while not indicated for it. The pharmacy contacted the patient to communicate that an error had occurred. The only issue the patient described was that of a dry mouth at the time of call on October 19th, 2022 but feeling fine, otherwise.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Dry mouth
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- OR
- Alter
- 61,0
- Geschlecht
- M
- Eingang
- 18.10.2022
- Impfdatum
- 18.10.2022
- Beginn
- 01.10.2022
- Tage bis Beginn
- -
- Dosis
- UNK
- 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 61 WAS GIVEN THE HIGH DOSE FLUZONE, PT WAS CONTACTED LATER IN THE EVENING AND FEELS FINE WITH NO SIDE EFFECTS
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- No adverse event
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- -
- Alter
- 51,0
- Geschlecht
- M
- Eingang
- 17.10.2022
- 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: nein
Product administered to patient of inappropriate age
Wrong product administered
Symptomtext
Patient was administered high-dose flu shot instead of fluzone quadrivalent dose (age appropriate dose).
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Product administered to patient of inappropriate age
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- HIV, high blood pressure, hypothyroidism, hyperlipidemia
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- CA
- Alter
- 38,0
- Geschlecht
- F
- Eingang
- 14.10.2022
- Impfdatum
- 14.10.2022
- Beginn
- 14.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- - / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Wrong product administered
Symptomtext
PT WAS SUPPOSED TO RECIEVE THE NEW MODERNA BIVALENT BOOSTER. HOWEVER, INSTEAD NURS ADMINISTERED FLUZONE HD
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Wrong product administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- CA
- Alter
- 64,0
- Geschlecht
- F
- Eingang
- 13.10.2022
- Impfdatum
- 06.10.2022
- Beginn
- 06.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- 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 ADMINISTERED THE HIGH DOSE FLU SHOT WHEN INELIGIBLE DUE TO AGE. PATIENT IS 64 YEARS OLD.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Product administered to patient of inappropriate age
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- OK
- Alter
- 60,0
- Geschlecht
- M
- Eingang
- 12.10.2022
- Impfdatum
- 11.10.2022
- Beginn
- 11.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
No adverse event
Product administered to patient of inappropriate age
Symptomtext
Patient was administered the high dose vaccine when he wasn't eligible. Patient experienced no adverse effects.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- No adverse event
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- -
- Alter
- 61,0
- Geschlecht
- F
- Eingang
- 09.10.2022
- Impfdatum
- 05.10.2022
- Beginn
- 01.10.2022
- Tage bis Beginn
- -
- Dosis
- UNK
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Product administered to patient of inappropriate age
Symptomtext
At the time of the vaccination no sign of adverse symptoms or signs
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
- 70,0
- Geschlecht
- M
- Eingang
- 05.10.2022
- Impfdatum
- 05.10.2022
- Beginn
- 05.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- N/A
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect dose administered
Syringe issue
Symptomtext
The safety needle was not tightly attached to the syringe and patient did not get the full dose. patient did not have any symptoms or side effect and he is aware of the incident
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect dose administered
- Hospital-Tage
- -
- Labordaten
- N/A
- Aktuelle Erkrankungen
- n/a
- Vorgeschichte
- n/a
- Andere Medikamente
- n/a
- Allergien
- nka
- Vorherige Impfungen
- -
- Staat
- NV
- Alter
- 76,0
- Geschlecht
- F
- Eingang
- 04.10.2022
- Impfdatum
- 29.09.2022
- Beginn
- 30.09.2022
- Tage bis Beginn
- 1,0
- Dosis
- UNK
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Asthenia
Feeling abnormal
Gait disturbance
Symptomtext
The patient reported to me that approximately 8-10 hours after receiving the vaccine, she experienced what she described as "whole body weakness", brain fog, and having an unstable gait. This lasted for approximately 24 hours, and she began to feel better thereafter.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Asthenia
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- none reported.
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- NSAIDS, phenothiazines, sulfa antibiotics, tetracycline, iodides, iodine, dapsone, diltiazem.
- Vorherige Impfungen
- -
- Staat
- CA
- Alter
- 77,0
- Geschlecht
- F
- Eingang
- 03.10.2022
- Impfdatum
- 03.10.2022
- Beginn
- 03.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- N/A
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Extra dose administered
Medication error
No adverse event
Symptomtext
PATIENT RECEIVED A SECOND DOSE OF FLUZONE HD WITHIN A YEAR DUE TO MISCOMMUNICATION FROM PATIENT TO STAFF DESPITE MULTIPLE ATTEMPT TO VERIFY THE VACCINE THE PATIENT WANTS THAT DAY. UPON CLARIFICATION AFTER ADMINISTRATION AND PATIENT ALREADY WENT HOME, PATIENT ORIGINALLY WANTED A COVID BOOSTER SHOT BUT FAILED TO COMMUNICATE IT CLEARLY WHEN ASKED BY PHARMACY STAFF. THE MEDICATION ERROR WAS DISCOVERED UPON THIRD-PARTY REJECTION FROM INSURANCE PLAN SAYING THAT THE PATIENT GOT A DOSE OF FLUZONE HD ALREADY ONE MONTH PRIOR. PATIENT WAS CONTACTED AND THE ISSUE WAS REVIEWED WITH THE PATIENT. PATIENT IS AWARE OF THE ERROR AND REPORTS NO ADVERSE EFFECTS THUS FAR. PATIENT AND PATIENT'S FAMILY MEMBER ARE AWARE OF THE MEDICATION ERROR.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Extra dose administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- UNKNOWN
- Vorgeschichte
- UNKNOWN
- Andere Medikamente
- AMLODIPINE FLUCONAZOLE PRILOSEC
- Allergien
- QUINOLONES - NO REACTION DOCUMENTED
- Vorherige Impfungen
- -