- Staat
- CT
- Alter
- 74,0
- Geschlecht
- M
- Eingang
- 27.12.2022
- Impfdatum
- 14.12.2022
- Beginn
- 15.12.2022
- Tage bis Beginn
- 1,0
- Dosis
- UNK
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Injected limb mobility decreased
Injection site pain
Poor quality sleep
Symptomtext
Left shoulder pain with decreased ROM starting evening s/p injection. Rated pain 6-10/10. Patient unable to sleep that evening.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Injected limb mobility decreased
- Hospital-Tage
- -
- Labordaten
- Followed up with another primary care doctor next da 12/15. Referred to orthopedics, prescribed norco and prednisone taper.
- Aktuelle Erkrankungen
- no known
- Vorgeschichte
- hx CVA, GERD, gout, hypercholesteremia, hypothyroid, insomnia, anxiety and depression, insomnia
- Andere Medikamente
- allopurinol, carvedilol, amlodipine, aspirin, finasteride, levothyroxine, lisinopril, omeprazole, sildenafil, trazodone, venlafaxine
- Allergien
- penicillin, clindamycin, cefaclor
- Vorherige Impfungen
- -
- Staat
- NY
- Alter
- 74,0
- Geschlecht
- F
- Eingang
- 17.11.2022
- Impfdatum
- 18.10.2022
- Beginn
- 18.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Injected limb mobility decreased
Neck pain
Pain in extremity
Wrong technique in product usage process
Symptomtext
Patient spouse reported on 11/17/22: " I inform you that on October 18 my wife and I received the flu vaccine and due to a bad application of the vaccine to my wife, since then she has suffered intense pain from her neck to her left arm that prevents her make any movement and it intensifies every day more"
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Injected limb mobility decreased
- Hospital-Tage
- -
- Labordaten
- Patient just notified office today and has yet to seek medical attention.
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- IL
- Alter
- 65,0
- Geschlecht
- M
- Eingang
- 16.03.2023
- Impfdatum
- 14.09.2022
- Beginn
- 09.03.2023
- Tage bis Beginn
- 176,0
- Dosis
- 1
- Route/Site
- SYR / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Ageusia
Anosmia
COVID-19
Chills
Cough
Fatigue
Feeling hot
Oropharyngeal pain
Pyrexia
Respiratory tract congestion
SARS-CoV-2 test positive
Sinus congestion
Sinus pain
Throat irritation
Symptomtext
3/9/23 that evening I had sinus congestion and pain, a little bit of a sore throat and then chills in the middle of the night. I felt like I had fever and it broke. The next morning, I still felt warm like I had a fever. It was a couple of degrees above normal. I was more congested, and throat was more sore. I took an at home COVID test and it was positive. I called the doctor. We discussed PAXLOVID and he thought because of the interaction with the medication I am on and because I am in good shape, a marathon runner, it wasn't necessary. I took TYLENOL to bring down fever and it was down by the next morning 3/11/23. I had severe fatigue on 3/10 and 3/11. My congestion started to clear. My sore throat became a lot worse. On 3/12/23 I lost about 80% of my sense of smell and taste. On 3/13/23 pretty much all symptoms were gone, except a scratchy throat and a little bit of a cough. My blood oxygen was running 97-99. My fever remained down. My sense of taste and smell have not returned. I am still tired, but not exhausted. I have not recovered.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Chills
- Hospital-Tage
- -
- Labordaten
- COVID at home tests, negative and positive
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- Hypertension; Atrial Fibrillation
- Andere Medikamente
- Diltiazem; triamterene; telmisartan; low dose aspirin; vitamin D3; vitamin B-12; magnesium
- Allergien
- None
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 86,0
- Geschlecht
- F
- Eingang
- 25.10.2022
- Impfdatum
- 20.10.2022
- Beginn
- 20.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Blood pressure increased
Injection site bruising
Injection site coldness
Injection site discolouration
Injection site erythema
Urticaria
Symptomtext
Patient stated at the time of vaccine administered, " it felt like ice in my arm". Patient stated that she rubbed the site all the way home. Experience increased blood pressure shortly there after. Recorded a BP read of 176/76 on 10/23/2022. Patient also states large red whelp to injection site. Patient also stated that on Tuesday 10/25/2022 that the color of the injection site has turned yellow and she believes to be a deep bruise. Patient saw heath care provider on 10/24/2022 for elevated blood pressure only. Blood pressure at the time of visit on 10/24/2022 was 151/77.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Injection site bruising
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- UTI
- Vorgeschichte
- -
- Andere Medikamente
- CARVEDILOL CETIRIZINE CRANBERRY CAPSULE KLONOPIN LOSARTAN MAGNESIUM METHENAMINE HIPPURATE OLOPATADINE PANTOPRAZOLE ROSUVASTATIN SPIRONALACTION VITAMIN B VITAMIN D3
- Allergien
- CLARITHROMYCIN CODINE NEUROMUSCULAR BLOCKERS, STEROIDAL SULFAMETHOXAZOLE TRIMETHOPRIM
- Vorherige Impfungen
- -
- Staat
- WI
- Alter
- 75,0
- Geschlecht
- F
- Eingang
- 18.10.2022
- Impfdatum
- 14.10.2022
- Beginn
- 14.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Chills
Diarrhoea
Pyrexia
Symptomtext
Fever, chills, diarrhea
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Chills
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- none
- Vorgeschichte
- osteoarthritis, hypertension
- Andere Medikamente
- celecoxib, sertraline, tizanidine, tramadol
- Allergien
- codeine, penicillin
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 72,0
- Geschlecht
- F
- Eingang
- 13.10.2022
- Impfdatum
- 11.10.2022
- Beginn
- 11.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Urticaria
Symptomtext
Patient reported via phone that she had developed welts on her upper arm from elbow to shoulder x3 days
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Urticaria
- Hospital-Tage
- -
- Labordaten
- None
- Aktuelle Erkrankungen
- N/A
- Vorgeschichte
- Asthma, allergies, high blood pressure, anaphylaxis, thyroid
- Andere Medikamente
- Nucala, Advair HFA, Incruse Ellipta, Diltiazem CD, valsartan, montelukast, metoprolol, levothyroxine, Eliquis,
- Allergien
- Doxycycline, rosuvastatin, Trelegy Ellipta, codeine
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 83,0
- Geschlecht
- F
- Eingang
- 13.10.2022
- Impfdatum
- 27.09.2022
- Beginn
- 28.09.2022
- Tage bis Beginn
- 1,0
- Dosis
- UNK
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Injection site erythema
Injection site swelling
Symptomtext
Redness and swelling on upper arm of injection lasting 5 days
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Injection site erythema
- Hospital-Tage
- -
- Labordaten
- None
- Aktuelle Erkrankungen
- Upper respiratory tract infection
- Vorgeschichte
- High blood pressure, asthma, allergies
- Andere Medikamente
- Gentamicin ophthalmic solution, atorvastatin, latanoprost ophthalmic solution. dorzolamide-timolol ophthalmic solution, Trelegy Ellipta , amlodipine, montelukast, Xarelto
- Allergien
- Sulfonamides, penicillins, corn syrup, had similar reaction to flu vaccine in 2015, but not in the years in between
- Vorherige Impfungen
- Fluzone HD redness and swelling
- Staat
- WI
- Alter
- 58,0
- Geschlecht
- M
- Eingang
- 10.11.2022
- 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
Medication error
No adverse event
Product administered to patient of inappropriate age
Symptomtext
received the fluzone hd qiv to 58 years old with no reported adverse event; Initial information received on 01-Nov-2022 regarding an unsolicited valid non-serious case received from a other health professional. This case involves a 58 years old male patient who had received the INFLUENZA QUADRIVAL A-B HIGH DOSE HV VACCINE [FLUZONE HIGH-DOSE QUADRIVALENT]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 0.7ml dose of suspect INFLUENZA QUADRIVAL A-B HIGH DOSE HV VACCINE (strength, formulation was unknown, lot UJ924AD and expiry date: 30-Jun-2022) via intramuscular route in the left deltoid for Immunization. On 17-Oct-2022 the patient developed a non-serious event of received the fluzone hd qiv to 58 years old with no reported adverse event (product administered to patient of inappropriate age)(Latency: same day) following the administration of INFLUENZA QUADRIVAL A-B HIGH DOSE HV VACCINE. Action taken: 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
- Medication error
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- WI
- Alter
- 59,0
- Geschlecht
- F
- Eingang
- 10.11.2022
- 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
received the fluzone hd qiv to 59 years old with no reported adverse event; Initial information received on 01-Nov-2022 regarding an unsolicited valid non-serious case received from a other health professional. This case involves a 59 years old female patient who received the fluzone hd qiv (INFLUENZA QUADRIVAL A-B HIGH DOSE HV VACCINE) 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 a dose of 0.7 ml of suspect INFLUENZA QUADRIVAL A-B HIGH DOSE HV VACCINE (formulation, strength: unknown) lot UJ924AD, expiration date: 30-Jun-2023 via intramuscular route in the left deltoid as Immunization On 17-OCT-2022 the patient who was 59 years old received the fluzone hd qiv with no reported adverse event (product administered to patient of inappropriate age) same day following the administration of INFLUENZA QUADRIVAL A-B HIGH DOSE HV VACCINE. Action taken was not applicable. It was not reported if the patient received a corrective treatment for the event. 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 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
- Product administered to patient of inappropriate age
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- WI
- Alter
- 2,0
- Geschlecht
- F
- Eingang
- 08.11.2022
- Impfdatum
- 29.10.2022
- Beginn
- 01.11.2022
- Tage bis Beginn
- 3,0
- Dosis
- UNK
- Route/Site
- - / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Product administered to patient of inappropriate age
Symptomtext
Patient is 2 years old and received a Fluzone Quad High Dose vaccine. According to CDC: Fluzone High-Dose Quadrivalent vaccine is approved only for people 65 years and older. Fluzone High-Dose Quadrivalent is not approved for people younger than 65 years or for people of any age with a history of severe allergic reaction to any influenza vaccine or to vaccine components other than eggs. Information about vaccine ingredients is located in the manufacturer?s package insert.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Product administered to patient of inappropriate age
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- WI
- Alter
- 11,0
- Geschlecht
- F
- Eingang
- 08.11.2022
- Impfdatum
- 29.10.2022
- Beginn
- 01.11.2022
- Tage bis Beginn
- 3,0
- Dosis
- UNK
- Route/Site
- - / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Product administered to patient of inappropriate age
Symptomtext
Patient is 11 years old and received a Fluzone Quad High Dose vaccine. According to CDC: Fluzone High-Dose Quadrivalent vaccine is approved only for people 65 years and older. Fluzone High-Dose Quadrivalent is not approved for people younger than 65 years or for people of any age with a history of severe allergic reaction to any influenza vaccine or to vaccine components other than eggs. Information about vaccine ingredients is located in the manufacturer?s package insert.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Product administered to patient of inappropriate age
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- WI
- Alter
- 59,0
- Geschlecht
- M
- Eingang
- 08.11.2022
- Impfdatum
- 29.10.2022
- Beginn
- 01.11.2022
- Tage bis Beginn
- 3,0
- Dosis
- UNK
- Route/Site
- - / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Product administered to patient of inappropriate age
Symptomtext
Patient is 59 years old and received a Fluzone Quad High Dose vaccine. According to CDC: Fluzone High-Dose Quadrivalent vaccine is approved only for people 65 years and older. Fluzone High-Dose Quadrivalent is not approved for people younger than 65 years or for people of any age with a history of severe allergic reaction to any influenza vaccine or to vaccine components other than eggs. Information about vaccine ingredients is located in the manufacturer?s package insert.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Product administered to patient of inappropriate age
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- WI
- Alter
- 61,0
- Geschlecht
- F
- Eingang
- 08.11.2022
- Impfdatum
- 29.10.2022
- Beginn
- 01.11.2022
- Tage bis Beginn
- 3,0
- Dosis
- UNK
- Route/Site
- - / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Product administered to patient of inappropriate age
Symptomtext
Patient is 61 years old and received a Fluzone Quad High Dose vaccine. According to CDC: Fluzone High-Dose Quadrivalent vaccine is approved only for people 65 years and older. Fluzone High-Dose Quadrivalent is not approved for people younger than 65 years or for people of any age with a history of severe allergic reaction to any influenza vaccine or to vaccine components other than eggs. Information about vaccine ingredients is located in the manufacturer?s package insert.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Product administered to patient of inappropriate age
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- WI
- Alter
- 51,0
- Geschlecht
- F
- Eingang
- 08.11.2022
- Impfdatum
- 17.10.2022
- Beginn
- 01.11.2022
- Tage bis Beginn
- 15,0
- Dosis
- UNK
- Route/Site
- - / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Product administered to patient of inappropriate age
Symptomtext
Patient is 51 years old and received a Fluzone Quad High Dose vaccine. According to CDC: Fluzone High-Dose Quadrivalent vaccine is approved only for people 65 years and older. Fluzone High-Dose Quadrivalent is not approved for people younger than 65 years or for people of any age with a history of severe allergic reaction to any influenza vaccine or to vaccine components other than eggs. Information about vaccine ingredients is located in the manufacturer?s package insert.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Product administered to patient of inappropriate age
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- WI
- Alter
- 87,0
- Geschlecht
- F
- Eingang
- 21.10.2022
- Impfdatum
- 17.10.2022
- Beginn
- 18.10.2022
- Tage bis Beginn
- 1,0
- Dosis
- UNK
- Route/Site
- - / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Extra dose administered
Symptomtext
Patient received influenza quadrivalent High Dose P-free flu vaccine in the clinic on 9/16/22. On 9/28/22 Appointment was made to come get an influenza quadrivalent High Dose P-free flu vaccine during the drive through flu clinic that was done on 10/17/22. Patient received a second dose of the influenza quadrivalent High Dose P-free flu vaccine flu vaccine on 1017/22.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Extra dose administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -