- Staat
- GA
- Alter
- 91,0
- Geschlecht
- F
- Eingang
- 08.11.2023
- Impfdatum
- 10.10.2023
- Beginn
- 01.10.2023
- Tage bis Beginn
- -
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: ja
Disable: unbekannt
ER: unbekannt
Erholt: nein
Amnesia
Aphasia
Blood test
Bradykinesia
Cerebrovascular accident
Cognitive disorder
Computerised tomogram abnormal
Dysstasia
Fall
Gait disturbance
Incoherent
Intensive care
Loss of personal independence in daily activities
Magnetic resonance imaging abnormal
Speech disorder
Walking aid user
Symptomtext
Patient had stroke a few days after vaccines were administered
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Cerebrovascular accident
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- KS
- Alter
- 72,0
- Geschlecht
- M
- Eingang
- 16.10.2023
- Impfdatum
- 13.10.2023
- Beginn
- 14.10.2023
- Tage bis Beginn
- 1,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: ja
Disable: unbekannt
ER: unbekannt
Erholt: nein
Confusional state
Fall
Febrile convulsion
Pyrexia
Urinary incontinence
Symptomtext
PATIENT WAS GIVEN NEW COVID 19 VACCINE ALONG WITH FLU VACCINE. PATIENT WOKE UP THE NEXT MORNING, FELL OUT OF BED AND WET HIMSELF. PATIENT ALSO HAD FEVER OF 102. PATIENT WAS SENT TO MEDICAL CENTER FOR FEBRIAL SEIZURE WITH CONFUSION AND FALL
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Febrile convulsion
- Hospital-Tage
- 1,0
- Labordaten
- MEDICAL CENTER 10/14/2023
- Aktuelle Erkrankungen
- NONE
- Vorgeschichte
- CA CHRONIC PAIN TENDINITIS OBESITY ESSENTIAL TREMOR HYPOGONADISM HALLUX SLEEP APNEA BIPOLAR 2
- Andere Medikamente
- LAMOTRIGINE DULOXETINE GLIPIZIDE METFORMIN SEMAGLUTIDE TAMSULOSIN MELATONIN ASPRIN RISPERIDONE
- Allergien
- SULA CLINDAMYCIN PRAVASTATIN EMPAGLIFLOZIN
- Vorherige Impfungen
- -
- Staat
- CO
- Alter
- 65,0
- Geschlecht
- F
- Eingang
- 13.12.2023
- Impfdatum
- 11.12.2023
- Beginn
- 12.12.2023
- 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 reaction
Rash erythematous
Symptomtext
Patient developed rash at the injection side that spread around the arm horizontally. No pain, itching, and at day 2 was not getting worse. I instructed spouse that if the rash/redness worsened they needed to seek medical attention. Spouse was understanding of the situation as I explained she may just be having a mild reaction to the vaccine but if got any worse to make sure to get to a medical facility.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Injection site reaction
- Hospital-Tage
- -
- Labordaten
- None
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- None
- Andere Medikamente
- -
- Allergien
- Codeine
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 68,0
- Geschlecht
- F
- Eingang
- 10.11.2023
- Impfdatum
- 08.11.2023
- Beginn
- 09.11.2023
- Tage bis Beginn
- 1,0
- Dosis
- N/A
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Burning sensation
Erythema
Peripheral swelling
Pruritus
Symptomtext
Patient came to the pharmacy today to show us her arm after she had called her doctor to let him know about the reaction to the flu shot. Her doctor told her to come to the pharmacy to let us know and he told her to take Benadryl. Her arm was red, itchy, swollen, and she stated that it had a burning sensation.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Pruritus
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- tetanus - she stated no on the form, but when she came in I asked her if she had every had allergic reaction to a vaccination an
- Staat
- FL
- Alter
- 75,0
- Geschlecht
- F
- Eingang
- 19.10.2023
- Impfdatum
- 16.10.2023
- Beginn
- 18.10.2023
- Tage bis Beginn
- 2,0
- Dosis
- N/A
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Injection site erythema
Injection site swelling
Symptomtext
local site reaction, red/swollen surrounding injection site up and down half of arm. patient has followed up with prescriber for possible antibiotics and ultrasound.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Injection site erythema
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- GA
- Alter
- 74,0
- Geschlecht
- M
- Eingang
- 03.10.2023
- Impfdatum
- 02.10.2023
- Beginn
- 02.10.2023
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Erythema
Malaise
Pruritus
Rash
Rash erythematous
Rash pruritic
Symptomtext
Patient returned to pharmacy department today complaining of severe redness and rash on his right side from the clavicle to his lower abdomen. Patient presented a photo of rash and said it was red and itchy. Patient said he had gone home after vaccinations were administered and took a nap because he did not feel well. Patient stated he woke up to the redness and rash and tried Triamcinolone cream he had at home to stop itching but it did not resolve. Patient was looking for recommendation from pharmacist as to what he could do for rash. Pharmacist informed patient that he needed to contact his primary care physician because the rash looked severe and would need to be treated by physician. Patient understood and verbalized understanding. Patient said he would contact his primary care physician immediately.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Malaise
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- unknown
- Vorgeschichte
- unknown
- Andere Medikamente
- unknown
- Allergien
- no known allergies
- Vorherige Impfungen
- -
- Staat
- NC
- Alter
- 45,0
- Geschlecht
- F
- Eingang
- 20.11.2023
- Impfdatum
- 06.11.2023
- Beginn
- 06.11.2023
- Tage bis Beginn
- 0,0
- Dosis
- N/A
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Wrong product administered
Symptomtext
Pt was administered high dose flu vaccine instead of traditional dose.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Wrong product administered
- Hospital-Tage
- -
- Labordaten
- n/a
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 62,0
- Geschlecht
- F
- Eingang
- 31.10.2023
- Impfdatum
- 30.10.2023
- Beginn
- 30.10.2023
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Product administered to patient of inappropriate age
Symptomtext
Not an age-appropriate vaccine
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Product administered to patient of inappropriate age
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 63,0
- Geschlecht
- F
- Eingang
- 31.10.2023
- Impfdatum
- 30.10.2023
- Beginn
- 30.10.2023
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Product administered to patient of inappropriate age
Symptomtext
Not an age-appropriate vaccine
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Product administered to patient of inappropriate age
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- Fluzone High Dose influenza vaccine
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 49,0
- Geschlecht
- M
- Eingang
- 25.10.2023
- Impfdatum
- 23.10.2023
- Beginn
- 23.10.2023
- 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
Employee was given a High Dose Fluzone by another RN. High Dose Fluzone was not age-appropriate for the employee.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Product administered to patient of inappropriate age
- Hospital-Tage
- -
- Labordaten
- None needed
- Aktuelle Erkrankungen
- Unknown
- Vorgeschichte
- Unknown
- Andere Medikamente
- Unknown
- Allergien
- Unknown
- Vorherige Impfungen
- -
- Staat
- NC
- Alter
- 15,0
- Geschlecht
- M
- Eingang
- 19.10.2023
- Impfdatum
- 19.10.2023
- Beginn
- 19.10.2023
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Product administered to patient of inappropriate age
Symptomtext
High Dose Flu Vaccine given to teenager
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Product administered to patient of inappropriate age
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- NC
- Alter
- 17,0
- Geschlecht
- F
- Eingang
- 19.10.2023
- Impfdatum
- 19.10.2023
- Beginn
- 19.10.2023
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Product administered to patient of inappropriate age
Symptomtext
High Dose vaccine given to teenager
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Product administered to patient of inappropriate age
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- NC
- Alter
- 63,0
- Geschlecht
- M
- Eingang
- 16.10.2023
- Impfdatum
- 13.10.2023
- Beginn
- 13.10.2023
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Product administered to patient of inappropriate age
Symptomtext
Given high dose vaccine outside of indicated age range
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Product administered to patient of inappropriate age
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- TN
- Alter
- 85,0
- Geschlecht
- F
- Eingang
- 13.10.2023
- Impfdatum
- 04.10.2023
- Beginn
- 04.10.2023
- 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
Poor quality product administered
Product storage error
Symptomtext
fluzone hd qiv experience a temperature excursion which was not covered by the extended stability data with no reported adverse event; fluzone hd qiv was administered to a patient after experiencing a temperature excursion with no reported adverse event; Initial information received on 05-Oct-2023 regarding an unsolicited valid non-serious case received from other health professional. This case involves 85 years old female patient who was administered vaccine Influenza Quadrival A-B High dose HV vaccine [Fluzone High-Dose Quadrivalent] after experiencing a temperature excursion with no reported adverse event. The patient's past medical history, medical treatment(s), vaccination(s) and family history were not provided. On 04-Oct-2023, the patient received 0.7 ml dose (frequency: once) of suspect Influenza Quadrival A-B High Dose HV vaccine of lot UT8150CA and expiry: 30-Jun-2024 via intramuscular route in the right deltoid for immunization. On an unknown date, it was reported that the suspect Influenza Quadrival A-B High Dose HV vaccine experience a temperature excursion which was not covered by the extended stability data with no reported adverse event (product storage error) (unknown latency). On 04-Oct-2023, the patient was administered Influenza Quadrival A-B High Dose HV vaccine (Fluzone HD QIV) after experiencing a temperature excursion with no reported adverse event (poor quality product administered) (latency: same day). No lab data was reported. Action taken 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
- No adverse event
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -