- Staat
- CA
- Alter
- 29,0
- Geschlecht
- M
- Eingang
- 10.04.2023
- Impfdatum
- 30.10.2022
- Beginn
- 01.04.2023
- Tage bis Beginn
- 153,0
- Dosis
- UNK
- Route/Site
- IM / AR
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: ja
Erholt: nein
Alanine aminotransferase
Blood chloride
Blood creatinine
Blood electrolytes
Blood glucose
Blood potassium
Blood sodium
Brain natriuretic peptide
C-reactive protein
Carbon dioxide
Chest X-ray
Culture urine
Differential white blood cell count
Electrocardiogram
Fibrin D dimer
Full blood count
Impaired work ability
Inflammation
Symptomtext
Flu like symptoms that lasted a couple of days following days after vaccination. Now dealing with Pericarditis that started April 5th which caused me to miss work and I am prescribed steroid treatment and Naproxen to reduce inflammation. Still feeling consistent symptoms until this day.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Pericarditis
- Hospital-Tage
- -
- Labordaten
- XR CHEST 2 VIEWS; Rapid COVID-19 (SARS-COV-2), Flu (Influenza A/B) (Local Center Approved); CREATININE; GLUCOSE; ELECTROLYTE PANEL (NA, K, CL, CO2); ALT; B-TYPE NATRIURETIC PEPTIDE (BNP); CBC W AUTOMATED DIFFERENTIAL; CRP (C-REACTIVE PROTEIN), NON-CARDIAC, HIGH SENSITIVITY; ERYTHROCYTE SEDIMENTATION RATE, AUTOMATED; TROPONIN I, HIGH SENSITIVITY; URINE CULTURE; URINALYSIS, AUTOMATED; D-DIMER FOR PULMONARY EMBOLISM, QUANTITATIVE; WBC AUTO DIFF; REFERRAL CARDIOLOGY; ECG, 12 Lead, Back Office, Now; Ketorolac Injection 60 mg (TORADOL); methylPREDNISolone Sod Succinate (PF) Injection 125 mg (Solu-Medrol PF); predniSONE 5 mg Oral Dose Pack Tab; Naproxen (NAPROSYN) 500 mg Oral Tab.
- Aktuelle Erkrankungen
- N/A
- Vorgeschichte
- N/A
- Andere Medikamente
- N/A
- Allergien
- Latex
- Vorherige Impfungen
- Urgent care visit with similar symptoms following a month after initial series of Covid 19 Pfizer. Dates : 09/17/21, 10/08/21.
- Staat
- CO
- Alter
- 18,0
- Geschlecht
- M
- Eingang
- 15.12.2022
- Impfdatum
- 15.12.2022
- Beginn
- 15.12.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Blindness
Heart rate decreased
Hyperhidrosis
Pallor
Syncope
Symptomtext
pt fainted for less than 30 seconds and then came to. he was diaphoretic, pale and reported a complete loss of vision. I was having a hard time getting a blood pressure and pulse was very faint. Pt was alert after fainting episode and answered all questions appropriately. 911 called for pt to be evaluated, pt declined ambulance. Father came to pick him up
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Syncope
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- none
- Allergien
- hazel nuts
- Vorherige Impfungen
- -
- Staat
- WA
- Alter
- 13,0
- Geschlecht
- F
- Eingang
- 09.11.2022
- Impfdatum
- 09.11.2022
- Beginn
- 09.11.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Hunger
Syncope
Visual impairment
Symptomtext
Approximately 10 minutes after receiving her vaccines, patient's vision went dark and she fainted. Was roused immediately and felt fine after having some orange soda. After speaking to mom, patient had not eaten since an early breakfast. Pt was able to stand without any lightheadedness after a couple of minutes of being told to sit and drink her soda. She said she was hungry and she and mom left to get food.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Syncope
- Hospital-Tage
- -
- Labordaten
- None
- Aktuelle Erkrankungen
- None reported
- Vorgeschichte
- None reported
- Andere Medikamente
- None reported
- Allergien
- None reported
- Vorherige Impfungen
- -
- Staat
- IL
- Alter
- 22,0
- Geschlecht
- M
- Eingang
- 27.10.2022
- Impfdatum
- 27.10.2022
- Beginn
- 27.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Immediate post-injection reaction
Seizure
Symptomtext
Had seizure after 4 mins
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Seizure
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- CA
- Alter
- 43,0
- Geschlecht
- F
- Eingang
- 14.12.2022
- Impfdatum
- 31.10.2022
- Beginn
- 31.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Injection site pain
Symptomtext
Site: Pain at Injection Site-Mild, Additional Details: pt has pain at injection site to this date, but husband says pt still has range of motion. has fu with md this tuesday. saw md x1 (date unknown)
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Injection site pain
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- CO
- Alter
- 8,0
- Geschlecht
- M
- Eingang
- 08.12.2022
- Impfdatum
- 08.12.2022
- Beginn
- 08.12.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / LL
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Urticaria
Symptomtext
Pt received covid vaccine at 3pm, then flu shot 5 minutes later, then 5 minutes after that had hives on face, chest, and neck. hives began improving 15 minutes later on face, but still has hives on chest and neck.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Urticaria
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- none
- Vorgeschichte
- autism
- Andere Medikamente
- guanfacine, clonidine, elderberry, zyrtec
- Allergien
- penicillin- steven johnson syndrome
- Vorherige Impfungen
- -
- Staat
- AZ
- Alter
- 33,0
- Geschlecht
- F
- Eingang
- 24.11.2022
- Impfdatum
- 11.11.2022
- Beginn
- 12.11.2022
- Tage bis Beginn
- 1,0
- Dosis
- N/A
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Arthralgia
Injection site pain
Pain in extremity
Symptomtext
Site: Pain at Injection Site-Severe, Systemic: non localized arm pain, pain all over arm ranked 7 out 10 on pain score for 12 days after and still going-Severe, Systemic: Joint Pain-Severe, Additional Details: patient's whole arm is in pain for 12 days after taking shot and still going on. already called dr and left message for MA on vm
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Arthralgia
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- CA
- Alter
- 58,0
- Geschlecht
- F
- Eingang
- 17.11.2022
- Impfdatum
- 13.11.2022
- Beginn
- 13.11.2022
- 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
Injection site reaction
Underdose
Symptomtext
Site: Pain at Injection Site-Mild, Systemic: she heard a pop during injection-Mild, Additional Details: patient did not receive full dose of vaccine as she jumped out of chair during vaccination and needle came out of arm. she received only part of the dose and she said she heard a pop. she immediatelyleft the pharmacy . pharmacist asked her to stay for 15minutes and patient refused.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Injection site pain
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- NJ
- Alter
- 17,0
- Geschlecht
- F
- Eingang
- 12.11.2022
- Impfdatum
- 05.11.2022
- Beginn
- 05.11.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: ja
Erholt: ja
Eye swelling
Injection site swelling
Mouth swelling
Peripheral swelling
Swelling face
Swollen tongue
Symptomtext
Site: Swelling at Injection Site-Medium, Systemic: Allergic: Swelling of Face / Eyes / Mouth / Tongue-Medium, Additional Details: Patient went to er after given benedryl and her face and eyes swelled up as well as her arm.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Injection site swelling
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- OH
- Alter
- 55,0
- Geschlecht
- F
- Eingang
- 11.11.2022
- Impfdatum
- 03.11.2022
- Beginn
- 05.11.2022
- 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 pain
Injection site swelling
Symptomtext
Site: Pain at Injection Site-Severe, Site: Redness at Injection Site-Severe, Site: Swelling at Injection Site-Severe
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Injection site erythema
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- IL
- Alter
- 21,0
- Geschlecht
- F
- Eingang
- 05.11.2022
- Impfdatum
- 01.11.2022
- Beginn
- 01.11.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Dizziness
Symptomtext
Systemic: Dizziness / Lightheadness-Mild
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Dizziness
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- CA
- Alter
- 45,0
- Geschlecht
- M
- Eingang
- 03.11.2022
- Impfdatum
- 29.10.2022
- Beginn
- 30.10.2022
- Tage bis Beginn
- 1,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Injection site swelling
Injection site vesicles
Symptomtext
Site: Swelling at Injection Site-Medium, Additional Details: The patient noticed vesicles, blisters at the site. No swelling noted. He took bandage off. He denied itch.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Injection site swelling
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- OH
- Alter
- 28,0
- Geschlecht
- F
- Eingang
- 31.10.2022
- Impfdatum
- 30.10.2022
- Beginn
- 31.10.2022
- Tage bis Beginn
- 1,0
- Dosis
- N/A
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Injection site erythema
Injection site swelling
Injection site warmth
Rash
Rash pruritic
Symptomtext
Itchy rash on jaw line morning of 10/31/22. Took benadryl for itchiness. Injection site reaction red, raised, 2 in circle, warm to the touch.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Injection site erythema
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- None
- Andere Medikamente
- None
- Allergien
- Penicillin
- Vorherige Impfungen
- -
- Staat
- -
- Alter
- 40,0
- Geschlecht
- F
- Eingang
- 07.02.2023
- Impfdatum
- 07.02.2023
- Beginn
- 07.02.2023
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Extra dose administered
No adverse event
Symptomtext
Patient had no reaction. Patient was given Flu vaccine on 01/31/2023 at another facility. Patient stated she had not had flu shot. Therefore was given in our clinic 02/07/2023
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Extra dose administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- WA
- Alter
- 41,0
- Geschlecht
- F
- Eingang
- 23.01.2023
- Impfdatum
- 14.01.2023
- Beginn
- 14.01.2023
- Tage bis Beginn
- 0,0
- Dosis
- N/A
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Extra dose administered
No adverse event
Symptomtext
Patient recieved a flu vaccination on 1/14/23 after they had already recieved one this season on 11/17/22. No adverse event or outcomes noted.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Extra dose administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- CO
- Alter
- 2,0
- Geschlecht
- F
- Eingang
- 12.01.2023
- Impfdatum
- 12.01.2023
- Beginn
- 12.01.2023
- Tage bis Beginn
- 0,0
- Dosis
- N/A
- Route/Site
- IM / LL
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
No adverse event
Symptomtext
no adverse event
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- No adverse event
- Hospital-Tage
- -
- Labordaten
- none
- Aktuelle Erkrankungen
- none
- Vorgeschichte
- none
- Andere Medikamente
- none
- Allergien
- none
- Vorherige Impfungen
- -
- Staat
- CA
- Alter
- 54,0
- Geschlecht
- F
- Eingang
- 09.12.2022
- Impfdatum
- 03.12.2022
- Beginn
- 03.12.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- OT / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Accidental exposure to product
Incorrect dose administered
No adverse event
Syringe issue
Symptomtext
leaking from the syringe that ran down the patient's arm with no reported adverse event; leaking from the syringe that ran down the patient's arm with no reported adverse event; Initial information received on 05-Dec-2022 regarding an unsolicited valid non-serious case received from a pharmacist. This case involves 54 years old female patient and reporter stated leaking from the syringe that ran down the patient's arm with no reported adverse event. (influenza quadrival a-b vaccine) [Fluzone QIV]. The patient's past medical history, medical treatment(s), vaccination(s) and family history were not provided. On 03-Dec-2022, the patient received 0.5 ml dose of suspect influenza quadrival a-b vaccine once with standard strength (lot UT7752KA and expiry date:30-jun-2023) via intramuscular route in the left deltoid for Immunization. On 03-Dec-2022 there was leaking from the syringe that ran down the patient's arm with no reported adverse event (accidental exposure to product) and (incorrect dose administered) during the administration of influenza quadrival a-b vaccine. Action taken was not applicable. Reportedly, Pharmacist stated that she had some difficulty when administering FLUZONE QIV to a patient. The caller noted leaking from the syringe that ran down the patient's arm. Is this considered a valid dose or does it need to be re-administered? The caller noted that it was a single dose vial and they used the needle and syringe provided with their shipment of the vaccine. The caller stated that it was not the typical syringe that they use. The needle they were provided had an orange safety mechanism. Some of the liquid leaked out between the needle and the vial during administration. The liquid appeared to leak out when the pharmacist pushed on the plunger. Approximately 20% of the vaccine ran down the patient's arm. There was no adverse reaction that the pharmacist was aware of. The patient was not upset but the patient's spouse was very upset. Should they re-administer the dose or will the dose be enough of an immune response? There was no visible damage to the syringe or the vial. This is the only one in the shipment so far that has had difficulty during administration. The caller noted that they had a problem with a different vaccine Fluad. The caller noted that once you tried to inject the Fluad, the plunger wouldn't go down. At time of reporting, the outcome was Unknown for the 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 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
- Accidental exposure to product
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -