- Staat
- -
- Alter
- 56,0
- Geschlecht
- M
- Eingang
- 10.08.2023
- Impfdatum
- 23.08.2022
- Beginn
- 26.03.2023
- Tage bis Beginn
- 215,0
- Dosis
- 5
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: ja
Disable: unbekannt
ER: unbekannt
Erholt: nein
Acute respiratory failure
Pneumonia
Symptomtext
ACUTE HYPOXEMIC RESPIRATORY FAILURE 3/26/2023 PNEUMONIA
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Acute respiratory failure
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- -
- Alter
- 50,0
- Geschlecht
- F
- Eingang
- 26.07.2023
- Impfdatum
- 23.08.2022
- Beginn
- 04.01.2023
- Tage bis Beginn
- 134,0
- Dosis
- 3
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: ja
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Acute myocardial infarction
Cardiogenic shock
Symptomtext
ACUTE ST ELEVATION MI, ANTERIOR WALL ACUTE MI CARDIOGENIC SHOCK
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Acute myocardial infarction
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- -
- Alter
- 76,0
- Geschlecht
- F
- Eingang
- 10.07.2023
- Impfdatum
- 07.11.2022
- Beginn
- 31.12.2022
- Tage bis Beginn
- 54,0
- Dosis
- 2
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: ja
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Acute respiratory failure
Symptomtext
ACUTE HYPOXEMIC RESPIRATORY FAILURE
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Acute respiratory failure
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- -
- Alter
- 43,0
- Geschlecht
- M
- Eingang
- 21.06.2023
- Impfdatum
- 22.08.2022
- Beginn
- 14.12.2022
- Tage bis Beginn
- 114,0
- Dosis
- 2
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: ja
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Acute myocardial infarction
Symptomtext
ACUTE NON ST ELEVATION MI
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Acute myocardial infarction
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 98,0
- Geschlecht
- M
- Eingang
- 16.02.2023
- Impfdatum
- 27.10.2022
- Beginn
- 27.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- IM / UN
Tod: ja
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Death
Incorrect product formulation administered
Symptomtext
10/27/2022 patient was administered Monovalent Pfizer grey cap (0.3 mL / 30 mcg) as a booster; this was a vaccine error previously reported to VAERS under VAERS ID: 2506840; E-Report Number: 913262. Recommended dose should have been a "bivalent" dose. In January 2023, facility reported to Department of State Health Services (DSHS) - patient died on 1/29/2023. DSHS understands there was a COVID-19 outbreak in the facility, possibly in November or December 2022 (exact dates unknown.) Cause of patient death unknown, including whether the patient was diagnosed with COVID infection and/or death had any relation to COVID-infection.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Death
- Hospital-Tage
- -
- Labordaten
- unknown
- Aktuelle Erkrankungen
- unknown
- Vorgeschichte
- unknown
- Andere Medikamente
- unknown
- Allergien
- unknown
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 86,0
- Geschlecht
- F
- Eingang
- 16.02.2023
- Impfdatum
- 27.10.2022
- Beginn
- 27.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- IM / UN
Tod: ja
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Death
Incorrect product formulation administered
Symptomtext
10/27/2022 patient was administered Monovalent Pfizer grey cap (0.3 mL / 30 mcg) as a booster; this was a vaccine error previously reported to VAERS under VAERS ID: 2506821; E-Report Number: 913243. Recommended dose should have been a "bivalent" dose. In January 2023, Facility reported to Department of State Health Services (DSHS) Region 7 - patient died on 11/11/2022. DSHS understands there was a COVID-19 outbreak in the facility, possibly in November or December 2022 (exact dates unknown.) Cause of patient death unknown, including whether the patient was diagnosed with COVID infection and/or death had any relation to COVID-infection.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Death
- Hospital-Tage
- -
- Labordaten
- unknown
- Aktuelle Erkrankungen
- unknown
- Vorgeschichte
- unknown
- Andere Medikamente
- unknown
- Allergien
- unknown
- Vorherige Impfungen
- -
- Staat
- MI
- Alter
- 74,0
- Geschlecht
- M
- Eingang
- 03.01.2023
- Impfdatum
- 23.09.2022
- Beginn
- 15.12.2022
- Tage bis Beginn
- 83,0
- Dosis
- 4
- Route/Site
- - / -
Tod: ja
Lebensbedrohlich: unbekannt
Hospital: ja
Disable: unbekannt
ER: unbekannt
Erholt: nein
Acute kidney injury
Asthenia
COVID-19
Cardiac function test normal
Chest X-ray normal
Condition aggravated
Cytopenia
Death
Dehydration
Diarrhoea
Dizziness
Echocardiogram normal
Ejection fraction normal
Endoscopy normal
Fatigue
Graft versus host disease
Hypoxia
Laboratory test normal
Symptomtext
Discharge Provider: MD Primary Care Physician at Discharge: DO Admission Date: 12/15/2022 COVID positive date: 12/14/2022 PRESENTING PROBLEM: COVID-19 [U07.1] HOSPITAL COURSE: HOSPITAL COURSE: Patient is a 74 y.o. male with complicated hx of AML s/p allogenic BMT w/ complication of GVHD, hx of EBV, lymphocytic ILD, NIDDM2, chronic diastolic heart failure, HTN, CKD stage 3a who is presenting with COVID-19. Pt has had multiple recent admissions. He was admitted to Hospital from 10/24-11/03 with acute severe diarrhea. He had been off immunospuression since 7/2022. His infectious w/o was negative. He had EGD and colonoscopy which did confirm Grade II Acute GVHD of gut. He was started back on budesonide and prednisone and started on taper. He was discharged to acute rehab. He was then again admitted to hospital for AKI and weakness. It was felt pt had steroid myopathy. It was felt his GVHD of GI tract had resolved, his prednisone was weaned to 5 mg daily and maintained on tacro and budesonide 3 mg BID with plans to start weaning on12/2. He was noted to have persistent pancytopenia which BMT was following for. PT was then transferred to inpt rehab on 11/29. On 12/10 pt wife tested positive for COVID, pt was tested on 12/11 but found to be negative. Pt had been stable however then on 12/14 pt started complaining of congestion, sore throat and rhinorrhea. His COVID was repeated and he was found to be positive. CXR was obtained and showed no infiltrate. However then in AM of 12/15 pt was found to be hypoxic in 80s requiring up to 4 L NC. With this ultimately it was decided to admit pt for further treatment. ID was consulted and pt was started on remdesivir. He was able to be weaned to 1-2 L NC. BMT and ID followed throughout the admission. Despite resolution of his hypoxemia he was exceedingly weak malnourished and lethargic. He was seen by palliative care/bone marrow transplant and unfortunately had exhausted all therapeutic options. Multiple goals of care discussions were held and was ultimately decided that the patient would benefit from hospice evaluation. He was transitioned to comfort care on 12/29 and hospice team worked to arrange discharge home. Patient passed away in the hospital on 1/1/23 at 6:35 AM. His wife was notified via phone shortly after his passing and condolences offered.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Death
- Hospital-Tage
- 17,0
- Labordaten
- -
- Aktuelle Erkrankungen
- Admission to Hospital notes: Primary Care Physician at Discharge: DO Hematologist/Oncologist: No care team member to display Admission Date: 11/25/2022 Discharge Date: 11/29/2022 Number of days post transplant: 378 HOSPITAL COURSE: Patient is a 74 y.o. male is now 1 year out from an allogeneic BMT for AML now admitted for AKI and fatigue weakness. Suspect r/t steroid myopathies given recent steroid course started for GVHD of the GI tract which is now resolving. Weaning steroid, remains on 5 mg daily for now in addition to tacro at 0.5 mg daily and 3 mg budesonide BID. Plan to wean budesonide to daily on 12/2. BMT team to manage weaning of steroid/tacro. Continue to monitor tacro every Monday and Thursday with goal trough level <5. Infectious/cardiac work-up while inpatient negative, BC final report will be tomorrow from hospital. Recent ECHO with EF of 60% which is improved. Will continue 20mg lasix every other day and hold with any worsening in renal function or if patient appears euvolemic. Cytopenias continue with NPM1 testing pending- BMT to follow. May need to arrange BmBx in the near future. Felt medically stable for discharge to IPR. Continue post transplant care. Hospital admission notes at Hospital: Discharge Provider: MD Primary Care Provider at Discharge: DO Admission Date: 11/29/2022 Discharge Date: 12/15/22 HOSPITAL COURSE: Per H&P: "74 y.o. male who has a past medical history of Bacteremia, Cancer, History of cancer, History of ESBL E. coli infection, History of graft versus host disease (11/2/2022), Hypertension, ILD (interstitial lung disease) (03/21/2022), Prediabetes (02/17/2020), S/P allogeneic bone marrow transplant (12/16/2021), and Stem cell transplant candidate (08/26/2021). He was previously admitted to acute inpatient rehabilitation from 12/4-12/14/21 following stem cell transplant 11/16/21 for AML. He was discharged and had been recovering well. He then had recurrent admission to hospital and then inpatient rehab in January, 2022 for fever and EBV bacteremia as well as intermittent hypoxia which led to debility. He had been doing well and making functional improvements at home (and he and wife moved to condo with 2 STE). He was also seen by neuropsychology in July with notable decreased processing speed. He had weaned off all immunesuppressive therapy since 7/2022. Unfortunately, he experienced new onset severe diarrhea, dehydration and fatigue and was admitted to the hospital. Extensive infectious workup with the assist of ID was unrevealing. Gi was consulted for diagnostic endoscopy and infectious workup largely unrevealing. However, pathology was consistent with GVHD to stomach and colon. Given this, he was restarted on budesonide and prednisone as well as tacrolimus. GI and antifungal prophylaxis resumed. He was then transferred to acute inpatient rehabilitation 11/3-11/11 and discharged home. He was at his daughter's for holiday and had acute onset weakness and was readmitted to acute care hospital. He was noted to have AKI. It was felt symptoms 2/2 steroid induced myopathy and he is on steroid taper. He was seen and evaluated by PT, OT, PM&R and felt to be an appropriate candidate for acute inpatient rehabilitation. Today, Patient states he is feeling well. Has no abd discomfort, states has been having Bms, last 11/26. Has mild lightheadedness if tries to stand up quickly, but he does not do this and it is not a problem per his report. Feels as though legs are the weakest and need to get stronger." The patient was then admitted to inpatient rehab.
- Vorgeschichte
- Nocturnal hypoxemia ILD (interstitial lung disease) Lung nodules Chronic hypoxemic respiratory failure Acute respiratory failure with hypoxia Essential hypertension NICM (nonischemic cardiomyopathy) Chronic diastolic heart failure History of EBV (Epstein-Barr virus) viremia AML (acute myeloid leukemia) in remission Chronic right-sided low back pain without sciatica AKI (acute kidney injury) Steroid-induced hyperglycemia S/P allogeneic bone marrow transplant Diarrhea History of graft versus host disease Debility Hypogammaglobulinemia Steroid-induced myopathy Goals of care, counseling/discussion
- Andere Medikamente
- acetaminophen (TYLENOL) 325 MG tablet acyclovir (ZOVIRAX) 400 MG tablet amLODIPine (NORVASC) 5 MG tablet budesonide (ENTOCORT EC) 3 MG delayed release capsule carvedilol (COREG) 25 MG tablet dronabinol (MARINOL) 5 MG capsule furosemide (LAS
- Allergien
- Influenza [Influenza Vaccines] Lisinopril [Ace Inhibitors] Cats
- Vorherige Impfungen
- -
- Staat
- NC
- Alter
- 66,0
- Geschlecht
- M
- Eingang
- 28.12.2022
- Impfdatum
- 27.07.2022
- Beginn
- 06.08.2022
- Tage bis Beginn
- 10,0
- Dosis
- 4
- Route/Site
- SYR / RA
Tod: unbekannt
Lebensbedrohlich: ja
Hospital: ja
Disable: ja
ER: ja
Erholt: nein
Cerebrovascular accident
Magnetic resonance imaging
Symptomtext
Suffered a minor Stroke on 8/6 and then a massive stroke on 8/21.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Cerebrovascular accident
- Hospital-Tage
- 14,0
- Labordaten
- I have massive hospital statements as well as MRI's that can be submitted if needed.
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- High Blood Pressure
- Andere Medikamente
- Losartan Gabapentin
- Allergien
- None
- Vorherige Impfungen
- -
- Staat
- GA
- Alter
- 63,0
- Geschlecht
- F
- Eingang
- 17.09.2022
- Impfdatum
- 25.07.2022
- Beginn
- 06.08.2022
- Tage bis Beginn
- 12,0
- Dosis
- 4
- Route/Site
- - / RA
Tod: unbekannt
Lebensbedrohlich: ja
Hospital: unbekannt
Disable: unbekannt
ER: ja
Erholt: nein
Angiogram pulmonary
Blood magnesium
Blood test abnormal
Blood thyroid stimulating hormone decreased
Cardiac monitoring
Aortic disorder
Atelectasis
Dyspnoea
Myocardial infarction
Nasopharyngeal swab
Chest X-ray
Coronavirus test
Differential white blood cell count
Electrocardiogram
Full blood count
Immediate post-injection reaction
Immunisation reaction
Influenza virus test
Symptomtext
Severe pericarditis, fluid and swelling in 2 left heart chambers; Fluid an pressure resulted in an arteroseptical infarction, and possible myocardial infarction\Myocardial infarction; Could not breathe; Pleurisy around both lungs; Bottom lobes of both lungs had collapsed; Cardiac aorta; Pain; This is a spontaneous report received from a contactable reporter(s) (Consumer or other non HCP). The reporter is the patient. A 63-year-old female patient (not pregnant) received BNT162b2 (BNT162B2), on 25Jul2022 at 12:45 as dose 4 (booster), single (Lot number: FP7138) at the age of 63 years, in right arm for covid-19 immunisation. The patient's relevant medical history included: "Depression" (unspecified if ongoing), notes: Other medical history: Depression, Anxiety, Seasonal allergies, Occasional seasonal asthma; "Anxiety" (unspecified if ongoing), notes: Other medical history: Depression, Anxiety, Seasonal allergies, Occasional seasonal asthma; "Seasonal allergies" (unspecified if ongoing), notes: Other medical history: Depression, Anxiety, Seasonal allergies, Occasional seasonal asthma; "Occasional seasonal asthma" (unspecified if ongoing), notes: Other medical history: Depression, Anxiety, Seasonal allergies, Occasional seasonal asthma; "Known allergies: Yes" (unspecified if ongoing), notes: Known allergies: Yes. The patient took concomitant medications. Vaccination history included: BNT162b2 (lot number = FJ8757, administration time = 04:30 PM, dose number = 3, Prev dose vaccine location = Right arm), administration date: 17Nov2021, when the patient was 63-year-old, for COVID-19 immunization; BNT162b2 (lot number = EW0151, administration time = 05:00 PM, dose number = 2, vaccine location = Right arm), administration date: 16Apr2021, when the patient was 62-year-old, for COVID-19 immunization; BNT162b2 (lot number = EN6204, administration time = 05:30 PM, dose number = 1, vaccine location = Left arm), administration date: 19Mar2021, when the patient was 62-year-old, for COVID-19 immunization. The following information was reported: ATELECTASIS (life threatening) with onset 06Aug2022 at 03:00, outcome "recovered with sequelae", described as "Bottom lobes of both lungs had collapsed"; AORTIC DISORDER (life threatening) with onset 06Aug2022 at 03:00, outcome "recovered with sequelae", described as "Cardiac aorta"; DYSPNOEA (life threatening) with onset 06Aug2022 at 03:00, outcome "recovered with sequelae", described as "Could not breathe"; MYOCARDIAL INFARCTION (medically significant, life threatening) with onset 06Aug2022 at 03:00, outcome "recovered with sequelae", described as "Fluid an pressure resulted in an arteroseptical infarction, and possible myocardial infarction\Myocardial infarction"; PAIN (life threatening) with onset 06Aug2022 at 03:00, outcome "recovered with sequelae"; PLEURISY (life threatening) with onset 06Aug2022 at 03:00, outcome "recovered with sequelae", described as "Pleurisy around both lungs"; PERICARDITIS (medically significant, life threatening) with onset 06Aug2022 at 03:00, outcome "recovered with sequelae", described as "Severe pericarditis, fluid and swelling in 2 left heart chambers". The events "severe pericarditis, fluid and swelling in 2 left heart chambers", "fluid an pressure resulted in an arteroseptical infarction, and possible myocardial infarction\myocardial infarction", "could not breathe", "pleurisy around both lungs", "bottom lobes of both lungs had collapsed", "cardiac aorta" and "pain" required physician office visit and emergency room visit. The patient underwent the following laboratory tests and procedures: Nasopharyngeal swab: (06Aug2022) Negative, notes: Covid test name post vaccination = Unknown, given in ER. Therapeutic measures were taken as a result of pericarditis, myocardial infarction, dyspnoea, pleurisy, atelectasis, aortic disorder, pain. Clinical course: Adverse event: Woke up at 3AM, could not breathe. Went to ER. After numerous tests, I had pleurisy around both lungs, bottom lobes of both lungs had collapsed, severe pericarditis, fluid and swelling in 2 left heart chambers, pressure on my cardiac aorta, fluid and pressure resulted in an arteroseptical infarction, and possible myocardial infarction. I ALMOST DIED! Could not be treated with pleurisy drugs because they are designed to deal with bacteria. Could not have pain medicine because of what was happening. The reaction slowly subsided after being treated with 3 asthma medications at the same time, with Oxygen via breathing treatment. The only thing given for pain was Toradol via INT in hand. The pain and suffering were horrible WAS DYING. AE treatment: 3 asthma drugs mixed together + oxygen, breathing TX. If covid prior vaccination: No, if covid tested post vaccination: Yes
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Myocardial infarction
- Hospital-Tage
- -
- Labordaten
- Test Date: 20220806; Test Name: Nasal Swab; Test Result: Negative ; Comments: Covid test name post vaccination = Unknown, given in ER
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- Medical History/Concurrent Conditions: Allergy (Known allergies: Yes); Anxiety (Other medical history: Depression, Anxiety, Seasonal allergies, Occasional seasonal asthma); Depression (Other medical history: Depression, Anxiety, Seasonal allergies, Occasional seasonal asthma); Seasonal allergy (Other medical history: Depression, Anxiety, Seasonal allergies, Occasional seasonal asthma); Seasonal asthma (Other medical history: Depression, Anxiety, Seasonal allergies, Occasional seasonal asthma)
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- GA
- Alter
- 63,0
- Geschlecht
- F
- Eingang
- 17.09.2022
- Impfdatum
- 25.07.2022
- Beginn
- 06.08.2022
- Tage bis Beginn
- 12,0
- Dosis
- 4
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: ja
Hospital: unbekannt
Disable: unbekannt
ER: ja
Erholt: nein
Angiogram pulmonary
Blood magnesium
Blood test abnormal
Blood thyroid stimulating hormone decreased
Cardiac monitoring
Aortic disorder
Atelectasis
Dyspnoea
Myocardial infarction
Nasopharyngeal swab
Chest X-ray
Coronavirus test
Differential white blood cell count
Electrocardiogram
Full blood count
Immediate post-injection reaction
Immunisation reaction
Influenza virus test
Symptomtext
Severe pericarditis, fluid and swelling in 2 left heart chambers; Fluid an pressure resulted in an arteroseptical infarction, and possible myocardial infarction\Myocardial infarction; Could not breathe; Pleurisy around both lungs; Bottom lobes of both lungs had collapsed; Cardiac aorta; Pain; This is a spontaneous report received from a contactable reporter(s) (Consumer or other non HCP). The reporter is the patient. A 63-year-old female patient (not pregnant) received BNT162b2 (BNT162B2), on 25Jul2022 at 12:45 as dose 4 (booster), single (Lot number: FP7138) at the age of 63 years, in right arm for covid-19 immunisation. The patient's relevant medical history included: "Depression" (unspecified if ongoing), notes: Other medical history: Depression, Anxiety, Seasonal allergies, Occasional seasonal asthma; "Anxiety" (unspecified if ongoing), notes: Other medical history: Depression, Anxiety, Seasonal allergies, Occasional seasonal asthma; "Seasonal allergies" (unspecified if ongoing), notes: Other medical history: Depression, Anxiety, Seasonal allergies, Occasional seasonal asthma; "Occasional seasonal asthma" (unspecified if ongoing), notes: Other medical history: Depression, Anxiety, Seasonal allergies, Occasional seasonal asthma; "Known allergies: Yes" (unspecified if ongoing), notes: Known allergies: Yes. The patient took concomitant medications. Vaccination history included: BNT162b2 (lot number = FJ8757, administration time = 04:30 PM, dose number = 3, Prev dose vaccine location = Right arm), administration date: 17Nov2021, when the patient was 63-year-old, for COVID-19 immunization; BNT162b2 (lot number = EW0151, administration time = 05:00 PM, dose number = 2, vaccine location = Right arm), administration date: 16Apr2021, when the patient was 62-year-old, for COVID-19 immunization; BNT162b2 (lot number = EN6204, administration time = 05:30 PM, dose number = 1, vaccine location = Left arm), administration date: 19Mar2021, when the patient was 62-year-old, for COVID-19 immunization. The following information was reported: ATELECTASIS (life threatening) with onset 06Aug2022 at 03:00, outcome "recovered with sequelae", described as "Bottom lobes of both lungs had collapsed"; AORTIC DISORDER (life threatening) with onset 06Aug2022 at 03:00, outcome "recovered with sequelae", described as "Cardiac aorta"; DYSPNOEA (life threatening) with onset 06Aug2022 at 03:00, outcome "recovered with sequelae", described as "Could not breathe"; MYOCARDIAL INFARCTION (medically significant, life threatening) with onset 06Aug2022 at 03:00, outcome "recovered with sequelae", described as "Fluid an pressure resulted in an arteroseptical infarction, and possible myocardial infarction\Myocardial infarction"; PAIN (life threatening) with onset 06Aug2022 at 03:00, outcome "recovered with sequelae"; PLEURISY (life threatening) with onset 06Aug2022 at 03:00, outcome "recovered with sequelae", described as "Pleurisy around both lungs"; PERICARDITIS (medically significant, life threatening) with onset 06Aug2022 at 03:00, outcome "recovered with sequelae", described as "Severe pericarditis, fluid and swelling in 2 left heart chambers". The events "severe pericarditis, fluid and swelling in 2 left heart chambers", "fluid an pressure resulted in an arteroseptical infarction, and possible myocardial infarction\myocardial infarction", "could not breathe", "pleurisy around both lungs", "bottom lobes of both lungs had collapsed", "cardiac aorta" and "pain" required physician office visit and emergency room visit. The patient underwent the following laboratory tests and procedures: Nasopharyngeal swab: (06Aug2022) Negative, notes: Covid test name post vaccination = Unknown, given in ER. Therapeutic measures were taken as a result of pericarditis, myocardial infarction, dyspnoea, pleurisy, atelectasis, aortic disorder, pain. Clinical course: Adverse event: Woke up at 3AM, could not breathe. Went to ER. After numerous tests, I had pleurisy around both lungs, bottom lobes of both lungs had collapsed, severe pericarditis, fluid and swelling in 2 left heart chambers, pressure on my cardiac aorta, fluid and pressure resulted in an arteroseptical infarction, and possible myocardial infarction. I ALMOST DIED! Could not be treated with pleurisy drugs because they are designed to deal with bacteria. Could not have pain medicine because of what was happening. The reaction slowly subsided after being treated with 3 asthma medications at the same time, with Oxygen via breathing treatment. The only thing given for pain was Toradol via INT in hand. The pain and suffering were horrible WAS DYING. AE treatment: 3 asthma drugs mixed together + oxygen, breathing TX. If covid prior vaccination: No, if covid tested post vaccination: Yes
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Myocardial infarction
- Hospital-Tage
- -
- Labordaten
- Test Date: 20220806; Test Name: Nasal Swab; Test Result: Negative ; Comments: Covid test name post vaccination = Unknown, given in ER
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- Medical History/Concurrent Conditions: Allergy (Known allergies: Yes); Anxiety (Other medical history: Depression, Anxiety, Seasonal allergies, Occasional seasonal asthma); Depression (Other medical history: Depression, Anxiety, Seasonal allergies, Occasional seasonal asthma); Seasonal allergy (Other medical history: Depression, Anxiety, Seasonal allergies, Occasional seasonal asthma); Seasonal asthma (Other medical history: Depression, Anxiety, Seasonal allergies, Occasional seasonal asthma)
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- -
- Alter
- 22,0
- Geschlecht
- M
- Eingang
- 14.06.2023
- Impfdatum
- 04.10.2022
- Beginn
- 20.11.2022
- Tage bis Beginn
- 47,0
- Dosis
- 1
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: ja
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Myocarditis
Pericarditis
Symptomtext
ACUTE PERICARDITIS, UNSPECIFIED MYOCARDITIS
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Myocarditis
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- PA
- Alter
- 39,0
- Geschlecht
- M
- Eingang
- 19.10.2022
- Impfdatum
- 03.10.2022
- Beginn
- 10.10.2022
- Tage bis Beginn
- 7,0
- Dosis
- 2
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: ja
Disable: unbekannt
ER: ja
Erholt: ja
Condition aggravated
Seizure
Vaccine positive rechallenge
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Seizure
- Hospital-Tage
- 1,0
- Labordaten
- -
- Aktuelle Erkrankungen
- no
- Vorgeschichte
- seizure
- Andere Medikamente
- no otc med
- Allergien
- no allergies
- Vorherige Impfungen
- seizure due to pfizer dose 1
- Staat
- -
- Alter
- 25,0
- Geschlecht
- M
- Eingang
- 07.10.2022
- Impfdatum
- 22.09.2022
- Beginn
- 06.10.2022
- Tage bis Beginn
- 14,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Angiogram pulmonary normal
Computerised tomogram thorax normal
Echocardiogram
Echocardiogram normal
Ejection fraction normal
Electrocardiogram abnormal
Heart rate increased
Inflammatory marker increased
Malaise
Myocarditis
Sinus tachycardia
Troponin increased
Symptomtext
Laboratory and clinical signs of myocarditis. Patient was being routinely screened for myocarditis as his was concominantly starting clozapine so we were monitoring CRP, WBc with Diff, and Troponin weekly. 10/7 #Elevated troponin #Sinus tachycardia #C/f myocarditis, drug induced vs. Viral Inflammatory markers elevated, and trop mildly elevated but flat. Recent symptomatic COVID infection ~3 weeks ago. Thus far, workup has included a CT PE which was suboptimal due to motion artifact, but did not demonstrate proximal thrombi. TTE demonstrated normal RVEF and size, and a low-normal LVEF. Possible this represents myocarditis, viral or drug induced. Clozaril level is pending. If this comes back at supratherapeutic and he needs to remain on it for psychiatric reasons, would be reasonable to consider lower dose and monitor level. Would not recommend cMRI at this point given he was unable to tolerate PE study yesterday. - Would recommend lower extremity dopplers to further evaluate for PE/DVT. If positive, could consider repeat CT PE study +/- sedation - discontinue propranolol (d/w primary team) - start metoprolol succinate 25mg daily - start lisinopril 2.5mg daily - if remains on clozaril, would repeat TTE in 2 weeks or sooner if clinical status changes
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Myocarditis
- Hospital-Tage
- -
- Labordaten
- 10/6-10/7: Patient reports feeling generally unwell, unable to provide any more specific symptoms. EKG showed sinus tachycardia. Patient has been intermittently tachycardic since admission. He has been on several psych medications that cause tachycardia, however, HR has been increasing over last couple days now 120-130 today. Echo WNL. CT-A chest negative for acute findings, although, exam limited. He has not been eating or drinking well for last few days. He has no abdominal pain, abdomen soft, positive bowel sounds, having regular BMs. Patient is spending the majority time sleeping in bed. - cardiology consulted for possible myocarditis
- Aktuelle Erkrankungen
- Covid infection, date of onset 9/12/2022,
- Vorgeschichte
- schizoaffective disorder
- Andere Medikamente
- Senna plus, metformin, clonidine, clozapine 25 mg (only received first dose at bedtime after vaccine was given), depakote ER., Olanzapine, propranolol, risperidone, senna
- Allergien
- gabapentin, haldol
- Vorherige Impfungen
- -
- Staat
- WI
- Alter
- 27,0
- Geschlecht
- F
- Eingang
- 04.10.2022
- Impfdatum
- 16.09.2022
- Beginn
- 28.09.2022
- Tage bis Beginn
- 12,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Abortion spontaneous
Blood urine present
Cystitis
Exposure during pregnancy
Haematuria
Human chorionic gonadotropin
Muscle spasms
Thrombosis
Ultrasound foetal abnormal
Vaginal haemorrhage
Symptomtext
Known pregnancy at time of vaccination. Patient was 8 weeks and 6 days. EDD 4/22/2023. G5P3013 . On 9/28/2022 patient noted cramping and blood in urine. Was evaluated in ER and diagnosis with acute cystitis with hematuria and prescribed cephalexin 500mg PO TID x 7days . 10/4/2022 was evaluated with provider for vaginal bleeding. Had gush of blood with clots in AM prior to being seen. Noted intermittent cramping for last 3 weeks. Current gestation of 11 week 3 days. Ultrasound completed with no fetal heart motion noted. Impression of failed early pregnancy.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Thrombosis
- Hospital-Tage
- -
- Labordaten
- OB US Quantitative HCG (results pending)
- Aktuelle Erkrankungen
- acute cystitis with hematuria
- Vorgeschichte
- None
- Andere Medikamente
- Prenatal vitamin
- Allergien
- azithromycin penicillin
- Vorherige Impfungen
- -
- Staat
- FL
- Alter
- 30,0
- Geschlecht
- M
- Eingang
- 03.10.2022
- Impfdatum
- 01.10.2022
- Beginn
- 01.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Blood glucose
Dizziness
Loss of consciousness
Muscle rigidity
Musculoskeletal stiffness
Symptomtext
Patient arrived to the pharmacy requesting the covid vaccine (primary dose). After talking to the patient , he agreed to receive the influenza vaccine as well. Patient entered the immunization room with a friend. the 2 vaccines were administered to the patient in the right deltoid. Around half a minute of receiving the vaccine, patient said he was going to pass out and then he passed out. Patient was rigid (stiff) and his friend helped me placed the patient on the floor, while that was occurring I told my technicians to call EMS. After the patient was placed on the floor, he became awake and aware of his surroundings, that lasted less than 1 minute. He said that this always happens to him when he gets injections. EMS arrived and checked the patient and no signs of injury were observed. EMS pricked the patient finger to check his sugar and patient had the same reaction he had after receiving the vaccines. Patient then was cleared by EMS and left the pharmacy walking without need for assistance. The event was concluded to be due to his phobia to injections.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Loss of consciousness
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- none
- Andere Medikamente
- -
- Allergien
- NKA
- Vorherige Impfungen
- Patient verbalized that he always have the same reaction to injections due to his fears to injections
- Staat
- KS
- Alter
- 22,0
- Geschlecht
- M
- Eingang
- 28.09.2022
- Impfdatum
- 28.09.2022
- Beginn
- -
- Tage bis Beginn
- -
- Dosis
- UNK
- Route/Site
- - / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Syncope
Symptomtext
Patient received vaccine and went to sit in the waiting room and then proceeded to apparently faint. It was not witnessed by the pharmacy staff. He was given water, gatorade, a wet rag, and a vomit bag. His blood pressure was taken 3 times and he declined emergency services. He felt better by 8pm and left on his own with his girlfriend driving.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Syncope
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- AR
- Alter
- 24,0
- Geschlecht
- M
- Eingang
- 28.09.2022
- Impfdatum
- 28.09.2022
- Beginn
- 28.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 2
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Cold sweat
Fall
Feeling abnormal
Malaise
Syncope
Symptomtext
After patient received vaccine, he states he needed water and walked up to front checkouts to purchase a bottle of water. States he started feeling "funny" so came back to pharmacy window and was telling tech there that he didn't feel well. At that time, he had an episode of syncope and fell in front of the pharmacy window. Upon examination, pt was awake, alert, able to communicate, clammy, and bp was 125/55. He stated he had not eaten anything since 4pm the day prior. Stated he had no symptoms of throat swelling or trouble swallowing. No medications, and no known medical conditions. Pt was asked to lay flat on the ground and given 2 chewable glucose tablets. Within 15 minutes, pt was stating he felt as good as he did when he came into the pharmacy.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Syncope
- Hospital-Tage
- -
- Labordaten
- n/a
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- None
- Andere Medikamente
- None
- Allergien
- None
- Vorherige Impfungen
- -
- Staat
- OH
- Alter
- 14,0
- Geschlecht
- F
- Eingang
- 25.09.2022
- Impfdatum
- 25.09.2022
- Beginn
- 25.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Loss of consciousness
Symptomtext
Patient mother noted she has history of fainting after vaccinations. Gave vaccine in left arm with patient seated. After vaccination she walked to waiting area and sat down. after approximately 5 minutes, mother noted that she had passed out briefly. Patient was seated and did not fall out of chair. Mother had brought with them cold compress and bottle of water. After approximately 15 minutes, patient was back to normal and walked out of store under own power.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Loss of consciousness
- Hospital-Tage
- -
- Labordaten
- none
- Aktuelle Erkrankungen
- None mentioned
- Vorgeschichte
- No
- Andere Medikamente
- None
- Allergien
- NKDA
- Vorherige Impfungen
- Dates and vaccines not given, just indicated this was common for her
- Staat
- IL
- Alter
- 31,0
- Geschlecht
- M
- Eingang
- 23.09.2022
- Impfdatum
- 23.09.2022
- Beginn
- 23.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- - / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: ja
Erholt: nein
Fall
Feeling hot
Hyperhidrosis
Loss of consciousness
Malaise
Nausea
Prone position
Vomiting
Symptomtext
Patient lost consciousness 10-15 minutes after receiving vaccine. Patient reported not feeling well, then waking up on the floor. Patient fell from a seated position to a prone position on the floor. 911 was called. Patient regained consciousness, complained of not feeling good/having nausea. Patient was vomiting into a trash can. Unsure if patient hit his head, but patient did feel warm and sweaty. Paramedics arrived and patient walked with them to the ambulance. Assumed patient went with them to hospital, outcome unknown.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Loss of consciousness
- Hospital-Tage
- -
- Labordaten
- unknown
- Aktuelle Erkrankungen
- none disclosed
- Vorgeschichte
- none disclosed
- Andere Medikamente
- unknown
- Allergien
- none disclosed
- Vorherige Impfungen
- -
- Staat
- MI
- Alter
- 80,0
- Geschlecht
- M
- Eingang
- 16.09.2022
- Impfdatum
- 26.08.2022
- Beginn
- 03.09.2022
- Tage bis Beginn
- 8,0
- Dosis
- 4
- Route/Site
- - / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: ja
Disable: unbekannt
ER: unbekannt
Erholt: ja
Bacteraemia
COVID-19
Condition aggravated
Diarrhoea
Lethargy
Mental status changes
Pneumonia
Seizure
Sepsis
Symptomtext
Hematologist/Oncologist: MD Primary Care Physician at Discharge: MD Admission Date: 9/3/2022 Discharge Date: 09/14/2022 PRESENTING PROBLEM: Severe sepsis [A41.9, R65.20] Altered mental status, unspecified altered mental status type [R41.82] Pneumonia of right lower lobe due to infectious organism [J18.9] COVID-19 [U07.1] HOSPITAL COURSE: This is a 80 y.o. patient with a past medical history significant for epilepsy 2/2 GBM s/p resection and course of Temodar with concurrent RT who presented to ED on 9/3 from SAR for symptoms of lethargy and AMS, found to be septic due to COVID-19 infection. Pt recently admitted for new seizures and was discharged to SAR on 8/26. prior to admit he was suspected to have missed doses of his anti-seizure meds. During his stay he was found to be having seizures again ( most likely secondary to missed medication) and his seizure meds were increased. Besides the covid he had a GNR Bacteremia that was eventually identified Brevabacillus species and ID directed abx. He completed Zosyn while IP. He also experienced diarrhea and C. Diff was indeterminate, so he was treated with oral Vanco. He was stable to return to his assisted living and was discussing checking into Hospice, but had not made a decision on the day of DC.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Seizure
- Hospital-Tage
- 11,0
- Labordaten
- -
- Aktuelle Erkrankungen
- 8/20/2022 - 8/26/2022 (6 days) Hospitals DISCHARGE DIAGNOSES 1. Seizure with history of status epilepticus and altered mental status and lethargy. 2. Glioblastoma multiforme. 3. Hypokalemia. 4. Anemia. 5. Atrial fibrillation, rate controlled. 6. Chronic diastolic heart failure with bilateral lower extremity edema. 7. Hypothyroidism. 8. Hyperlipidemia. 9. History of hypertension.
- Vorgeschichte
- Mixed hyperlipidemia Acute on chronic diastolic heart failure Acquired hypothyroidism Environmental allergies Lumbar spondylolysis History of TIA (transient ischemic attack) Mild persistent asthma without complication Brain lesion Malignant neoplasm of occipital lobe Status epilepticus Aftercare following surgery for neoplasm Aphasia following other cerebrovascular disease Heteronymous bilateral field defects Essential hypertension Focal epilepsy History of status epilepticus GBM (glioblastoma multiforme) Homonymous hemianopia, left New onset a-fib Myocardial injury Hypoalbuminemia AMS (altered mental status) Long term current use of anticoagulant Long term current use of antiarrhythmic drug COVID-19 Bacteremia Clostridium difficile diarrhea
- Andere Medikamente
- acetaminophen (TYLENOL) 500 MG tablet albuterol HFA (PROVENTIL HFA, VENTOLIN HFA, PROAIR HFA) 108 (90 Base) MCG/ACT inhaler amiodarone (PACERONE) 200 MG tablet apixaban (ELIQUIS) 5 MG tablet atorvastatin (LIPITOR) 40 MG tablet furosemide (L
- Allergien
- Apple NiacinOther Nuts Seasonal
- Vorherige Impfungen
- -
- Staat
- OK
- Alter
- 59,0
- Geschlecht
- F
- Eingang
- 08.09.2022
- Impfdatum
- 18.08.2022
- Beginn
- 22.08.2022
- Tage bis Beginn
- 4,0
- Dosis
- 4
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: ja
Hospital: ja
Disable: unbekannt
ER: unbekannt
Erholt: nein
Cardiac imaging procedure abnormal
Chest X-ray normal
Chest pain
Computerised tomogram thorax normal
Dyspnoea
Echocardiogram normal
Electrocardiogram normal
Intervertebral disc operation
Motor dysfunction
Myocardial necrosis marker normal
Nerve root injury lumbar
Pericarditis
Pleuritic pain
Sensory loss
Ultrasound Doppler normal
Symptomtext
59 y/o female presented with burning, searing left sided chestpain , pleuritic chest pain and moderate sob that started within 4 days of 2nd booster immunization and became increasingly worse until the day of admission. Patient was admitted to the ER on 4/4/22 around 5pm. Initial vital signs were stable. Rule out MI protocol was initited. Initial EKG was normal, Echocardiogram was normal, CXR was normal, Chest CT was normal . Patient continued to complain of moderate to severe chest pain and sob. Patient was admitted for observation and further work up.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Pericarditis
- Hospital-Tage
- 3,0
- Labordaten
- EKG and cardiac enzymes repeated on 4/5/22 were normal ultrasound of bilateral lower extremities revealed no evidence of DVT 0n 4/5/22 4/6/22 cardiac MRI was diagnostic of pericarditis
- Aktuelle Erkrankungen
- H/O HTN WELL CONTROLLED, INSOMNIA, HYPERLIPEDEMIA, NEVER TESTED POSITIVE FOR COVID,
- Vorgeschichte
- S/P emergency microdisckectomy 0n 10/4/22 at L3-L4 with severe injury to the root of L5 with severe motor sensory deficits to r leg. Gait abnormality, impaired mobility, severe r foot drop and pain
- Andere Medikamente
- Valsartan 180mg qd , triazolam .25mg-.50mg qhs, vistaril 25mg prn , flexeril 10mg prn, biotin , magnesium protonix 20mg qd nurtec PRN Neurontin 300 mg qhs trazadone 50mg qd
- Allergien
- NKDA
- Vorherige Impfungen
- -
- Staat
- CA
- Alter
- 26,0
- Geschlecht
- F
- Eingang
- 07.09.2022
- Impfdatum
- 29.08.2022
- Beginn
- 29.08.2022
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Syncope
Symptomtext
PD informed vaccination staff that patient called stating she fainted. No episodes of syncope/fainting were observed by vaccinator staff when patient was at the vaccination site. Pt received 1st booster Pfizer dose at 1617. Pt did not wait full 30 minutes in observation as advised by vaccination staff. Pt left premises and was walking down the street when she called. RN called patient to check in. Pt reports that she is unsure if she fainted or not but she might have because she is sitting down. PD were notified by vaccination site staff and will go find patient.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Syncope
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- FL
- Alter
- 62,0
- Geschlecht
- M
- Eingang
- 01.09.2022
- Impfdatum
- 05.08.2022
- Beginn
- 05.08.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- - / -
Tod: unbekannt
Lebensbedrohlich: ja
Hospital: ja
Disable: unbekannt
ER: unbekannt
Erholt: ja
Abdominal pain
Blood sodium decreased
Confusional state
Diarrhoea
Dizziness
Chills
Hyperaesthesia
Vomiting
Feeling abnormal
Headache
Immunisation reaction
Intensive care
Muscle spasms
Pain
Perfume sensitivity
Restlessness
Sensitive skin
Sleep disorder
Symptomtext
Fri.Aug.05.2022: I ate lunch at 3pm with a friend same food (no food poisoning), Pfizer vaccine at 5pm, Then at 11:45pm severe diarrhea, head and body aches, dizziness and confusion. Sat.Aug.06 thru Tue.Aug.09 more diarrhea and vomiting, everything I ate or drank felt horrible. I could not stand odors and flavors: chicken soup, Gatorade, Pedialyte, bath soap, tooth paste, cleaning products. Every one told me those are the "vaccine immune reaction" . Symptoms kept getting worse: Tue.Aug.09 in the evening I could not sleep or rest, my skin was sensitive, could not stand clothes or textures. Next morning I was having abdominal pain so a relative took me to the emergency room. The first sodium blood test they read to me was 108, crams in my legs etc. They took me to the ICU.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Intensive care
- Hospital-Tage
- 5,0
- Labordaten
- Sodium blood tests as low as 108
- Aktuelle Erkrankungen
- none
- Vorgeschichte
- none
- Andere Medikamente
- Tamsulosin 0.4mg every other day
- Allergien
- none
- Vorherige Impfungen
- arm pain, body aches
- Staat
- FL
- Alter
- 62,0
- Geschlecht
- M
- Eingang
- 01.09.2022
- Impfdatum
- 05.08.2022
- Beginn
- 05.08.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: ja
Hospital: ja
Disable: unbekannt
ER: unbekannt
Erholt: ja
Abdominal pain
Blood sodium decreased
Confusional state
Diarrhoea
Dizziness
Chills
Hyperaesthesia
Vomiting
Feeling abnormal
Headache
Immunisation reaction
Intensive care
Muscle spasms
Pain
Perfume sensitivity
Restlessness
Sensitive skin
Sleep disorder
Symptomtext
Fri.Aug.05.2022: I ate lunch at 3pm with a friend same food (no food poisoning), Pfizer vaccine at 5pm, Then at 11:45pm severe diarrhea, head and body aches, dizziness and confusion. Sat.Aug.06 thru Tue.Aug.09 more diarrhea and vomiting, everything I ate or drank felt horrible. I could not stand odors and flavors: chicken soup, Gatorade, Pedialyte, bath soap, tooth paste, cleaning products. Every one told me those are the "vaccine immune reaction" . Symptoms kept getting worse: Tue.Aug.09 in the evening I could not sleep or rest, my skin was sensitive, could not stand clothes or textures. Next morning I was having abdominal pain so a relative took me to the emergency room. The first sodium blood test they read to me was 108, crams in my legs etc. They took me to the ICU.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Intensive care
- Hospital-Tage
- 5,0
- Labordaten
- Sodium blood tests as low as 108
- Aktuelle Erkrankungen
- none
- Vorgeschichte
- none
- Andere Medikamente
- Tamsulosin 0.4mg every other day
- Allergien
- none
- Vorherige Impfungen
- arm pain, body aches
- Staat
- FL
- Alter
- 26,0
- Geschlecht
- M
- Eingang
- 28.08.2022
- Impfdatum
- 24.08.2022
- Beginn
- 24.08.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: ja
Erholt: ja
Asthenia
Confusional state
Dizziness
Fall
Flushing
Hyperhidrosis
Hypotension
Loss of consciousness
Syncope
Tremor
Unresponsive to stimuli
Symptomtext
Systemic: Confusion-Severe, Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Severe, Systemic: Flushed / Sweating-Severe, Systemic: Hypotension-Severe, Systemic: Shakiness-Severe, Systemic: Weakness-Severe, Additional Details: Pt came into the pharmacy looking to get his first covid-19 vaccine.He filled out paperwork that had all "Nos" to the questions. Pharmacist gave shot at 9:24am, pt sat down in waiting area 9:25am, he felt faint and got up from the chair 9:27am, he fell into the front registers while fainting/blacking out at 9:27:34am where he fell to the ground, pharmacist ran to his assistance, he was unconcious for 24 seconds,called 911, kept patient on ground till he came to, sat back in chair till EMS arrive.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Loss of consciousness
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- CA
- Alter
- 49,0
- Geschlecht
- F
- Eingang
- 27.08.2022
- Impfdatum
- 21.08.2022
- Beginn
- 21.08.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: ja
Erholt: nein
Anaphylactic reaction
Dysphagia
Dyspnoea
Flushing
Hyperhidrosis
Nausea
Vomiting
Throat tightness
Symptomtext
Systemic: Allergic: Anaphylaxis-Medium, Systemic: Allergic: Difficulty Breathing-Medium, Systemic: Allergic: Difficulty Swallowing, Throat Tightness-Medium, Systemic: Flushed / Sweating-Medium
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Anaphylactic reaction
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- WI
- Alter
- 72,0
- Geschlecht
- F
- Eingang
- 19.08.2022
- Impfdatum
- 08.08.2022
- Beginn
- 09.08.2022
- Tage bis Beginn
- 1,0
- Dosis
- 3
- Route/Site
- IM / UN
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: ja
Disable: unbekannt
ER: ja
Erholt: ja
Fatigue
Feeling abnormal
Headache
Myalgia
Nausea
Pyrexia
Syncope
Symptomtext
Patient arrived at the Hospital on 8/9/2022 stating, ?feeling poorly starting [on 8/8/2022] characterized by intermittent fevers as high as 101 Fahrenheit, diffuse headache, myalgias, nausea, and generalized fatigue? per hospitalist?s note. Patient?s symptoms persisted the next day and experienced a bout of syncope lasting a few seconds which was witnessed by her daughter. EMS was activated and confirmed fever with other vital signs to be within normal limits. On the physician's note, it was stated patient was given a dose of ketorolac and ondansetron 4 mg IV,but ketorolac was not seen on the medication administration report. Patient had received Pfizer Covid booster (third dose) on 8/8/2022 prior to onset of symptoms. Per history and physical, patient has a history of neurogenic bladder with self-intermittentcatheterization with prior urinary tract infections, distant history of pulmonary embolism no longer anticoagulated, history of polymyalgia rheumatica no longer on treatment, osteoporosis, hypothyroidism on supplementation, fibromyalgia, and unspecified memory impairment. Prior to admission her home medications included: ascorbic acid, cyclosporine 5% ophthalmic emulsion, thyroid 120 mg, and vitamin D.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Syncope
- Hospital-Tage
- 1,0
- Labordaten
- -
- Aktuelle Erkrankungen
- 8/2/2022 - Glass in right foot 7/25/2022 - Shoulder pain 7/12/2022 - Shoulder pain with acute cystitis without hematuria
- Vorgeschichte
- Myalgia, dyslipidemia, recurrent UTIs, neurogenic bladder, hypothyroidism, osteoporosis, hypovitaminosis, fibromyalgia, hx of hashimoto's disease
- Andere Medikamente
- Thyroid - 120 mg daily Vitamin D Supplement - 1 tab daily Ascorbic Acid Supplement - 1 tab daily Cyclosporine 0.05% ophthalmic emulsion
- Allergien
- NKA
- Vorherige Impfungen
- -
- Staat
- FL
- Alter
- 31,0
- Geschlecht
- F
- Eingang
- 09.08.2022
- Impfdatum
- 07.08.2022
- Beginn
- 07.08.2022
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Asthenia
Dizziness
Presyncope
Symptomtext
Patient had vasovagal episode after vaccination. Patient felt dizzy and weak but never lost consciousness. The episode lasted about 10 seconds. Patient was assisted by elevating head, provided ice pack to the nape of neck and was cooled down with fans. Emergency rescue was contacted but patient refused to have them show up. Rescue canceled called themselves after hearing patient refuse service. Patient recovered fairly quickly and expressed fear of needles after the fact.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Presyncope
- Hospital-Tage
- -
- Labordaten
- n/a
- Aktuelle Erkrankungen
- n/a
- Vorgeschichte
- n/a
- Andere Medikamente
- n/a
- Allergien
- n/a
- Vorherige Impfungen
- -
- Staat
- CA
- Alter
- 64,0
- Geschlecht
- M
- Eingang
- 06.08.2022
- Impfdatum
- 06.08.2022
- Beginn
- 06.08.2022
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Syncope
Symptomtext
Pt is fainting after receiving imz shot. Pt remained sitted after vaccination. Caregiver tried to give water to patient. Patient fainted. Caregiver agreed to call 911 for help. After a few minutes, patient regained consciousness. Caregiver cancelled 911 call. Caregiver and patient go home after patient regained full consciousness.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Syncope
- Hospital-Tage
- -
- Labordaten
- not available
- Aktuelle Erkrankungen
- not available
- Vorgeschichte
- not available
- Andere Medikamente
- not available
- Allergien
- nka
- Vorherige Impfungen
- -
- Staat
- MI
- Alter
- 14,0
- Geschlecht
- F
- Eingang
- 03.08.2022
- Impfdatum
- 03.08.2022
- Beginn
- 03.08.2022
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- - / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Blood glucose normal
Loss of consciousness
Symptomtext
Patient was coming out of exam room when she LC. Pt was quick to recover with juice and water. B/P initially 88/62 - upon recovery was 111/72. Pt blood sugar was 111. Pt was able to self ambulate to parent car. Dr. assessed pt prior to leaving office.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Loss of consciousness
- Hospital-Tage
- -
- Labordaten
- B/S 111
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- None
- Andere Medikamente
- None
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- SD
- Alter
- 23,0
- Geschlecht
- M
- Eingang
- 02.08.2022
- Impfdatum
- 28.07.2022
- Beginn
- 29.07.2022
- Tage bis Beginn
- 1,0
- Dosis
- 4
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Chills
Confusional state
Dizziness
Fall
Seizure
Sleep disorder
Vomiting
Symptomtext
Pt had an episode in the middle of the night following his vaccine. He couldn't sleep and went to the bathroom where he had very loud, forceful vomiting. He then fell backwards and appeared to have a mild seizure that lasted a very short time. He has never had a seizure in his life prior to this. He did not know where he was or who his care giver was for a short time. His care giver then got him back into bed and then he had uncontrollable rigor for approx 45 minutes. He was fine when he went to bed and is fine now other than some dizziness. (this was all reported information from his caregiver).
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Seizure
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- none
- Vorgeschichte
- Wolff-Parkinson-White (WPW) syndrome ADHD Corpus Callosum Syndrome
- Andere Medikamente
- Vitamin D3 5000 IU Daily Risperdal (brand name) 0.5 mg in the morning and 1 mg at bedtime Melatonin 5 mg at bedtime Sertraline 150 mg in the morning Aspirin 81 mg in the morning Senna S (stool softener + Laxative) 1 in the morning Methylphe
- Allergien
- Cefprozil (unknown reaction)
- Vorherige Impfungen
- -
- Staat
- CA
- Alter
- 40,0
- Geschlecht
- F
- Eingang
- 27.07.2022
- Impfdatum
- 27.07.2022
- Beginn
- 27.07.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: ja
Erholt: nein
Abdominal pain
Hypoaesthesia
Loss of consciousness
Symptomtext
Patient reported numbness on left arm after vaccine administration. She lost consciousness for a minute, then regained consciousness after one minute. Alert and oriented to person, place, and situation. After gaining consciousnesses, she reported numbness in left arm and abdominal pain. EMS activated. Transported to the ER.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Loss of consciousness
- Hospital-Tage
- -
- Labordaten
- N/A.
- Aktuelle Erkrankungen
- Mastectomy on right-side
- Vorgeschichte
- High blood pressure and breast cancer
- Andere Medikamente
- Blood pressure medications, medication for breast cancer
- Allergien
- No known allergies
- Vorherige Impfungen
- -
- Staat
- SC
- Alter
- 19,0
- Geschlecht
- F
- Eingang
- 03.07.2023
- Impfdatum
- 27.07.2022
- Beginn
- 28.07.2022
- Tage bis Beginn
- 1,0
- Dosis
- 2
- Route/Site
- SYR / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: ja
Erholt: nein
Chest pain
Echocardiogram
Electrocardiogram
Electrocardiogram ambulatory
Postural orthostatic tachycardia syndrome
Sinus tachycardia
Tachycardia
Symptomtext
Chest pain, tachycardia - resting pulse 140 -155 went to ER, EKG performed, she was given a potassium pill and told to see a cardiologist. Cardiologist did ECHO, Holter monitor. Diagnosed with sinus tachycardia. Saw a neurologist who diagnosed her with POTS.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Chest pain
- Hospital-Tage
- -
- Labordaten
- EKG
- Aktuelle Erkrankungen
- none
- Vorgeschichte
- endometriosis
- Andere Medikamente
- none
- Allergien
- none
- Vorherige Impfungen
- -
- Staat
- -
- Alter
- 81,0
- Geschlecht
- M
- Eingang
- 27.06.2023
- Impfdatum
- 12.08.2022
- Beginn
- 18.10.2022
- Tage bis Beginn
- 67,0
- Dosis
- 4
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: ja
Disable: unbekannt
ER: unbekannt
Erholt: nein
Acute left ventricular failure
Asthma-chronic obstructive pulmonary disease overlap syndrome
Cardiac failure congestive
Chronic obstructive pulmonary disease
Condition aggravated
End stage renal disease
Hypotension
Symptomtext
I95.9 HYPOTENSION 3/20/2023 ESRD (END STAGE RENAL DISEASE) I95.9 HYPOTENSION 3/20/2023 ESRD (END STAGE RENAL DISEASE) I95.9 HYPOTENSION 3/20/2023 ACUTE EXACERBATION OF COPD I95.9 HYPOTENSION 3/20/2023 ESRD (END STAGE RENAL DISEASE) I95.9 HYPOTENSION 3/20/2023 DO NOT RESUSCITATE STATUS I95.9 HYPOTENSION 3/20/2023 ESRD (END STAGE RENAL DISEASE) SYSTOLIC HEART FAILURE, ACUTE I95.9 HYPOTENSION 3/20/2023 ACUTE EXACERBATION OF ASTHMA COPD OVERLAP SYNDROME (ASTHMA W COPD) I95.9 HYPOTENSION 3/20/2023 CHF (CONGESTIVE HEART FAILURE), UNSPECIFIED
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Condition aggravated
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- -
- Alter
- 64,0
- Geschlecht
- F
- Eingang
- 16.06.2023
- Impfdatum
- 30.08.2022
- Beginn
- 17.11.2022
- Tage bis Beginn
- 79,0
- Dosis
- 4
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: ja
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Facial paresis
Hemiparesis
Hypotension
Symptom recurrence
Symptomtext
HYPOTENSION RIGHT FACIAL MUSCLE WEAKNESS 11/29/2022 & 3/14/2023 -- RECURRENCE OF HOSPITALIZATION WITH SAME SYMPTOMS
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Hypotension
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- CA
- Alter
- 36,0
- Geschlecht
- F
- Eingang
- 06.06.2023
- Impfdatum
- 31.03.2023
- Beginn
- 31.03.2023
- Tage bis Beginn
- 0,0
- Dosis
- 2
- Route/Site
- - / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Injection site irritation
Injection site swelling
Pain in extremity
Palpitations
Symptomtext
EXTREME IRRITATION AND SWELLING AT INJECTION SITE, HEART PALPITATIONS, AND CONSTANT PAIN IN RIGHT LEG
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Palpitations
- Hospital-Tage
- -
- Labordaten
- N/A
- Aktuelle Erkrankungen
- no illness
- Vorgeschichte
- none
- Andere Medikamente
- None being taken
- Allergien
- no allergies
- Vorherige Impfungen
- -
- Staat
- MN
- Alter
- 62,0
- Geschlecht
- F
- Eingang
- 06.02.2023
- Impfdatum
- 08.09.2022
- Beginn
- 01.02.2023
- Tage bis Beginn
- 146,0
- Dosis
- 5
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: ja
Disable: unbekannt
ER: unbekannt
Erholt: nein
COVID-19
Dyspnoea
Otorrhoea
SARS-CoV-2 test positive
Sinus disorder
Symptomtext
SOB, ear drainage, and sinus sx on admission. Found COVID positive. Treatment includes oxygen, hydration, and sepsis protocol.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Dyspnoea
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- Dust mite, Levofloxacin, Mold, PCN, Tree nut
- Vorherige Impfungen
- -
- Staat
- -
- Alter
- 76,0
- Geschlecht
- M
- Eingang
- 02.02.2023
- Impfdatum
- 26.08.2022
- Beginn
- 30.12.2022
- Tage bis Beginn
- 126,0
- Dosis
- 4
- Route/Site
- - / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: ja
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Blood creatinine increased
Brain natriuretic peptide increased
COVID-19
COVID-19 pneumonia
Chest X-ray abnormal
Creatinine renal clearance decreased
Culture urine
Dyspnoea
Dysuria
Hypertension
Lung opacity
Malaise
Oedema peripheral
SARS-CoV-2 test positive
Therapy change
Symptomtext
Patient is a 76 y.o. male patient of Provider Not in System with history of HTN, CKD, OSA, hearing loss who presented to the ED with COVID pneumonia. He improved with supportive care and one dose of IV lasix with increase of his losartan. He was discharged back to his group home on 1/2. Covid-19 Virus Infection Date of onset of symptoms: 12/30 Symptoms present on admission: short of breath Date of covid positive test: 12/30 Vaccination status: vaccinated Imaging: CXR bibasilar opacities Oxygen requirements on admission: 87% RA > 95% 3L Current oxygen requirements: 95% RA Medical therapy: not indicated; CrCl too low for paxlovid Consultants following: None Anticipated special isolation end date: 1/10 Hypertension, uncontrolled BP up to 210/103 on arrival Home regimen: coreg 25mg BID, nifedipine 90mg BID, losartan 25mg daily,spironolactone 25mg daily, lasix 40mg daily Continue home regimen but increased Losartan 50 mg Peripheral edema -- improved 1+ edema to lower shins, POC BNP 444, lab BNP pend Per case manager, usually does not have any edema Likely 2/2 CKD, no other e/o CHF S/p IV Lasix x 1 Continue home PO lasix and aldactone Chronic kidney disease stage 4 Baseline Cr appears to be around 3.0 Follows with CNP Cr. 2.48 on admission Follow after IV lasix dose, stable at 2.58 Continue home Bicarb and Lokelma 3x/wk Dysuria New complaint 1/2 UA pending If concerning for infection, will start Keflex and send urine Cx Developmental disability Hard of hearing Schizophrenia Bipolar disoder Has 24 hr home health care and case worker Receptive language via lip reading limited by mask, reading ability appears limited Continue home medication
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- COVID-19 pneumonia
- Hospital-Tage
- 3,0
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- SC
- Alter
- 28,0
- Geschlecht
- F
- Eingang
- 22.11.2022
- Impfdatum
- 28.10.2022
- Beginn
- 28.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Palpitations
Paraesthesia
Symptomtext
Patient experienced tingling within 15minutes of getting the vaccine, went away shortly after but came back a few days after along with heart palpitations which both come and go.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Palpitations
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- N/A
- Vorgeschichte
- N/A
- Andere Medikamente
- N/A
- Allergien
- N/A
- Vorherige Impfungen
- -
- Staat
- AR
- Alter
- 62,0
- Geschlecht
- F
- Eingang
- 09.11.2022
- Impfdatum
- 27.09.2022
- Beginn
- 27.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Dizziness
Fatigue
Flushing
Heart rate increased
Nausea
Palpitations
Post-acute COVID-19 syndrome
Symptomtext
I got lightheaded and flushed about 15 minutes after initially taking the vaccination. I woke up one morning and got really lightheaded. My heart started racing and I checked my heart rate, and it was elevated to 108 beats per minute. It went away but came back again. I also had nausea as well. I called my doctor, and they told me to keep track and go into the emergency room if it starts again. I have had lightheaded off and on since this incident. I have an appointment set up November 15, 2022. I also have extreme fatigue which started after the 1st dose. These symptoms could be related to me having long COVID-19 symptoms or dose 1 of the vaccines.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Palpitations
- Hospital-Tage
- -
- Labordaten
- N/A
- Aktuelle Erkrankungen
- N/A
- Vorgeschichte
- Hypertension
- Andere Medikamente
- Alive Vitamins; Lisinopril HCTZ; Fluoxetine
- Allergien
- Penicillin; Seasonal Allergies
- Vorherige Impfungen
- Dose 1 Pfizer-Extreme Fatigue-hh-23-2021, Flu Vaccinations in the 90's-Headache, Extremely Tired
- Staat
- TN
- Alter
- 26,0
- Geschlecht
- F
- Eingang
- 26.10.2022
- Impfdatum
- 19.10.2022
- Beginn
- 01.10.2022
- Tage bis Beginn
- -
- Dosis
- 1
- Route/Site
- - / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Chest pain
Palpitations
Symptomtext
really bad chest pain; my heart was beating deep and it hadn't ever done this before but it kept on doing for a couple of hours/My heart started pounding very hard and very fast.; This is a spontaneous report received from a contactable reporter(s) (Consumer or other non-HCP). The reporter is the patient. A 26-year-old female patient received BNT162b2 (BNT162B2), on 19Oct2022 as dose 1, single (Lot number: FP7138, Expiration Date: 30Nov2022) at the age of 26 years for covid-19 immunisation. The patient had no relevant medical history. There were no concomitant medications. The following information was reported: PALPITATIONS (non-serious) with onset Oct2022, outcome "recovered" (2022), described as "my heart was beating deep and it hadn't ever done this before but it kept on doing for a couple of hours/My heart started pounding very hard and very fast."; CHEST PAIN (non-serious) with onset Oct2022, outcome "recovered" (2022), described as "really bad chest pain". Therapeutic measures were not taken as a result of chest pain, palpitations. Additional Information: It was reported that patient got it was 19Oct2022). Patient got first vaccine, it was the Pfizer (Pfizer COVID-19 Vaccine) and, patient might be having because of the shot, but patient cannot be sure. Patient read that, the last time, patient was sitting on the couch and my heart started pounding very hard and very fast and had really bad chest pain and it felt like it went away after a minute but after that it felt like that her heart was beating deep and it hadn't ever done this before but it kept on doing for a couple of hours. So, patient was wondering, what she should do for it? Is it a side effect or it would not go away? Patient had not taken anything before. Follow-up attempts are completed. No further information is expected.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Chest pain
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- Comments: List of non-encoded Patient Relevant History: Patient Other Relevant History 1: None, Comment: Other Conditions: No
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- MI
- Alter
- 77,0
- Geschlecht
- F
- Eingang
- 24.10.2022
- Impfdatum
- 22.08.2022
- Beginn
- 16.10.2022
- Tage bis Beginn
- 55,0
- Dosis
- 5
- Route/Site
- - / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: ja
Disable: unbekannt
ER: unbekannt
Erholt: ja
COVID-19
Chronic obstructive pulmonary disease
Condition aggravated
Dyspnoea
SARS-CoV-2 test positive
Symptomtext
Admit Date: 10/16/2022 4:50 PM Discharge Date: 10/20/2022 Admitting Physician: MD Attending Physician: MD Discharge Clinician: MD Primary Care Provider at Discharge: MD Hospital Course: Patient is a 77 year-old female with a medical history of COPD on 0-2L home O2, OSA on CPAP, CHF EF 55%, afib s/p pacemaker, HTN, HLD, CKD3a, hx PE/DVT on eliquis and recently diagnosed breast cancer. She came to the ER for shortness of breath. Patient tested positive for COVID and is thought the chronic obstructive pulmonary disease exacerbation was related to this. She was started on Decadron and remdesivir. She was also started on azithromycin and continued on her home inhalers. Patient finished 5 days of dexamethasone and remdesivir. Patient was given prescription for 5 more days of dexamethasone to complete total 10 days of treatment. Patient continued to get higher supplemental oxygen. Patient was discharged home with COVID at home program who will be monitoring patient at home. Patient was encouraged to use CPAP at home for obstructive sleep apnea. Patient's other medical problems remained stable. Patient was discharged to COVID at Home program in stable condition.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Condition aggravated
- Hospital-Tage
- 4,0
- Labordaten
- -
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- Benign essential hypertension Hyperlipidemia Morbid obesity (HCC) Obstructive sleep apnea syndrome Paroxysmal atrial fibrillation (HCC) Chronic diastolic congestive heart failure (HCC) Pacemaker History of pulmonary embolus (PE) and DVT Stage 3a chronic kidney disease (HCC) Post-menopausal bleeding Rectocele Constipation due to outlet dysfunction Chronic obstructive pulmonary disease, unspecified COPD type (HCC) Glaucoma Hemorrhoids Mixed incontinence Proctocele Primary pleomorphic carcinoma of lung (HCC): Right lower lobe with N2 (station 8/9) lymph node involvement History of tobacco abuse Frontal skull lesion Symptomatic anemia Anemia Nodule of skin of breast Intractable pain Ulcerative colitis without complications, unspecified location (HCC) Paroxysmal ventricular tachycardia Malignant neoplasm of upper-outer quadrant of left breast in female, estrogen receptor positive (HCC) Tricuspid regurgitation Superficial thrombophlebitis Skin cancer Shingles Pulmonary nodules Pneumonia due to organism Osteoarthritis of right knee Mass of soft tissue Left ureteral calculus Kidney insufficiency Impacted cerumen of right ear History of external beam radiation therapy 2016 for lung cancer COPD (chronic obstructive pulmonary disease) Chronic cough CHF (congestive heart failure) Cataract Calculus of kidney Bunion Atherosclerotic plaque Asthma Arthritis Adult general medical exam Medicare annual wellness visit, subsequent Secondary and unspecified malignant neoplasm of intrathoracic lymph nodes (HCC) Pneumonia due to COVID-19 virus COPD with acute exacerbation (HCC)
- Andere Medikamente
- acetaminophen (TYLENOL) 500 MG tablet albuterol (PROVENTIL) (2.5 MG/3ML) 0.083% nebulization albuterol HFA (PROVENTIL HFA, VENTOLIN HFA, PROAIR HFA) 108 (90 Base) MCG/ACT inhaler anastrozole (ARIMIDEX) 1 MG tablet apixaban (ELIQUIS) 5 MG ta
- Allergien
- Warfarin Adhesive Tape
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 33,0
- Geschlecht
- F
- Eingang
- 04.10.2022
- Impfdatum
- 22.09.2022
- Beginn
- 22.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 2
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: ja
Erholt: nein
Dyspnoea
Nausea
Wheelchair user
Symptomtext
Difficulty breathing, nausea. Oxygen placed & sent to the emergency department via wheelchair at 1430 on 9/22/22
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Dyspnoea
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- Asthma
- Andere Medikamente
- -
- Allergien
- sulfur, iodine, penicillin, amoxicillin, latex, hydrocodone, morphine as stated by patient on 8/24/22.
- Vorherige Impfungen
- -
- Staat
- CT
- Alter
- 55,0
- Geschlecht
- F
- Eingang
- 28.09.2022
- Impfdatum
- 17.08.2022
- Beginn
- 29.08.2022
- Tage bis Beginn
- 12,0
- Dosis
- 4
- Route/Site
- SYR / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: ja
Erholt: nein
COVID-19
Cough
Dyspnoea
Echocardiogram
Electrocardiogram
Oropharyngeal pain
Pulmonary function test
Pyrexia
SARS-CoV-2 test positive
Symptomtext
I started with a sore throat that went to a cough, fever, shortness of breath, and the symptoms lasted 12 days. The shortness of breath and coughing is still going on. My doctor gave me the Z-PAK and 40mg of prednisone. I took the Z-PAK for 5 days and prednisone for 7. I went to the ER and got the monoclonal antibody treatment, TORADOL injection, breathing treatment, MEDROL pack for 5 days. My Pulmonologist added a steroid inhaler.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Dyspnoea
- Hospital-Tage
- -
- Labordaten
- Pulmonary function test; EKG; Echocardiogram; 9/1/22 COVID-19 test - positive
- Aktuelle Erkrankungen
- No
- Vorgeschichte
- Asthma; Type 2 Diabetes
- Andere Medikamente
- LYRICA; LEXAPRO; WELLBUTRIN; PREVACID; SINGULAIR; vitamin B, calcium citrate
- Allergien
- No
- Vorherige Impfungen
- -
- Staat
- VA
- Alter
- 52,0
- Geschlecht
- F
- Eingang
- 21.09.2022
- Impfdatum
- 29.11.1969
- Beginn
- 30.08.2022
- Tage bis Beginn
- 19.267,0
- Dosis
- 1
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Burning sensation
Dyspnoea
Fatigue
Joint swelling
Lacrimation increased
Pain
Pain in extremity
Palpitations
Symptomtext
Fatigue, right eye sensation - light tearing right ankle swelling with burning and pickling pains, pain radiating from rt. Ankle to rt. Knee. Mild heart palpation and light shortness of breath.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Dyspnoea
- Hospital-Tage
- -
- Labordaten
- N/A
- Aktuelle Erkrankungen
- N/A
- Vorgeschichte
- N/A
- Andere Medikamente
- N/A
- Allergien
- N/A
- Vorherige Impfungen
- -
- Staat
- IA
- Alter
- 63,0
- Geschlecht
- F
- Eingang
- 09.09.2022
- Impfdatum
- 21.07.2022
- Beginn
- 23.07.2022
- Tage bis Beginn
- 2,0
- Dosis
- 4
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Arthralgia
Bursitis
Condition aggravated
Fatigue
Fibromyalgia
Herpes zoster
Pain
Sciatica
Symptomtext
Three days after I received a subcutaneous Xolair injection in my left arm and Pfizer intramuscular in my right arm, a severe fibromyalgia flare-up began. I had alternating days of severe fatigue and severe pain. I took tramadol, pregabalin, orphenadrine, bupropion to try to control the symptoms. This continued until August 21, when I started having severe pain in my right trochanteric bursa. After taking an increased dose of pregabalin with no relief, I saw Dr. on August 25 and received a steroid dose in the bursa. On August 28, I still had pain from bursitis when I developed post-shingles pain in my right sciatic nerve. I used lidocaine patches to try to relieve this pain. This pain has continued until September 8. I now feel better.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Condition aggravated
- Hospital-Tage
- -
- Labordaten
- Monr.
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- Fibromyalgia
- Andere Medikamente
- I got a Xolair injection for my asthma on the same day. I think this contributed because I did not have this reaction with my other doses of COVID vaccine
- Allergien
- All sulfa drugs, Relafen
- Vorherige Impfungen
- -
- Staat
- CA
- Alter
- 43,0
- Geschlecht
- F
- Eingang
- 06.09.2022
- Impfdatum
- 28.08.2022
- Beginn
- 28.08.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Headache
Hemiparaesthesia
Neck pain
Pain
Pain in extremity
Symptomtext
Within hours of vaccine admin, patient experienced left arm pain from neck to forearm, paresthesia of entire left side of body, and headache. Paresthesia resolved with 24 hours. Radiating pain and headache persisted through evaluation in office 09/01/22. Evaluated in office. Treated with supportive care and muscle relaxer (baclofen)
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Hemiparaesthesia
- Hospital-Tage
- -
- Labordaten
- N/A
- Aktuelle Erkrankungen
- N/A
- Vorgeschichte
- Migraines, Vit D Def, Vit B12 Def, Obesity
- Andere Medikamente
- Vit B12, Vitamin D2, Fluoxetine,
- Allergien
- NKDA
- Vorherige Impfungen
- -
- Staat
- MS
- Alter
- 67,0
- Geschlecht
- M
- Eingang
- 31.08.2022
- Impfdatum
- 26.08.2022
- Beginn
- 26.08.2022
- Tage bis Beginn
- 0,0
- Dosis
- 2
- Route/Site
- SYR / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: ja
Erholt: nein
Chest pain
Dyspnoea
Unresponsive to stimuli
Symptomtext
Severe shortness of breath; chest pain for several days. Patient coded non-responsive. 911 called.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Chest pain
- Hospital-Tage
- -
- Labordaten
- Blood pressure, pulse and respiratory rate.
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- ESRD
- Andere Medikamente
- Aspirin 80mg, Copacetic 100mg, Pravastatin 20mg, Sensipar 30mg, Gabapentin 100mg
- Allergien
- NKA
- Vorherige Impfungen
- -
- Staat
- LA
- Alter
- 49,0
- Geschlecht
- M
- Eingang
- 26.08.2022
- Impfdatum
- 22.08.2022
- Beginn
- 22.08.2022
- Tage bis Beginn
- 0,0
- Dosis
- 2
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: ja
Erholt: nein
Dizziness
Hypertension
Nausea
Symptomtext
Systemic: Dizziness / Lightheadness-Medium, Systemic: Hypertension-Medium, Systemic: Nausea-Medium, Additional Details: Blood Pressure 139/88 at 12:23p
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Hypertension
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- NY
- Alter
- 18,0
- Geschlecht
- M
- Eingang
- 26.08.2022
- Impfdatum
- 25.08.2022
- Beginn
- 25.08.2022
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- IM / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Dizziness
Hyperhidrosis
Immediate post-injection reaction
Myalgia
Nausea
Palpitations
Vomiting
Symptomtext
Muscle pain, nausea immediately after vaccine. Vomiting after eating. Dizziness 3 mins after and stopped after 10. Lightheaded after 3 mins and stopped in 10 mins. Sweating after 3 mins stopped in 10. Palpitations 3 mins after stopped after 10. Feeling as if about to faint after 3 mins stopped after 10.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Palpitations
- Hospital-Tage
- -
- Labordaten
- None.
- Aktuelle Erkrankungen
- Fractured trapezium
- Vorgeschichte
- None
- Andere Medikamente
- Moringa, CBD, Ashwagandha, Multivitamin
- Allergien
- None
- Vorherige Impfungen
- 17; Pfizer; fatigue, muscle pain.
- Staat
- -
- Alter
- 63,0
- Geschlecht
- M
- Eingang
- 24.08.2022
- Impfdatum
- 21.08.2022
- Beginn
- 21.08.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Hyperhidrosis
Palpitations
Symptomtext
Pt reported sweating and palpitations vitals: 128/72, 83, 20. Pt given water. Pt stable and released from the vaccination site.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Palpitations
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- PMH: ED, Hx of colonic polyps
- Andere Medikamente
- None
- Allergien
- Allergies: Tetracycline
- Vorherige Impfungen
- -
- Staat
- CA
- Alter
- 77,0
- Geschlecht
- M
- Eingang
- 18.08.2022
- Impfdatum
- 16.08.2022
- Beginn
- 16.08.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Dyspnoea
Symptomtext
8/16/2022 5:30 pm: Difficulty breathing with O2 saturation room air 87%, 5L oxygen via N/C applied. Improved O2 saturation 93-95%.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Dyspnoea
- Hospital-Tage
- -
- Labordaten
- None.
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- Type 2 diabetes mellitus, kidney failure, atherosclerotic heart disease
- Andere Medikamente
- Lyrica, Lipitor, Tylenol, Aspirin, Multivitamin
- Allergien
- NKA
- Vorherige Impfungen
- -
- Staat
- UT
- Alter
- 49,0
- Geschlecht
- F
- Eingang
- 11.08.2022
- Impfdatum
- 10.08.2022
- Beginn
- 10.08.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Abdominal pain
Chest pain
Formication
Hypoaesthesia
Lip swelling
Ocular hyperaemia
Rash
Swelling face
Tinnitus
Symptomtext
Patient received vaccine at 5:15 pm and around 11:00 pm started a rash on legs and arms. Then had chest pain and pain in abdomen. Then started to have numbing on the face and felt like ants were all over her. She felt a strong pulse in her ears and then got up to look in the mirror and her face, lips and cheeks were swollen. She had red eyes.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Chest pain
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- CA
- Alter
- 18,0
- Geschlecht
- M
- Eingang
- 05.08.2022
- Impfdatum
- 05.08.2022
- Beginn
- 05.08.2022
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Chest discomfort
Chest pain
Symptomtext
Situation: Pt c/o chest tightness post vaccination at 1027. Background: 18 y/o pt received vaccine during appointment for 3rd dose of Pfizer 08/05/2022 at 1027. Pt's mother walked up to RN 1 to check in and alert of son c/o chest tightness at 1037. Assessment: Pt ambulated with steady gait to observation room at 1037. VS by RN 1 and RN 2 at 1037 HR68 BP 126/74 RR18 o2 Sat 100%. Pt calm alert and oriented with mother. No SOB. No chest pain. Pt states at 1045 that chest pain is "Getting better." 1053 pt states, "Chest pain is gone" VS at 1054 HR66 BP 127/66 o2 sat 100%. Recommendation: Pt was advised to extend observation period from 15 min to 30 min. Pt finishes extended observation period and goes home with mother at 1057. Pt is calm stable and asymptomatic.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Chest pain
- Hospital-Tage
- -
- Labordaten
- n/a
- Aktuelle Erkrankungen
- Atopic dermatitis
- Vorgeschichte
- -
- Andere Medikamente
- n/a
- Allergien
- nka
- Vorherige Impfungen
- -
- Staat
- MN
- Alter
- 75,0
- Geschlecht
- F
- Eingang
- 29.07.2022
- Impfdatum
- 21.07.2022
- Beginn
- 21.07.2022
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- - / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Abdominal discomfort
Anxiety
Chills
Dizziness
Headache
Heart rate increased
Illness
Pain
Palpitations
Peripheral swelling
Tremor
Symptomtext
My heart was beating very fast and it was like skipping a beat and then it was pounding so hard; severe chills; Ached all over my body just jerked it just kept jerking for probably a couple hours; shaking; hands swelled up; dizzy; Headache; sick to her stomach; My heart was beating very fast and it was like skipping a beat; I started to get very sick; I am so sick, I just thought that I was going to die; I started to get very sick; I am so sick, I just thought that I was going to die; This is a spontaneous report received from contactable reporter(s) (Consumer or other non HCP). The reporter is the patient. A 75-year-old female patient received BNT162b2 (BNT162B2), on 21Jul2022 at 09:15 as dose 3 (booster), single (Lot number: FP7138, Expiration Date: 24Sep2022) at the age of 75 years for covid-19 immunization. The patient's relevant medical history and concomitant medications were not reported. Vaccination history included: Johnson & Johnson covid-19 vaccine (Dose #1: Johnson & Johnson , Date:04Mar2021, Lot: 1805018, Expiry: unknown , NDC: unknown , Primary Immunization complete), administration date: 04Mar2021, when the patient was 73-year-old, for Covid-19 immunization; BNT162b2 (DOSE 2 (BOOSTER), SINGLE, Dose #2: Pfizer , Date: 09Nov2021, Lot: FE3592, Expiry: unknown , NDC: unknown), administration date: 09Nov2021, when the patient was 74-year-old, for Covid-19 Immunization. The following information was reported: ANXIETY (non-serious), ILLNESS (non-serious) all with onset 21Jul2022 at 18:00, outcome "unknown" and all described as "I started to get very sick; I am so sick, I just thought that I was going to die"; HEART RATE INCREASED (non-serious), outcome "unknown", described as "My heart was beating very fast and it was like skipping a beat and then it was pounding so hard"; CHILLS (non-serious), outcome "unknown", described as "severe chills"; PAIN (non-serious), outcome "unknown", described as "Ached all over my body just jerked it just kept jerking for probably a couple hours"; TREMOR (non-serious), outcome "unknown", described as "shaking"; PERIPHERAL SWELLING (non-serious), outcome "unknown", described as "hands swelled up"; DIZZINESS (non-serious), outcome "unknown", described as "dizzy"; HEADACHE (non-serious), outcome "unknown"; ABDOMINAL DISCOMFORT (non-serious), outcome "unknown", described as "sick to her stomach"; PALPITATIONS (non-serious), outcome "unknown", described as "My heart was beating very fast and it was like skipping a beat". Additional information: she got a booster on Thursday morning about 9:30 in the morning and at 6 at night she started to get very sick, her heart was beating very fast and it was like skipping a beat and then it was pounding so hard and she had the chills so bad and ached all over her body just jerked, it just kept jerking for probably a couple hours. She just want to report this and wondered what went wrong. Okay okay could you just put her over to them. Consumer was informed that the department was closed and will be open on Monday. Well did they got a lot of these reactions. did a lot of people get the reactions. Informed about filing a safety report. Consumer stated, "she was so sick, she just thought that she was going to die. Consumer was provided with the number of Pfizer Medical Information Department as # and requested to press option 3 and timings as 8am to 9pm Monday to Friday (EST). Consumer stated, "Okay so, She will call them on Monday." Consumer stated, "she was just concerned if it do damage to my heart" Consumer stated, "she was not up to it today. She was telling her husband's not to got it, It was just not worth it (Event captured as per verbatim) but (Incomplete sentence) Okay its FF she wrote it was hard to read there is FP7159 does that make any sense that's what it look like 7159. Expiration date: Consumer stated, "There was no date she didn't write any date on it." Consumer stated, "Nope this was it thank you so much she would call that other number on Monday, what was that central time or eastern time or what. It was reported that, it started with severe chills and shaking, she needed blankets. Then her heart started racing so fast, it was pounding so hard, felt like it was skipping a beat. Then her hands swelled up and she felt dizzy and had a headache. She got the shot at 9:15am and then at 6:00pm that night is when it all started. She was so sick. Sick to her stomach, but she did not throw up. She was in bed all day Friday and her heart quit racing in the morning but she was still sick to her stomach all day. On Saturday she was sick to her stomach but was better. Caller states yesterday her heart raced a little but that was it. And her stomach still feels a little icky. Follow-up attempts are completed. No further information is expected.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Palpitations
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- CA
- Alter
- 25,0
- Geschlecht
- F
- Eingang
- 26.07.2022
- Impfdatum
- 22.07.2022
- Beginn
- 22.07.2022
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Abdominal pain
Blood glucose normal
Dizziness
Nausea
Paraesthesia
Symptomtext
Systemic: Abdominal Pain-Medium, Systemic: Dizziness / Lightheadness-Mild, Systemic: Nausea-Mild, Systemic: Tingling (specify: facial area, extemities)-Mild, Additional Details: ems was call. patient recovered after went to bathroom. patient didn't have breakfast after recevied shot. firefighter check in BP, temp, blood glucose. everything except BG is within normal range. BG at that time was 120. Patient completely recovered and adviced to see the doctor. this is her 3rd shot. No reaction for primary doses
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Paraesthesia
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- WI
- Alter
- 75,0
- Geschlecht
- F
- Eingang
- 13.10.2023
- Impfdatum
- 17.08.2022
- Beginn
- 05.01.2023
- Tage bis Beginn
- 141,0
- Dosis
- 3
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Adverse drug reaction
Pruritus
Urticaria
Symptomtext
This patient has been receiving i.v. Immune globulin infusions monthly since 05/09/2019 without any adverse effects until 01/05/2023, when she developed an acute urticaria reaction while receiving her infusion of immune globulin. She's had this reaction with all subsequent infusions. Of interest is that the hives always begin at the left deltoid, the location of all four of her COVID-19 immunizations, and then travel down that arm. They occur about 30 minutes after the start of the infusion, always on the left deltoid and arm, regardless of which arm is infused.The next day, and subsequent days the pruritic hives are also noted at the scalp hairline and in the axillae and inframammary areas. They respond to oral corticosteroids, but not to oral antihistamines. They have occurred with both Gammagard and with Privigen brands of immune globulin.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Pruritus
- Hospital-Tage
- -
- Labordaten
- None
- Aktuelle Erkrankungen
- non
- Vorgeschichte
- Recurrent sinusitis and bronchitis. Common variable immune deficiency
- Andere Medikamente
- none
- Allergien
- Penicillin, Tegederm tape.
- Vorherige Impfungen
- -
- Staat
- WI
- Alter
- 75,0
- Geschlecht
- F
- Eingang
- 13.10.2023
- Impfdatum
- 17.08.2022
- Beginn
- 05.01.2023
- Tage bis Beginn
- 141,0
- Dosis
- 4
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Adverse drug reaction
Pruritus
Urticaria
Symptomtext
This patient has been receiving i.v. Immune globulin infusions monthly since 05/09/2019 without any adverse effects until 01/05/2023, when she developed an acute urticaria reaction while receiving her infusion of immune globulin. She's had this reaction with all subsequent infusions. Of interest is that the hives always begin at the left deltoid, the location of all four of her COVID-19 immunizations, and then travel down that arm. They occur about 30 minutes after the start of the infusion, always on the left deltoid and arm, regardless of which arm is infused.The next day, and subsequent days the pruritic hives are also noted at the scalp hairline and in the axillae and inframammary areas. They respond to oral corticosteroids, but not to oral antihistamines. They have occurred with both Gammagard and with Privigen brands of immune globulin.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Pruritus
- Hospital-Tage
- -
- Labordaten
- None
- Aktuelle Erkrankungen
- non
- Vorgeschichte
- Recurrent sinusitis and bronchitis. Common variable immune deficiency
- Andere Medikamente
- none
- Allergien
- Penicillin, Tegederm tape.
- Vorherige Impfungen
- -
- Staat
- MI
- Alter
- 73,0
- Geschlecht
- M
- Eingang
- 07.03.2023
- Impfdatum
- 16.08.2022
- Beginn
- 18.02.2023
- Tage bis Beginn
- 186,0
- Dosis
- 3
- Route/Site
- - / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: ja
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
COVID-19
Diarrhoea
Dizziness
Nausea
SARS-CoV-2 test positive
Symptomtext
02/18/23 presents to ED for "dizziness, nausea and diarrhea". PMHx of "right eye blindness, partial vision loss of left eye, CHI, CKD stage 2, T2DM, GERD, HTN, HLD, CAD, PVD, OSA, Pulmonary hypertension, anemia of chronic disease"
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Diarrhoea
- Hospital-Tage
- -
- Labordaten
- 02/18/23 SARS-CoV-2 (COVID-19) by NAA detected
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- OH
- Alter
- 71,0
- Geschlecht
- F
- Eingang
- 03.03.2023
- Impfdatum
- 26.08.2022
- Beginn
- 05.02.2023
- Tage bis Beginn
- 163,0
- Dosis
- 2
- Route/Site
- SYR / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Arthralgia
Asthenia
Back pain
Cough
Fatigue
Influenza virus test negative
Malaise
Nasal congestion
Oropharyngeal pain
Rhinorrhoea
SARS-CoV-2 test negative
Symptomtext
I woke up and felt really sick and had a cough, sore throat, with a runny nose and congestion. I felt tired and achy my back and shoulders with no energy. I had a doctors tele visit. I went in to my doctors the next day and was tested for the COVID-19 virus and for influenza both tests were negative. I was told I had a virus that had to run its course. My cough went away but the fatigue and congestion has continued until the time of this report.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Arthralgia
- Hospital-Tage
- -
- Labordaten
- 08FEB 2023 COVID-19 and Influenza test negative.
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- Enlarged Heart
- Andere Medikamente
- Pantoprazole; spironolactone; XARELTO; rosuvastatin; magnesium oxide; vitamin D; vitamin C; zinc; multivitamin; vitamin B6
- Allergien
- Sulfa; penicillin
- Vorherige Impfungen
- My cheeks became swollen and my throat tried to close. Pneumonia vaccine 2017 or 2018?
- Staat
- AL
- Alter
- 20,0
- Geschlecht
- F
- Eingang
- 13.12.2022
- Impfdatum
- 22.11.2022
- Beginn
- 22.11.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- - / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Back pain
Fatigue
Feeling abnormal
Headache
Insomnia
Lymphadenopathy
Malaise
Poor quality product administered
Product administration error
Restlessness
Symptomtext
Headache; Foggy; has pain in her back where her shoulder blades are and she can't move them; has not been well since the vaccine; extremely tired; her lymph nodes on the left under her arm and on the back of the base of her skull are large; restless; having problems sleeping; injection she received had expired past the 10 week 2 days in the fridge; injection she received had expired past the 10 week 2 days in the fridge; This is a spontaneous report received from a contactable reporter(s) (Consumer or other non HCP) from medical information team. The reporter is the parent. A 20-year-old female patient received BNT162b2 (BNT162B2), on 22Nov2022 as dose 1, single (Lot number: FP7138, Expiration Date: 30Nov2022) at the age of 20 years, in left arm for covid-19 immunisation. The patient had no relevant medical history. The patient took concomitant medications. The following information was reported: POOR QUALITY PRODUCT ADMINISTERED (non-serious), PRODUCT ADMINISTRATION ERROR (non-serious) all with onset 22Nov2022, outcome "unknown" and all described as "injection she received had expired past the 10 week 2 days in the fridge"; HEADACHE (non-serious), outcome "not recovered"; FEELING ABNORMAL (non-serious), outcome "not recovered", described as "Foggy"; BACK PAIN (non-serious), outcome "not recovered", described as "has pain in her back where her shoulder blades are and she can't move them"; MALAISE (non-serious), outcome "not recovered", described as "has not been well since the vaccine"; FATIGUE (non-serious), outcome "not recovered", described as "extremely tired"; LYMPHADENOPATHY (non-serious), outcome "not recovered", described as "her lymph nodes on the left under her arm and on the back of the base of her skull are large"; RESTLESSNESS (non-serious), outcome "not recovered", described as "restless"; INSOMNIA (non-serious), outcome "not recovered", described as "having problems sleeping". Therapeutic measures were taken as a result of headache, feeling abnormal, back pain, malaise, fatigue, lymphadenopathy, restlessness, insomnia. Additional information: Concomitant medication reported as Birth Control Pills. No other Conditions and Investigations were reported. Other Products reported as yes. Dates for Concomitant Products Birth Control Pills: (Start: Unspecified Stop: Ongoing). A father calling on behalf of his daughter who received a Pfizer Covid 19 Vaccine 2 weeks ago and she was experiencing problems with her left side lymph nodes and other issues. She got the vaccine at the (vaccine facility name wiithheld) weeks ago, and they were just advised the vaccine was expired beyond the 10 weeks. Confirmed reporter details and above information with the caller. Height and Weight: Unknown. Physician: Unknown. Caller states he was told by the nurse [from the facility where the patient received the injection] the vaccines are good for 10 weeks and then they give 2 days past the 10 weeks. So, what she was telling them, she had just called today, was she said she wanted to let them know the injection they gave his daughter had expired past the 10-week 2 days period in the fridge. Caller states why they are letting them know now, now that it was past 14 days past when she got the injection, he had no idea. He explained when he was looking on the card for the shot record, it said the lot number and that this injection expires on 30Nov2022, but the nurse was saying that was incorrect. Caller had questions about the guidance for the expired vaccine received and if the patient should receive another dose? He states the reason he was asking, was because the nurse said they called Pfizer and Pfizer said there was nothing to worry about and for the patient to come back and get the shot again and then go through the boosters. Caller stated he said wait a minute, he did medical benefits for a living, and he did not understand this, how they administer an expired vaccine, and they said because it is for the entire month of November, so he asked how many people, and she just replied it wasn't a large group and did not answer. He stated he asked her how long out of expiration it was and was told her would need to talk to the Director of the Hospital. Caller states someone must have gotten sick, or something must have happened for them to research into this and find that they had given incorrect injections there that had already expired. Caller states he has already contacted the (name withheld) County Department of Health and they said the facility had already called and notified them about it. Caller asks if the facility as notified Pfizer, call handler informed caller she did not have access to that information. Caller reports the patient had a headache, was foggy, had pain in her back where her shoulder blades are and she could not move them, she had not been well since the vaccine, she was extremely tired, her lymph nodes on the left under her arm and on the back of the base of her skull are large, and she was restless and having problems sleeping. Vaccine was received on 22Nov2022, and it was her first dose. Caller states he could not remember the exact date that each side effect started, but they all started after she got the vaccine. States he will have to get the dates from the patient. Caller states they are all ongoing. When asked the outcome, he stated they were just ongoing. Treatment: Taking Tylenol or Ibuprofen. Caller stated the patient was in nursing school and she had to have the vaccine for clinicals. Now if she was going to have to have this one over again, she was not going to make it in time. Treatment: Taking Tylenol or Ibuprofen. Prior Vaccinations (within 4 weeks): None. Family Medical History Relevant to Adverse Events (AEs): Not Provided.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Back pain
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- Comments: List of non-encoded Patient Relevant History: Patient Other Relevant History 1: None, Comment: Other Conditions: No
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- AR
- Alter
- 37,0
- Geschlecht
- M
- Eingang
- 01.12.2022
- Impfdatum
- 21.11.2022
- Beginn
- 25.11.2022
- Tage bis Beginn
- 4,0
- Dosis
- 3
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Dermatitis acneiform
Rash
Rash macular
Skin burning sensation
Symptomtext
Got the shot on Monday 4 days later on Friday had red dot rash in various sizes covering neck shoulders torso and back. The skin felt like it was burning. As day progressed the rash spread down arms lower abdomen and buttocks and some of the dots began to have a raised pimple like head. Skin felt like a mild sunburn. Began taking Benadryl, Pepcid, Zyrtec, and Claritin every day. 1 week later and nothing has improved.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Rash
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- Rheumatoid arthritis, GERD, Barrettes esophagus,BXO, High BP
- Andere Medikamente
- Methotrexate, protonix, folic acid, lisinopril, diclofinac
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- MI
- Alter
- 36,0
- Geschlecht
- F
- Eingang
- 01.12.2022
- Impfdatum
- 13.09.2022
- Beginn
- 17.09.2022
- Tage bis Beginn
- 4,0
- Dosis
- 2
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: ja
ER: ja
Erholt: nein
Blister
Hypoaesthesia
Neuralgia
Scar
Sensory loss
Skin discolouration
Urticaria
Symptomtext
Patient called after approximately 1 and 1/2 months after receiving vaccine stating she's having issues with full-body hives that are forming blisters and leaving scarring/discoloration of her skin. She's also having issues with nerve pain along with sensation loss/loss of feeling in her extremities.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Urticaria
- Hospital-Tage
- -
- Labordaten
- Patient has seen her primary MD who cannot determine a diagnosis. She has also gone to the ER multiple times
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- OR
- Alter
- 59,0
- Geschlecht
- F
- Eingang
- 25.11.2022
- Impfdatum
- 23.11.2022
- Beginn
- 23.11.2022
- Tage bis Beginn
- 0,0
- Dosis
- 2
- Route/Site
- IM / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Fatigue
Headache
Oral herpes
Pain
Rhinorrhoea
Symptomtext
started with runny nose. within an hour I developed a low grade fever 99 to 100 degrees, fever blister on lip, body aches, headache and fatigue. increased in severity over 48 hours then started to abate. Treated by self at home with day quilt severe cold and flu. treated symptoms.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Fatigue
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- systemic lupus eruthromatous x 50 years in remission. atrial fibrillation
- Andere Medikamente
- xarelto, dilaudid pump, folic acid, tizanidine, Buspar, metoprolol,
- Allergien
- keflex, compazine,, Levaquin,
- Vorherige Impfungen
- flu Vax runny nose diahreea every rime
- Staat
- MO
- Alter
- 60,0
- Geschlecht
- F
- Eingang
- 14.11.2022
- Impfdatum
- 25.08.2022
- Beginn
- 02.11.2022
- Tage bis Beginn
- 69,0
- Dosis
- 3
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
COVID-19
Chills
Nasopharyngitis
Pain
Pyrexia
SARS-CoV-2 test positive
Symptomtext
I experienced achiness, then I started to get a head cold and had really bad chills and also had a fever. I had recently traveled that what made me get tested. I got tested 11/02/2022 for at home COVID-19 test. I also took the COVID-19 test again two days later and it also came out positive. I think I got a virus or cold that been going around.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Chills
- Hospital-Tage
- -
- Labordaten
- 02NOV2022 At Home COVID-19 Test - Positive
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- Breast Cancer; High Blood Pressure
- Andere Medikamente
- Atenolol; Claritin; Rheumatics
- Allergien
- Codeine
- Vorherige Impfungen
- -
- Staat
- CA
- Alter
- 32,0
- Geschlecht
- F
- Eingang
- 11.11.2022
- Impfdatum
- 01.10.2022
- Beginn
- 07.11.2022
- Tage bis Beginn
- 37,0
- Dosis
- 1
- Route/Site
- - / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Ear pain
Ear pruritus
Menstruation delayed
Scab
Symptomtext
Ear pain Ear crusting Ear itching Late period
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Ear pain
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- Na
- Vorgeschichte
- Na
- Andere Medikamente
- Na
- Allergien
- Na
- Vorherige Impfungen
- -
- Staat
- NV
- Alter
- 33,0
- Geschlecht
- M
- Eingang
- 11.11.2022
- Impfdatum
- 27.09.2022
- Beginn
- 28.09.2022
- Tage bis Beginn
- 1,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Back pain
Blood urine present
Computerised tomogram normal
Renal pain
Urine analysis normal
Symptomtext
The next 2 days my lower back, or kidneys, were very sore. About a week and a half later I was working out, then went to use the bathroom and blood was in my urine. I went to the doctor, and they did a urine test. That came back normal. They recommended a CT scan, and it came back normal as well. I am going to a Urologist now for further testing. They concluded that this was probably vaccine related.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Back pain
- Hospital-Tage
- -
- Labordaten
- 09NOV2022 CT scan normal; 10OCT2022 Urine test normal.
- Aktuelle Erkrankungen
- N/A
- Vorgeschichte
- N/A
- Andere Medikamente
- N/A
- Allergien
- N/A
- Vorherige Impfungen
- I had a reaction to the Swine Flu vaccine. I was vomiting a lot.
- Staat
- WA
- Alter
- 36,0
- Geschlecht
- M
- Eingang
- 28.10.2022
- Impfdatum
- 07.08.2022
- Beginn
- 03.10.2022
- Tage bis Beginn
- 57,0
- Dosis
- 2
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Arthralgia
COVID-19
Cough
Fatigue
Feeling abnormal
Pain
Pyrexia
SARS-CoV-2 test positive
Throat irritation
Symptomtext
I tested positive for COVID-19 on 10/3/22. I woke with a scratchy throat, fatigue, feverish, and overall body aches and sore joints. I didn't have a cough at that time, but I did get one later. I just felt bad in general. I was traveling so it was terrible. I was traveling when I tested positive and couldn't get Paxlovid, so, I was prescribed Dextromethorphan, Trotipront Max and Paracetamol. I feel much better now, but still have a little bit of a lingering cough.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Arthralgia
- Hospital-Tage
- -
- Labordaten
- 03OCT22 - COVID-19 Test - Positive
- Aktuelle Erkrankungen
- N/A
- Vorgeschichte
- Reactive Arthritis
- Andere Medikamente
- N/A
- Allergien
- N/A
- Vorherige Impfungen
- -
- Staat
- WI
- Alter
- 40,0
- Geschlecht
- F
- Eingang
- 20.10.2022
- Impfdatum
- 15.08.2022
- Beginn
- 15.08.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Dizziness
Gait inability
Injection site mass
Injection site reaction
Injection site swelling
Injection site warmth
Myalgia
Nausea
Pain
Symptomtext
The night of vaccine- reaction started locally at injection site - kidney sized lump where injection progressed to approx 3 1/2 x2 in in size, raised, increased warmth to injection site followed by muscle pain and nausea. Pt also reports experiencing s/s of being unable to ambulate d/t severe whole body pain and a dizzy feeling. Pt was worried if she got out of bed she would fall because she was in so much pain.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Dizziness
- Hospital-Tage
- -
- Labordaten
- None
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- Cauda Equina Syndrome, peripheral neuropathy
- Andere Medikamente
- Diclofenac, Doxepin, Duloxetine, Eliquis, Pregabalin
- Allergien
- No known allergies
- Vorherige Impfungen
- -
- Staat
- MA
- Alter
- 54,0
- Geschlecht
- F
- Eingang
- 17.10.2022
- Impfdatum
- 23.09.2022
- Beginn
- 12.10.2022
- Tage bis Beginn
- 19,0
- Dosis
- 1
- Route/Site
- SYR / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
COVID-19
Diarrhoea
Exposure to SARS-CoV-2
Headache
Nasal congestion
Oropharyngeal discomfort
SARS-CoV-2 test positive
Symptomtext
10/12/2022 I woke up with a headache and slightly stuffy nose. My throat felt weird, did not hurt and loose stools. Because I had been exposed to COVID, I took a home test and it was positive. I then took a PCR test at my healthcare facility and tested positive. I was prescribed PAXLOVID and had my first dose that evening. I did not get any worse. As the days went on, I started feeling better. I took my last dose today. I had no symptoms yesterday or today.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Diarrhoea
- Hospital-Tage
- -
- Labordaten
- COVID rapid, negative, COVIC PCR, positive.
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- Status post thyroid cancer; Asthma; High Cholesterol
- Andere Medikamente
- Levothyroxine; vitamin D
- Allergien
- MACROBID; narcotic pain medicines; cats; dogs; horses.
- Vorherige Impfungen
- -
- Staat
- NM
- Alter
- 67,0
- Geschlecht
- F
- Eingang
- 13.10.2022
- Impfdatum
- 07.10.2022
- Beginn
- 07.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect product formulation administered
Myalgia
Nausea
Symptomtext
Monovalent mRNA given instead of bivalent. Pt with nausea and myalgia.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Myalgia
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- CA
- Alter
- 54,0
- Geschlecht
- F
- Eingang
- 28.09.2022
- Impfdatum
- 01.08.2022
- Beginn
- 02.08.2022
- Tage bis Beginn
- 1,0
- Dosis
- 3
- Route/Site
- - / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Muscle twitching
Nerve injury
Pain
Product administered at inappropriate site
Swelling
Tendonitis
Symptomtext
experiencing nerve damage in the upper left arm; lingering pain; nerve twitches all over; This is a spontaneous report received from contactable reporter(s) (Consumer or other non HCP). The reporter is the patient. A 54-year-old female patient (not pregnant) received BNT162b2 (BNT162B2), on 01Aug2022 at 12:15 as dose 3 (booster), single (Lot number: FP7138) at the age of 54 years, in left arm for covid-19 immunisation. The patient's relevant medical history included: "high blood pressure" (unspecified if ongoing). Concomitant medication(s) included: AMLODIPINE BESILATE. Vaccination history included: BNT162b2 (Dose Number: 2, Batch/Lot No: ERE729, Location of injection: Arm Left, Vaccine Administration Time: 01:15 PM), administration date: 14Apr2021, when the patient was 53-year-old, for Covid-19 Immunization; BNT162b2 (Dose Number: 1, Batch/Lot No: ER8730, Location of injection: Arm Left, Vaccine Administration Time: 01:15 PM), administration date: 24Mar2021, when the patient was 53-year-old, for Covid-19 Immunization. The following information was reported: NERVE INJURY (non-serious) with onset 02Aug2022 at 07:00, outcome "not recovered", described as "experiencing nerve damage in the upper left arm"; PAIN (non-serious) with onset 02Aug2022 at 07:00, outcome "not recovered", described as "lingering pain"; MUSCLE TWITCHING (non-serious) with onset 02Aug2022 at 07:00, outcome "not recovered", described as "nerve twitches all over". The events "experiencing nerve damage in the upper left arm", "lingering pain" and "nerve twitches all over" required physician office visit. Therapeutic measures were not taken as a result of nerve injury, pain, muscle twitching. Addition information: Other vaccine in four weeks was none. It was reported that: I was experiencing nerve damage in the upper left arm. I had lingering pain, and nerve twitches all over. Covid prior vaccination was none. Covid tested post vaccination was none. Known allergy was none. Follow-Up (27Sep2022): Follow-up attempts are completed. No further information is expected.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Pain
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- Medical History/Concurrent Conditions: Blood pressure high
- Andere Medikamente
- AMLODIPINE BESILATE
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- CA
- Alter
- 54,0
- Geschlecht
- F
- Eingang
- 28.09.2022
- Impfdatum
- 01.08.2022
- Beginn
- 02.08.2022
- Tage bis Beginn
- 1,0
- Dosis
- 3
- Route/Site
- SYR / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Muscle twitching
Nerve injury
Pain
Product administered at inappropriate site
Swelling
Tendonitis
Symptomtext
experiencing nerve damage in the upper left arm; lingering pain; nerve twitches all over; This is a spontaneous report received from contactable reporter(s) (Consumer or other non HCP). The reporter is the patient. A 54-year-old female patient (not pregnant) received BNT162b2 (BNT162B2), on 01Aug2022 at 12:15 as dose 3 (booster), single (Lot number: FP7138) at the age of 54 years, in left arm for covid-19 immunisation. The patient's relevant medical history included: "high blood pressure" (unspecified if ongoing). Concomitant medication(s) included: AMLODIPINE BESILATE. Vaccination history included: BNT162b2 (Dose Number: 2, Batch/Lot No: ERE729, Location of injection: Arm Left, Vaccine Administration Time: 01:15 PM), administration date: 14Apr2021, when the patient was 53-year-old, for Covid-19 Immunization; BNT162b2 (Dose Number: 1, Batch/Lot No: ER8730, Location of injection: Arm Left, Vaccine Administration Time: 01:15 PM), administration date: 24Mar2021, when the patient was 53-year-old, for Covid-19 Immunization. The following information was reported: NERVE INJURY (non-serious) with onset 02Aug2022 at 07:00, outcome "not recovered", described as "experiencing nerve damage in the upper left arm"; PAIN (non-serious) with onset 02Aug2022 at 07:00, outcome "not recovered", described as "lingering pain"; MUSCLE TWITCHING (non-serious) with onset 02Aug2022 at 07:00, outcome "not recovered", described as "nerve twitches all over". The events "experiencing nerve damage in the upper left arm", "lingering pain" and "nerve twitches all over" required physician office visit. Therapeutic measures were not taken as a result of nerve injury, pain, muscle twitching. Addition information: Other vaccine in four weeks was none. It was reported that: I was experiencing nerve damage in the upper left arm. I had lingering pain, and nerve twitches all over. Covid prior vaccination was none. Covid tested post vaccination was none. Known allergy was none. Follow-Up (27Sep2022): Follow-up attempts are completed. No further information is expected.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Pain
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- Medical History/Concurrent Conditions: Blood pressure high
- Andere Medikamente
- AMLODIPINE BESILATE
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- FL
- Alter
- 59,0
- Geschlecht
- F
- Eingang
- 26.09.2022
- Impfdatum
- 01.08.2022
- Beginn
- 01.08.2022
- Tage bis Beginn
- 0,0
- Dosis
- 3
- 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-Severe
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Injection site pain
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- MI
- Alter
- 52,0
- Geschlecht
- F
- Eingang
- 22.09.2022
- Impfdatum
- 20.09.2022
- Beginn
- 21.09.2022
- Tage bis Beginn
- 1,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Malaise
Pyrexia
Symptomtext
patient called stating she had a fever, and was not feeling well.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Malaise
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- Mild Narcolepsy
- Andere Medikamente
- Effexor, Prevacid, Provigil, Topamax
- Allergien
- Zoloft/Wellbutrin
- Vorherige Impfungen
- -
- Staat
- NV
- Alter
- 31,0
- Geschlecht
- M
- Eingang
- 22.09.2022
- Impfdatum
- 14.09.2022
- Beginn
- 18.09.2022
- Tage bis Beginn
- 4,0
- Dosis
- 4
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Pruritus
Urticaria
Symptomtext
At around 11pm on 9/19/2022 there was a sudden onset of hives on the upper back, inner arms (between elbow and shoulder on the side touching the torso), hives beneath the armpit on both sides, and on the posterior side of the thighs between the knee and glutes. Within 3 hours the hives expanded rapidly with the entire back being covered in hives. Hives spread to the tops of the shoulders (deltoid area), and in spots all over the front of the torso. Consistent and strong feelings of itchiness were felt. There were no respiratory issues. A hot bath, 2 doses of diphenhydramine 25mg (Benadryl), and one does of cetirizine (HCI)10mg (Zyrtec) was taken. I then went to sleep and 6 hours later all of the hives were gone. On 9/21/2022 I went to my primary care doctor; I showed him photos I had taken of the hives (which are available upon request; he advised me to fill out this report. His examination resulted in finding no hives or symptoms during his physical examination. On 9/21/2022 itchiness of the face with slight hives was felt. Anti-itch cream was applied and 8 hours later all itchiness ceased. In the days before and after the vaccination, there were no changes in diet, vitamins, medication, or activity. I had not been in a pool or hot tub, nor exposed to any chemicals or allergens.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Pruritus
- Hospital-Tage
- -
- Labordaten
- None
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- None
- Andere Medikamente
- None
- Allergien
- Keflex, Penicillin, Demerol
- Vorherige Impfungen
- -
- Staat
- MI
- Alter
- 20,0
- Geschlecht
- F
- Eingang
- 16.09.2022
- Impfdatum
- 29.08.2022
- Beginn
- 16.09.2022
- Tage bis Beginn
- 18,0
- Dosis
- 3
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Pain in extremity
Peripheral swelling
Symptomtext
Arm swelling and pain.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Pain in extremity
- Hospital-Tage
- -
- Labordaten
- None
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- Depression
- Andere Medikamente
- Cymbalta 120 mg, Tri-Sprintec, Ibuprofen, Melatonin
- Allergien
- No known
- Vorherige Impfungen
- -
- Staat
- -
- Alter
- 18,0
- Geschlecht
- M
- Eingang
- 13.09.2022
- Impfdatum
- 01.09.2022
- Beginn
- 01.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Dizziness
Symptomtext
Pt reports being light headed Vitals: 9:45 115/55, 64, 18, 100% -- > 9:52 110/53, 60, 18, 100% pt now denies dizziness 9:55 pt sitting up in bed. Given juice and crackers 10:05 pt escorted out w/ brother. Pt is asymptomatic. Pt stable and released from the vaccination site
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Dizziness
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- PMH: Depression, anxiety, BMI Peds 85-94.9%, IDA
- Andere Medikamente
- Medications: None known
- Allergien
- None
- Vorherige Impfungen
- -
- Staat
- NY
- Alter
- 17,0
- Geschlecht
- M
- Eingang
- 13.09.2022
- Impfdatum
- 15.08.2022
- Beginn
- 15.08.2022
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- SYR / RA
Tod: unbekannt
Lebensbedrohlich: ja
Hospital: unbekannt
Disable: unbekannt
ER: ja
Erholt: ja
Abdominal discomfort
Blood test
Communication disorder
Confusional state
Disorientation
Dysphemia
Fatigue
Headache
Hypersomnia
Malaise
Pyrexia
Sleep disorder
Vomiting
Symptomtext
Patient had a headache around 11:00pm on 8/15/22 and went to bed. Patient woke up around 3:00am and vomited and felt feverish and returned to bed. Patient woke up at 7:30pm and call me he sounded strangely he was stuttering and struggling to communicate. He told me he was sick and thought he had a fever and his stomach did not feel well, I suggested he shower and drink some water and call me back. 8:30pm Patient called me and sounded better but said he still did not feel well and was going to lay down. Patient called me at 3:00pm and was making no sense, he seemed disorientated and confused. 911 was called. He was taken to the Hospital where he had an extremely high fever. When I arrived he still had not been seen, once he was seen he was put on IV fluids and medications to bring his fever down. Patient remained confused, running a fever, exhausted and sick to his stomach through out the night and into the morning of 8/16/2022. Around 11am he was no longer confused and was drinking and managing his fever with medications, he slept most of the day. Patient was his normal self but maintained a low grade fever while taking medication to suppress the fever until the morning of 8/19/2022.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Fatigue
- Hospital-Tage
- -
- Labordaten
- Hospital ran blood tests on 8/15/2022, unsure of results or what they tested him for
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- Autism and Depression
- Andere Medikamente
- Abilify and Lexipro
- Allergien
- No known allergies
- Vorherige Impfungen
- -
- Staat
- ID
- Alter
- 37,0
- Geschlecht
- F
- Eingang
- 06.09.2022
- Impfdatum
- 25.08.2022
- Beginn
- 25.08.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- - / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Headache
Nausea
Pain
Vomiting
Symptomtext
Severe headache x 4 days; body aches x 5 days; nausea x 2 days; vomiting x 1 day; This is a spontaneous report received from a contactable reporter (Nurse). The reporter is the patient. A 37-year-old female patient (not pregnant) received BNT162b2 (BNT162B2), on 25Aug2022 at 14:00 as dose 1, single (Lot number: FP7138) at the age of 37 years, in right arm for COVID-19 immunisation. The patient's relevant medical history included: "MS" (unspecified if ongoing); "COVID-19" (unspecified if ongoing). Concomitant medications included: PEPCID; SYNTHROID. Past drug history included: Trazodone, reaction: "Known allergies: Trazodone". The following information was reported: HEADACHE (non-serious) with onset 25Aug2022 at 15:00, outcome "recovered" (Aug2022), described as "Severe headache x 4 days"; PAIN (non-serious) with onset 25Aug2022 at 15:00, outcome "recovered" (Aug2022), described as "body aches x 5 days"; NAUSEA (non-serious) with onset 25Aug2022 at 15:00, outcome "recovered" (Aug2022), described as "nausea x 2 days"; VOMITING (non-serious) with onset 25Aug2022 at 15:00, outcome "recovered" (Aug2022), described as "vomiting x 1 day". The events "severe headache x 4 days", "body aches x 5 days", "nausea x 2 days" and "vomiting x 1 day" required physician office visit. Therapeutic measures were taken as a result of headache, pain, nausea, vomiting . Additional information: Patient did not receive other vaccine in four weeks. Adverse event treatment included pain control. Patient was not tested for COVID post vaccination.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Headache
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- Medical History/Concurrent Conditions: COVID-19; MS
- Andere Medikamente
- PEPCID; SYNTHROID
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- MI
- Alter
- 44,0
- Geschlecht
- F
- Eingang
- 06.09.2022
- Impfdatum
- 27.08.2022
- Beginn
- 01.08.2022
- Tage bis Beginn
- -
- Dosis
- 1
- Route/Site
- - / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: ja
Erholt: nein
Cough
Eye pruritus
Feeling abnormal
Nodule
Pain
Peripheral swelling
SARS-CoV-2 test
Swelling
Symptomtext
There is a knot on the left side and is bigger and a knot and right that is smaller on the collar bones and directly on the clavicles and hurts and painful and swollen.; Eyes were itchy; Right leg was swollen; There is a knot on the left side and is bigger and a knot and right that is smaller on the collar bones and directly on the clavicles and hurts and painful and swollen.; There is a knot on the left side and is bigger and a knot and right that is smaller on the collar bones and directly on the clavicles and hurts and painful and swollen.; Coughing; felt like her organs are being squeezed and she said; This is a spontaneous report received from a contactable reporter(s) (Consumer or other non HCP), Program ID: The reporter is the patient. A 44-year-old female patient received BNT162b2 (BNT162B2), on 27Aug2022 as dose 1, single (Lot number: FP7138) at the age of 44 years, in left arm for covid-19 immunisation. The patient had no relevant medical history. There were no concomitant medications. The following information was reported: COUGH (non-serious) with onset Aug2022, outcome "unknown", described as "Coughing"; FEELING ABNORMAL (non-serious) with onset Aug2022, outcome "unknown", described as "felt like her organs are being squeezed and she said "; EYE PRURITUS (non-serious) with onset 27Aug2022, outcome "recovering", described as "Eyes were itchy"; PERIPHERAL SWELLING (non-serious) with onset 27Aug2022, outcome "recovering", described as "Right leg was swollen"; NODULE (non-serious), PAIN (non-serious), SWELLING (non-serious) all with onset 27Aug2022, outcome "recovering" and all described as "There is a knot on the left side and is bigger and a knot and right that is smaller on the collar bones and directly on the clavicles and hurts and painful and swollen.". The events "there is a knot on the left side and is bigger and a knot and right that is smaller on the collar bones and directly on the clavicles and hurts and painful and swollen.", "eyes were itchy" and "right leg was swollen" required emergency room visit. Relevant laboratory tests and procedures are available in the appropriate section. Therapeutic measures were not taken as a result of nodule, eye pruritus, peripheral swelling, pain, swelling. Additional information: No Other conditions reported. No Investigations reported. No Other products reported. Caller said there was a knot on the left side and was bigger and a knot and right that was smaller on the collar bones and directly on the clavicles and hurts and painful and swollen and she said she did not tell the previous agent that. When she first got the shot her eyes were itching and itching really bad and she told the nurse to administer the shot and she had itching on the right side and everything was on the right side. She thought maybe was because she had her mask on and air was coming out the top of the mask. She went outside and took the mask off and eventually the itching went away and her eyes itch on the day of reporting too and then went away. Sunday right legs was swollen and she was arcade and sitting in high chair at the table and she stepped down off the chair and went down and about hit floor and had to grab the chair. She was going to go to the Emergency Room on the day of reporting and the power went out. She enquired was the injection site supposed to be sore and swollen. She said on Saturday and then she asked someone what day they got there shots and then said between 8 and 8:30 AM for her and her kids and she did get the vaccine. She was driving down the street. She was coughing on the phone. Event was Saturday 27Aug2022. Events improved for on the day of reporting and yesterday she was going to go to emergency room and she still wanted to go and she does not want anything to happen and she was going through a lot with the power outage. No additional vaccines administered on same date of the Pfizer suspect if applicable, list all vaccines administered on same date with the Pfizer vaccine considered as suspect reported. No prior vaccinations (within 4 weeks) if applicable, list any other vaccinations within four weeks prior to the first administration date of the suspect vaccine(s) reported. No AE(s) following prior vaccinations reported. Relevant test was reported as none. She wants to know after having these reactions she doesn't want a second shot and she wants to make sure if that was correct. She said she was not getting another shot. She said she does not know if he put it in there or not but it felt like her organs are being squeezed and she said her daughter said it felt like her organs are being squeezed. Caller declined to complete report for her daughter and said she would call back. The nurse told her to call the # number and report the side effects after receiving the vaccine.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Eye pruritus
- Hospital-Tage
- -
- Labordaten
- Test Date: 202208; Test Name: COVID test; Result Unstructured Data: Test Result: Corona virus; Comments: had corona virus at the beginning of Aug and end of Jul and lasted for 5 days; Test Date: 202208; Test Name: COVID test; Test Result: Negative; Comments: tested two times negative
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- Medical History/Concurrent Conditions: COVID-19 (Had corona virus twice and after getting corona virus the second time she got the vaccine); Comments: List of non-encoded Patient Relevant History: Patient Other Relevant History 1: None, Comment: Other conditions: No
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- UT
- Alter
- 17,0
- Geschlecht
- F
- Eingang
- 01.09.2022
- Impfdatum
- 31.08.2022
- Beginn
- 31.08.2022
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Dizziness
Symptomtext
Patient got dizzy w/ vaccines she claims she has history of getting dizzy and passing out. Vitals were taken and were WNL Patient was given some juice and felt better.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Dizziness
- Hospital-Tage
- -
- Labordaten
- N/A
- Aktuelle Erkrankungen
- N/A
- Vorgeschichte
- N/A
- Andere Medikamente
- N/A
- Allergien
- N/A
- Vorherige Impfungen
- -
- Staat
- WI
- Alter
- 57,0
- Geschlecht
- F
- Eingang
- 01.09.2022
- Impfdatum
- 29.08.2022
- Beginn
- 30.08.2022
- Tage bis Beginn
- 1,0
- Dosis
- 4
- Route/Site
- IM / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Pruritus
Urticaria
Symptomtext
Hives, itching
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Pruritus
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- -
- Alter
- 80,0
- Geschlecht
- F
- Eingang
- 30.08.2022
- Impfdatum
- 24.08.2022
- Beginn
- 24.08.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- - / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Arthralgia
Arthritis
Asthenia
Balance disorder
Cerebral disorder
Chills
Confusional state
Decreased appetite
Dizziness
Fatigue
Headache
Hypersomnia
Inflammatory pain
Malaise
Myalgia
Nasal congestion
Pain in extremity
Vaccination site pain
Symptomtext
Brain function is slowing down; Feeling unwell/general malaise feeling; Decreased appetite; decreased energy/no energy; arm pain; congestion; slept a lot; Has Arthritis; dizziness; unsteady on feet; Joint pain; Cognitive confusion; Injection site pain; Tiredness; Headache; Muscle pain; Chills; become inflamed or sore are the weak areas in caller's body; This is a spontaneous report received from a contactable reporter(s) (Consumer or other non-HCP). The reporter is the patient. An 80-year-old female patient received BNT162b2 (BNT162B2), on 24Aug2022 as dose 4 (booster), single (Lot number: FP7138) at the age of 80 years for covid-19 immunisation. The patient's relevant medical history included: "Immunocompromised" (unspecified if ongoing); "Allergy to almost all medications" (unspecified if ongoing), notes: Allergy to almost all medications. There were no concomitant medications. Vaccination history included: BNT162b2 (1st dose: NDC number, lot number, expiration date: Sees on vaccination card EIN, then either 0 or D, then either 2 or 1, then 58, caller thinks. Hard to read the hand writing on the vaccination card, can try with a magnified glass, the handwriting was not written very legibly on vaccination card.), administration date: 12Apr2021, when the patient was 79-year-old, for COVID-19 Immunization; BNT162b2 (2nd dose:, NDC number, lot number, expiration date: Sees ER8733, unknown what that number is, all that is written on the vaccination card. Then says bid something.), administration date: 03May2021, when the patient was 79-year-old, for COVID-19 Immunization; BNT162b2 (3rd dose, 1st booster: NDC number, lot number, expiration date: May be FF2593, caller is not sure. Unknown what that number is, all that is written on vaccination card.), administration date: 03Nov2021, when the patient was 79-year-old, for COVID-19 Immunization. The following information was reported: CHILLS (non-serious) with onset 24Aug2022, outcome "unknown"; CONFUSIONAL STATE (non-serious) with onset 24Aug2022, outcome "unknown", described as "Cognitive confusion"; HEADACHE (non-serious) with onset 24Aug2022, outcome "not recovered"; VACCINATION SITE PAIN (non-serious) with onset 24Aug2022, outcome "unknown", described as "Injection site pain"; ARTHRALGIA (non-serious) with onset 24Aug2022, outcome "unknown", described as "Joint pain"; MYALGIA (non-serious) with onset 24Aug2022, outcome "recovering", described as "Muscle pain"; FATIGUE (non-serious) with onset 24Aug2022, outcome "not recovered", described as "Tiredness"; INFLAMMATORY PAIN (non-serious) with onset 24Aug2022, outcome "unknown", described as "become inflamed or sore are the weak areas in caller's body"; DIZZINESS (non-serious) with onset 24Aug2022, outcome "not recovered"; BALANCE DISORDER (non-serious) with onset 24Aug2022, outcome "not recovered", described as "unsteady on feet"; CEREBRAL DISORDER (non-serious), outcome "unknown", described as "Brain function is slowing down"; MALAISE (non-serious), outcome "unknown", described as "Feeling unwell/general malaise feeling"; DECREASED APPETITE (non-serious), outcome "unknown"; ASTHENIA (non-serious), outcome "unknown", described as "decreased energy/no energy"; PAIN IN EXTREMITY (non-serious), outcome "unknown", described as "arm pain"; NASAL CONGESTION (non-serious), outcome "unknown", described as "congestion"; HYPERSOMNIA (non-serious), outcome "unknown", described as "slept a lot"; ARTHRITIS (non-serious), outcome "unknown", described as "Has Arthritis". Therapeutic measures were taken because of vaccination site pain, myalgia. Additional information: Dizziness and unsteady on feet: Caller have had several reactions. One reaction caller had that is not on the list is dizziness and unsteady on feet. Taking Extra Strength Tylenol several times. Start date of adverse event: Yesterday, 24Aug2022, when the Extra Strength Tylenol wore off, so caller took another dose of the Extra Strength Tylenol which helps with the injection site pain. Patient Has general malaise feeling, no energy, slept a lot as well. Headaches are just mild and intermittent. Muscle pain: Stop date of adverse event: Intermittent because caller is taking the Extra Strength Tylenol. Caller is allergic to several other medications. No additional information provided. Has arthritis, so when caller was exposed to the 2nd booster shot the first places that become inflamed or sore are the weak areas in caller's body. Caller is also feeling unwell, has decreased appetite, decreased energy, and arm pain. Also has congestion, doesn't think that congestion was listed on the list. Confirmed caller received a total of 4 doses of the Pfizer COVID-19 vaccine. 4th dose, 2nd booster: NDC number, lot number, expiration date: Sees FP7138, unknown for sure what that number is on the vaccination card. Indication: Caller is an 80-year-old senior with multiple medical issues in addition to being immunocompromised, and because of age and medical history, caller is at serious high risk for getting Covid. Allergic to almost all medications and is immunocompromised.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Arthralgia
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- Medical History/Concurrent Conditions: Drug allergy (Allergy to almost all medications); Immunocompromised
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- PR
- Alter
- 29,0
- Geschlecht
- F
- Eingang
- 29.08.2022
- Impfdatum
- 12.08.2022
- Beginn
- 13.08.2022
- Tage bis Beginn
- 1,0
- Dosis
- 2
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Blepharitis
Eye pain
Headache
Lacrimation increased
Pain
Symptomtext
In the next morning pain in both eyes, inflammation in eyelids of both eyes, watery eyes, headache and pain to the touch.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Eye pain
- Hospital-Tage
- -
- Labordaten
- None
- Aktuelle Erkrankungen
- NO
- Vorgeschichte
- NO
- Andere Medikamente
- NONE
- Allergien
- NO
- Vorherige Impfungen
- -
- Staat
- -
- Alter
- -
- Geschlecht
- U
- Eingang
- 27.08.2022
- Impfdatum
- 11.08.2022
- Beginn
- 01.08.2022
- Tage bis Beginn
- -
- Dosis
- 1
- Route/Site
- - / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Blood pressure increased
Blood pressure measurement
Insomnia
Pruritus
Rash
Skin burning sensation
Symptomtext
This is a spontaneous report received from a contactable reporter(s) (Consumer or other non HCP). The reporter is the patient. A patient (no qualifiers provided) received BNT162b2 (BNT162B2), on 11Aug2022 as dose 1, single (Lot number: FP7138) for covid-19 immunisation. The patient's relevant medical history and concomitant medications were not reported. The following information was reported: INSOMNIA (non-serious) with onset Aug2022, outcome "unknown", described as "I could not sleep"; PRURITUS (non-serious) with onset Aug2022, outcome "unknown", described as "I felt itchy little bit on my hand/ it is itching all over my body"; RASH (non-serious) with onset Aug2022, outcome "unknown", described as "I started having rash all over my body"; BLOOD PRESSURE INCREASED (non-serious) with onset Aug2022, outcome "unknown", described as "My blood pressure is really high, I mean it never had happened"; SKIN BURNING SENSATION (non-serious) with onset Aug2022, outcome "unknown", described as "Then in the morning it's like kind of burns all rash". Relevant laboratory tests and procedures are available in the appropriate section. Additional information: Case narrative including clinical course, therapeutic measures, outcome and additional relevant information: System Reference: No transfer required. Is report related to a study or program: No. Is COVID-19 Vaccine a Pfizer product: Yes. COVID-19 Vaccine manufacturer: unspecified. NDC number of COVID-19 Vaccine: Unknown. UPC number of COVID-19 Vaccine: Unknown. Expiry Date of COVID-19 Vaccine: Unknown. Additional Context: Concern, patient stated, "The reason patient was calling patient had Pfizer first shot (COVID-19 Vaccine) on 11Aug2022. Couple of days ago patient started having rash all over the body and patient did not know that patient should be concerned or something because rash gave patient sometime like 2 days ago patient felt itchy little bit on the hand and then in the morning it's like kind of burns all rash." When paraphrased the concern, patient stated, "Yes because patient started having rash and then patient's blood pressure was really high too. Patient mean it never had happened. But suddenly couple days blood pressure was high and then rash started like patient could not sleep, it was itching all over the body." Patient stated, patient just did not like it start especially with a first dose and it should be no problem. Patient went to website they have rash too but patient have a phone (number) to call that." Patient also stated, so there is no one to call on weekend right. Actually you know it could be serious that's why so far patient was okay but rash concerned patient because it was quite itchy what could patient do to stop it or what patient can do, patient mean time by the Monday will call patient's doctor and will go to see all of that but because of weekend patient don't think patient could go to emergency but something like that patient don't think. It was not serious enough to go to emergency but it could become something that patient want to know if rashes could cause patient something later or something." Response was provided, patient was informed to contact nearest Physician in case of any emergency. Patient stated, "All patient just wanted to know if patient have rash like that what patient can do to stop or what patient can do that's all patient want to know." Patient confirmed that patient did not have vaccine expiration date. As patient was not willing to proceed the call. Hence further probing could not be done. Limited information was available over the call. No follow-up attempts are possible. No further information is expected.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Pruritus
- Hospital-Tage
- -
- Labordaten
- Test Date: 202208; Test Name: Blood pressure; Result Unstructured Data: Test Result: really high; Comments: My blood pressure is really high, I mean it never had happened.
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- GA
- Alter
- 80,0
- Geschlecht
- F
- Eingang
- 25.08.2022
- Impfdatum
- 24.08.2022
- Beginn
- 24.08.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Arthralgia
Asthenia
Chills
Confusional state
Decreased appetite
Dizziness
Fatigue
Feeling abnormal
Gait disturbance
Headache
Injection site pain
Malaise
Myalgia
Pain in extremity
Respiratory tract congestion
Symptomtext
She got her vaccine, she took ES Tylenol before the vaccine, once it wore off she started to feel tired, headache and had injection pain. She also had muscle pain, dizziness and was unsteady on her feet, and she later had some cognitive confusion. She had serious chills and joint pain, and feeling unwell, decreased appetite and energy, congestion and arm pain. She continued to take Tylenol in the evening, and she took another one today as she was getting worse. She did not contact any of her physicians and reported it to Pfizer. As long as the Tylenol is taking away the pain is the most important thing to her. She is still very tired, and don't feel 100%, and still has congestion.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Arthralgia
- Hospital-Tage
- -
- Labordaten
- None.
- Aktuelle Erkrankungen
- None.
- Vorgeschichte
- Diabetes, thyroid cancer removal, arthritis, permanent severed right laryngeal nerve, pacemaker, intermittent breathing problems, asthma. Recurrent UTI's, immunocompromised.
- Andere Medikamente
- Insulin, Synthroid.
- Allergien
- Almost all medications, seasonal, environmental and food allergies. Anaphylaxis with Morphine and contrast dye. She has swelling of her face, throat and difficulty breathing with most medicines.
- Vorherige Impfungen
- Similar symptoms on all COVID vaccines, but took the ES Tylenol and the best thing is bedrest and sleeping a lot which is normal
- Staat
- WA
- Alter
- 15,0
- Geschlecht
- M
- Eingang
- 25.08.2022
- Impfdatum
- 23.08.2022
- Beginn
- 23.08.2022
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- SYR / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Diarrhoea
Fatigue
Flushing
Headache
Lymphadenopathy
Pain
Pyrexia
Symptomtext
Headache, tired, body aches almost immediately. Flushed cheeks and one degree fever about 3 hours later. Lymph node in left arm pit starts swelling that night. 8/24, 1 day after, symptoms continue. Diarrea begins 1:30am morning of 8/25/22. Lymph node in armpit swollen to size of golf ball. This has happened for all 3 Pfizer Covid vaccines he's had.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Diarrhoea
- Hospital-Tage
- -
- Labordaten
- n/a
- Aktuelle Erkrankungen
- none
- Vorgeschichte
- none
- Andere Medikamente
- none
- Allergien
- Gluten senstivie
- Vorherige Impfungen
- Pfizer Covid Vaccines: 06-03-2021 Lot EW0180; 06-24-2021 Lot EW0196. Childhood vaccine reactions are stronger than most, but non
- Staat
- CA
- Alter
- 57,0
- Geschlecht
- M
- Eingang
- 23.08.2022
- Impfdatum
- 09.08.2022
- Beginn
- 10.08.2022
- Tage bis Beginn
- 1,0
- Dosis
- 3
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Hypersensitivity
Immunisation reaction
Lymphadenopathy
Oedema peripheral
Pain
Peripheral swelling
Ultrasound scan abnormal
Symptomtext
Patient reports swollen left arm & arm pit, and body aches. He was seen by Dr. on 8/11/2022 and was prescribed antibiotics. I spoke to RN and she said prescriber diagnosed with allergic reaction to vaccine, but said the patient had no signs of anaphylaxis. I told her the symptoms are similar to the side effects; RN said that was listed on form. At pickup, I told patient that the prescribe diagnosed him with Pfizer allergy. He said he doesn't know if it's an allergic reaction, but there was a reaction. I advised if he gets any future Pfizer vaccinations, he needs to notify the immunizer of this whole situation.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Pain
- Hospital-Tage
- -
- Labordaten
- Per patient, he said the ultrasound showed that his lymph nodes were lit up.
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- MN
- Alter
- 59,0
- Geschlecht
- F
- Eingang
- 23.08.2022
- Impfdatum
- 23.08.2022
- Beginn
- 23.08.2022
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Immediate post-injection reaction
Pain in extremity
Peripheral swelling
Symptomtext
Patient felt an immediate swelling and soreness in left hand in knuckle joints Ice pack applied to area and patient monitored for 30 minutes.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Pain in extremity
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- No
- Vorgeschichte
- Hypothyroid Hyperlipidemia
- Andere Medikamente
- Synthroid Liothyronine
- Allergien
- Dairy [Lactase] Dairy [Lactase]Other Latex Minocycline Novacaine Shellfish Derived
- Vorherige Impfungen
- -
- Staat
- AL
- Alter
- 35,0
- Geschlecht
- M
- Eingang
- 18.08.2022
- Impfdatum
- 18.08.2022
- Beginn
- 18.08.2022
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Confusional state
Dizziness
Feeling abnormal
Symptomtext
patient received COVID booster. left and went home. He returned around 215ish and stated he had experienced an adverse rxn to the shot. He said after about one hour after the shot he was sitting at the computer and became "daze" and confused and felt like he was going to pass out. He says he experiences this when his sugar goes "too low". He had to call for his dad and ate some candy. After about 10 minutes, the feeling begins to pass. He did not know his "sugar levels" before or after the event. He weighs approximately 180 pounds. He came into the store to let me know because he knows "we" keep up with these things.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Dizziness
- Hospital-Tage
- -
- Labordaten
- none here at pharmacy
- Aktuelle Erkrankungen
- none listed
- Vorgeschichte
- diabetes, stroke, smoker, previous drug use
- Andere Medikamente
- sertraline, tadalafil, clonidine, dicyclomine,
- Allergien
- we have none lister
- Vorherige Impfungen
- -
- Staat
- NY
- Alter
- 55,0
- Geschlecht
- F
- Eingang
- 18.08.2022
- Impfdatum
- 17.08.2022
- Beginn
- 18.08.2022
- Tage bis Beginn
- 1,0
- Dosis
- 2
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Abdominal discomfort
Dizziness
Headache
Pain
Symptomtext
Dizziness, headaches, body aches and upset stomach.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Dizziness
- Hospital-Tage
- -
- Labordaten
- None.
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- None
- Andere Medikamente
- Alendronate, Multivitamin, B12, Magnesium
- Allergien
- None
- Vorherige Impfungen
- -
- Staat
- NJ
- Alter
- 23,0
- Geschlecht
- M
- Eingang
- 17.08.2022
- Impfdatum
- 17.08.2022
- Beginn
- 17.08.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Headache
Nausea
Pain
Pain in extremity
Visual impairment
Symptomtext
Severe Headache, shooting pain down arm, vision issue, nausea
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Headache
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- MA
- Alter
- 48,0
- Geschlecht
- M
- Eingang
- 16.08.2022
- Impfdatum
- 10.08.2022
- Beginn
- 11.08.2022
- Tage bis Beginn
- 1,0
- Dosis
- 3
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Lymphadenopathy
Neck pain
Symptomtext
Systemic: Lymph Node Swelling-Medium, Additional Details: softball sized lump under left armpit, sore neck
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Neck pain
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- GA
- Alter
- 54,0
- Geschlecht
- F
- Eingang
- 15.08.2022
- Impfdatum
- 28.07.2022
- Beginn
- 28.07.2022
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Chest injury
Lymphadenopathy
Myalgia
Symptomtext
Chest trauma adenopathy, left axillary adenopathy, continued left arm myalgias continued onset since 2 days after vaccination
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Myalgia
- Hospital-Tage
- -
- Labordaten
- exam benign with normal ROM and strength, normal sensation and pulses.
- Aktuelle Erkrankungen
- none
- Vorgeschichte
- seasonal allergies, hyperlipidemia
- Andere Medikamente
- ibuprofen, flonase.
- Allergien
- penicillin, shellfish
- Vorherige Impfungen
- -
- Staat
- HI
- Alter
- 45,0
- Geschlecht
- M
- Eingang
- 13.08.2022
- Impfdatum
- 13.08.2022
- Beginn
- 13.08.2022
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Injection site pain
Symptomtext
Severe pain at injection site
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Injection site pain
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- FL
- Alter
- 81,0
- Geschlecht
- F
- Eingang
- 13.08.2022
- Impfdatum
- 09.08.2022
- Beginn
- 09.08.2022
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: ja
Erholt: nein
Feeling hot
Pain in extremity
Swelling
Symptomtext
per pt. she got swelling, hot and painful feeling in her legs the same night she got the shot. she had her sister drive her to the er wher they did some tests and told her to go home and take tylenol and put compression stockings on. pt. showed up again at pharmacy on 08/13/2022 to inform us that she had this reaction and to report it. per pt. she still has swelling and it still hurts.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Pain in extremity
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- penicillin
- Vorherige Impfungen
- -
- Staat
- TN
- Alter
- 18,0
- Geschlecht
- F
- Eingang
- 12.08.2022
- Impfdatum
- 05.08.2022
- Beginn
- 09.08.2022
- Tage bis Beginn
- 4,0
- Dosis
- 3
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Rash maculo-papular
Symptomtext
Day 4 after getting vaccine, generalized maculopapular rash.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Rash maculo-papular
- Hospital-Tage
- -
- Labordaten
- N/A.
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- None
- Andere Medikamente
- Depo-Provera, Flonase, Allegra, Vitamin D3, Calcium, Multivitamin
- Allergien
- Corn starch, dairy products
- Vorherige Impfungen
- -
- Staat
- MI
- Alter
- 56,0
- Geschlecht
- F
- Eingang
- 11.08.2022
- Impfdatum
- 07.08.2022
- Beginn
- 08.08.2022
- Tage bis Beginn
- 1,0
- Dosis
- 4
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Chills
Fatigue
Feeling abnormal
Induration
Lymphadenopathy
Pain
Pyrexia
Symptomtext
Received vaccine in the am was fine the rest of the day. Monday am woke up felt like I was ran over w a truck achy , fatigue took tylenol. Monday night I went to take a bath and noticed my left axilla enlargement the size of a softball. I immediately called my husband because even as a Nurse it alarmed me. I had been achy there all day assuming it was reactive lymph nodes doing there job. This was definately lymphadenapathy. went to bed that evening woke up at 130 am with chills took tylenol did not check fever but I am sure i had a fever. The following day Tuesday still felt bad low grade fever 99.0f achy chills terrible fatigue , lympadenapathy somewhat better /smaller. Currrent date thursday 8/11 4 days post vaccine lymphadenapathy improving slow prob the size of a lemon today somewhat firmer but soft slightly painful. All the rest of the symptoms have resolved somewhat tired .
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Chills
- Hospital-Tage
- -
- Labordaten
- none
- Aktuelle Erkrankungen
- none
- Vorgeschichte
- otherwise healthy overweight 56yr old
- Andere Medikamente
- estrogen patch; zoloft
- Allergien
- valium-rash
- Vorherige Impfungen
- -
- Staat
- NV
- Alter
- 53,0
- Geschlecht
- F
- Eingang
- 11.08.2022
- Impfdatum
- 07.08.2022
- Beginn
- 07.08.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- - / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Back pain
Body temperature
Headache
Lacrimation increased
Pain in extremity
Pyrexia
Suspected COVID-19
Symptomtext
This is a spontaneous report received from contactable reporter(s) (Consumer or other non HCP) from medical information team. The reporter is the patient. A 53-year-old female patient received BNT162b2 (BNT162B2), on 07Aug2022 as dose 1, single (Lot number: FP7138) at the age of 53 years for covid-19 immunisation. The patient's relevant medical history included: "Diabetic" (ongoing), notes: Diabetic From: 14 years ago. The patient's concomitant medications were not reported. The following information was reported: HEADACHE (non-serious) with onset 07Aug2022, outcome "not recovered"; PYREXIA (non-serious) with onset 07Aug2022, outcome "not recovered", described as "Mild fever of 100.3 degrees Fahrenheit"; SUSPECTED COVID-19 (non-serious) with onset 07Aug2022, outcome "not recovered", described as "caller's kids think caller has Covid and caller is asking if caller had Covid"; LACRIMATION INCREASED (non-serious) with onset 07Aug2022, outcome "not recovered", described as "eyes feel weird/kind of watery"; PAIN IN EXTREMITY (non-serious) with onset 07Aug2022, outcome "not recovered", described as "her legs were hurting a lot"; BACK PAIN (non-serious) with onset 07Aug2022, outcome "not recovered", described as "low back hurting". Relevant laboratory tests and procedures are available in the appropriate section. Therapeutic measures were taken as a result of pyrexia. Additional information: Yesterday afternoon caller got the Pfizer shot, clarified caller got the Pfizer COVID-19 vaccine yesterday. Has a few questions because after getting the vaccine yesterday afternoon caller got a mild fever of 100.3 degrees Fahrenheit which caller took Tylenol for and still has the fever. Caller's legs hurt a lot, legs are still hurting a lot and low back is hurting. Caller has all these symptoms, caller's kids think caller has Covid and caller is asking if caller had Covid, could caller give Covid to kids. Caller is asking if when caller got the vaccine, could caller have gotten Covid? Caller eyes feel weird, kind of watery, like sunk, which started 07Aug2022. Has a headache, started 07Aug2022.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Back pain
- Hospital-Tage
- -
- Labordaten
- Test Name: Fever; Result Unstructured Data: Test Result:100.3; Comments: 100.3 degrees Fahrenheit
- Aktuelle Erkrankungen
- Diabetic (Diabetic From: 14 years ago)
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- CA
- Alter
- 30,0
- Geschlecht
- F
- Eingang
- 11.08.2022
- Impfdatum
- 10.08.2022
- Beginn
- 10.08.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- SYR / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Dysgeusia
Headache
Nausea
Pain in extremity
Symptomtext
Metallic taste in mouth, sore arm, nausea, headache
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Headache
- Hospital-Tage
- -
- Labordaten
- N/A
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- Asthma
- Andere Medikamente
- None
- Allergien
- None
- Vorherige Impfungen
- -
- Staat
- GA
- Alter
- 68,0
- Geschlecht
- F
- Eingang
- 11.08.2022
- Impfdatum
- 31.07.2022
- Beginn
- 04.08.2022
- Tage bis Beginn
- 4,0
- Dosis
- 3
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Allergy to vaccine
Diarrhoea
Feeling hot
Headache
Laboratory test
Arthralgia
Blood blister
Chills
Dizziness
Fatigue
Feeling abnormal
Generalised anxiety disorder
Injection site pruritus
Injection site rash
Injection site swelling
Myalgia
Nausea
Pyrexia
Symptomtext
This is a spontaneous report received from a contactable reporter(s) (Consumer or other non HCP). The reporter is the patient. A 68-year-old female patient received BNT162b2 (BNT162B2), on 31Jul2022 as dose number unknown (booster), single (Lot number: FP7138) at the age of 68 years for covid-19 immunisation. The patient's relevant medical history and concomitant medications were not reported. Vaccination history included: Covid-19 vaccine (Primary Immunization series complete; unknown manufacturer), for COVID-19 immunization; Bnt162b2 (DOSE NUMBER UNKNOWN (BOOSTER), SINGLE), for COVID-19 immunization. The following information was reported: NAUSEA (non-serious) with onset 2022, outcome "unknown", described as "I also had Nausea, I felt nauseated."; VACCINATION SITE SWELLING (non-serious) with onset 2022, outcome "unknown", described as "I also have like the injection site itself, it was raised, it raised like a big welled"; DIARRHOEA (non-serious) with onset 2022, outcome "unknown", described as "I had Diarrhea"; PAIN IN EXTREMITY (non-serious) with onset 2022, outcome "unknown", described as "My arm was just sore, I can barely drive."; ALLERGY TO VACCINE (non-serious) with onset 2022, outcome "unknown", described as "it is almost like an allergic reaction"; TOXICITY TO VARIOUS AGENTS (non-serious) with onset 2022, outcome "unknown", described as "like it is almost like a poison where ever you itch and itching really very bad"; PRURITUS ALLERGIC (non-serious) with onset 2022, outcome "unknown", described as "my neck, my torso, my arms, I am just itching / like an allergic reaction where you really itch"; RASH (non-serious), FEELING HOT (non-serious) all with onset 2022, outcome "unknown" and all described as "rash on my arm and the area was hot"; HEADACHE (non-serious) with onset 04Aug2022, outcome "unknown"; VACCINATION SITE VESICLES (non-serious) with onset 05Aug2022, outcome "unknown", described as "where the needle went in, I developed a blood blister". Relevant laboratory tests and procedures are available in the appropriate section. Additional information: The patient was having a really bad experience almost like an allergic reaction; her neck, torso, arms--she was just itching like an allergic reaction where you really itch. She also had nausea; she felt nauseated. She had diarrhea but that was for the first two and three days. The patient went through a headache last 04Aug2022. Her arm was just sore, she could barely drive. The injection site was raised like a big welled (as reported). She had a rash on her arm and the area was hot. It was itching terribly. On 05Aug2022, the patient noticed that she developed a blood blister on the area where the needle went in. She was currently on day seven on 06Aug2022 and she was still almost like a poison wherever she itches and itching was really very bad. She had not done any lab work since the vaccination; the last one was several months ago. The patient was worried and nervous about taking another booster because she was just itching so bad.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Arthralgia
- Hospital-Tage
- -
- Labordaten
- Test Name: lab work; Result Unstructured Data: Test Result: Unknown results.
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- GA
- Alter
- 68,0
- Geschlecht
- F
- Eingang
- 11.08.2022
- Impfdatum
- 31.07.2022
- Beginn
- 04.08.2022
- Tage bis Beginn
- 4,0
- Dosis
- UNK
- Route/Site
- - / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Allergy to vaccine
Diarrhoea
Feeling hot
Headache
Laboratory test
Arthralgia
Blood blister
Chills
Dizziness
Fatigue
Feeling abnormal
Generalised anxiety disorder
Injection site pruritus
Injection site rash
Injection site swelling
Myalgia
Nausea
Pyrexia
Symptomtext
This is a spontaneous report received from a contactable reporter(s) (Consumer or other non HCP). The reporter is the patient. A 68-year-old female patient received BNT162b2 (BNT162B2), on 31Jul2022 as dose number unknown (booster), single (Lot number: FP7138) at the age of 68 years for covid-19 immunisation. The patient's relevant medical history and concomitant medications were not reported. Vaccination history included: Covid-19 vaccine (Primary Immunization series complete; unknown manufacturer), for COVID-19 immunization; Bnt162b2 (DOSE NUMBER UNKNOWN (BOOSTER), SINGLE), for COVID-19 immunization. The following information was reported: NAUSEA (non-serious) with onset 2022, outcome "unknown", described as "I also had Nausea, I felt nauseated."; VACCINATION SITE SWELLING (non-serious) with onset 2022, outcome "unknown", described as "I also have like the injection site itself, it was raised, it raised like a big welled"; DIARRHOEA (non-serious) with onset 2022, outcome "unknown", described as "I had Diarrhea"; PAIN IN EXTREMITY (non-serious) with onset 2022, outcome "unknown", described as "My arm was just sore, I can barely drive."; ALLERGY TO VACCINE (non-serious) with onset 2022, outcome "unknown", described as "it is almost like an allergic reaction"; TOXICITY TO VARIOUS AGENTS (non-serious) with onset 2022, outcome "unknown", described as "like it is almost like a poison where ever you itch and itching really very bad"; PRURITUS ALLERGIC (non-serious) with onset 2022, outcome "unknown", described as "my neck, my torso, my arms, I am just itching / like an allergic reaction where you really itch"; RASH (non-serious), FEELING HOT (non-serious) all with onset 2022, outcome "unknown" and all described as "rash on my arm and the area was hot"; HEADACHE (non-serious) with onset 04Aug2022, outcome "unknown"; VACCINATION SITE VESICLES (non-serious) with onset 05Aug2022, outcome "unknown", described as "where the needle went in, I developed a blood blister". Relevant laboratory tests and procedures are available in the appropriate section. Additional information: The patient was having a really bad experience almost like an allergic reaction; her neck, torso, arms--she was just itching like an allergic reaction where you really itch. She also had nausea; she felt nauseated. She had diarrhea but that was for the first two and three days. The patient went through a headache last 04Aug2022. Her arm was just sore, she could barely drive. The injection site was raised like a big welled (as reported). She had a rash on her arm and the area was hot. It was itching terribly. On 05Aug2022, the patient noticed that she developed a blood blister on the area where the needle went in. She was currently on day seven on 06Aug2022 and she was still almost like a poison wherever she itches and itching was really very bad. She had not done any lab work since the vaccination; the last one was several months ago. The patient was worried and nervous about taking another booster because she was just itching so bad.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Arthralgia
- Hospital-Tage
- -
- Labordaten
- Test Name: lab work; Result Unstructured Data: Test Result: Unknown results.
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- GA
- Alter
- 63,0
- Geschlecht
- F
- Eingang
- 10.08.2022
- Impfdatum
- 08.08.2022
- Beginn
- 08.08.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Chills
Feeling cold
Gait disturbance
Headache
Pyrexia
Symptomtext
Fourth dose in Pfizer series. I developed an extremely high fever. 105 degrees. Excruciating headache and had a very difficult time walking. This was the evening of the 8/8/22 (vaccination date). I was extremely cold. Eventually able to bring the fever down to 103.8 Fever and chills through the night. Fever and headache on the 9th. Again able to eventually bring the fever to 103 on the evening of the ninth. Fever abated the morning of the 10th.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Chills
- Hospital-Tage
- -
- Labordaten
- none
- Aktuelle Erkrankungen
- none
- Vorgeschichte
- Myasthenia Gravis
- Andere Medikamente
- Flax seed, turmeric, multivitamin
- Allergien
- onions and garlic, Magnesium causes myasthenia gravis flare
- Vorherige Impfungen
- Extreme fever on the booster - 12/20/21. 3 days
- Staat
- OH
- Alter
- 60,0
- Geschlecht
- F
- Eingang
- 09.08.2022
- Impfdatum
- 27.07.2022
- Beginn
- 27.07.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- - / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: ja
Erholt: ja
Injection site erythema
Injection site nodule
Injection site swelling
Symptomtext
Patient had swelling, Redness and a large know at site of injection. It had grown in area over 5 days. Patient was treated by a Dr with a steroid and antibiotic.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Injection site erythema
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- WI
- Alter
- 72,0
- Geschlecht
- F
- Eingang
- 09.08.2022
- Impfdatum
- 09.08.2022
- Beginn
- 09.08.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Asthenia
Discomfort
Dizziness
Pallor
Symptomtext
lightheaded, "heavy", weak, pale
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Dizziness
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- Cardiac and Vasculature Aorto-iliac atherosclerosis (CMS/HCC) Essential hypertension Carotid artery disease (CMS/HCC) Hypercholesterolemia Coronary artery disease involving native coronary artery of native heart without angina pectoris Paroxysmal atrial fibrillation (CMS/HCC) Hematology and Neoplasia Adenoma of right adrenal gland Mental Health Depression Musculoskeletal and Injuries Cervicalgia Neuro Headache, common migraine Pulmonary and Pneumonias COPD (chronic obstructive pulmonary disease) (CMS/HCC) Tobacco Tobacco use
- Vorgeschichte
- -
- Andere Medikamente
- levothyroxine 50 MCG tablet Take 1 tablet by mouth daily. albuterol (ProAir HFA) 108 (90 Base) MCG/ACT inhaler Inhale 2 puffs into the lungs every 4 hours as needed for Shortness of Breath, Wheezing or Other (cough). clopidogrel (PLAVIX) 75
- Allergien
- Sumatriptan Atorvastatin Codeine Lisinopril Simvastatin
- Vorherige Impfungen
- -
- Staat
- MS
- Alter
- 57,0
- Geschlecht
- F
- Eingang
- 05.08.2022
- Impfdatum
- 29.07.2022
- Beginn
- 29.07.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Erythema
Headache
Oral mucosal blistering
Pruritus
Symptomtext
Around 4:00-5:00 in the afternoon, the patient developed a headache. Then around 5:00-6:00 the same evening, the patient developed blisters in her mouth and her skin became itchy. At about midnight, the patient woke up and her skin was red from head to toe like she had a sunburn. The patient did not specifically seek treatment for adverse reaction. She did see her physician on 8/3/22 for a regular appointment and all symptoms had resolved by this time. Patient did state that she had recently recovered from Covid.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Headache
- Hospital-Tage
- -
- Labordaten
- none
- Aktuelle Erkrankungen
- none
- Vorgeschichte
- Diabetes, chronic bronchitis/asthma
- Andere Medikamente
- Klonopin, Celexa, Amaryl, and one other diabetes medicine that she didn't know the name of
- Allergien
- latex, clorox, and codeine
- Vorherige Impfungen
- -
- Staat
- CA
- Alter
- 17,0
- Geschlecht
- F
- Eingang
- 03.08.2022
- Impfdatum
- 03.08.2022
- Beginn
- 03.08.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Dizziness
Fatigue
Symptomtext
17-year-old female client came into South Pod vaccination site for 1st dose of Pfizer COVID-19 vaccine. Patient was checked in appropriately. Pfizer 1st COVID-19 vaccine (0.3mL) lot # FP7138 was administered in the left deltoid at 1340 by RN. Client was then asked to wait in the observation area for 15 minutes. Per report from the nurse , client reported feeling ?a little dizzy? at the post-vaccination observation area. Client was offered Zero gravity chair. Initial vitals were obtained at 1352 and recorded as follows; BP 128/70, HR 76, RR 16, Temp 97.9 degrees Fahrenheit, Oxygen saturation 99%. Client was also provided with crackers and water. After 3 minutes of being in the zero-gravity chair, client stated ?I am fine, maybe I am just tired because I have been awake since 5 am?. Client reported that recent labs (2 weeks ago) noted that hemoglobin was low but she does not take any supplements. Client is alert and oriented x4 and verbally responsive. Client denies any pain, headache, blurry vision, difficulty breathing and shortness of breath. At 1358, vitals were obtained as follows: BP 118/72, HR 78, RR 16, Temp 97.0 degrees Fahrenheit, Oxygen sat 99%. Client continued to deny any pain or discomfort. At 1406 repeat vitals were obtained as follows: BP 116/74, HR 64, RR 20 Temp 97.9 degrees Fahrenheit, Oxygen sat 99%. Client was encouraged by the to continue drinking water offered earlier. At 1411, client stated ?I feel better, I don?t feel dizzy anymore, maybe I just got nervous in the hospital-like environment, maybe sensory overload.? The last set of vital signs was obtained at 1417, BP 110/72, HR 77, RR 18 Temp 97.3 degrees Fahrenheit, Oxygen sat 99%. Client was encouraged to continue drinking fluids after leaving the vaccination site. Client was also encouraged by the nurse to follow up with Primary Care Physician as needed and to call 911 for shortness of breath, difficulty breathing and any other emergencies. Client verbalized understanding and left vaccination site at 1422. The incident was also endorsed to the job Corp representative who had accompanied the client. Client left the site with steady gait and balance
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Dizziness
- Hospital-Tage
- -
- Labordaten
- N/A
- Aktuelle Erkrankungen
- Client reported that recent labs (2 weeks ago) noted that hemoglobin was low but she does not take any supplements.
- Vorgeschichte
- None reported
- Andere Medikamente
- None reported
- Allergien
- None reported
- Vorherige Impfungen
- -
- Staat
- CA
- Alter
- 12,0
- Geschlecht
- M
- Eingang
- 28.07.2022
- Impfdatum
- 28.07.2022
- Beginn
- 28.07.2022
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Headache
Pallor
Symptomtext
Pt stated he got a headache and his mother stated he looked pale at 1645.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Headache
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- NA
- Vorgeschichte
- NA
- Andere Medikamente
- NA
- Allergien
- NA
- Vorherige Impfungen
- -
- Staat
- PA
- Alter
- 68,0
- Geschlecht
- F
- Eingang
- 22.07.2022
- Impfdatum
- 20.07.2022
- Beginn
- 21.07.2022
- Tage bis Beginn
- 1,0
- Dosis
- 4
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Injection site erythema
Injection site rash
Injection site swelling
Symptomtext
Patient reports to pharmacy 2 days after vaccination with a local site reaction: redness, swelling, rash at the site of injection. Patient was not in distress. Recommended applying over the counter neosporin to prevent infection. Informed patient to contact the primary care prescriber if not resolved in the next few days.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Injection site erythema
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- No Known Drug or Food Allergy
- Vorherige Impfungen
- -
- Staat
- MI
- Alter
- 39,0
- Geschlecht
- F
- Eingang
- 11.08.2023
- Impfdatum
- 14.12.2022
- Beginn
- 16.12.2022
- Tage bis Beginn
- 2,0
- Dosis
- 1
- Route/Site
- - / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Ageusia
SARS-CoV-2 test
Symptomtext
Sense of taste is still off. I can barely taste my food until it hits my throat but not my taste buds; This is a spontaneous report received from a contactable reporter(s) (Nurse). The reporter is the patient. A 39-year-old female patient (not pregnant) received BNT162b2 (BNT162B2), on 14Dec2022 as dose 1, single (Lot number: FP7138) at the age of 39 years, in right arm for covid-19 immunisation. The patient's relevant medical history included: "Fibromyalgia" (unspecified if ongoing); "Scoliosis" (unspecified if ongoing); "Herniated disk c4-c5" (unspecified if ongoing). The patient's concomitant medications were not reported. The following information was reported: AGEUSIA (non-serious) with onset 16Dec2022, outcome "not recovered", described as "Sense of taste is still off. I can barely taste my food until it hits my throat but not my taste buds". Relevant laboratory tests and procedures are available in the appropriate section. Therapeutic measures were not taken as a result of ageusia. Additional information: Patient also received BNT162b2 (BNT162B2), on 06Jan2023 as dose 2, single (Lot number: FP7138) in right arm for covid-19 immunisation. Patient had no known allergies. No other vaccine in four weeks was administered. Other medications in two weeks: Not applicable. COVID prior vaccination: No
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Ageusia
- Hospital-Tage
- -
- Labordaten
- Test Date: 20230806; Test Name: Covid-19 Antigen Test; Test Result: Negative ; Comments: Nasal Swab
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- Medical History/Concurrent Conditions: Fibromyalgia; Herniated disc; Scoliosis
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- MI
- Alter
- 39,0
- Geschlecht
- F
- Eingang
- 09.08.2023
- Impfdatum
- 14.12.2022
- Beginn
- 17.12.2022
- Tage bis Beginn
- 3,0
- Dosis
- 1
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Dysgeusia
Parosmia
Symptomtext
Sense of taste of taste buds are off still. I only can taste the food when it hits the back of my throat it?s been like this since days after the vaccine I tried to wait and see if it would go away but it hasn?t.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Dysgeusia
- Hospital-Tage
- -
- Labordaten
- None
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- Fibromyalgia, mild lumbar scoliosis, herniated disk c4-c5
- Andere Medikamente
- None
- Allergien
- No
- Vorherige Impfungen
- -
- Staat
- MI
- Alter
- 39,0
- Geschlecht
- F
- Eingang
- 09.08.2023
- Impfdatum
- 14.12.2022
- Beginn
- 17.12.2022
- Tage bis Beginn
- 3,0
- Dosis
- 2
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Dysgeusia
Parosmia
Symptomtext
Sense of taste of taste buds are off still. I only can taste the food when it hits the back of my throat it?s been like this since days after the vaccine I tried to wait and see if it would go away but it hasn?t.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Dysgeusia
- Hospital-Tage
- -
- Labordaten
- None
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- Fibromyalgia, mild lumbar scoliosis, herniated disk c4-c5
- Andere Medikamente
- None
- Allergien
- No
- Vorherige Impfungen
- -
- Staat
- -
- Alter
- 10,0
- Geschlecht
- F
- Eingang
- 04.08.2023
- Impfdatum
- 22.07.2022
- Beginn
- 22.07.2022
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Unevaluable event
Symptomtext
Mother of child believes the patient received an adult dose (0.3mL) instead of a child dose (0.2mL). Nurse who administered says the correct dose was given. IF patient received 0.3 mL of the correct product (Pfizer for 5-11yrs) then the patient only received 15 mcg and not the full adult dose of 30 mcg. If the incorrect syringe was picked up and it was indeed the Adult Pfizer (ages =12yrs) (30mcg/0.3mL), then the patient potentially received 30 mcg.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Unevaluable event
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- -
- Alter
- 58,0
- Geschlecht
- M
- Eingang
- 26.07.2023
- Impfdatum
- 25.08.2022
- Beginn
- 30.08.2022
- Tage bis Beginn
- 5,0
- Dosis
- 3
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: ja
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Chronic respiratory failure
Hypoxia
Respiratory failure
Symptom recurrence
Symptomtext
CHRONIC HYPOXEMIC RESPIRATORY FAILURE HYPOXIA 9/15/2022 -- RECURRENCE OF HOSPITALIZATION WITH SAME SYMPTOMS
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Chronic respiratory failure
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- -
- Alter
- 61,0
- Geschlecht
- M
- Eingang
- 26.07.2023
- Impfdatum
- 25.08.2022
- Beginn
- 06.03.2023
- Tage bis Beginn
- 193,0
- Dosis
- 5
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: ja
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Neuropathy peripheral
Symptomtext
PERIPHERAL NEUROPATHY
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Neuropathy peripheral
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- WI
- Alter
- 39,0
- Geschlecht
- F
- Eingang
- 30.06.2023
- Impfdatum
- 12.01.2023
- Beginn
- 12.01.2023
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Expired product administered
Symptomtext
Covid vaccine listed above was given 86 days past the BUD .
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Expired product administered
- Hospital-Tage
- -
- Labordaten
- none
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- WI
- Alter
- 20,0
- Geschlecht
- F
- Eingang
- 30.06.2023
- Impfdatum
- 07.04.2023
- Beginn
- 07.04.2023
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Expired product administered
Symptomtext
The patient received a Pfizer Monovalent vaccine that was used 171 days past the beyond use by date.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Expired product administered
- Hospital-Tage
- -
- Labordaten
- none
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- ELuRyng
- Allergien
- NKDA
- Vorherige Impfungen
- -
- Staat
- -
- Alter
- 44,0
- Geschlecht
- F
- Eingang
- 14.06.2023
- Impfdatum
- 16.11.2022
- Beginn
- 16.11.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Discontinued product administered
No adverse event
Symptomtext
No adverse effects- patient was given initial Pfizer dose instead of Pfizer Bivalent booster
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Discontinued product administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- -
- Alter
- 79,0
- Geschlecht
- F
- Eingang
- 14.06.2023
- Impfdatum
- 16.11.2022
- Beginn
- 16.11.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Discontinued product administered
No adverse event
Symptomtext
No adverse effects- patient was given initial Pfizer dose instead of the Pfizer Bivalent dose
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Discontinued product administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- -
- Alter
- 74,0
- Geschlecht
- M
- Eingang
- 14.06.2023
- Impfdatum
- 16.11.2022
- Beginn
- 16.11.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Discontinued product administered
No adverse event
Symptomtext
No Adverse effect- Patient was given intial pfizer dose instead of the Pfizer Bivalent booster
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Discontinued product administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- -
- Alter
- 45,0
- Geschlecht
- M
- Eingang
- 14.06.2023
- Impfdatum
- 16.11.2022
- Beginn
- 01.11.2022
- Tage bis Beginn
- -
- Dosis
- UNK
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Discontinued product administered
No adverse event
Symptomtext
No Adverse Event- Patient was given Intial Pfizer dose instead of the Bivalent Booster
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Discontinued product administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- CA
- Alter
- 3,0
- Geschlecht
- F
- Eingang
- 05.06.2023
- Impfdatum
- 16.11.2022
- Beginn
- 16.11.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / LL
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
No adverse event
Symptomtext
This is not an adverse event. This report is regarding a possible administration error of a monovalent Pfizer 12+ Covid-19 of a 12 yo and older vaccine dose given to a 3-year-old patient.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- No adverse event
- Hospital-Tage
- -
- Labordaten
- not applicable
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 20,0
- Geschlecht
- F
- Eingang
- 10.05.2023
- Impfdatum
- 24.04.2023
- Beginn
- 24.04.2023
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Discontinued product administered
Symptomtext
Patient was administered monovalent vaccine when she should've received bivalent vaccine, as the monovalent vaccine had its EUA revoked.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Discontinued product administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- -
- Alter
- 19,0
- Geschlecht
- F
- Eingang
- 19.04.2023
- Impfdatum
- 12.01.2023
- Beginn
- 12.01.2023
- Tage bis Beginn
- 0,0
- Dosis
- 2
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Expired product administered
Symptomtext
Vaccine was adminstered post expiration. A letter was sent to the patient's address on 2/17/2023 stating manufacturer's vaccine activity at the time of administration. Manufacturer Statement: Pfizer reviewed the stability of the vaccine you received and determined that it likely did not maintain the activity necessary to protect against COVID-19 at time of administration. Pfizer cannot guarantee the protection you may have received is equivalent to what was seen in studies and data is not available to support administering an additional dose of vaccine to you. However, if you wish to undergo revaccination, we will provide you access as outlined below.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Expired product administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- -
- Alter
- 30,0
- Geschlecht
- F
- Eingang
- 19.04.2023
- Impfdatum
- 28.12.2022
- Beginn
- 28.12.2022
- Tage bis Beginn
- 0,0
- Dosis
- 2
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Expired product administered
Symptomtext
Vaccine was adminstered post expiration. A letter was sent to the patient's address on 2/17/2023 stating manufacturer's vaccine activity at the time of administration. Manufacturer Statement: Pfizer reviewed the stability of the vaccine you received and determined that it likely did not maintain the activity necessary to protect against COVID-19 at time of administration. Pfizer cannot guarantee the protection you may have received is equivalent to what was seen in studies and data is not available to support administering an additional dose of vaccine to you. However, if you wish to undergo revaccination, we will provide you access as outlined below.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Expired product administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- -
- Alter
- 55,0
- Geschlecht
- M
- Eingang
- 19.04.2023
- Impfdatum
- 28.12.2022
- Beginn
- 28.12.2022
- Tage bis Beginn
- 0,0
- Dosis
- 2
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Expired product administered
Symptomtext
Vaccine was adminstered post expiration. A letter was sent to the patient's address on 2/17/2023 stating manufacturer's vaccine activity at the time of administration. Manufacturer Statement: Pfizer reviewed the stability of the vaccine you received and determined that it likely did not maintain the activity necessary to protect against COVID-19 at time of administration. Pfizer cannot guarantee the protection you may have received is equivalent to what was seen in studies and data is not available to support administering an additional dose of vaccine to you. However, if you wish to undergo revaccination, we will provide you access as outlined below.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Expired product administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- -
- Alter
- 57,0
- Geschlecht
- M
- Eingang
- 19.04.2023
- Impfdatum
- 03.01.2023
- Beginn
- 03.01.2023
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Expired product administered
Symptomtext
Vaccine was adminstered post expiration. A letter was sent to the patient's address on 2/17/2023 stating manufacturer's vaccine activity at the time of administration. Manufacturer Statement: Pfizer reviewed the stability of the vaccine you received and determined that it likely did not maintain the activity necessary to protect against COVID-19 at time of administration. Pfizer cannot guarantee the protection you may have received is equivalent to what was seen in studies and data is not available to support administering an additional dose of vaccine to you. However, if you wish to undergo revaccination, we will provide you access as outlined below.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Expired product administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- -
- Alter
- 35,0
- Geschlecht
- F
- Eingang
- 17.04.2023
- 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: unbekannt
Expired product administered
Symptomtext
Vaccine was adminstered post expiration. A letter was sent to the patient's address on 2/17/2023 stating manufacturer's vaccine activity at the time of administration. Manufacturer Statement: Pfizer reviewed the stability of the vaccine you received and determined that it likely did not maintain the activity necessary to protect against COVID-19 at time of administration. Pfizer cannot guarantee the protection you may have received is equivalent to what was seen in studies and data is not available to support administering an additional dose of vaccine to you.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Expired product administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- -
- Alter
- 14,0
- Geschlecht
- M
- Eingang
- 17.04.2023
- 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: unbekannt
Expired product administered
Symptomtext
Vaccine was administered post use date. Patient's provider Dr. contacted the parents or guardian on 03/10/23 stating manufacturer's vaccine activity at the time of administration. Manufacturer's Statement: Pfizer reviewed the stability of the vaccine you received and determined that it likely did not maintain the activity necessary to protect against COVID-19 at time of administration. Pfizer cannot guarantee the protection you may have received is equivalent to what was seen in studies and data is not available to support administering an additional dose of vaccine to you. However, if you wish to undergo revaccination, we will provide you access as outlined below.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Expired product administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- VT
- Alter
- 68,0
- Geschlecht
- M
- Eingang
- 12.04.2023
- Impfdatum
- 01.08.2022
- Beginn
- -
- Tage bis Beginn
- -
- Dosis
- 4
- Route/Site
- - / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
COVID-19
Vaccination failure
Symptomtext
COVID 19 Treatment; COVID 19 Treatment; This is a spontaneous report received from contactable reporter(s) (Consumer or other non HCP). The reporter is the patient. A 69-year-old male patient received BNT162b2 (BNT162B2), on 09Mar2021 as dose 1, single (Lot number: EN6198), in left arm, on 30Mar2021 as dose 2, single (Lot number: ER8734), in left arm, on 12Oct2021 as dose 3 (booster), single (Lot number: FP2589), in left arm and on 01Aug2022 as dose 4 (booster), single (Lot number: FP7138) at the age of 68 years, in left arm for covid-19 immunisation. The patient's relevant medical history included: "Type 2 diabetes" (unspecified if ongoing); "Elevated cholesterol" (unspecified if ongoing). The patient's concomitant medications were not reported. The following information was reported: VACCINATION FAILURE (medically significant), COVID-19 (medically significant), outcome "unknown" and all described as "COVID 19 Treatment". Therapeutic measures were taken as a result of vaccination failure, covid-19. Clinical course: The patient received Paxlovid from 27Ma2023 to 31Mar2023 for treatment of COVID-19.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- COVID-19
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- Medical History/Concurrent Conditions: Cholesterol; Type 2 diabetes mellitus
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- ID
- Alter
- 64,0
- Geschlecht
- M
- Eingang
- 12.04.2023
- Impfdatum
- 29.11.2022
- Beginn
- -
- Tage bis Beginn
- -
- Dosis
- UNK
- Route/Site
- IM / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
No adverse event
Symptomtext
No adverse event. Staff member said hat because the third shot inn the series was not Bivalent it had to be reported to VAERS. It was given because there was an issue with our shipment of bivalent vaccine. The patient is being notified that he got a monovaent and being offered a bivalent.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- ID
- Alter
- 52,0
- Geschlecht
- U
- Eingang
- 12.04.2023
- Impfdatum
- 29.11.2022
- Beginn
- -
- Tage bis Beginn
- -
- Dosis
- UNK
- Route/Site
- IM / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
No adverse event
Symptomtext
No adverse event. Staff member said hat because the third shot inn the series was not Bivalent it had to be reported to VAERS. It was given because there was an issue with our shipment of bivalent vaccine. The patient is being notified that he got a monovaent and being offered a bivalent.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- ID
- Alter
- -
- Geschlecht
- M
- Eingang
- 12.04.2023
- Impfdatum
- 29.11.2022
- Beginn
- -
- Tage bis Beginn
- -
- Dosis
- UNK
- Route/Site
- IM / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
No adverse event
Symptomtext
No adverse event. Staff member said that because the third shot inn the series was not Bivalent it had to be reported to VAERS. It was given because there was an issue with our shipment of bivalent vaccine. The patient is being notified that he got a monovaent and being offered a bivalent.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- AL
- Alter
- 51,0
- Geschlecht
- M
- Eingang
- 31.03.2023
- Impfdatum
- 15.11.2022
- Beginn
- 15.11.2022
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect product formulation administered
No adverse event
Symptomtext
He received a monovalent vaccine in place of a bivalent dose. No adverse reactions noted.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- NJ
- Alter
- 24,0
- Geschlecht
- F
- Eingang
- 27.03.2023
- Impfdatum
- 10.11.2022
- Beginn
- 10.11.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Product storage error
Symptomtext
Vaccine administered to patient on 11/10/2022. It was identified in the days following the administration that the BUD out of the freezer for this vaccine was 10/18/2022. Patient lost to follow up. Manufacturer expiration date = 11/30/2022.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Product storage error
- Hospital-Tage
- -
- Labordaten
- none
- Aktuelle Erkrankungen
- vaginal bleeding
- Vorgeschichte
- asthma, bipolar disorder, GAD, PTSD
- Andere Medikamente
- lamotrigine 100 mg tablet take 1 nightly, ibuprofen 600 mg take 1 every 6 hours, albuterol take 2 puffs every 4 hours as needed for wheezing.
- Allergien
- NKA
- Vorherige Impfungen
- -
- Staat
- KY
- Alter
- 33,0
- Geschlecht
- U
- Eingang
- 14.02.2023
- Impfdatum
- 12.01.2023
- Beginn
- 12.01.2023
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- OT / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Expired product administered
Symptomtext
Product Expiration Date issue/expired Pfizer vaccine on 30Nov2022 was given on 12Jan2023 at 0900am; The initial case was missing the following minimum criteria: Unspecified AE. Upon receipt of follow-up information on 09Feb2023, this case now contains all required information to be considered valid. This is a spontaneous report received from a contactable reporter(s) (Nurse). A 33-year-old patient received BNT162b2 (BNT162B2), on 12Jan2023 at 09:00 as dose 1, single (Lot number: FP7138, Expiration Date: 30Nov2022) at the age of 33 years intramuscular, in right deltoid for covid-19 immunisation. The patient's relevant medical history included: "cervical cancer" (unspecified if ongoing), notes: Onset Date: age 28. There were no concomitant medications. The following information was reported: EXPIRED PRODUCT ADMINISTERED (non-serious) with onset 12Jan2023 at 09:00, outcome "unknown", described as "Product Expiration Date issue/expired Pfizer vaccine on 30Nov2022 was given on 12Jan2023 at 0900am". Additional Information: Product was Undiluted. Product was stored when excursion occurred in Fridge (2 -8 degree C). Maximum temperature reported / measured during excursion was Max 5.5 degree and minimum was Min 5 degree. Complete temperature data during storage at customer location was Attached. Pfizer delivered to this location. Upon follow-up (09Feb2023), Expired Pfizer vaccine on 30Nov2022 was given on 12Jan2023 at 09:00am. No adverse event contacted Pfizer for guidance was told vaccine was good no further instruction needed.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Expired product administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- Medical History/Concurrent Conditions: Cervical cancer (Onset Date: age 28)
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- SC
- Alter
- 28,0
- Geschlecht
- F
- Eingang
- 07.02.2023
- Impfdatum
- 29.12.2022
- Beginn
- 29.12.2022
- Tage bis Beginn
- 0,0
- Dosis
- 2
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Expired product administered
Symptomtext
Patient was vaccinated pass the Beyond Use Date for 2 doses in the primary series of the vaccine. Patient has no symptoms. Patient has been contacted and arrangements have been made to have her re-vaccinated.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Expired product administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- AZ
- Alter
- 40,0
- Geschlecht
- M
- Eingang
- 07.02.2023
- Impfdatum
- 22.11.2022
- Beginn
- 22.11.2022
- Tage bis Beginn
- 0,0
- Dosis
- 2
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Expired product administered
Symptomtext
Patient received COVID Pfizer vaccine after expiration date.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Expired product administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- AZ
- Alter
- 60,0
- Geschlecht
- F
- Eingang
- 07.02.2023
- Impfdatum
- 08.12.2022
- Beginn
- 08.12.2022
- Tage bis Beginn
- 0,0
- Dosis
- 2
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Expired product administered
Symptomtext
Patient received COVID Pfizer vaccine after expiration date.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Expired product administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- SC
- Alter
- 78,0
- Geschlecht
- M
- Eingang
- 01.02.2023
- Impfdatum
- 02.08.2022
- Beginn
- 24.08.2022
- Tage bis Beginn
- 22,0
- Dosis
- 4
- Route/Site
- - / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: ja
Erholt: nein
COVID-19
Disease recurrence
SARS-CoV-2 test
Vaccination failure
Symptomtext
COVID test positive; COVID test positive; COVID test positive; This is a spontaneous report received from contactable reporter(s) (Nurse) from medical information team and product quality group, Program ID. A 78-year-old male patient received BNT162b2 (BNT162B2), on 21Jan2021 as dose 1, single (Lot number: EL3249), on 11Feb2021 as dose 2, single (Lot number: EM9810), on 30Aug2021 as dose 3 (booster), single (Lot number: EW0186) and on 02Aug2022 as dose 4 (booster), single (Lot number: FP7138) at the age of 78 years, in right deltoid for covid-19 immunisation. The patient had no relevant medical history. There were no concomitant medications. The following information was reported: VACCINATION FAILURE (medically significant), COVID-19 (medically significant) all with onset 24Aug2022, outcome "unknown" and all described as "COVID test positive"; DISEASE RECURRENCE (medically significant) with onset 01Oct2022, outcome "unknown", described as "COVID test positive". The event "covid test positive" required emergency room visit. The patient underwent the following laboratory tests and procedures: SARS-CoV-2 test: (unspecified date) Positive; (24Aug2022) Positive; (01Oct2022) Positive; (unspecified date) Negative. Therapeutic measures were not taken as a result of vaccination failure, covid-19. Therapeutic measures were taken as a result of disease recurrence. Clinical course: Clarified that they had to get another booster because they were going on a cruise and flew to visit family. Husband got sick first and tested positive on 24Aug2022. Apparently, the dose they got on 02Aug2022 was the Monovariant. Thinking, probably they had the Omicron variant when they were in withheld. Since patient got sick after he had the second booster, should he now get the Bivariant booster. No treatment was given, cousin was physician, they did not give out Paxlovid. Test results: Yes, when they came back from vacation in Sep2022, patient tested positive for COVID again, 01Oct2022 and was then put on Paxlovid. No prior vaccinations within 4 weeks. No family medical history relevant to adverse events. Was feeling terrible, did home test that was negative, was really feeling lousy. Went to local, free-standing ER, they did another COVID test that was positive and he was prescribed the Paxlovid. Clarified he was not admitted to hospital.; Sender's Comments: Based on the information given in narrative, the causal relationship between the reported events vaccination failure/ COVID 19 disease recurrence and the suspect drug BNT162B2 cannot be excluded.,Linked Report(s) : US-PFIZER INC-202300038437 same reporter/drug/event, different patient;
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- COVID-19
- Hospital-Tage
- -
- Labordaten
- Test Name: COVID test; Test Result: Positive ; Test Date: 20220824; Test Name: COVID test; Test Result: Positive ; Test Date: 20221001; Test Name: COVID test; Test Result: Positive ; Test Name: Home test; Test Result: Negative
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- Comments: List of non-encoded Patient Relevant History: Patient Other Relevant History 1: None
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- SC
- Alter
- 72,0
- Geschlecht
- F
- Eingang
- 31.01.2023
- Impfdatum
- 02.08.2022
- Beginn
- 01.08.2022
- Tage bis Beginn
- -
- Dosis
- 2
- Route/Site
- - / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
COVID-19
SARS-CoV-2 test
Vaccination failure
Symptomtext
got COVID at end of Aug2022; got COVID at end of Aug2022; This is a spontaneous report received from contactable reporter(s) (Nurse) from medical information team and product quality group. The reporter is the patient. A 72-year-old female patient received BNT162b2 (BNT162B2), on 21Jan2021 as dose 1, single (Lot number: EL3249), on 11Feb2021 as dose 2, single (Lot number: EM4810), on 02Aug2022 as dose 4 (booster), single (Lot number: FP7138) at the age of 72 years, in left deltoid and on 13Sep2021 as dose 3 (booster), single (Lot number: EW0172) for covid-19 immunisation. The patient's relevant medical history included: "Thyroid stuff" (unspecified if ongoing), notes: Concomitant Products/Medical Conditions: Not really, has thyroid stuff but not anything crazy. There were no concomitant medications. The following information was reported: VACCINATION FAILURE (medically significant), COVID-19 (medically significant) all with onset Aug2022, outcome "unknown" and all described as "got COVID at end of Aug2022". The patient underwent the following laboratory tests and procedures: SARS-CoV-2 test: (26Aug2022) Positive, notes: Caller tested positive for COVID 26Aug2022. Therapeutic measures were not taken as a result of vaccination failure, covid-19. Additional information: Patient had to get another booster because they were going on a cruise and flew to withheld to visit family. Husband got sick first and tested positive 24Aug2022.; Sender's Comments: The reported COVID-19 positive after appropriately spaced doses of BNT162b2 immunization is considered as vaccination failure of BNT162B2, and the Company cannot completely exclude the possible causality between the reported events and BNT162B2 administration.,Linked Report(s) : US-PFIZER INC-202300038491 same reporter/drug/event, different patient;
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- COVID-19
- Hospital-Tage
- -
- Labordaten
- Test Date: 20220826; Test Name: COVID test; Test Result: Positive ; Comments: Caller tested positive for COVID 26Aug2022.
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- Medical History/Concurrent Conditions: Thyroid disorder (Concomitant Products/Medical Conditions: Not really, has thyroid stuff but not anything crazy)
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- FL
- Alter
- -
- Geschlecht
- F
- Eingang
- 31.01.2023
- Impfdatum
- 04.08.2022
- Beginn
- 26.10.2021
- Tage bis Beginn
- -
- Dosis
- 4
- Route/Site
- - / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Body height
Body temperature
Drug ineffective
Interchange of vaccine products
Suspected COVID-19
Weight
Symptomtext
had Covid; had Covid; Interchange of vaccine products; This is a spontaneous report received from a contactable reporter(s) (Consumer or other non HCP) from product quality group. The reporter is the patient. A 61-year-old female patient received BNT162b2 (BNT162B2), on 26Feb2021 as dose 1, single (Lot number: EL1283), on 19Mar2021 as dose 2, single (Lot number: EN6208) and on 04Aug2022 as dose 4 (booster), single (Lot number: FP7138) for covid-19 immunisation; elasomeran (MODERNA COVID-19 VACCINE), on 26Oct2021 as dose 3 (booster), single (Lot number: 017F21A) for covid-19 immunisation. The patient's relevant medical history included: "cancer survivor Cancer in 2021", start date: 2021 (unspecified if ongoing), notes: cancer survivor Cancer in 2021. Concomitant medication(s) included: SHINGRIX taken for immunisation as dose 1, single. The following information was reported: INTERCHANGE OF VACCINE PRODUCTS (medically significant) with onset 26Oct2021, outcome "unknown"; DRUG INEFFECTIVE (medically significant), SUSPECTED COVID-19 (medically significant) all with onset 23Dec2022, outcome "unknown" and all described as "had Covid". The patient underwent the following laboratory tests and procedures: Body height: About 5. 5; Body temperature: 98.4, notes: Oral thermometer showed her temperature was 98.4; 100, notes: Came home, did mercury thermometer and it was 100; Weight: Could be around 174. Clinical course: Caller had Bivalent, most recent booster, that protects from both infections. Had Covid from 23Dec2022 until about 04Jan2023. Had fever the whole time. Went to pharmacy at work and wanted to get vaccine. Asked how quickly after returning form work, 06Jan2023, she could get the booster. They said 2 weeks. Did that, this past Friday. Her concern is, does not know whether some side effects she is having now could be related to something she ate yesterday. Is asking, based on evidence working with people who had the Bivalent booster. Had that booster Friday and does not know and, the pharmacy did not tell her in terms of side effects, when they might pop up. Over the weekend, had no problems, which was great. In the past, had some issues with Moderna and the Pfizer vaccines. The Moderna gave her the problem. Had a very strong, not anaphylactic reaction but, strong reaction to the Moderna vaccine. It gave her a lot of comfortability. Last night, had something to eat and, right after she ate, had some stomach discomfort that continued into this morning. Came home from work early. Oral thermometer showed her temperature was 98.4. Knows with fever, it can change throughout the day. Came home, did mercury thermometer and it was 100. Occurred to her that she either took the vaccine too early or, was having some other kind of stomach issues over something she ate. Thought she better check to see what is considered the normal time frame to expect side effects and, if so, how soon after would they develop?. Reported to Pfizer about first shot she took in Mar2021. At that point, had unbelievable sleep reaction. Did not have any other problems, other than she slept unbelievably long period of time. Went ahead and reported that to Pfizer. Was 26Feb2021 when that first reaction happened. Most people have reaction to second and she had reaction to first. Despite the vaccines she had, 23Dec2022, had extremely uncomfortable, difficulty with almost every symptom of Covid. Did have taste and smell but, did have something slight that she couldn't smell. Could taste food but couldn't eat. Had fever every day from 23Dec2022 until 04Jan2023. Had difficulty breathing in middle of night, had to use allergy medicine to be able to find relief breathing, including steam. Had diarrhea and could only eat ice chips for a period time. Was miserable. Was pretty awful but, didn't go to the hospital. When looking at what pharmacy input in medical chart, the vaccine she had 20Jan2023 was Moderna Bivalent Booster and not Pfizer Bivalent booster. Clarified that this recent Bivalent booster that she is reporting symptoms with and asking questions regarding is Moderna Bivalent Booster. Caller advised that she would need to contact Moderna regarding any questions with the Bivalent booster. Caller clarifies that she did have problems with the Moderna product. Has received 3 Pfizer shots and this particular pharmacy apparently now providing the Moderna.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Body height
- Hospital-Tage
- -
- Labordaten
- Test Name: Height; Result Unstructured Data: Test Result:About 5. 5; Test Name: temperature; Result Unstructured Data: Test Result:98.4; Comments: Oral thermometer showed her temperature was 98.4.; Test Name: temperature; Result Unstructured Data: Test Result:100; Comments: Came home, did mercury thermometer and it was 100.; Test Name: Weight; Result Unstructured Data: Test Result:Could be around 174
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- Medical History/Concurrent Conditions: Cancer (cancer survivor Cancer in 2021)
- Andere Medikamente
- SHINGRIX
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- MN
- Alter
- 30,0
- Geschlecht
- M
- Eingang
- 25.01.2023
- Impfdatum
- 16.11.2022
- Beginn
- 16.11.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Expired product administered
Symptomtext
Patient was administered the above vaccine after the "Use By" date as assigned after removed from freeze.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Expired product administered
- Hospital-Tage
- -
- Labordaten
- n/a
- Aktuelle Erkrankungen
- N/A
- Vorgeschichte
- Schizophrenia, HIV, Chronic Pain
- Andere Medikamente
- brexpiprazole, divalproex, genvoya, hydroxyzine, ibuprofen, melatonin, olanzapine
- Allergien
- N/A
- Vorherige Impfungen
- -
- Staat
- MN
- Alter
- 47,0
- Geschlecht
- F
- Eingang
- 25.01.2023
- Impfdatum
- 29.11.2022
- Beginn
- 29.11.2022
- Tage bis Beginn
- 0,0
- Dosis
- 2
- Route/Site
- IM / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Expired product administered
Symptomtext
The above vaccine was administered after the "Use By" date as assigned after it was removed from the freezer.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Expired product administered
- Hospital-Tage
- -
- Labordaten
- n/a
- Aktuelle Erkrankungen
- n/a
- Vorgeschichte
- n/a
- Andere Medikamente
- Cymbalta, Gabapentin
- Allergien
- Wasp-Venom
- Vorherige Impfungen
- -
- Staat
- MN
- Alter
- 38,0
- Geschlecht
- M
- Eingang
- 25.01.2023
- Impfdatum
- 03.01.2023
- Beginn
- 03.01.2023
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Expired product administered
Symptomtext
Patient was administered the above vaccine after the "Use By" date assigned when removed from the freezer.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Expired product administered
- Hospital-Tage
- -
- Labordaten
- No tests/results.
- Aktuelle Erkrankungen
- n/a
- Vorgeschichte
- n/a
- Andere Medikamente
- n/a
- Allergien
- n/a
- Vorherige Impfungen
- -
- Staat
- MN
- Alter
- 30,0
- Geschlecht
- M
- Eingang
- 25.01.2023
- Impfdatum
- 10.01.2023
- Beginn
- 10.01.2023
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Expired product administered
Symptomtext
Patient received the above vaccine after the "Use By" date as assigned after the vaccine was removed from the freezer.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Expired product administered
- Hospital-Tage
- -
- Labordaten
- No tests/results
- Aktuelle Erkrankungen
- N/A
- Vorgeschichte
- N/A
- Andere Medikamente
- Famotidine
- Allergien
- Kiwi
- Vorherige Impfungen
- -
- Staat
- MN
- Alter
- 19,0
- Geschlecht
- F
- Eingang
- 25.01.2023
- Impfdatum
- 17.01.2023
- Beginn
- 17.01.2023
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Expired product administered
Symptomtext
Patient was administered the above vaccine after the "Use By" date as assigned when vaccine was removed from freezer.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Expired product administered
- Hospital-Tage
- -
- Labordaten
- No tests or results
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- Dysthymic disorder, Anxiety, Obesity, Migraine
- Andere Medikamente
- Citalopram
- Allergien
- N/A
- Vorherige Impfungen
- -
- Staat
- MN
- Alter
- 33,0
- Geschlecht
- F
- Eingang
- 25.01.2023
- Impfdatum
- 17.01.2023
- Beginn
- 17.01.2023
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Expired product administered
Symptomtext
Patient received the above vaccine after the "Use By" date after the vaccine was removed from the freezer.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Expired product administered
- Hospital-Tage
- -
- Labordaten
- No tests or results.
- Aktuelle Erkrankungen
- None listed.
- Vorgeschichte
- None listed.
- Andere Medikamente
- No Home Medications/supplements/remedies
- Allergien
- Nickel, Cyanocobalamin
- Vorherige Impfungen
- -
- Staat
- ID
- Alter
- 56,0
- Geschlecht
- M
- Eingang
- 17.01.2023
- Impfdatum
- 07.10.2022
- Beginn
- 01.01.2023
- Tage bis Beginn
- 86,0
- Dosis
- 4
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Incorrect product formulation administered
No adverse event
Symptomtext
Patient was seen 10/7/22 and requested Pfizer Bivalent booster. Patient was actually given another dose of Pfizer Monovalent Booster. Patient was notified. Patient will return for correct vaccine. No symptoms or side effects.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- Growth on Right hand, itchy Skin concern on legs for 1 month
- Vorgeschichte
- -
- Andere Medikamente
- Taking ?ibuprofen 800 mg tablet 1 tab(s) orally 3 times a day, Notes: AS needed
- Allergien
- Allergies cat dander dog dander grass
- Vorherige Impfungen
- -
- Staat
- VT
- Alter
- 32,0
- Geschlecht
- F
- Eingang
- 14.01.2023
- Impfdatum
- 23.08.2022
- Beginn
- -
- Tage bis Beginn
- -
- Dosis
- 4
- Route/Site
- - / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
COVID-19
Vaccination failure
Symptomtext
COVID 19 Treatment; COVID 19 Treatment; This is a spontaneous report received from contactable reporter(s) (Consumer or other non HCP). The reporter is the patient. A 32-year-old female patient (not pregnant) received BNT162b2 (BNT162B2), on 05May2021 as dose 1, single (Lot number: Ew0167), in left arm, on 26May2021 as dose 2, single (Lot number: Ew0191), in left arm, on 30Nov2021 as dose 3 (booster), single (Lot number: Ff8841), in right arm and on 23Aug2022 as dose 4 (booster), single (Lot number: FP7138) at the age of 32 years, in left arm for covid-19 immunisation. The patient's relevant medical history included: "Ehlers-Danlos" (unspecified if ongoing); "Tarlov cyst disease" (unspecified if ongoing); "Asthma" (unspecified if ongoing); "narcolepsy" (unspecified if ongoing). Concomitant medication(s) included: ADDERALL, start date: 01Dec2021; NUVIGIL, start date: 01Dec2021; MYRBETRIQ, start date: 01Feb2022, stop date: 05Jan2023; CLARITIN [LORATADINE], start date: 01Dec2021; LYRICA, start date: 01Dec2021. Past drug history included: Tramadol, reaction(s): "Allergy"; Tricyclics, reaction(s): "drug allergy". The following information was reported: VACCINATION FAILURE (medically significant), COVID-19 (medically significant), outcome "unknown" and all described as "COVID 19 Treatment". Therapeutic measures were taken as a result of vaccination failure, covid-19 with Paxlovid from 05Jan2023 to 05Jan2023.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- COVID-19
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- Medical History/Concurrent Conditions: Asthma; Ehlers-Danlos syndrome; Narcolepsy; Tarlov's cyst
- Andere Medikamente
- ADDERALL; NUVIGIL; MYRBETRIQ; CLARITIN [LORATADINE]; LYRICA
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- AL
- Alter
- 67,0
- Geschlecht
- F
- Eingang
- 12.01.2023
- Impfdatum
- 19.07.2022
- Beginn
- -
- Tage bis Beginn
- -
- Dosis
- 4
- Route/Site
- - / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
COVID-19
Drug ineffective
Symptomtext
COVID 19 Treatment; COVID 19 Treatment; This is a spontaneous report received from contactable reporter(s) (Consumer or other non HCP). The reporter is the patient. A 68-year-old female patient (not pregnant) received BNT162b2 (BNT162B2), on 19Jul2022 at 10:00 as dose 4 (booster), single (Lot number: FP7138) at the age of 67 years for covid-19 immunisation; coviD-19 vaccine (COVID-19 VACCINE), as dose 1, single (Batch/Lot number: unknown), as dose 2, single (Batch/Lot number: unknown) and as dose 3 (booster), single (Batch/Lot number: unknown) for covid-19 immunisation. The patient's relevant medical history included: "neuropathy" (unspecified if ongoing); "Sensitive to nightshades" (unspecified if ongoing). The patient's concomitant medications were not reported. Past drug history included: Valium, reaction(s): "Allergic to Valium", notes: Allergic to Valium. The following information was reported: DRUG INEFFECTIVE (medically significant), COVID-19 (medically significant), outcome "unknown" and all described as "COVID 19 Treatment". Therapeutic measures were taken as a result of drug ineffective, covid-19.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- COVID-19
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- Medical History/Concurrent Conditions: Allergy to plants; Neuropathy
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- NY
- Alter
- 22,0
- Geschlecht
- M
- Eingang
- 10.01.2023
- Impfdatum
- 13.10.2022
- Beginn
- 13.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- 2
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Product storage error
Symptomtext
Error: Improper Storage (ex. temp./location)-
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Product storage error
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- NY
- Alter
- 42,0
- Geschlecht
- M
- Eingang
- 10.01.2023
- Impfdatum
- 07.10.2022
- Beginn
- 07.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Product storage error
Symptomtext
Error: Improper Storage (ex. temp./location)-
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Product storage error
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- IA
- Alter
- 51,0
- Geschlecht
- F
- Eingang
- 05.01.2023
- Impfdatum
- 01.08.2022
- Beginn
- -
- Tage bis Beginn
- -
- Dosis
- 3
- Route/Site
- - / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
COVID-19
Drug ineffective
SARS-CoV-2 test
Symptomtext
Treatment of COVID-19; Treatment of COVID-19; This is a spontaneous report received from a contactable reporter(s) (Nurse). The reporter is the patient. A 51-year-old female patient (not pregnant) received BNT162b2 (BNT162B2), on 01Aug2022 as dose 3 (booster), single (Lot number: FP7138) at the age of 51 years for covid-19 immunisation; coviD-19 vaccine (COVID-19 VACCINE), as dose 1, single (Batch/Lot number: unknown) and as dose 2, single (Batch/Lot number: unknown) for covid-19 immunisation. The patient's relevant medical history included: "Known allergies: PCN" (unspecified if ongoing). The patient's concomitant medications were not reported. Past drug history included: Benzoyl peroxide, reaction(s): "Known allergies: benzoyl peroxide", notes: Known allergies: benzoyl peroxide. The following information was reported: DRUG INEFFECTIVE (medically significant), COVID-19 (medically significant), outcome "not recovered" and all described as "Treatment of COVID-19". The patient underwent the following laboratory tests and procedures: SARS-CoV-2 test: positive. Therapeutic measures were taken as a result of drug ineffective, covid-19. Clinical course: This was a report about COVID Treatment. Other medical history included none. Patient received anti-viral product Paxlovid (Pfizer) from 20Dec2022 till 24Dec2022 for treatment of COVID-19. Had reoccurring symptoms started the following Wednesday 28Dec after finishing Paxlovid, received no treatment and was recovering at the time of this report. No follow-up attempts are possible. No further information is expected.; Sender's Comments: Based on the available information and close temporal association, a possible causal relationship cannot be excluded between the suspect vaccine BNT162b2 and the reported events "drug ineffective", "COVID-19".
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- COVID-19
- Hospital-Tage
- -
- Labordaten
- Test Name: positive PCR test/SARS-CoV-2 test; Result Unstructured Data: Test Result:positive
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- Medical History/Concurrent Conditions: Drug allergy
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 69,0
- Geschlecht
- M
- Eingang
- 24.12.2022
- Impfdatum
- 16.09.2022
- Beginn
- 01.12.2022
- Tage bis Beginn
- 76,0
- Dosis
- 5
- Route/Site
- - / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
COVID-19
Vaccination failure
Symptomtext
COVID 19 Treatment with Paxlovid; COVID 19 Treatment with Paxlovid; This is a spontaneous report received from contactable reporter(s) (Consumer or other non HCP) from product quality group. The reporter is the patient. A 69-year-old male patient received BNT162b2, BNT162b2 omi ba.4-5 (BNT162B2, BNT162B2 OMI BA.4-5), on 16Sep2022 as dose 5 (booster), single (Lot number: fp7138) at the age of 69 years, in left arm for covid-19 immunisation; BNT162b2 (BNT162B2), on 03Mar2021 as dose 1, single (Lot number: en6202), on 23Mar2021 as dose 2, single (Lot number: ep6955), on 25Oct2021 as dose 3 (booster), single (Lot number: ah8020) and on 06May2022 as dose 4 (booster), single (Lot number: fp4554) for covid-19 immunisation. The patient's relevant medical history and concomitant medications were not reported. The following information was reported: VACCINATION FAILURE (medically significant), COVID-19 (medically significant) all with onset Dec2022, outcome "unknown" and all described as "COVID 19 Treatment with Paxlovid". Therapeutic measures were taken as a result of vaccination failure, covid-19. Clinical information: No known allergies. The patient received Paxlovid treatment from 10Dec2022 to 15Dec2022.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- COVID-19
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 10,0
- Geschlecht
- M
- Eingang
- 22.12.2022
- Impfdatum
- 29.07.2022
- Beginn
- 29.07.2022
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Incorrect dose administered
Symptomtext
10 Year old male inadvertently administer adult 12+ dose of pfizer Booster instead of correct pfizer 5-11 year old Booster.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect dose administered
- Hospital-Tage
- -
- Labordaten
- N/A
- Aktuelle Erkrankungen
- Unknown
- Vorgeschichte
- Unknown
- Andere Medikamente
- Unknown
- Allergien
- Unknown
- Vorherige Impfungen
- -
- Staat
- -
- Alter
- 14,0
- Geschlecht
- M
- Eingang
- 20.12.2022
- Impfdatum
- 26.10.2022
- Beginn
- 26.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
Symptomtext
Pt. inadvertently administered Pfizer monovalent formulation instead of bivalent at a community event. Pt. informed.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- -
- Alter
- 15,0
- Geschlecht
- M
- Eingang
- 20.12.2022
- Impfdatum
- 26.10.2022
- Beginn
- 26.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
Symptomtext
Pt. inadvertently administered Pfizer monovalent vaccine instead of bivalent at a community event. Pt. informed.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- -
- Alter
- 19,0
- Geschlecht
- F
- Eingang
- 20.12.2022
- Impfdatum
- 26.10.2022
- Beginn
- 26.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
Symptomtext
Pt. inadvertently administered Pfizer monovalent formulation instead of bivalent at community event. Pt. informed.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- -
- Alter
- 50,0
- Geschlecht
- F
- Eingang
- 20.12.2022
- Impfdatum
- 26.10.2022
- Beginn
- 26.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
Symptomtext
Pt. inadvertently given Pfizer monovalent formulation instead of bivalent. at community event. Pt. informed.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- -
- Geschlecht
- U
- Eingang
- 13.12.2022
- Impfdatum
- 27.10.2022
- Beginn
- 27.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- N/A
- Route/Site
- IM / UN
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Unevaluable event
Symptomtext
VAERS ID: 2506834-E-Report Number: 913256. VAERS ID: 2506806- E-Report Number: 913228. VAERS ID: 2506809- E-Report Number: 913231. VAERS ID: 2506831- E-Report Number: 913253. VAERS ID: 2506824- E-Report Number: 913246. VAERS ID: 2506823- E-Report Number: 913245. VAERS ID: 2506835- E-Report Number: 913257. VAERS ID: 2506840- E-Report Number: 913262. VAERS ID: 2506819- E-Report Number: 913241. VAERS ID: 2506832- E-Report Number: 913254. VAERS ID: 2506816- E-Report Number: 913238. VAERS ID: 2506802- E-Report Number: 913224. VAERS ID: 2506837- E-Report Number: 913259. VAERS ID: 2506804- E-Report Number: 913226. VAERS ID: 2506812- E-Report Number: 913234. VAERS ID: 2506821- E-Report Number: 913243. VAERS ID: 2506818- E-Report Number: 913240. VAERS ID: 2506827- E-Report Number: 913249. VAERS ID: 2506820- E-Report Number: 913242.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Unevaluable event
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- NY
- Alter
- 52,0
- Geschlecht
- F
- Eingang
- 12.12.2022
- Impfdatum
- 09.12.2022
- Beginn
- 01.12.2022
- Tage bis Beginn
- -
- Dosis
- 4
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect product formulation administered
Symptomtext
Patient received Pfizer BioNTech Covid -19 vaccine Monovalent 0.3mL and should of received Bivalent Covid -19 Vaccine 0.3mL
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- KY
- Alter
- 63,0
- Geschlecht
- M
- Eingang
- 08.12.2022
- Impfdatum
- 07.12.2022
- Beginn
- 07.12.2022
- Tage bis Beginn
- 0,0
- Dosis
- 2
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Expired product administered
No adverse event
Symptomtext
No adverse events, expired vaccine administered
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Expired product administered
- Hospital-Tage
- -
- Labordaten
- N/A
- Aktuelle Erkrankungen
- Multiple myeloma, hypertension
- Vorgeschichte
- -
- Andere Medikamente
- apixaban, atorvastatin, calcium, Vit D, dexamethasone, pantoprazole, polyethylene glycol, pomalidomide, prochlorperazine, valacyclovir
- Allergien
- None known
- Vorherige Impfungen
- -
- Staat
- WI
- Alter
- 22,0
- Geschlecht
- F
- Eingang
- 08.12.2022
- Impfdatum
- 02.12.2022
- Beginn
- 02.12.2022
- Tage bis Beginn
- 0,0
- Dosis
- 2
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Expired product administered
No adverse event
Symptomtext
Patient was given a potential expired dose. The label per pharmacy was listed as 12/31/22. After investigation it was determined it was incorrectly labeled and the box should have stated 11/30/22 per pharmacy. The patient did not have a reaction or experience an adverse event.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Expired product administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- -
- Alter
- 29,0
- Geschlecht
- F
- Eingang
- 07.12.2022
- Impfdatum
- 08.11.2022
- Beginn
- 05.12.2022
- Tage bis Beginn
- 27,0
- Dosis
- 2
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Expired product administered
Symptomtext
Vaccine given 27 days after beyond the use date.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Expired product administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- -
- Alter
- 29,0
- Geschlecht
- F
- Eingang
- 07.12.2022
- Impfdatum
- 21.10.2022
- Beginn
- 05.12.2022
- Tage bis Beginn
- 45,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Expired product administered
Symptomtext
Vaccine given 9 days after the beyond the use date.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Expired product administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- -
- Alter
- 51,0
- Geschlecht
- F
- Eingang
- 07.12.2022
- Impfdatum
- 01.11.2022
- Beginn
- 05.12.2022
- Tage bis Beginn
- 34,0
- Dosis
- 2
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Expired product administered
Symptomtext
Vaccine given 20 days after beyond the use date.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Expired product administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- IL
- Alter
- 78,0
- Geschlecht
- F
- Eingang
- 07.12.2022
- Impfdatum
- 21.10.2022
- Beginn
- 05.12.2022
- Tage bis Beginn
- 45,0
- Dosis
- 2
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Expired product administered
Symptomtext
Vaccine given 9 days after beyond use date.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Expired product administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- MA
- Alter
- 62,0
- Geschlecht
- F
- Eingang
- 07.12.2022
- Impfdatum
- 14.09.2022
- Beginn
- 14.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Incorrect product formulation administered
Symptomtext
Error: Wrong Vaccine Formulation (ex. Prevnar 13 v. Prevnar 23)-
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- MA
- Alter
- 61,0
- Geschlecht
- F
- Eingang
- 07.12.2022
- Impfdatum
- 14.09.2022
- Beginn
- 14.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect product formulation administered
Symptomtext
Error: Wrong Vaccine Formulation (ex. Prevnar 13 v. Prevnar 23)-
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- MA
- Alter
- 70,0
- Geschlecht
- F
- Eingang
- 07.12.2022
- Impfdatum
- 14.09.2022
- Beginn
- 14.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Incorrect product formulation administered
Symptomtext
Error: Wrong Vaccine Formulation (ex. Prevnar 13 v. Prevnar 23)-
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- MA
- Alter
- 63,0
- Geschlecht
- M
- Eingang
- 07.12.2022
- Impfdatum
- 14.09.2022
- Beginn
- 14.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Incorrect product formulation administered
Symptomtext
Error: Wrong Vaccine Formulation (ex. Prevnar 13 v. Prevnar 23)-
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- MA
- Alter
- 62,0
- Geschlecht
- M
- Eingang
- 07.12.2022
- Impfdatum
- 14.09.2022
- Beginn
- 14.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect product formulation administered
Symptomtext
Error: Wrong Vaccine Formulation (ex. Prevnar 13 v. Prevnar 23)-
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- MA
- Alter
- 71,0
- Geschlecht
- M
- Eingang
- 07.12.2022
- Impfdatum
- 14.09.2022
- Beginn
- 14.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Incorrect product formulation administered
Symptomtext
Error: Wrong Vaccine Formulation (ex. Prevnar 13 v. Prevnar 23)-
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- MA
- Alter
- 73,0
- Geschlecht
- M
- Eingang
- 07.12.2022
- Impfdatum
- 14.09.2022
- Beginn
- 14.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect product formulation administered
Symptomtext
Error: Wrong Vaccine Formulation (ex. Prevnar 13 v. Prevnar 23)-
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- MA
- Alter
- 67,0
- Geschlecht
- F
- Eingang
- 07.12.2022
- Impfdatum
- 14.09.2022
- Beginn
- 14.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Incorrect product formulation administered
Symptomtext
Error: Wrong Vaccine Formulation (ex. Prevnar 13 v. Prevnar 23)-
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- MA
- Alter
- 73,0
- Geschlecht
- F
- Eingang
- 07.12.2022
- Impfdatum
- 14.09.2022
- Beginn
- 14.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect product formulation administered
Symptomtext
Error: Wrong Vaccine Formulation (ex. Prevnar 13 v. Prevnar 23)-
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- MA
- Alter
- 75,0
- Geschlecht
- F
- Eingang
- 07.12.2022
- Impfdatum
- 14.09.2022
- Beginn
- 14.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Incorrect product formulation administered
Symptomtext
Error: Wrong Vaccine Formulation (ex. Prevnar 13 v. Prevnar 23)-
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- MA
- Alter
- 50,0
- Geschlecht
- F
- Eingang
- 07.12.2022
- Impfdatum
- 14.09.2022
- Beginn
- 14.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect product formulation administered
Symptomtext
Error: Wrong Vaccine Formulation (ex. Prevnar 13 v. Prevnar 23)-
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- MA
- Alter
- 70,0
- Geschlecht
- M
- Eingang
- 07.12.2022
- Impfdatum
- 14.09.2022
- Beginn
- 14.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect product formulation administered
Symptomtext
Error: Wrong Vaccine Formulation (ex. Prevnar 13 v. Prevnar 23)-
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- MA
- Alter
- 79,0
- Geschlecht
- M
- Eingang
- 07.12.2022
- Impfdatum
- 14.09.2022
- Beginn
- 14.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect product formulation administered
Symptomtext
Error: Wrong Vaccine Formulation (ex. Prevnar 13 v. Prevnar 23)-
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- MA
- Alter
- 59,0
- Geschlecht
- F
- Eingang
- 07.12.2022
- Impfdatum
- 14.09.2022
- Beginn
- 14.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Incorrect product formulation administered
Symptomtext
Error: Wrong Vaccine Formulation (ex. Prevnar 13 v. Prevnar 23)-
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- MA
- Alter
- 60,0
- Geschlecht
- M
- Eingang
- 07.12.2022
- Impfdatum
- 14.09.2022
- Beginn
- 14.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Incorrect product formulation administered
Symptomtext
Error: Wrong Vaccine Formulation (ex. Prevnar 13 v. Prevnar 23)-
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- IL
- Alter
- 53,0
- Geschlecht
- M
- Eingang
- 06.12.2022
- Impfdatum
- 04.10.2022
- Beginn
- 04.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- 5
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect product formulation administered
Symptomtext
Patient previously received vaccine series with COVID-19 Moderna vaccine (3/17/2021, 4/14/2021, 12/5/2021) and additional booster with Pfizer-BioNTech monovalent 5/23/2022. Patient requested additional booster which should have been with the bivalent formulation. However instead the physician ordered for the patient to receive Pfizer-BioNTech monovalent vaccine on 10/4/2022. Dose administered and no harm occurred to patient. Ordering physician notified of error.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- -
- Alter
- 23,0
- Geschlecht
- F
- Eingang
- 05.12.2022
- Impfdatum
- 02.12.2022
- Beginn
- 02.12.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Expired product administered
Symptomtext
Gave vaccine that expired 11/30/2022
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Expired product administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- MA
- Alter
- 65,0
- Geschlecht
- M
- Eingang
- 04.12.2022
- Impfdatum
- 14.09.2022
- Beginn
- 14.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Incorrect product formulation administered
Symptomtext
Error: Wrong Vaccine Formulation (ex. Prevnar 13 v. Prevnar 23)-
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- MA
- Alter
- 57,0
- Geschlecht
- F
- Eingang
- 04.12.2022
- Impfdatum
- 14.09.2022
- Beginn
- 14.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect product formulation administered
Symptomtext
Error: Wrong Vaccine Formulation (ex. Prevnar 13 v. Prevnar 23)-
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- MA
- Alter
- 67,0
- Geschlecht
- M
- Eingang
- 04.12.2022
- Impfdatum
- 14.09.2022
- Beginn
- 14.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect product formulation administered
Symptomtext
Error: Wrong Vaccine Formulation (ex. Prevnar 13 v. Prevnar 23)-
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- MA
- Alter
- 68,0
- Geschlecht
- F
- Eingang
- 04.12.2022
- Impfdatum
- 14.09.2022
- Beginn
- 14.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect product formulation administered
Symptomtext
Error: Wrong Vaccine Formulation (ex. Prevnar 13 v. Prevnar 23)-
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- MA
- Alter
- 45,0
- Geschlecht
- F
- Eingang
- 04.12.2022
- Impfdatum
- 14.09.2022
- Beginn
- 14.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Incorrect product formulation administered
Symptomtext
Error: Wrong Vaccine Formulation (ex. Prevnar 13 v. Prevnar 23)-
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- CA
- Alter
- 48,0
- Geschlecht
- F
- Eingang
- 29.11.2022
- Impfdatum
- 28.11.2022
- Beginn
- 28.11.2022
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Expired product administered
No adverse event
Symptomtext
Patient was given expired Monovalent Pfizer 0.3 ml via IM patient had NO adverse reactions or any side effects. Notified patient of medication error, stated that she felt perfectly fine.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Expired product administered
- Hospital-Tage
- -
- Labordaten
- NONE
- Aktuelle Erkrankungen
- NONE
- Vorgeschichte
- NONE
- Andere Medikamente
- meloxicam
- Allergien
- NKDA
- Vorherige Impfungen
- -
- Staat
- -
- Alter
- 39,0
- Geschlecht
- F
- Eingang
- 18.11.2022
- Impfdatum
- 13.10.2022
- Beginn
- 13.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
Symptomtext
Patient received monovalent vaccine as booster dose, when the bivalent booster vaccine should have been administered.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- MN
- Alter
- 12,0
- Geschlecht
- M
- Eingang
- 16.11.2022
- Impfdatum
- 15.11.2022
- Beginn
- 15.11.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- - / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
Symptomtext
At the end of day when my nurse was documenting our wasted doses of COVID vaccine she noticed the lot numbers were different and we both quickly realized I must have grabbed a monovalent vial by mistake. I drew up all 6 doses from that multi-dose vial. The patient was given a monovalent 12+ COVID vaccine in error whereas should have been given a Bivalent 12+ COVID vaccine booster.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- none
- Vorgeschichte
- none
- Andere Medikamente
- none
- Allergien
- Amox
- Vorherige Impfungen
- -
- Staat
- MN
- Alter
- 13,0
- Geschlecht
- F
- Eingang
- 16.11.2022
- Impfdatum
- 15.11.2022
- Beginn
- 15.11.2022
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect product formulation administered
Symptomtext
At the end of day when my nurse was documenting our wasted doses of COVID vaccine she noticed the lot numbers were different and we both quickly realized I must have grabbed a monovalent vial by mistake. I drew up all 6 doses from that multi-dose vial. The patient was given a monovalent 12+ COVID vaccine in error whereas should have been given a Bivalent 12+ COVID vaccine booster.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- none
- Vorgeschichte
- Crohn's
- Andere Medikamente
- Magnesium chew, Remicade infusions, Omeprazole
- Allergien
- PCN
- Vorherige Impfungen
- -
- Staat
- MN
- Alter
- 12,0
- Geschlecht
- F
- Eingang
- 16.11.2022
- Impfdatum
- 15.11.2022
- Beginn
- 15.11.2022
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
Symptomtext
At the end of day when my nurse was documenting our wasted doses of COVID vaccine she noticed the lot numbers were different and we both quickly realized I must have grabbed a monovalent vial by mistake. I drew up all 6 doses from that multi-dose vial. The patient was given a monovalent 12+ COVID vaccine in error whereas should have been given a Bivalent 12+ COVID vaccine booster.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- none
- Vorgeschichte
- none
- Andere Medikamente
- none
- Allergien
- none
- Vorherige Impfungen
- -
- Staat
- MN
- Alter
- 15,0
- Geschlecht
- M
- Eingang
- 16.11.2022
- Impfdatum
- 15.11.2022
- Beginn
- 15.11.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect product formulation administered
Symptomtext
At the end of day when my nurse was documenting our wasted doses of COVID vaccine she noticed the lot numbers were different and we both quickly realized I must have grabbed a monovalent vial by mistake. I drew up all 6 doses from that multi-dose vial. The patient was given a monovalent 12+ COVID vaccine in error whereas should have been given a Bivalent 12+ COVID vaccine booster.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- none
- Vorgeschichte
- none
- Andere Medikamente
- Ventolin PRN
- Allergien
- Cefdinir
- Vorherige Impfungen
- -
- Staat
- WI
- Alter
- 93,0
- Geschlecht
- F
- Eingang
- 16.11.2022
- Impfdatum
- 16.11.2022
- Beginn
- 16.11.2022
- Tage bis Beginn
- 0,0
- Dosis
- 5
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect product formulation administered
Symptomtext
Patient was supposed to receive the Pfizer 12+ Bivalent booster today, but received the Pfizer 12+ monovalent vaccine instead. Medical assistant accidentally pulled the wrong Pfizer vial. Patient's PCP, is aware of the situation. No harm to patient for receiving this vaccine.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- N/A
- Aktuelle Erkrankungen
- NA
- Vorgeschichte
- NA
- Andere Medikamente
- N/A
- Allergien
- NA
- Vorherige Impfungen
- -
- Staat
- WI
- Alter
- 83,0
- Geschlecht
- F
- Eingang
- 16.11.2022
- Impfdatum
- 16.11.2022
- Beginn
- 16.11.2022
- Tage bis Beginn
- 0,0
- Dosis
- 5
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Circumstance or information capable of leading to medication error
Incorrect product formulation administered
Symptomtext
Patient was supposed to receive the Pfizer 12+ Bivalent Booster, but received a dose of the Pfizer 12+ monovalent vaccine instead. Medical assistant accidentally pulled the wrong vial of Pfizer covid. Patient's PCP aware of the situation. No harm to patient.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Circumstance or information capable of leading to medication error
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- N/A
- Vorgeschichte
- N/A
- Andere Medikamente
- N/A
- Allergien
- N/A
- Vorherige Impfungen
- -
- Staat
- WI
- Alter
- 76,0
- Geschlecht
- M
- Eingang
- 16.11.2022
- Impfdatum
- 16.11.2022
- Beginn
- 16.11.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect product formulation administered
Symptomtext
Patient was supposed to receive a dose of Pfizer 12+ Bivalent vaccine, but received a dose of Pfizer 12+ Monovalent vaccine instead. Medical assistant accidentally pulled the wrong vial of Pfizer Covid. Patient's PCP is aware of the situation. No harm to patient.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- N/A
- Vorgeschichte
- N/A
- Andere Medikamente
- N/A
- Allergien
- N/A
- Vorherige Impfungen
- -
- Staat
- WI
- Alter
- 69,0
- Geschlecht
- M
- Eingang
- 16.11.2022
- Impfdatum
- 16.11.2022
- Beginn
- 16.11.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect product formulation administered
Symptomtext
Instead of receiving the Pfizer 12+ Bivalent booster like they were supposed to, they received the Pfizer 12+ Monovalent vaccine. The medical assistant accidentally pulled the wrong type of Pfizer Covid vaccine. Patient's PCP is aware of the situation.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- N/A
- Vorgeschichte
- N/A
- Andere Medikamente
- N/A
- Allergien
- N/A
- Vorherige Impfungen
- -
- Staat
- TN
- Alter
- 52,0
- Geschlecht
- M
- Eingang
- 16.11.2022
- Impfdatum
- 15.11.2022
- Beginn
- 15.11.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect product formulation administered
Symptomtext
Patient came in for covid-19 booster patient was to receive bivalent but nurse accidentally pulled monovalent. Patient was then given the vaccination. Later that evening at 4:45 Nurse manager called and informed nurse that monovalent was given instead if bivalent. Patient notified the next day on 11/16/2022 that he was given monovalent instead of bivalent and patient needs to come back into clinic to receive bivalent booster. Patient was accepting at this time.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- none
- Vorgeschichte
- none
- Andere Medikamente
- -
- Allergien
- No allergies
- Vorherige Impfungen
- -
- Staat
- NJ
- Alter
- 15,0
- Geschlecht
- F
- Eingang
- 16.11.2022
- Impfdatum
- 15.10.2022
- Beginn
- 15.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect product formulation administered
Symptomtext
The booster dose was monovalent, not bivalent
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- n/a
- Vorgeschichte
- n/a
- Andere Medikamente
- n/a
- Allergien
- n/a
- Vorherige Impfungen
- -
- Staat
- NJ
- Alter
- 15,0
- Geschlecht
- F
- Eingang
- 16.11.2022
- Impfdatum
- 15.10.2022
- Beginn
- 15.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect product formulation administered
Symptomtext
The booster dose was monovalent, not bivalent
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- no
- Aktuelle Erkrankungen
- n/a
- Vorgeschichte
- n/a
- Andere Medikamente
- n/a
- Allergien
- n/a
- Vorherige Impfungen
- -
- Staat
- NJ
- Alter
- 14,0
- Geschlecht
- M
- Eingang
- 16.11.2022
- Impfdatum
- 29.10.2022
- Beginn
- 29.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect product formulation administered
Symptomtext
The booster dose was monovalent, not bivalent
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- no
- Aktuelle Erkrankungen
- n/a
- Vorgeschichte
- n/a
- Andere Medikamente
- n/a
- Allergien
- n/a
- Vorherige Impfungen
- -
- Staat
- NJ
- Alter
- 13,0
- Geschlecht
- F
- Eingang
- 16.11.2022
- Impfdatum
- 15.10.2022
- Beginn
- 15.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect product formulation administered
Symptomtext
The booster dose was monovalent, not bivalent
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- no
- Aktuelle Erkrankungen
- n/a
- Vorgeschichte
- n/a
- Andere Medikamente
- n/a
- Allergien
- n/a
- Vorherige Impfungen
- -
- Staat
- NJ
- Alter
- 12,0
- Geschlecht
- M
- Eingang
- 16.11.2022
- Impfdatum
- 21.10.2022
- Beginn
- 21.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect product formulation administered
Symptomtext
The booster dose was monovalent, not bivalent
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- none
- Aktuelle Erkrankungen
- n/a
- Vorgeschichte
- n/a
- Andere Medikamente
- n/a
- Allergien
- n/a
- Vorherige Impfungen
- -
- Staat
- MA
- Alter
- 39,0
- Geschlecht
- M
- Eingang
- 15.11.2022
- Impfdatum
- 14.09.2022
- Beginn
- 14.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect product formulation administered
Symptomtext
Error: Wrong Vaccine Formulation (ex. Prevnar 13 v. Prevnar 23)-
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- MA
- Alter
- 61,0
- Geschlecht
- M
- Eingang
- 15.11.2022
- Impfdatum
- 14.09.2022
- Beginn
- 14.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect product formulation administered
Symptomtext
Error: Wrong Vaccine Formulation (ex. Prevnar 13 v. Prevnar 23)-
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- NY
- Alter
- 73,0
- Geschlecht
- F
- Eingang
- 15.11.2022
- Impfdatum
- 14.09.2022
- Beginn
- 14.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect product formulation administered
Symptomtext
Error: Wrong Vaccine Formulation (ex. Prevnar 13 v. Prevnar 23)-
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- MA
- Alter
- 45,0
- Geschlecht
- M
- Eingang
- 15.11.2022
- Impfdatum
- 14.09.2022
- Beginn
- 14.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect product formulation administered
Symptomtext
Error: Wrong Vaccine Formulation (ex. Prevnar 13 v. Prevnar 23)-
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- MA
- Alter
- 39,0
- Geschlecht
- F
- Eingang
- 15.11.2022
- Impfdatum
- 14.09.2022
- Beginn
- 14.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect product formulation administered
Symptomtext
Error: Wrong Vaccine Formulation (ex. Prevnar 13 v. Prevnar 23)-
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- MN
- Alter
- 69,0
- Geschlecht
- M
- Eingang
- 15.11.2022
- Impfdatum
- 01.09.2022
- Beginn
- 01.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
No adverse event
Symptomtext
Late in the day on 8/31/22, the administration rescinded the EUA order for the use of the monovalent Pfizer and Moderna vaccine as boosters for people aged 12 years and older. The information took a little time to trickle from the administration to staff and then to the staff administering vaccine. Because of this delay, some monovalent vaccine was inadvertently given after 8/31/22. The CDC stated that any monovalent vaccine administered as a booster dose after the EUA was rescinded would be considered a vaccine error. At a recent meeting, we discussed this and our medical providers stated that any monovalent vaccine given as a booster dose on 9/1/2022 or after should have VAERS report completed on them per the CDC's requirements.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 97,0
- Geschlecht
- F
- Eingang
- 13.11.2022
- Impfdatum
- 27.10.2022
- Beginn
- 27.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- IM / UN
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
Symptomtext
Wrong series was given to patient. Patient should have received Pfizer bivalent and not Pfizer monovalent.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 70,0
- Geschlecht
- F
- Eingang
- 13.11.2022
- Impfdatum
- 27.10.2022
- Beginn
- 27.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- IM / UN
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Product preparation issue
Symptomtext
Wrong series was given to patient. Patient should have received Pfizer bivalent and not Pfizer monovalent.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Product preparation issue
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 94,0
- Geschlecht
- F
- Eingang
- 13.11.2022
- Impfdatum
- 27.10.2022
- Beginn
- 27.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- IM / UN
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
Symptomtext
Wrong series was given to patient. Patient should have received Pfizer bivalent and not Pfizer monovalent.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 87,0
- Geschlecht
- F
- Eingang
- 13.11.2022
- Impfdatum
- 27.10.2022
- Beginn
- 27.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- IM / UN
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
Symptomtext
Wrong series was given to patient. Patient should have received Pfizer bivalent and not Pfizer monovalent.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 89,0
- Geschlecht
- F
- Eingang
- 13.11.2022
- Impfdatum
- 27.10.2022
- Beginn
- 27.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- IM / UN
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
Symptomtext
Wrong series was given to patient. Patient should have received Pfizer bivalent and not Pfizer monovalent.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 97,0
- Geschlecht
- M
- Eingang
- 13.11.2022
- Impfdatum
- 27.10.2022
- Beginn
- 27.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- 2
- Route/Site
- IM / UN
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
Symptomtext
Wrong series was given to patient. Patient should have received Pfizer bivalent and not Pfizer monovalent.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 68,0
- Geschlecht
- F
- Eingang
- 13.11.2022
- Impfdatum
- 27.10.2022
- Beginn
- 27.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- IM / UN
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
Symptomtext
Wrong series was given to patient. Patient should have received Pfizer bivalent and not Pfizer monovalent.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 71,0
- Geschlecht
- F
- Eingang
- 13.11.2022
- Impfdatum
- 27.10.2022
- Beginn
- 27.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- IM / UN
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
Symptomtext
Wrong series was given to patient. Patient should have received Pfizer bivalent and not Pfizer monovalent.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 76,0
- Geschlecht
- M
- Eingang
- 13.11.2022
- Impfdatum
- 27.10.2022
- Beginn
- 27.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- IM / UN
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
Symptomtext
Wrong series was given to patient. Patient should have received Pfizer bivalent and not Pfizer monovalent.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 87,0
- Geschlecht
- M
- Eingang
- 13.11.2022
- Impfdatum
- 27.10.2022
- Beginn
- 27.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- IM / UN
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
Symptomtext
Wrong series was given to patient. Patient should have received Pfizer bivalent and not Pfizer monovalent.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 81,0
- Geschlecht
- M
- Eingang
- 13.11.2022
- Impfdatum
- 27.10.2022
- Beginn
- 27.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- IM / UN
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
Symptomtext
Wrong series was given to patient. Patient should have received Pfizer bivalent and not Pfizer monovalent.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 97,0
- Geschlecht
- F
- Eingang
- 13.11.2022
- Impfdatum
- 27.10.2022
- Beginn
- 27.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- IM / UN
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
Symptomtext
Wrong series was given to patient. Patient should have received Pfizer bivalent and not Pfizer monovalent.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 95,0
- Geschlecht
- F
- Eingang
- 13.11.2022
- Impfdatum
- 27.10.2022
- Beginn
- 27.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- IM / UN
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
Symptomtext
Wrong series was given to patient. Patient should have received Pfizer bivalent and not Pfizer monovalent.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 85,0
- Geschlecht
- F
- Eingang
- 13.11.2022
- Impfdatum
- 27.10.2022
- Beginn
- 27.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- IM / UN
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
Symptomtext
Wrong series was given to patient. Patient should have received Pfizer bivalent and not Pfizer monovalent.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 91,0
- Geschlecht
- F
- Eingang
- 13.11.2022
- Impfdatum
- 27.10.2022
- Beginn
- 27.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- IM / UN
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
Symptomtext
Wrong series was given to patient. Patient should have received Pfizer bivalent and not Pfizer monovalent.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 86,0
- Geschlecht
- M
- Eingang
- 13.11.2022
- Impfdatum
- 27.10.2022
- Beginn
- 27.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- IM / UN
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
Symptomtext
Wrong series was given to patient. Patient should have received Pfizer bivalent and not Pfizer monovalent.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 85,0
- Geschlecht
- F
- Eingang
- 13.11.2022
- Impfdatum
- 27.10.2022
- Beginn
- 27.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- IM / UN
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Incorrect product formulation administered
Symptomtext
Wrong series was given to patient. Patient should have received Pfizer bivalent and not Pfizer monovalent.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- PA
- Alter
- 47,0
- Geschlecht
- M
- Eingang
- 13.11.2022
- Impfdatum
- 12.11.2022
- Beginn
- 12.11.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
Symptomtext
Administered Pfizer monovalent product instead of bivalent product
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- PA
- Alter
- 66,0
- Geschlecht
- F
- Eingang
- 13.11.2022
- Impfdatum
- 11.11.2022
- Beginn
- 11.11.2022
- Tage bis Beginn
- 0,0
- Dosis
- 5
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
Symptomtext
Administered Pfizer monovalent product instead of bivalent product
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- PA
- Alter
- 15,0
- Geschlecht
- F
- Eingang
- 13.11.2022
- Impfdatum
- 11.11.2022
- Beginn
- 11.11.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
Symptomtext
Administered Pfizer monovalent product instead of bivalent product
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- PA
- Alter
- 40,0
- Geschlecht
- F
- Eingang
- 13.11.2022
- Impfdatum
- 11.11.2022
- Beginn
- 11.11.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
Symptomtext
Administered Pfizer monovalent product instead of bivalent product
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- PA
- Alter
- 25,0
- Geschlecht
- F
- Eingang
- 13.11.2022
- Impfdatum
- 11.11.2022
- Beginn
- 11.11.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
Symptomtext
Administered Pfizer monovalent product instead of bivalent product
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- PA
- Alter
- 57,0
- Geschlecht
- F
- Eingang
- 13.11.2022
- Impfdatum
- 11.11.2022
- Beginn
- 11.11.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
Symptomtext
Administered Pfizer monovalent product instead of bivalent product
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- PA
- Alter
- 75,0
- Geschlecht
- F
- Eingang
- 13.11.2022
- Impfdatum
- 11.11.2022
- Beginn
- 11.11.2022
- Tage bis Beginn
- 0,0
- Dosis
- 5
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
Symptomtext
Administered Pfizer monovalent product instead of bivalent product
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- per patient, influenza vaccine- "hip pain for 2 days" - no additional information provided
- Staat
- PA
- Alter
- 47,0
- Geschlecht
- F
- Eingang
- 13.11.2022
- Impfdatum
- 11.11.2022
- Beginn
- 11.11.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
Symptomtext
Administered Pfizer monovalent product instead of bivalent product
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- PA
- Alter
- 77,0
- Geschlecht
- M
- Eingang
- 13.11.2022
- Impfdatum
- 11.11.2022
- Beginn
- 11.11.2022
- Tage bis Beginn
- 0,0
- Dosis
- 5
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
Symptomtext
Administered Pfizer monovalent product instead of bivalent product
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- PA
- Alter
- 52,0
- Geschlecht
- F
- Eingang
- 13.11.2022
- Impfdatum
- 11.11.2022
- Beginn
- 11.11.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
Symptomtext
Administered Pfizer monovalent product instead of bivalent product
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- PA
- Alter
- 74,0
- Geschlecht
- M
- Eingang
- 13.11.2022
- Impfdatum
- 11.11.2022
- Beginn
- 11.11.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
Symptomtext
Administered Pfizer monovalent product instead of bivalent product
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- PA
- Alter
- 62,0
- Geschlecht
- F
- Eingang
- 13.11.2022
- Impfdatum
- 11.11.2022
- Beginn
- 11.11.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
Symptomtext
Administered Pfizer monovalent product instead of bivalent product
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- MN
- Alter
- 82,0
- Geschlecht
- F
- Eingang
- 12.11.2022
- Impfdatum
- 12.11.2022
- Beginn
- 12.11.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect product formulation administered
Symptomtext
Gave pt a Pfizer monovalent vaccine instead of a bivalent pfizer vaccine as syring was labelled incorrectly
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- hyperlipedemia, impaired fasting glucose, melanoma
- Vorgeschichte
- hyperlipedemia, impaired fasting glucose, melanoma
- Andere Medikamente
- Aspirin, biotin, fish oil, multivitamin, ,metamucil,red yeast rice, Vitamin C
- Allergien
- NKA
- Vorherige Impfungen
- -
- Staat
- WI
- Alter
- 12,0
- Geschlecht
- F
- Eingang
- 11.11.2022
- Impfdatum
- 01.11.2022
- Beginn
- 01.11.2022
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Expired product administered
No adverse event
Symptomtext
Expired vaccine given no adverse event
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Expired product administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- WI
- Alter
- 15,0
- Geschlecht
- M
- Eingang
- 11.11.2022
- 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: unbekannt
Expired product administered
No adverse event
Symptomtext
Expired vaccine given no adverse event
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Expired product administered
- Hospital-Tage
- -
- Labordaten
- N/A
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- WI
- Alter
- 18,0
- Geschlecht
- U
- Eingang
- 11.11.2022
- Impfdatum
- 04.11.2022
- Beginn
- 04.11.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Expired product administered
No adverse event
Symptomtext
Expired vaccine given no adverse event.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Expired product administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- WI
- Alter
- 13,0
- Geschlecht
- U
- Eingang
- 11.11.2022
- Impfdatum
- 01.11.2022
- Beginn
- 01.11.2022
- Tage bis Beginn
- 0,0
- Dosis
- 2
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Expired product administered
No adverse event
Symptomtext
Expired vaccine give no adverse event
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Expired product administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- PA
- Alter
- 8,0
- Geschlecht
- F
- Eingang
- 11.11.2022
- Impfdatum
- 11.11.2022
- Beginn
- 11.11.2022
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Incorrect dose administered
Symptomtext
ADULT DOSE GIVEN INSTEAD OF PEDIATRIC
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect dose administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- PR
- Alter
- 26,0
- Geschlecht
- M
- Eingang
- 11.11.2022
- Impfdatum
- 03.10.2022
- Beginn
- 03.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- SYR / AR
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Product storage error
Symptomtext
Vaccine was exposed to storage temperatures outside of the recommended ranges
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Product storage error
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- -
- Alter
- 58,0
- Geschlecht
- M
- Eingang
- 11.11.2022
- Impfdatum
- 11.11.2022
- Beginn
- 11.11.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- IM / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect product formulation administered
Symptomtext
Primary series Pfizer vaccine administered mistakenly instead of the bivalent booster as intended.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- RI
- Alter
- 73,0
- Geschlecht
- M
- Eingang
- 10.11.2022
- Impfdatum
- 04.11.2022
- Beginn
- 04.11.2022
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
Symptomtext
Patient ordered to receive Bivalent vaccine during hospitalization. When preparing batch of bivalent vaccines, pharmacy erroneously used a monovalent vial and subsequently labeled as bivalent. As a result, patient received the monovalent vaccine when they were intended to receive bivalent.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- RI
- Alter
- 77,0
- Geschlecht
- M
- Eingang
- 10.11.2022
- Impfdatum
- 04.11.2022
- Beginn
- 04.11.2022
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
Symptomtext
Patient ordered to receive Bivalent vaccine during hospitalization. When preparing batch of bivalent vaccines, pharmacy erroneously used a monovalent vial and subsequently labeled as bivalent. As a result, patient received the monovalent vaccine when they were intended to receive bivalent.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- RI
- Alter
- 66,0
- Geschlecht
- F
- Eingang
- 10.11.2022
- Impfdatum
- 04.11.2022
- Beginn
- 04.11.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
Symptomtext
Patient ordered to receive Bivalent vaccine during hospitalization. When preparing batch of bivalent vaccines, pharmacy erroneously used a monovalent vial and subsequently labeled as bivalent. As a result, patient received the monovalent vaccine when they were intended to receive bivalent.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- RI
- Alter
- 58,0
- Geschlecht
- F
- Eingang
- 10.11.2022
- Impfdatum
- 04.11.2022
- Beginn
- 04.11.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
Symptomtext
Patient ordered to receive Bivalent vaccine during hospitalization. When preparing batch of bivalent vaccines, pharmacy erroneously used a monovalent vial and but labeled as bivalent. As a result, patient received the monovalent vaccine when they were intended to receive bivalent.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- RI
- Alter
- 30,0
- Geschlecht
- M
- Eingang
- 09.11.2022
- Impfdatum
- 04.11.2022
- Beginn
- 04.11.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
Symptomtext
Patient was ordered to receive the Pfizer-BioNTech Bivalent Booster vaccine during their hospitalization. Bivalent vaccines were prepared in batch, however a monovalent vial was erroneously used and thus the prepared vaccines were monovalent but labelled as bivalent. Monovalent vaccine was subsequently dispensed and administered to patient when patient was ordered for bivalent vaccine.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- CO
- Alter
- 27,0
- Geschlecht
- F
- Eingang
- 08.11.2022
- Impfdatum
- 01.08.2022
- Beginn
- 01.08.2022
- Tage bis Beginn
- 0,0
- Dosis
- 2
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect dose administered
Symptomtext
PT GIVEN 0.5ML AND SHOULD HAVE BEEN 0.3ML
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect dose administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- CO
- Alter
- 61,0
- Geschlecht
- M
- Eingang
- 08.11.2022
- Impfdatum
- 01.08.2022
- Beginn
- 01.08.2022
- Tage bis Beginn
- 0,0
- Dosis
- 2
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect dose administered
Symptomtext
PT WAS GIVEN INCORRECT DOSE. GIVEN 0.5ML SHOULD HAVE HAD 0.3ML
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect dose administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- CO
- Alter
- 64,0
- Geschlecht
- F
- Eingang
- 08.11.2022
- Impfdatum
- 01.08.2022
- Beginn
- 01.08.2022
- Tage bis Beginn
- 0,0
- Dosis
- 2
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect dose administered
Symptomtext
PT WAS GIVEN 0.5ML INSTEAD OF THE STANDARD DOSE FOR PFIZER OF 0.3ML
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect dose administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- CO
- Alter
- 26,0
- Geschlecht
- F
- Eingang
- 08.11.2022
- Impfdatum
- 01.08.2022
- Beginn
- 01.08.2022
- Tage bis Beginn
- 0,0
- Dosis
- 2
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect dose administered
Symptomtext
pt was given incorrect dosing. was supposed to get 0.3ml and was given 0.5ml
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect dose administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- PR
- Alter
- 32,0
- Geschlecht
- F
- Eingang
- 07.11.2022
- Impfdatum
- 29.09.2022
- Beginn
- 29.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- SYR / AR
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Product storage error
Symptomtext
Vaccine was exposed to storage temperatures outside the recommended ranges. Patient did not need any treatment and did not have any symptom.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Product storage error
- Hospital-Tage
- -
- Labordaten
- N/A
- Aktuelle Erkrankungen
- N/A
- Vorgeschichte
- N/A
- Andere Medikamente
- N/A
- Allergien
- N/A
- Vorherige Impfungen
- -
- Staat
- PR
- Alter
- 40,0
- Geschlecht
- M
- Eingang
- 07.11.2022
- Impfdatum
- 04.10.2022
- Beginn
- 04.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- - / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Product storage error
Symptomtext
Vaccine was exposed to storage temperatures outside the recommended ranges. Patient did not need any treatment and did not have any symptom.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Product storage error
- Hospital-Tage
- -
- Labordaten
- N/A
- Aktuelle Erkrankungen
- N/A
- Vorgeschichte
- N/A
- Andere Medikamente
- N/A
- Allergien
- N/A
- Vorherige Impfungen
- -
- Staat
- NJ
- Alter
- 12,0
- Geschlecht
- F
- Eingang
- 06.11.2022
- Impfdatum
- 02.11.2022
- Beginn
- 02.11.2022
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Wrong product administered
Symptomtext
Error: Wrong Vaccine/Product Administered-
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Wrong product administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- NJ
- Alter
- 70,0
- Geschlecht
- M
- Eingang
- 06.11.2022
- Impfdatum
- 02.11.2022
- Beginn
- 02.11.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Wrong product administered
Symptomtext
Error: Wrong Vaccine/Product Administered-
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Wrong product administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- CA
- Alter
- 12,0
- Geschlecht
- M
- Eingang
- 04.11.2022
- Impfdatum
- 31.10.2022
- Beginn
- 31.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Incorrect product formulation administered
Symptomtext
Patient received Pfizer Monovalent Instead of Pfizer Bivalent.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- n/a
- Aktuelle Erkrankungen
- N/A
- Vorgeschichte
- N/A
- Andere Medikamente
- N/A
- Allergien
- NO
- Vorherige Impfungen
- -
- Staat
- CA
- Alter
- 12,0
- Geschlecht
- F
- Eingang
- 04.11.2022
- 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
Incorrect product formulation administered
Symptomtext
On 10/31/2022 the patient was given Pfizer Monovalent instead of Bivalent
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- N/A
- Aktuelle Erkrankungen
- N/A
- Vorgeschichte
- N/A
- Andere Medikamente
- N/A
- Allergien
- NO
- Vorherige Impfungen
- -
- Staat
- CA
- Alter
- 45,0
- Geschlecht
- F
- Eingang
- 04.11.2022
- 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
Incorrect product formulation administered
Symptomtext
On 10/31/2022 patient was given Monovalent Pfizer vaccine Instead of Pfizer bivalent.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- N/A
- Aktuelle Erkrankungen
- N/A
- Vorgeschichte
- UNK
- Andere Medikamente
- N/A
- Allergien
- N/A
- Vorherige Impfungen
- -
- Staat
- VA
- Alter
- 38,0
- Geschlecht
- M
- Eingang
- 03.11.2022
- Impfdatum
- 30.10.2022
- Beginn
- 30.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- 2
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Expired product administered
Symptomtext
Error: Expired Product Administered-
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Expired product administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- VA
- Alter
- 32,0
- Geschlecht
- F
- Eingang
- 03.11.2022
- Impfdatum
- 30.10.2022
- Beginn
- 30.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- 2
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Expired product administered
Symptomtext
Error: Expired Product Administered-
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Expired product administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 77,0
- Geschlecht
- M
- Eingang
- 02.11.2022
- Impfdatum
- 02.09.2022
- Beginn
- 02.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Incorrect product formulation administered
No adverse event
Symptomtext
Monovalent Covid-19 (Pfizer and Moderna) boosters were administered to 24 patients after FDA removed their authorization; these errors occured from 9/1/22 to 9/7/2022. No more monovalent booster vaccines administeredafter we received the Bivalent Boosters on 9/8/2022. No adverse event noted.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- unknown
- Vorgeschichte
- unknown
- Andere Medikamente
- unknown
- Allergien
- unknown
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 55,0
- Geschlecht
- F
- Eingang
- 02.11.2022
- Impfdatum
- 02.09.2022
- Beginn
- 02.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Incorrect product formulation administered
No adverse event
Symptomtext
Monovalent Covid-19 (Pfizer and Moderna) boosters were administered to 24 patients after FDA removed their authorization; these errors occured from 9/1/22 to 9/7/2022. No more monovalent booster vaccines administeredafter we received the Bivalent Boosters on 9/8/2022. No adverse event noted.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- unknown
- Vorgeschichte
- unknown
- Andere Medikamente
- unknown
- Allergien
- unknown
- Vorherige Impfungen
- -
- Staat
- PA
- Alter
- 75,0
- Geschlecht
- M
- Eingang
- 02.11.2022
- Impfdatum
- 19.10.2022
- Beginn
- 19.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Wrong product administered
Symptomtext
The wrong vaccine was given to the patient.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Wrong product administered
- Hospital-Tage
- -
- Labordaten
- None.
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- Benign prostatic hyperplasia without lower urinary tract symptoms Hearing loss Mixed hyperlipidemia Coronary artery disease involving native coronary artery of native heart without angina Pectoris History of coronary artery bypass graft Elevated PSA Lumbar radiculopathy
- Andere Medikamente
- Dutasteride (AVODART) Ezetimibe (ZETIA) Metoprolol tartrate (LOPRESSOR) Atorvastatin (LIPITOR) Nitroglycerin (NITROSTAT) Psyllium Husk-Aspartame (METAMUCIL MULTIHEALTH FIBER) Cholecalciferol (VITAMIN D-3) Loratadine (CLARITIN) Aspir
- Allergien
- Levofloxacin Pollens Environmental Allergens
- Vorherige Impfungen
- -
- Staat
- NV
- Alter
- 63,0
- Geschlecht
- F
- Eingang
- 01.11.2022
- Impfdatum
- 31.10.2022
- Beginn
- 31.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect product formulation administered
Symptomtext
Monovalent vaccine given as booster. No tx.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- None
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- Hypertension
- Andere Medikamente
- Chantix, Hydrocortisone, Lisinopril
- Allergien
- None
- Vorherige Impfungen
- -
- Staat
- WI
- Alter
- 14,0
- Geschlecht
- M
- Eingang
- 01.11.2022
- 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: unbekannt
Expired product administered
Symptomtext
Covid vaccine had expired on 10/24/22, given on 10/31/22
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Expired product administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- CO
- Alter
- 73,0
- Geschlecht
- F
- Eingang
- 31.10.2022
- Impfdatum
- 31.10.2022
- Beginn
- 31.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- 2
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Expired product administered
Symptomtext
Vaccine was opened for more than the 12 hour time frame, so vaccine was expired.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Expired product administered
- Hospital-Tage
- -
- Labordaten
- N/A
- Aktuelle Erkrankungen
- N/A
- Vorgeschichte
- Chronic bilateral low back pain with sciatica Elevated TSH Facial tic Polymyalgia arteritica (CMS-HCC) Single kidney Screening for colon cancer Unexplained night sweats Bilateral leg edema Age-related osteoporosis without current pathological fracture Lumbar stenosis with neurogenic claudication DDD (degenerative disc disease), cervical Gastroesophageal reflux disease without esophagitis Hypercholesterolemia Overweight Unilateral headache TMJ pain dysfunction syndrome Migraine with vertigo Daytime hypersomnolence Gait instability
- Andere Medikamente
- Multivitamin
- Allergien
- Amitriptyline Duloxetine Hydromorphone Oxycodone Prednisone Sulfa (Sulfonamide Antibiotics) Yellow Dye
- Vorherige Impfungen
- -
- Staat
- RI
- Alter
- 24,0
- Geschlecht
- M
- Eingang
- 31.10.2022
- Impfdatum
- 31.10.2022
- Beginn
- 31.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- IM / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
Symptomtext
Patient was given the Covid 19 vaccine instead of covid 19 Bivalent . The incorrect vial (standard covid 19, 12 and up) was taken out of fridge and placed with the Bivalent vaccine bin. In error a fourth dose was given to patient. It was discovered half hour after patient left when going to use vial for another patient by reviewing lot number and description on vial
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- MA
- Alter
- 59,0
- Geschlecht
- M
- Eingang
- 28.10.2022
- Impfdatum
- 24.10.2022
- Beginn
- 24.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- 5
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Incorrect product formulation administered
Symptomtext
Patient was due to receive the Pfizer Bivalent Booster. Instead, the Monovalent was administered in error.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- GERD, Myopia
- Andere Medikamente
- -
- Allergien
- NKDA
- Vorherige Impfungen
- -
- Staat
- AZ
- Alter
- 28,0
- Geschlecht
- F
- Eingang
- 28.10.2022
- Impfdatum
- 06.10.2022
- Beginn
- 06.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect product formulation administered
Symptomtext
Patient given monovalent pfizer covid vaccine instead of pfizer bivalent for booster
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- n/a
- Aktuelle Erkrankungen
- n/a
- Vorgeschichte
- asthma
- Andere Medikamente
- flovent ,certirizine, vitamin D, albuterol
- Allergien
- nkma
- Vorherige Impfungen
- -
- Staat
- MA
- Alter
- 54,0
- Geschlecht
- F
- Eingang
- 27.10.2022
- Impfdatum
- 21.10.2022
- Beginn
- 21.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- 5
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
Symptomtext
Pfizer Biotech COVID-19 mRNA Tris Su given instead of Pfizer COVID-19 Bivalent
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- MA
- Alter
- 64,0
- Geschlecht
- F
- Eingang
- 27.10.2022
- Impfdatum
- 21.10.2022
- Beginn
- 21.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- 5
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
Symptomtext
Pfizer Biotech COVID-19 mRNA Tris Su given instead of Pfizer COVID-19 Bivalent
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- MA
- Alter
- 55,0
- Geschlecht
- M
- Eingang
- 27.10.2022
- Impfdatum
- 21.10.2022
- Beginn
- 21.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- 5
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
Symptomtext
Pfizer Biotech COVID-19 mRNA given instead of Pfizer COVID-19 Bivalent.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- NY
- Alter
- 47,0
- Geschlecht
- F
- Eingang
- 27.10.2022
- Impfdatum
- 21.10.2022
- Beginn
- 21.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- 5
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
Symptomtext
Pfizer Biotech COVID-19 mRNA given instead of Pfizer COVID-19 Bivalent
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- MA
- Alter
- 63,0
- Geschlecht
- F
- Eingang
- 27.10.2022
- Impfdatum
- 21.10.2022
- Beginn
- 21.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- 5
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
Symptomtext
Pfizer Biotech COVID-19 mRNA Tris Su given instead of Pfizer COVID-19 Bivalent
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- MA
- Alter
- 59,0
- Geschlecht
- F
- Eingang
- 27.10.2022
- Impfdatum
- 21.10.2022
- Beginn
- 21.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- 5
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
Symptomtext
Pfizer Biotech COVID-19 mRNA given instead of Pfizer COVID-19 Bivalent
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 53,0
- Geschlecht
- F
- Eingang
- 27.10.2022
- Impfdatum
- 02.09.2022
- Beginn
- 02.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Incorrect product formulation administered
No adverse event
Symptomtext
Monovalent Covid-19 (Pfizer and Moderna) boosters were administered to 24 patients after FDA removed their authorization; these errors occured from 9/1/22 to 9/7/2022. No more monovalent booster vaccines administeredafter we received the Bivalent Boosters on 9/8/2022. No adverse event noted. RN.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- UNKNOWN
- Vorgeschichte
- Hyperlipidemia; Menopausal disorder
- Andere Medikamente
- unknown
- Allergien
- unknown
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 59,0
- Geschlecht
- F
- Eingang
- 27.10.2022
- Impfdatum
- 02.09.2022
- Beginn
- 02.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Incorrect product formulation administered
No adverse event
Symptomtext
Monovalent Covid-19 (Pfizer and Moderna) boosters were administered to 24 patients after FDA removed their authorization; these errors occured from 9/1/22 to 9/7/2022. No more monovalent booster vaccines administeredafter we received the Bivalent Boosters on 9/8/2022. No adverse event noted. RN.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- unknown
- Vorgeschichte
- unknown
- Andere Medikamente
- unknown
- Allergien
- unknown
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 61,0
- Geschlecht
- F
- Eingang
- 27.10.2022
- Impfdatum
- 02.09.2022
- Beginn
- 02.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Incorrect product formulation administered
No adverse event
Symptomtext
Monovalent Covid-19 (Pfizer and Moderna) boosters were administered to 24 patients after FDA removed their authorization; these errors occured from 9/1/22 to 9/7/2022. No more monovalent booster vaccines administeredafter we received the Bivalent Boosters on 9/8/2022. No adverse event noted. RN.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- unknown
- Vorgeschichte
- unknown
- Andere Medikamente
- unknown
- Allergien
- unknown
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 76,0
- Geschlecht
- M
- Eingang
- 27.10.2022
- Impfdatum
- 06.09.2022
- Beginn
- 06.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Incorrect product formulation administered
No adverse event
Symptomtext
Monovalent Covid-19 (Pfizer and Moderna) boosters were administered to 24 patients after FDA removed their authorization; these errors occured from 9/1/22 to 9/7/2022. No more monovalent booster vaccines administeredafter we received the Bivalent Boosters on 9/8/2022. No adverse event noted. RN.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- unknown
- Vorgeschichte
- Diabetes; Hypertension; Hypothyroidism; Obesity
- Andere Medikamente
- unknown
- Allergien
- Lamisil
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 61,0
- Geschlecht
- F
- Eingang
- 27.10.2022
- Impfdatum
- 06.09.2022
- Beginn
- 06.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Incorrect product formulation administered
No adverse event
Symptomtext
Monovalent Covid-19 (Pfizer and Moderna) boosters were administered to 24 patients after FDA removed their authorization; these errors occured from 9/1/22 to 9/7/2022. No more monovalent booster vaccines administeredafter we received the Bivalent Boosters on 9/8/2022. No adverse event noted. RN.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- unknown
- Vorgeschichte
- T2DM; Hypertension; Hyperlipidemia
- Andere Medikamente
- unknown
- Allergien
- unknown
- Vorherige Impfungen
- -
- Staat
- MA
- Alter
- 55,0
- Geschlecht
- M
- Eingang
- 27.10.2022
- Impfdatum
- 21.10.2022
- Beginn
- 21.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- 5
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
Symptomtext
Pfizer Biotech COVID-19 mRNA Tris Su given instead of Pfizer COVID-19 Bivalent
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 65,0
- Geschlecht
- F
- Eingang
- 27.10.2022
- Impfdatum
- 01.09.2022
- Beginn
- 01.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Incorrect product formulation administered
No adverse event
Symptomtext
Monovalent Covid-19 (Pfizer and Moderna) boosters were administered to 24 patients after FDA removed their authorization; these errors occured from 9/1/22 to 9/7/2022. No more monovalent booster vaccines administeredafter we received the Bivalent Boosters on 9/8/2022. No adverse event noted. RN.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- T2DM; Vit D deficiency; Fibromyalgia; Hypothyroidism; OA; Anxiety; Depression; Neuropathy; Hypertension; high choleste
- Andere Medikamente
- Ibuprofen
- Allergien
- Hydrocodon Bitartrate; Iodine
- Vorherige Impfungen
- -
- Staat
- WI
- Alter
- 75,0
- Geschlecht
- M
- Eingang
- 27.10.2022
- Impfdatum
- 19.09.2022
- Beginn
- 19.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 2
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Interchange of vaccine products
Wrong product administered
Symptomtext
Patient was given the incorrect type of covid vaccine as his second primary dose. Patient started series with Moderna monovalent, however was given Pfizer monovalent as second vaccine. Primary series should not be mixed.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Interchange of vaccine products
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- WA
- Alter
- 68,0
- Geschlecht
- M
- Eingang
- 26.10.2022
- Impfdatum
- 25.10.2022
- Beginn
- 25.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Expired product administered
No adverse event
Symptomtext
Pfizer Primary dose was administered beyond the use date. Vaccine was moved from dry ice, to refrigeration on 8/8/2022. Beyond Use Date was 10/17/2022. Vaccine was administered 10/25/2022 No reported adverse effects. Pfizer was notified and reports of the incident were emailed on 10/26/2022 Patient is a resident of a long term care facility. Vaccination occurred at a Vaccine clinic at that location on 10/25/2022 Patient also received an influenza vaccine on the same date, administered by the Long Term Care facility personnel
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Expired product administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- FL
- Alter
- 39,0
- Geschlecht
- F
- Eingang
- 26.10.2022
- Impfdatum
- 26.10.2022
- Beginn
- 26.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Unevaluable event
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Unevaluable event
- Hospital-Tage
- -
- Labordaten
- none
- Aktuelle Erkrankungen
- morbid obesity, multiple sclerosis,
- Vorgeschichte
- mental health illness , multiple sclerosis
- Andere Medikamente
- Lexapro 10 mg tab, Alprazolam 0.5 mg tab, Ergocalciferol 1.25 mg
- Allergien
- n.k.d.a
- Vorherige Impfungen
- -
- Staat
- OH
- Alter
- 84,0
- Geschlecht
- M
- Eingang
- 26.10.2022
- Impfdatum
- 18.10.2022
- Beginn
- 18.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- 5
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect product formulation administered
No adverse event
Symptomtext
Patient received monovalent Pfizer instead of bivalent Pfizer. No adverse side effects to report at this time.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- OH
- Alter
- 52,0
- Geschlecht
- F
- Eingang
- 26.10.2022
- Impfdatum
- 18.10.2022
- Beginn
- 18.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect product formulation administered
No adverse event
Symptomtext
Patient received monovalent Pfizer instead of bivalent Pfizer. No adverse side effects reported at this time.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- OH
- Alter
- 77,0
- Geschlecht
- M
- Eingang
- 26.10.2022
- Impfdatum
- 18.10.2022
- Beginn
- 18.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- 5
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect product formulation administered
No adverse event
Symptomtext
Patient received monovalent Pfizer instead of bivalent Pfizer. No adverse side effects to report.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- OH
- Alter
- 36,0
- Geschlecht
- M
- Eingang
- 26.10.2022
- Impfdatum
- 18.10.2022
- Beginn
- 18.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect product formulation administered
No adverse event
Symptomtext
Patient received monovalent Pfizer instead of bivalent Pfizer. No adverse side effects to report.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- OH
- Alter
- 68,0
- Geschlecht
- F
- Eingang
- 26.10.2022
- Impfdatum
- 18.10.2022
- Beginn
- 18.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- 5
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect product formulation administered
No adverse event
Symptomtext
Patient received monovalent Pfizer instead of bivalent Pfizer. No adverse side effects to report.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- OH
- Alter
- 31,0
- Geschlecht
- M
- Eingang
- 26.10.2022
- Impfdatum
- 18.10.2022
- Beginn
- 18.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect product formulation administered
No adverse event
Symptomtext
Patient received monovalent Pfizer instead of bivalent Pfizer. No adverse side effects occured.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- OH
- Alter
- 65,0
- Geschlecht
- F
- Eingang
- 26.10.2022
- Impfdatum
- 18.10.2022
- Beginn
- 18.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- 5
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
No adverse event
Symptomtext
Patient is not experiencing adverse event.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- No adverse event
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 60,0
- Geschlecht
- M
- Eingang
- 25.10.2022
- Impfdatum
- 07.09.2022
- Beginn
- 07.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
Symptomtext
Monovalent COVID 19 Booster Vaccine was administered incorrectly, since the FDA removed the authorization.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 83,0
- Geschlecht
- F
- Eingang
- 25.10.2022
- Impfdatum
- 07.09.2022
- Beginn
- 07.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Incorrect product formulation administered
Symptomtext
Monovalent COVID 19 Booster Vaccine was administered incorrectly, since the FDA removed the authorization.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 82,0
- Geschlecht
- F
- Eingang
- 25.10.2022
- Impfdatum
- 07.09.2022
- Beginn
- 07.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Incorrect product formulation administered
Symptomtext
Monovalent COVID 19 Booster Vaccine was administered incorrectly, since the drug agency removed the authorization.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 76,0
- Geschlecht
- M
- Eingang
- 25.10.2022
- Impfdatum
- 07.09.2022
- Beginn
- 07.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
Symptomtext
Monovalent COVID 19 Booster Vaccine was administered incorrectly, since the FDA removed the authorization.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- NE
- Alter
- 64,0
- Geschlecht
- F
- Eingang
- 25.10.2022
- Impfdatum
- 18.10.2022
- Beginn
- 18.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Extra dose administered
Inappropriate schedule of product administration
Interchange of vaccine products
Symptomtext
Patient reported that they had never received a COVID vaccine before. RN administered dose one in the primary Pfizer series per patient request. RN later determined that patient has received previous covid vaccinations on the following: 7/6/21 Pfizer Primary LOT EW0196 7/18/21 Janssen LOT 1A2288 4/8/22 Pfizer Primary LOT FK9893 10/10/22 Pfizer Bivalent LOT FP7138
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Extra dose administered
- Hospital-Tage
- -
- Labordaten
- Unknown
- Aktuelle Erkrankungen
- Unknown
- Vorgeschichte
- Unknown
- Andere Medikamente
- Unknown
- Allergien
- Unknown
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 72,0
- Geschlecht
- M
- Eingang
- 25.10.2022
- Impfdatum
- 07.09.2022
- Beginn
- 07.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Incorrect product formulation administered
Symptomtext
Monovalent COVID 19 Booster Vaccine was administered incorrectly, since the FDA removed the authorization to use it as a booster.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 33,0
- Geschlecht
- M
- Eingang
- 23.10.2022
- Impfdatum
- 06.09.2022
- Beginn
- 06.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
No adverse event
Symptomtext
Our patient received a Pfizer monovalent COVID vaccine on 9/6 as their booster dose. Patient had no adverse reaction. On August 31, 2022, the Food and Drug Administration (FDA) amended emergency use authorizations (EUAs) of the Pfizer and Moderna COVID-19 vaccines to authorize updated, bivalent formulations of the vaccines for use as a single booster dose. The FDA has removed the authorization to use the original monovalent Moderna and Pfizer COVID-19 vaccines as boosters for adults and adolescents. This means, individuals 12 years and older can no longer be given booster doses with the original monovalent COVID-19 vaccines.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- no
- Vorgeschichte
- -
- Andere Medikamente
- no
- Allergien
- None
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 22,0
- Geschlecht
- F
- Eingang
- 23.10.2022
- Impfdatum
- 01.09.2022
- Beginn
- 01.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
No adverse event
Symptomtext
Our patient received a Pfizer monovalent COVID vaccine on 9/1 as their booster dose. Patient had no adverse reaction. On August 31, 2022, the Food and Drug Administration (FDA) amended emergency use authorizations (EUAs) of the Pfizer and Moderna COVID-19 vaccines to authorize updated, bivalent formulations of the vaccines for use as a single booster dose. The FDA has removed the authorization to use the original monovalent Moderna and Pfizer COVID-19 vaccines as boosters for adults and adolescents. This means, individuals 12 years and older can no longer be given booster doses with the original monovalent COVID-19 vaccines.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- None
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 16,0
- Geschlecht
- F
- Eingang
- 23.10.2022
- Impfdatum
- 31.08.2022
- Beginn
- 31.08.2022
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
No adverse event
Symptomtext
Our patient received a Pfizer monovalent COVID vaccine on 8/31 as their booster dose. Patient had no adverse reaction. On August 31, 2022, the Administration amended emergency use authorizations of the Pfizer and Moderna COVID-19 vaccines to authorize updated, bivalent formulations of the vaccines for use as a single booster dose. The Administration has removed the authorization to use the original monovalent Moderna and Pfizer COVID-19 vaccines as boosters for adults and adolescents. This means, individuals 12 years and older can no longer be given booster doses with the original monovalent COVID-19 vaccines.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- none
- Allergien
- no
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 27,0
- Geschlecht
- F
- Eingang
- 23.10.2022
- Impfdatum
- 02.09.2022
- Beginn
- 02.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
No adverse event
Symptomtext
Our patient received a Pfizer monovalent COVID vaccine on 8/31 as their booster dose. Patient had no adverse reaction. On August 31, 2022, the Food and Drug Administration (FDA) amended emergency use authorizations (EUAs) of the Pfizer and Moderna COVID-19 vaccines to authorize updated, bivalent formulations of the vaccines for use as a single booster dose. The FDA has removed the authorization to use the original monovalent Moderna and Pfizer COVID-19 vaccines as boosters for adults and adolescents. This means, individuals 12 years and older can no longer be given booster doses with the original monovalent COVID-19 vaccines.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- NA
- Vorgeschichte
- NA
- Andere Medikamente
- -
- Allergien
- None
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 14,0
- Geschlecht
- F
- Eingang
- 23.10.2022
- Impfdatum
- 01.09.2022
- Beginn
- 01.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
No adverse event
Symptomtext
Our patient received a Pfizer monovalent COVID vaccine on 8/31 as their booster dose. Patient had no adverse reaction. On August 31, 2022, the Food and Drug Administration (FDA) amended emergency use authorizations (EUAs) of the Pfizer and Moderna COVID-19 vaccines to authorize updated, bivalent formulations of the vaccines for use as a single booster dose. The FDA has removed the authorization to use the original monovalent Moderna and Pfizer COVID-19 vaccines as boosters for adults and adolescents. This means, individuals 12 years and older can no longer be given booster doses with the original monovalent COVID-19 vaccines.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- None
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 13,0
- Geschlecht
- F
- Eingang
- 23.10.2022
- Impfdatum
- 02.09.2022
- Beginn
- 02.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
No adverse event
Symptomtext
Our patient received a Pfizer monovalent COVID vaccine on 8/31 as their booster dose. Patient had no adverse reaction. On August 31, 2022, the Drug Administration amended emergency use authorizations (EUAs) of the Pfizer and Moderna COVID-19 vaccines to authorize updated, bivalent formulations of the vaccines for use as a single booster dose. The have removed the authorization to use the original monovalent Moderna and Pfizer COVID-19 vaccines as boosters for adults and adolescents. This means, individuals 12 years and older can no longer be given booster doses with the original monovalent COVID-19 vaccines.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- none
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- none
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 12,0
- Geschlecht
- F
- Eingang
- 23.10.2022
- Impfdatum
- 31.08.2022
- Beginn
- 31.08.2022
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
No adverse event
Symptomtext
Our patient received a Pfizer monovalent COVID vaccine on 8/31 as their booster dose. Patient had no adverse reaction. On August 31, 2022, the Food and Drug Administration (FDA) amended emergency use authorizations (EUAs) of the Pfizer and Moderna COVID-19 vaccines to authorize updated, bivalent formulations of the vaccines for use as a single booster dose. The FDA has removed the authorization to use the original monovalent Moderna and Pfizer COVID-19 vaccines as boosters for adults and adolescents. This means, individuals 12 years and older can no longer be given booster doses with the original monovalent COVID-19 vaccines.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- -
- Andere Medikamente
- NA
- Allergien
- Ibuprofen
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 16,0
- Geschlecht
- F
- Eingang
- 23.10.2022
- Impfdatum
- 31.08.2022
- Beginn
- 01.08.2022
- Tage bis Beginn
- -
- Dosis
- 3
- Route/Site
- IM / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
Symptomtext
Our patient received a Pfizer monovalent COVID vaccine on 8/31 as their booster dose. Patient had no adverse reaction. On August 31, 2022, the Food and Drug Administration (FDA) amended emergency use authorizations (EUAs) of the Pfizer and Moderna COVID-19 vaccines to authorize updated, bivalent formulations of the vaccines for use as a single booster dose. The FDA has removed the authorization to use the original monovalent Moderna and Pfizer COVID-19 vaccines as boosters for adults and adolescents. This means, individuals 12 years and older can no longer be given booster doses with the original monovalent COVID-19 vaccines.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- NA
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- HI
- Alter
- 31,0
- Geschlecht
- M
- Eingang
- 22.10.2022
- Impfdatum
- 17.10.2022
- Beginn
- 17.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- 2
- Route/Site
- IM / UN
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Expired product administered
Symptomtext
Error: Expired Product Administered-
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Expired product administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- AR
- Alter
- 19,0
- Geschlecht
- M
- Eingang
- 21.10.2022
- Impfdatum
- 21.10.2022
- Beginn
- 21.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Expired product administered
Symptomtext
Patient was administered vaccine after expiration date.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Expired product administered
- Hospital-Tage
- -
- Labordaten
- N/A
- Aktuelle Erkrankungen
- Unknown
- Vorgeschichte
- Unknown
- Andere Medikamente
- Unknown
- Allergien
- Unknown
- Vorherige Impfungen
- -
- Staat
- AR
- Alter
- 21,0
- Geschlecht
- M
- Eingang
- 21.10.2022
- Impfdatum
- 21.10.2022
- Beginn
- 21.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Expired product administered
Symptomtext
Patient administered vaccine after expiration date.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Expired product administered
- Hospital-Tage
- -
- Labordaten
- N/A
- Aktuelle Erkrankungen
- Unknown
- Vorgeschichte
- Unknown
- Andere Medikamente
- Unknown
- Allergien
- Unknown
- Vorherige Impfungen
- -
- Staat
- WI
- Alter
- 60,0
- Geschlecht
- M
- Eingang
- 21.10.2022
- Impfdatum
- 01.09.2022
- Beginn
- 01.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
Vaccination error
Symptomtext
Late in the day on 8/31/22, the FDA rescinded the EUA order for the use of the monovalent Pfizer and Moderna vaccine as boosters for people aged 12 years and older. The information took a little time to trickle from the local authority to staff and then to our facility and the staff administering vaccine. Because of this delay, some monovalent vaccine throughout our facility was inadvertently given after 8/31/22. The CDC stated that any monovalent vaccine administered as a booster dose after the EUA was rescinded would be considered a vaccine error. At a recent Immunization Subcommittee meeting, we discussed this and our medical providers stated that any monovalent vaccine given as a booster dose on 9/1/2022 or after should have VAERS report completed on them per the CDC's requirements.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- GA
- Alter
- 69,0
- Geschlecht
- M
- Eingang
- 21.10.2022
- Impfdatum
- 13.10.2022
- Beginn
- 13.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
No adverse event
Symptomtext
NO ADVERSE REACTIONS REPORTED
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- No adverse event
- Hospital-Tage
- -
- Labordaten
- N/A
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- PT IS A RESIDENT OF NURSING HOME FACILITY
- Andere Medikamente
- -
- Allergien
- NKA
- Vorherige Impfungen
- -
- Staat
- WI
- Alter
- 65,0
- Geschlecht
- F
- Eingang
- 21.10.2022
- Impfdatum
- 01.09.2022
- Beginn
- 01.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
Vaccination error
Symptomtext
Late in the day on 8/31/22, the FDA rescinded the EUA order for the use of the monovalent Pfizer and Moderna vaccine as boosters for people aged 12 years and older. The information took a little time to trickle from the Federal Government to DHS staff and then to the staff administering vaccine. Because of this delay, some monovalent vaccine throughout clinic was inadvertently given after 8/31/22. The CDC stated that any monovalent vaccine administered as a booster dose after the EUA was rescinded would be considered a vaccine error. At a recent Immunization Subcommittee meeting, we discussed this and our medical providers stated that any monovalent vaccine given as a booster dose on 9/1/2022 or after should have VAERS report completed on them per the CDC's requirements.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- CA
- Alter
- 11,0
- Geschlecht
- F
- Eingang
- 20.10.2022
- Impfdatum
- 20.10.2022
- Beginn
- 20.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- 2
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Expired product administered
Symptomtext
Patient was administered an expired vaccine. Expiration date of 10/18/22
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Expired product administered
- Hospital-Tage
- -
- Labordaten
- None
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- No
- Andere Medikamente
- None
- Allergien
- None
- Vorherige Impfungen
- -
- Staat
- OH
- Alter
- 17,0
- Geschlecht
- F
- Eingang
- 20.10.2022
- Impfdatum
- 20.10.2022
- Beginn
- 20.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Incorrect product formulation administered
Symptomtext
Given third dose of Monovalent instead of Bivalent
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- None
- Aktuelle Erkrankungen
- none
- Vorgeschichte
- Macromastia, Scoliosis, Adjustment disorder with depressed mood
- Andere Medikamente
- None
- Allergien
- NKDA
- Vorherige Impfungen
- -
- Staat
- OH
- Alter
- 15,0
- Geschlecht
- F
- Eingang
- 20.10.2022
- Impfdatum
- 20.10.2022
- Beginn
- 20.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Incorrect product formulation administered
Symptomtext
Gave Monovalent instead of Bivalent
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- none
- Aktuelle Erkrankungen
- none
- Vorgeschichte
- ADHD, Constipation, Mega Cisterna Maga, adjustment disorder
- Andere Medikamente
- Miralax, Vyvanse, Amphetamine-Dextroamphetamine
- Allergien
- NKDA
- Vorherige Impfungen
- -
- Staat
- -
- Alter
- 115,0
- Geschlecht
- U
- Eingang
- 20.10.2022
- Impfdatum
- 31.08.2022
- Beginn
- 31.08.2022
- Tage bis Beginn
- 0,0
- Dosis
- N/A
- Route/Site
- IM / AR
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
Symptomtext
Monovalent vaccine was administered as booster dose after bivalent EUA. There was not clear knowledge that monovalent could no longer be administered as booster dose or that it was no longer authorized for booster dose. The following 84 patients received monovalent vaccine as booster dose after 8/31.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- OH
- Alter
- 46,0
- Geschlecht
- F
- Eingang
- 20.10.2022
- Impfdatum
- 22.09.2022
- Beginn
- 22.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect product formulation administered
No adverse event
Symptomtext
No adverse event took place. It was caught upon entering data and checking inventory that the individual received a monovalent vaccine instead of the bivalent booster. Department of Health was notified on 10/17/22 and they advised to contact the manufacturer (done on 10/19/22) and submit a VAERs report. No further guidance was provided at this time by the Pfizer manufacturer other than that the pt. may receive a bivalent vaccine 2 months after their last dose.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- None
- Aktuelle Erkrankungen
- Unknown; denies being sick at the time or having a weakened immune system or being on any immunosuppressive drugs.
- Vorgeschichte
- Denies
- Andere Medikamente
- Unknown
- Allergien
- Unknown; denies ever having a sever allergic reaction to a vaccine or injection in the past.
- Vorherige Impfungen
- -
- Staat
- OH
- Alter
- 61,0
- Geschlecht
- M
- Eingang
- 20.10.2022
- Impfdatum
- 22.09.2022
- Beginn
- 22.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect product formulation administered
No adverse event
Symptomtext
No adverse event took place. It was caught upon entering data and checking inventory that the individual received a monovalent vaccine instead of the bivalent booster. Local Department of Health was notified on 10/17/22 and they advised to contact the manufacturer (done on 10/19/22) and submit a VAERs report. No further guidance was provided at this time by the Pfizer manufacturer other than that the pt. may receive a bivalent vaccine 2 months after their last dose.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- None
- Aktuelle Erkrankungen
- Denies
- Vorgeschichte
- Denies
- Andere Medikamente
- Unknown
- Allergien
- Unknown; denies severe allergic reaction to vaccine or other injections in the past.
- Vorherige Impfungen
- -
- Staat
- OH
- Alter
- 18,0
- Geschlecht
- F
- Eingang
- 20.10.2022
- Impfdatum
- 01.09.2022
- Beginn
- 22.09.2022
- Tage bis Beginn
- 21,0
- Dosis
- 3
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect product formulation administered
No adverse event
Symptomtext
No adverse event took place. When staff were checking on inventory they came across the fact and caught the error that the individual received the Pfizer monovalent vaccine instead of the BIVALENT vaccine. Local Department of Health was notified, and instructed to notify the manufacturer for guidance and report to VAERS. Manufacturer was notified on 10/19/22. Manufacturer did not have any further guidance at this time, other than the individual is eligible for a BIVALENT boost on 11/22/2022.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- NA
- Aktuelle Erkrankungen
- unknown/ currently not sick or on any immunosuppressive drugs or denies any serious health conditions.
- Vorgeschichte
- No
- Andere Medikamente
- Unknown
- Allergien
- Unknown- No severe allergic reaction to a vaccine or any injection in the past
- Vorherige Impfungen
- -
- Staat
- MA
- Alter
- 18,0
- Geschlecht
- F
- Eingang
- 20.10.2022
- Impfdatum
- 11.10.2022
- Beginn
- 11.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- SYR / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Anxiety
Incorrect product formulation administered
Symptomtext
Monovalent vaccine given rather than desired bivalent.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Anxiety
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- AR
- Alter
- 57,0
- Geschlecht
- F
- Eingang
- 19.10.2022
- Impfdatum
- 18.10.2022
- Beginn
- 18.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
No adverse event
Wrong product administered
Symptomtext
Patient needed the bivalent dose of Pfizer, but received regular Pfizer, no adverse event or occurrences needed/noted.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- No adverse event
- Hospital-Tage
- -
- Labordaten
- N/A
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- fibromyalgia, GERD, bipolar, dyslipidemia, hyperlipidemia, hypertension, urinary incontinence, chronic pain, fatty liver
- Andere Medikamente
- carvedilol, Cymbalta, entresto, gabapentin, lutein, medical cannabis, pantoprazole, praluent, sotalol, trazadone, vitamin B, vitamin C, vitamin D, voltern gel, vraylar, Xanax, zinc
- Allergien
- NKDA
- Vorherige Impfungen
- -
- Staat
- AR
- Alter
- 60,0
- Geschlecht
- M
- Eingang
- 19.10.2022
- Impfdatum
- 18.10.2022
- Beginn
- 18.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
No adverse event
Symptomtext
Patient needed the bivalent dose of Pfizer, but received regular Pfizer, no adverse event or occurrences needed/noted.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- N/A
- Aktuelle Erkrankungen
- Mole to chest
- Vorgeschichte
- GERD, erectile dysfunction, seasonal allergies, coronary artery calcification, hyperlipidemia, pulmonary nodule, prostate cancer, fatty liver
- Andere Medikamente
- Aspirin, atorvastatin, cetirizine, Flonase, hydrocodone-acet, omeprazole, Tylenol, and Viagra
- Allergien
- NKDA
- Vorherige Impfungen
- -
- Staat
- AR
- Alter
- 81,0
- Geschlecht
- F
- Eingang
- 19.10.2022
- Impfdatum
- 18.10.2022
- Beginn
- 18.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
No adverse event
Symptomtext
Patient needed the bivalent dose of Pfizer, but received regular Pfizer, no adverse event or occurrences needed/noted.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- N/A
- Aktuelle Erkrankungen
- None at time of visit, recently in hospital for acute appendicitis.
- Vorgeschichte
- Afib, Hyperlipidemia, vitamin d deficiency, bilateral effusions, ascending thoracic aortic aneurysm
- Andere Medikamente
- Amiodarone, carvedilol, Eliquis, entresto, Lasix, rosuvastatin, venlafaxine
- Allergien
- Sulfa
- Vorherige Impfungen
- -
- Staat
- AR
- Alter
- 86,0
- Geschlecht
- M
- Eingang
- 19.10.2022
- Impfdatum
- 18.10.2022
- Beginn
- 18.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
No adverse event
Wrong product administered
Symptomtext
Patient needed the bivalent dose of Pfizer, but received regular Pfizer, no adverse event or occurrences needed/noted.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- No adverse event
- Hospital-Tage
- -
- Labordaten
- N/A
- Aktuelle Erkrankungen
- rib pain
- Vorgeschichte
- hypothyroidism, lung cancer, hypertension, essential tremor, GERD, history of lymphoma, bladder wall thickening, hearing loss, depression
- Andere Medikamente
- Albuterol HFA, Vitamin B12, Carbidopa-levodopa, esomeprazole magnesium, Flonase, levothyroxine sodium, lisinopril, primidone, propranolol, and zyrtec
- Allergien
- valium
- Vorherige Impfungen
- -
- Staat
- AR
- Alter
- 76,0
- Geschlecht
- F
- Eingang
- 19.10.2022
- Impfdatum
- 18.10.2022
- Beginn
- 18.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- 5
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
No adverse event
Wrong product administered
Symptomtext
Patient needed the bivalent dose of Pfizer, but received regular Pfizer, no adverse event or occurrences needed/noted.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- No adverse event
- Hospital-Tage
- -
- Labordaten
- N/A
- Aktuelle Erkrankungen
- None on this day
- Vorgeschichte
- Syncope, CAD, Diabetes type 2, ESRD, Pericardial effusion, elevated troponin, liver lesion, brain mass, GERD, ulcerative colitis, hypertension, diabetic nephropathy, hyperlipidemia, hypomagnesemia, aneurysm of carotid artery, CVA, Eosinophilia, stenosis of bilateral carotid arteries, hypocalcemia, vitamin D deficiency, anemia, leg edema, peritoneal dialysis, stasis dermatitis of both legs, hypothyroidism, and dementia
- Andere Medikamente
- Tylenol, amlodipine, atorvastatin, calcitriol, cetirizine, donepezil, Novolog flex pen, omeprazole, and Plavix
- Allergien
- Wasp, metformin, and lisinopril
- Vorherige Impfungen
- -
- Staat
- AR
- Alter
- 59,0
- Geschlecht
- M
- Eingang
- 19.10.2022
- Impfdatum
- 18.10.2022
- Beginn
- 18.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect product formulation administered
No adverse event
Symptomtext
Patient needed the bivalent dose of Pfizer, but received regular Pfizer, no adverse event or occurrences needed/noted.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- N/A
- Aktuelle Erkrankungen
- None at time of visit
- Vorgeschichte
- Hypertension, Hyperlipidemia, anxiety, chronic pain, seasonal allergies
- Andere Medikamente
- Aspirin, Atorvastatin, B12 folate, Flonase, lisinopril, loratadine, meloxicam, and sertraline
- Allergien
- NKDA
- Vorherige Impfungen
- -
- Staat
- AR
- Alter
- 30,0
- Geschlecht
- F
- Eingang
- 19.10.2022
- Impfdatum
- 17.10.2022
- Beginn
- 17.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect product formulation administered
No adverse event
Pregnancy test negative
Symptomtext
Patient needed the bivalent dose of Pfizer, but received regular Pfizer, no adverse event or occurrences needed/noted.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- Pregnancy test done in clinic- negative 10/17/2022
- Aktuelle Erkrankungen
- None on day of visit
- Vorgeschichte
- Asthma and anxiety
- Andere Medikamente
- Albuterol Nebulizer solution, Albuterol HFA, Bupropion HCL ER, Celexa, and Singulair
- Allergien
- NKDA
- Vorherige Impfungen
- -
- Staat
- AR
- Alter
- 82,0
- Geschlecht
- F
- Eingang
- 19.10.2022
- Impfdatum
- 17.10.2022
- Beginn
- 17.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
No adverse event
Wrong product administered
Symptomtext
Patient needed the bivalent dose of Pfizer, but received regular Pfizer, no adverse event or occurrences needed/noted.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- No adverse event
- Hospital-Tage
- -
- Labordaten
- N/A
- Aktuelle Erkrankungen
- Shortness of breath, hypertension, 1st Degree AV block, prolonged QT wave, elevated BNP, hematuria
- Vorgeschichte
- Diabetes type 2, hypertension, restless leg syndrome, urinary incontinence, chronic pain, GERD, hyperlipidemia, A Fib, gait instability, hemiparesis
- Andere Medikamente
- Aspirin, Carafate, Cholestyramine Light, Clotrimazole cream, Crestor, Eliquis, famotidine, Flonase, Lasix, and glipizide
- Allergien
- Sulfa, Codeine, and NSAID's
- Vorherige Impfungen
- -
- Staat
- AR
- Alter
- 69,0
- Geschlecht
- F
- Eingang
- 19.10.2022
- Impfdatum
- 17.10.2022
- Beginn
- 17.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
No adverse event
Symptomtext
No symptoms or adverse events have occurred at this time.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- No adverse event
- Hospital-Tage
- -
- Labordaten
- N/A
- Aktuelle Erkrankungen
- stomach ache, diarrhea, gas, bloating, abdominal pain, abdominal distention, UTI
- Vorgeschichte
- Anxiety, insomnia, plantar fasciitis, bilateral
- Andere Medikamente
- Simethicone and Famotidine
- Allergien
- Aspirin and PNC
- Vorherige Impfungen
- -
- Staat
- OH
- Alter
- 64,0
- Geschlecht
- F
- Eingang
- 18.10.2022
- Impfdatum
- 18.10.2022
- Beginn
- 18.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect product formulation administered
Symptomtext
Patient received monovalent pfizer vaccine instead of bivalent vaccine.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- No known allergies
- Vorherige Impfungen
- -
- Staat
- OH
- Alter
- 69,0
- Geschlecht
- M
- Eingang
- 18.10.2022
- Impfdatum
- 18.10.2022
- Beginn
- 18.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect product formulation administered
Symptomtext
Patient was given monovalent Pfizer instead of Bivalent Pfizer
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- N/a
- Allergien
- No known allergies
- Vorherige Impfungen
- -
- Staat
- OH
- Alter
- 65,0
- Geschlecht
- M
- Eingang
- 18.10.2022
- Impfdatum
- 18.10.2022
- Beginn
- 18.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect product formulation administered
Symptomtext
Patient given Pfizer Monovalent instead of Pfizer Bivalent.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- No known allergies
- Vorherige Impfungen
- -
- Staat
- OH
- Alter
- 76,0
- Geschlecht
- M
- Eingang
- 18.10.2022
- Impfdatum
- 18.10.2022
- Beginn
- 18.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- 5
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect product formulation administered
Symptomtext
Patient received instead of monovalent instead on bivalent Pfizer as booster
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- Metformin 500 ER BID
- Allergien
- No known allergies
- Vorherige Impfungen
- -
- Staat
- TN
- Alter
- 12,0
- Geschlecht
- M
- Eingang
- 18.10.2022
- Impfdatum
- 18.10.2022
- Beginn
- 18.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect product formulation administered
No adverse event
Symptomtext
Mother requested patient have Pfizer Booster. Monovalent booster was given when bivalent booster should have been given. No adverse reaction.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- none
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- depression
- Andere Medikamente
- Sertraline 25mg
- Allergien
- No Known Allergies
- Vorherige Impfungen
- -
- Staat
- MT
- Alter
- 12,0
- Geschlecht
- M
- Eingang
- 18.10.2022
- Impfdatum
- 17.10.2022
- Beginn
- 17.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
No adverse event
Wrong product administered
Symptomtext
Pfizer monovalent was given instead of Bilvalent Dose. NO adverse effects.
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
- 59,0
- Geschlecht
- M
- Eingang
- 17.10.2022
- Impfdatum
- 14.10.2022
- Beginn
- -
- Tage bis Beginn
- -
- Dosis
- 2
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
Symptomtext
PATIENT RECEIVED 2 BOOSTER DOSES OF MONOVALENT PFIZER BOOSTERS. PATIENT CAME IN FOR BIVALENT PFIZER BOOSTER.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- N/A
- Aktuelle Erkrankungen
- N/A
- Vorgeschichte
- N/A
- Andere Medikamente
- N/A
- Allergien
- N/A
- Vorherige Impfungen
- -
- Staat
- OR
- Alter
- 27,0
- Geschlecht
- F
- Eingang
- 14.10.2022
- Impfdatum
- 07.10.2022
- Beginn
- 07.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Unevaluable event
Symptomtext
NON- PT IS WELL
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Unevaluable event
- Hospital-Tage
- -
- Labordaten
- NON-PT IS WELL
- Aktuelle Erkrankungen
- n/a
- Vorgeschichte
- n/a
- Andere Medikamente
- n/a
- Allergien
- n/a
- Vorherige Impfungen
- -
- Staat
- CA
- Alter
- 70,0
- Geschlecht
- M
- Eingang
- 13.10.2022
- Impfdatum
- 10.10.2022
- Beginn
- 10.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Incorrect product formulation administered
Symptomtext
Error: Wrong Vaccine Formulation (ex. Prevnar 13 v. Prevnar 23)-
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- ND
- Alter
- 35,0
- Geschlecht
- F
- Eingang
- 13.10.2022
- Impfdatum
- 06.10.2022
- Beginn
- 06.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- 2
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect product formulation administered
Product communication issue
Wrong product administered
Symptomtext
Miscommunication between staff and client receiving immunization. Client was to receive her second dose of COVID-19 vaccine primary series, however, she was given Pfizer Bivalent.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- NA
- Aktuelle Erkrankungen
- No
- Vorgeschichte
- No
- Andere Medikamente
- Not listed
- Allergien
- NKA
- Vorherige Impfungen
- -
- Staat
- CA
- Alter
- 49,0
- Geschlecht
- M
- Eingang
- 12.10.2022
- Impfdatum
- 12.10.2022
- Beginn
- 12.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Incorrect product formulation administered
Symptomtext
Nurse reported that she administered a monovalent vaccine instead of the bivalent vaccine.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- none
- Aktuelle Erkrankungen
- none
- Vorgeschichte
- none
- Andere Medikamente
- none
- Allergien
- none
- Vorherige Impfungen
- -
- Staat
- OR
- Alter
- 59,0
- Geschlecht
- M
- Eingang
- 12.10.2022
- Impfdatum
- 08.09.2022
- Beginn
- 08.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
Symptomtext
Patient did not receive Pfizer Bivalent booster.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- MN
- Alter
- 31,0
- Geschlecht
- F
- Eingang
- 12.10.2022
- Impfdatum
- 06.10.2022
- Beginn
- 06.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- 2
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Wrong product administered
Symptomtext
This client requested just the COVID19 vaccine but was given Fluarix Quad. Client notified of the mistake and still wanted the COVID19 vaccine so received both vaccines the same day.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Wrong product administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- -
- Alter
- 12,0
- Geschlecht
- M
- Eingang
- 11.10.2022
- Impfdatum
- 08.10.2022
- Beginn
- 08.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
Symptomtext
Monovalent Pfizer product given instead of Bivalent product.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- -
- Alter
- 16,0
- Geschlecht
- F
- Eingang
- 11.10.2022
- Impfdatum
- 08.10.2022
- Beginn
- 08.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
Symptomtext
Monovalent Pfizer product given instead of Bivalent product.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- -
- Alter
- 47,0
- Geschlecht
- M
- Eingang
- 11.10.2022
- Impfdatum
- 08.10.2022
- Beginn
- 08.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Wrong product administered
Symptomtext
Monovalent Pfizer product given instead of Bivalent product.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Wrong product administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- -
- Alter
- 62,0
- Geschlecht
- U
- Eingang
- 11.10.2022
- Impfdatum
- 08.10.2022
- Beginn
- 08.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
Symptomtext
Dose 3 ? monovalent given instead of bivalent
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- -
- Alter
- 65,0
- Geschlecht
- F
- Eingang
- 11.10.2022
- Impfdatum
- 08.10.2022
- Beginn
- 08.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
Symptomtext
Dose 4 ? monovalent given instead of bivalent.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- -
- Alter
- 30,0
- Geschlecht
- M
- Eingang
- 11.10.2022
- Impfdatum
- 08.10.2022
- Beginn
- 08.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
Symptomtext
Dose 4 ? gave the monovalent booster instead of bivalent
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- CA
- Alter
- 57,0
- Geschlecht
- F
- Eingang
- 11.10.2022
- Impfdatum
- 03.10.2022
- Beginn
- 01.10.2022
- Tage bis Beginn
- -
- Dosis
- 3
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
No adverse event
Symptomtext
There was NO adverse reaction, the patient was inadvertently given the monovalent Pfizer as a Booster and should have received the Bivalent booster. the patient will need to return in 2 months for the bivalent booster.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- none
- Vorgeschichte
- none
- Andere Medikamente
- none
- Allergien
- none
- Vorherige Impfungen
- -
- Staat
- CA
- Alter
- 56,0
- Geschlecht
- F
- Eingang
- 11.10.2022
- Impfdatum
- 03.10.2022
- Beginn
- 03.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect product formulation administered
Symptomtext
pt was inadvertently given the Pfizer Movovalent as a booster dose she should have been given the bivalent , there was no adverse reaction pt will need to recieve the bivalent booster in 2 months
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- none
- Aktuelle Erkrankungen
- none
- Vorgeschichte
- none
- Andere Medikamente
- none
- Allergien
- none
- Vorherige Impfungen
- -
- Staat
- RI
- Alter
- 10,0
- Geschlecht
- F
- Eingang
- 11.10.2022
- Impfdatum
- 10.10.2022
- Beginn
- 10.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect dose administered
Symptomtext
Pt was administered Pfizer COVID vaccine for 12+ instead of Pfizer 5-11 for booster dose. The vial was diluted with 1.3 mL of normal saline. Pt's family was notified and no side effects have occurred.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect dose administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- None known
- Vorgeschichte
- None
- Andere Medikamente
- None
- Allergien
- NKA
- Vorherige Impfungen
- -
- Staat
- OH
- Alter
- 91,0
- Geschlecht
- M
- Eingang
- 10.10.2022
- Impfdatum
- 06.10.2022
- Beginn
- 06.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- IM / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
Symptomtext
Monovalent Pfizer vaccine given instead of Bivalent. Product similarity including BOTH having gray caps. Writing SO small hard to discern difference. Vials so small labeling is almost impossible without covering barcode / LOT#. VERY DISAPPOINTED that FDA would allow look-a-like sound alike that Pfizer is producing. Expiration date is actually manufacture date. This breaks EVERY rule we have been instilled to watch for. Would appreciate correspondence as to the reasoning for allowing this.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- OR
- Alter
- 59,0
- Geschlecht
- F
- Eingang
- 10.10.2022
- Impfdatum
- 06.09.2022
- Beginn
- 06.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Incorrect product formulation administered
Symptomtext
Patient did not receive Pfizer Bivalent Booster vaccine as it was not available in clinic at the time.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- OR
- Alter
- 62,0
- Geschlecht
- F
- Eingang
- 10.10.2022
- Impfdatum
- 15.09.2022
- Beginn
- 15.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
Symptomtext
Patient did not receive Pfizer Bivalent Booster vaccine as it was not available in clinic at the time.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- OR
- Alter
- 38,0
- Geschlecht
- F
- Eingang
- 10.10.2022
- Impfdatum
- 15.09.2022
- Beginn
- 15.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Incorrect product formulation administered
Symptomtext
Patient did not receive Pfizer Bivalent Booster vaccine as it was not available.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- OR
- Alter
- 63,0
- Geschlecht
- F
- Eingang
- 10.10.2022
- Impfdatum
- 14.09.2022
- Beginn
- 14.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
Symptomtext
patient was suppose to get pfzier bivalent and received pfizer regular booster
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- OR
- Alter
- 53,0
- Geschlecht
- F
- Eingang
- 10.10.2022
- Impfdatum
- 01.09.2022
- Beginn
- 01.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect product formulation administered
Symptomtext
Patient did not receive Pfizer Bivalent Booster shot.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- OR
- Alter
- 68,0
- Geschlecht
- F
- Eingang
- 10.10.2022
- Impfdatum
- 14.09.2022
- Beginn
- 14.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
Symptomtext
patient received regular booster dose instead of pfizer biovalent booster
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- MN
- Alter
- 76,0
- Geschlecht
- F
- Eingang
- 10.10.2022
- Impfdatum
- 01.09.2022
- Beginn
- 01.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
Symptomtext
Late in the day on 8/31/22, the FDA rescinded the EUA order for the use of the monovalent Pfizer and Moderna vaccine as boosters for people aged 12 years and older. The information took a little time to trickle from the Government to the HCF staff and then to our facility and the staff administering vaccine. Because of this delay, some monovalent vaccine throughout the HCF was inadvertently given after 8/31/22. The CDC stated that any monovalent vaccine administered as a booster dose after the EUA was rescinded would be considered a vaccine error. At a recent Immunization Subcommittee meeting, we discussed this and our medical providers stated that any monovalent vaccine given as a booster dose on 9/1/2022 or after should have VAERS report completed on them per the CDC's requirements.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- MN
- Alter
- 75,0
- Geschlecht
- M
- Eingang
- 10.10.2022
- Impfdatum
- 01.09.2022
- Beginn
- 01.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 5
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
Symptomtext
Late in the day on 8/31/22, the rescinded order for the use of the monovalent Pfizer and Moderna vaccine as boosters for people aged 12 years and older. The information took a little time to trickle from the Government to staff and then to the staff administering vaccine. Because of this delay, some monovalent vaccine throughout was inadvertently given after 8/31/22. They stated that any monovalent vaccine administered as a booster dose after was rescinded would be considered a vaccine error. At a recent Immunization Subcommittee meeting, we discussed this and our medical providers stated that any monovalent vaccine given as a booster dose on 9/1/2022 or after should have VAERS report completed on them per the requirements.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- MN
- Alter
- 63,0
- Geschlecht
- M
- Eingang
- 10.10.2022
- Impfdatum
- 01.09.2022
- Beginn
- 01.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
Symptomtext
Late in the day on 8/31/22, the FDA rescinded the EUA order for the use of the monovalent Pfizer and Moderna vaccine as boosters for people aged 12 years and older. The information took a little time to trickle from the staff and then to the staff administering vaccine. Because of this delay, some monovalent vaccine throughout was inadvertently given after 8/31/22. The CDC stated that any monovalent vaccine administered as a booster dose after the EUA was rescinded would be considered a vaccine error. At a recent meeting, we discussed this and our medical providers stated that any monovalent vaccine given as a booster dose on 9/1/2022 or after should have VAERS report completed on them per the CDC's requirements.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- MN
- Alter
- 64,0
- Geschlecht
- F
- Eingang
- 10.10.2022
- Impfdatum
- 01.09.2022
- Beginn
- 01.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect dose administered
Symptomtext
Late in the day on 8/31/22, the rescinded order for the use of the monovalent Pfizer and Moderna vaccine as boosters for people aged 12 years and older. The information took a little time to trickle from the Government to staff and then to the staff administering vaccine. Because of this delay, some monovalent vaccine throughout was inadvertently given after 8/31/22. They stated that any monovalent vaccine administered as a booster dose after was rescinded would be considered a vaccine error. At a recent Immunization Subcommittee meeting, we discussed this and our medical providers stated that any monovalent vaccine given as a booster dose on 9/1/2022 or after should have VAERS report completed on them per the requirements.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect dose administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- OR
- Alter
- 58,0
- Geschlecht
- M
- Eingang
- 10.10.2022
- Impfdatum
- 21.09.2022
- Beginn
- 21.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Unevaluable event
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Unevaluable event
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- MA
- Alter
- 71,0
- Geschlecht
- M
- Eingang
- 09.10.2022
- Impfdatum
- 09.10.2022
- Beginn
- 09.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Extra dose administered
Symptomtext
Guest did not tell check-in that he had 3 of the Pfizer Adult series already. He came in with his wife and said he would not get the vaccine. He did not believe in them. His wife along with talking with the staff decided to get the vaccine. We all thought this was his first, it turned out to be his fourth. Not found out until after he was vaccinated.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Extra dose administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- None
- Andere Medikamente
- Unknown
- Allergien
- NKA
- Vorherige Impfungen
- -
- Staat
- CO
- Alter
- 20,0
- Geschlecht
- M
- Eingang
- 07.10.2022
- Impfdatum
- 30.09.2022
- Beginn
- 02.10.2022
- Tage bis Beginn
- 2,0
- Dosis
- UNK
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
Symptomtext
Patient received non-bivalent vaccine instead of requested bivalent vaccine
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- CO
- Alter
- 70,0
- Geschlecht
- M
- Eingang
- 07.10.2022
- Impfdatum
- 30.09.2022
- Beginn
- 02.10.2022
- Tage bis Beginn
- 2,0
- Dosis
- 3
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Incorrect product formulation administered
Symptomtext
Patient received non-bivalent vaccine instead of requested bivalent vaccine
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- CO
- Alter
- 68,0
- Geschlecht
- M
- Eingang
- 07.10.2022
- Impfdatum
- 30.09.2022
- Beginn
- 02.10.2022
- Tage bis Beginn
- 2,0
- Dosis
- 5
- Route/Site
- IM / AR
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect product formulation administered
Symptomtext
Patient was given non-bivalent dose instead of bivalent dose as requested
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- CO
- Alter
- 65,0
- Geschlecht
- F
- Eingang
- 07.10.2022
- Impfdatum
- 30.09.2022
- Beginn
- 02.10.2022
- Tage bis Beginn
- 2,0
- Dosis
- 5
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect product formulation administered
Symptomtext
Patient received the non-bivalent Pfizer dose in error instead of the bivalent dose
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- CO
- Alter
- 69,0
- Geschlecht
- F
- Eingang
- 07.10.2022
- Impfdatum
- 30.09.2022
- Beginn
- 02.10.2022
- Tage bis Beginn
- 2,0
- Dosis
- 3
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect product formulation administered
Symptomtext
Patient thought she was receiving the Bivalent booster but the non-bivalent Pfizer vaccine was selected by mistake.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- CA
- Alter
- 34,0
- Geschlecht
- F
- Eingang
- 07.10.2022
- Impfdatum
- 21.09.2022
- Beginn
- 21.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect product formulation administered
Symptomtext
Patient received the Pfizer Monovalent vaccine instead of the Pfizer Bivalent Vaccine. No adverse side effect just med error. NP informed and patient was notified of the error.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- none
- Aktuelle Erkrankungen
- none
- Vorgeschichte
- ADHD, Asthma, Dermatitis, hypothyroidism
- Andere Medikamente
- Adderall XR 10mg, Albuterol inhaler, Alvesco inhaler, levothyroxine 50mcg
- Allergien
- Shellfish
- Vorherige Impfungen
- -
- Staat
- UT
- Alter
- 40,0
- Geschlecht
- F
- Eingang
- 07.10.2022
- Impfdatum
- 20.09.2022
- Beginn
- 20.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect product formulation administered
Symptomtext
Patient was given a monovalent Pfizer vaccine instead of the bivalent vaccine for her booster.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- None
- Aktuelle Erkrankungen
- none known
- Vorgeschichte
- depression, anxiety, hypertension, asthma
- Andere Medikamente
- abilify, advil, buproprion, flovent, hydrochlorathiazide, lexapro, mirena, proair, synthroid, trazadone
- Allergien
- None
- Vorherige Impfungen
- -
- Staat
- WI
- Alter
- 94,0
- Geschlecht
- M
- Eingang
- 07.10.2022
- Impfdatum
- 06.09.2022
- Beginn
- 06.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
Symptomtext
Late in the day on 8/31/22, the FDA rescinded the EUA order for the use of the monovalent Pfizer and Moderna vaccine as boosters for people aged 12 years and older. The information took a little time to trickle from the Government to the HCF staff and then to our facility and the staff administering vaccine. Because of this delay, some monovalent vaccine throughout the HCF was inadvertently given after 8/31/22. The CDC stated that any monovalent vaccine administered as a booster dose after the EUA was rescinded would be considered a vaccine error. At a recent Immunization Subcommittee meeting, we discussed this and our medical providers stated that any monovalent vaccine given as a booster dose on 9/1/2022 or after should have VAERS report completed on them per the CDC's requirements.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- N/A
- Vorgeschichte
- N/A
- Andere Medikamente
- N/A
- Allergien
- N/A
- Vorherige Impfungen
- -
- Staat
- NV
- Alter
- 44,0
- Geschlecht
- F
- Eingang
- 06.10.2022
- Impfdatum
- 06.10.2022
- Beginn
- 06.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect product formulation administered
Wrong product administered
Symptomtext
The pfizer covid-19 vaccine 12+ gray cap was pulled from the fridge instead of the pfizer covid-19 Bivalent 12+ gray cap vial. This was not noticed until pharmacist on duty was reporting waste report into EPRN and the lot# and vial information did not match the Pfizer Bivalent vaccine. Patient was called she appreciated the call to let her know what happened. She plans to call her provider in the morning. She can get the new booster in 2 months time.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- rheumatoid arthritis
- Vorgeschichte
- rheumatoid arthritis
- Andere Medikamente
- Prednisone
- Allergien
- no known allergies
- Vorherige Impfungen
- -
- Staat
- NV
- Alter
- 62,0
- Geschlecht
- M
- Eingang
- 06.10.2022
- Impfdatum
- 06.10.2022
- Beginn
- 06.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Wrong product administered
Symptomtext
The pfizer covid-19 vaccine 12+ gray cap was pulled from the fridge instead of the pfizer covid-19 Bivalent 12+ gray cap vial. This was not noticed until pharmacist on duty was reporting waste report into EPRN and the lot# and vial information did not match the Pfizer Bivalent vaccine. Patient was called and he states he would return in in 2 months time to get the Bivalent vaccine.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Wrong product administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- Unknown
- Vorgeschichte
- Unknown
- Andere Medikamente
- Simvastatin, lisinopril, fenofibrate and Norco
- Allergien
- No known allergies
- Vorherige Impfungen
- -
- Staat
- NV
- Alter
- 66,0
- Geschlecht
- F
- Eingang
- 06.10.2022
- Impfdatum
- 06.10.2022
- Beginn
- 06.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Incorrect product formulation administered
Symptomtext
The pfizer covid-19 vaccine 12+ gray cap was pulled from the fridge instead of the pfizer covid-19 Bivalent 12+ gray cap vial. This was not noticed until pharmacist on duty was reporting waste report into EPRN and the lot# and vial information did not match the Pfizer Bivalent vaccine. Patient was called and left a voicemail. They could get the new booster in 2 months time.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- unknown
- Vorgeschichte
- uknown
- Andere Medikamente
- Lisinopril, nortriptyline, benzonatate and montelukast
- Allergien
- no known allergies noted on file
- Vorherige Impfungen
- -
- Staat
- NV
- Alter
- 78,0
- Geschlecht
- M
- Eingang
- 06.10.2022
- Impfdatum
- 06.10.2022
- Beginn
- 06.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Incorrect product formulation administered
Symptomtext
The pfizer covid-19 vaccine 12+ gray cap was pulled from the fridge instead of the pfizer covid-19 Bivalent 12+ gray cap vial. This was not noticed until pharmacist on duty was reporting waste report into EPRN and the lot# and vial information did not match the Pfizer Bivalent vaccine. Patient was called and voice message was left. They are eligible get the new booster in 2 months time.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- unknown
- Vorgeschichte
- unknown
- Andere Medikamente
- unknown
- Allergien
- unknown
- Vorherige Impfungen
- -
- Staat
- NV
- Alter
- 75,0
- Geschlecht
- M
- Eingang
- 06.10.2022
- Impfdatum
- 06.10.2022
- Beginn
- 06.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Incorrect product formulation administered
Symptomtext
The pfizer covid-19 vaccine 12+ gray cap was pulled from the fridge instead of the pfizer covid-19 Bivalent 12+ gray cap vial. This was not noticed until pharmacist on duty was reporting waste report into the pharmacy computer system and the lot# and vial information did not match the Pfizer Bivalent vaccine. Patient was called the phone number on file did not work.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- unknown
- Vorgeschichte
- unknown
- Andere Medikamente
- unknown
- Allergien
- unknown
- Vorherige Impfungen
- -
- Staat
- MN
- Alter
- 22,0
- Geschlecht
- F
- Eingang
- 06.10.2022
- Impfdatum
- 05.10.2022
- Beginn
- 05.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
No adverse event
Symptomtext
No adverse reactions have occurred. Patient was expecting the Pfizer Bivalent booster, but was given another dose of mono-valent. Error occurred due to the nearly identical packaging of both the mono- and bi- valent vaccines, and the lack of a double-check before injection.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- na
- Aktuelle Erkrankungen
- na
- Vorgeschichte
- na
- Andere Medikamente
- na
- Allergien
- na
- Vorherige Impfungen
- -
- Staat
- -
- Alter
- -
- Geschlecht
- U
- Eingang
- 06.10.2022
- Impfdatum
- -
- Beginn
- -
- Tage bis Beginn
- -
- Dosis
- UNK
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
No adverse event
Wrong product administered
Symptomtext
Patient was expecting the Pfizer Bivalent booster, but was given another dose of mono-valent. No adverse reactions have occurred. Error occurred due to the nearly identical packaging of both the mono- and bi- valent vaccines, and the lack of a double-check before injection.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- No adverse event
- Hospital-Tage
- -
- Labordaten
- NA
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- MN
- Alter
- 41,0
- Geschlecht
- M
- Eingang
- 06.10.2022
- Impfdatum
- 05.10.2022
- Beginn
- 05.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Incorrect product formulation administered
No adverse event
Symptomtext
The patient was expecting to get the Pfizer Bivalent Covid vaccine, but was given another booster dose of the monovalent instead. This was due to the nearly identical packaging of the mono- and bi-valent vaccine, and lack of double-checking the vial. No adverse affects occurred.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- n/a
- Aktuelle Erkrankungen
- na
- Vorgeschichte
- na
- Andere Medikamente
- na
- Allergien
- na
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 18,0
- Geschlecht
- M
- Eingang
- 06.10.2022
- Impfdatum
- 07.09.2022
- Beginn
- 07.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Extra dose administered
No adverse event
Symptomtext
NO KNOWN SYMPTOMS OCCURED
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Extra dose administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- WI
- Alter
- 12,0
- Geschlecht
- M
- Eingang
- 05.10.2022
- Impfdatum
- 03.10.2022
- Beginn
- 03.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Wrong product administered
Symptomtext
Client received monovalent instead of bivalent.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Wrong product administered
- Hospital-Tage
- -
- Labordaten
- None
- Aktuelle Erkrankungen
- unknown
- Vorgeschichte
- unknown
- Andere Medikamente
- unknown
- Allergien
- no
- Vorherige Impfungen
- -
- Staat
- NY
- Alter
- 56,0
- Geschlecht
- M
- Eingang
- 05.10.2022
- Impfdatum
- 03.10.2022
- Beginn
- 03.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- 5
- Route/Site
- SYR / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
No adverse event
Symptomtext
Patient may have been given an additional dose of the original Pfizer Shot instead of a dose of the bivalent booster, LOT GH9702. No adverse reactions have been reported to us at this time. It was either her or her husband that received the incorrect dose but it can not be determined who it was
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- No adverse event
- Hospital-Tage
- -
- Labordaten
- None so far
- Aktuelle Erkrankungen
- NONE
- Vorgeschichte
- NONE
- Andere Medikamente
- NONE
- Allergien
- NONE
- Vorherige Impfungen
- -
- Staat
- NY
- Alter
- 63,0
- Geschlecht
- M
- Eingang
- 05.10.2022
- Impfdatum
- 03.10.2022
- Beginn
- 03.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- 5
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Wrong product administered
Symptomtext
Patient may have been given an additional dose of the original Pfizer COVID shot, Lot FP7138 instead of the bivalent booster, Lot GH9702
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Wrong product administered
- Hospital-Tage
- -
- Labordaten
- None
- Aktuelle Erkrankungen
- N/AN/A
- Vorgeschichte
- N/A
- Andere Medikamente
- N/A
- Allergien
- N/A
- Vorherige Impfungen
- -
- Staat
- -
- Alter
- 19,0
- Geschlecht
- F
- Eingang
- 05.10.2022
- Impfdatum
- 04.10.2022
- Beginn
- 04.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
No adverse event
Wrong product administered
Symptomtext
The intended COVID-19 vaccination was the Pfizer Bivalent booster for the patient's 4th dose. However, the administered vaccine was the Pfizer monovalent primary series product. The patient did not experience any adverse events due to this error.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- No adverse event
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- WI
- Alter
- 19,0
- Geschlecht
- F
- Eingang
- 05.10.2022
- Impfdatum
- 04.10.2022
- Beginn
- 05.10.2022
- Tage bis Beginn
- 1,0
- Dosis
- 1
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Product use issue
Symptomtext
Patient was given the injection one day past the best used by date.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Product use issue
- Hospital-Tage
- -
- Labordaten
- none
- Aktuelle Erkrankungen
- none
- Vorgeschichte
- none
- Andere Medikamente
- none
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- IN
- Alter
- 87,0
- Geschlecht
- F
- Eingang
- 05.10.2022
- Impfdatum
- 29.09.2022
- Beginn
- 05.10.2022
- Tage bis Beginn
- 6,0
- Dosis
- N/A
- Route/Site
- SC / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect product formulation administered
No adverse event
Symptomtext
no adverse reaction, resident was given regular Pfizer instead of Pfizer bivalent
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- Penicillin, Vancomycin
- Vorherige Impfungen
- -
- Staat
- IN
- Alter
- 80,0
- Geschlecht
- F
- Eingang
- 05.10.2022
- Impfdatum
- 29.09.2022
- Beginn
- 05.10.2022
- Tage bis Beginn
- 6,0
- Dosis
- N/A
- Route/Site
- SC / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
No adverse event
Wrong product administered
Symptomtext
no adverse reaction, resident was given Pfizer regular instead of pfizer bivalent
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- No adverse event
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- none
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- Amoxicillin, Iodine, Iodinated Diagnostic Agents
- Vorherige Impfungen
- -
- Staat
- IN
- Alter
- 78,0
- Geschlecht
- F
- Eingang
- 05.10.2022
- Impfdatum
- 29.09.2022
- Beginn
- 05.10.2022
- Tage bis Beginn
- 6,0
- Dosis
- N/A
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
No adverse event
Symptomtext
No adverse reaction. Administered Pfizer monovalent instead of bivalent
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- IN
- Alter
- 69,0
- Geschlecht
- F
- Eingang
- 05.10.2022
- Impfdatum
- 29.09.2022
- Beginn
- 05.10.2022
- Tage bis Beginn
- 6,0
- Dosis
- N/A
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
No adverse event
Symptomtext
No adverse reaction. Administered Pfizer monovalent instead of bivalent
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- IN
- Alter
- 79,0
- Geschlecht
- M
- Eingang
- 05.10.2022
- Impfdatum
- 29.09.2022
- Beginn
- 05.10.2022
- Tage bis Beginn
- 6,0
- Dosis
- N/A
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
No adverse event
Symptomtext
No adverse reaction. Administered Pfizer monovalent instead of bivalent.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- IN
- Alter
- 61,0
- Geschlecht
- F
- Eingang
- 05.10.2022
- Impfdatum
- 29.09.2022
- Beginn
- 05.10.2022
- Tage bis Beginn
- 6,0
- Dosis
- N/A
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Incorrect product formulation administered
No adverse event
Symptomtext
No adverse reaction. Administered monovalent instead of bivalent
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 46,0
- Geschlecht
- M
- Eingang
- 05.10.2022
- 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: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
Symptomtext
Patient came in for bivalent booster. Patient received a monovalent dose by mistake
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- MN
- Alter
- 9,0
- Geschlecht
- M
- Eingang
- 05.10.2022
- Impfdatum
- 12.08.2022
- Beginn
- 12.08.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Unevaluable event
Symptomtext
There was no adverse event that took place at the time of vaccination.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Unevaluable event
- Hospital-Tage
- -
- Labordaten
- None
- Aktuelle Erkrankungen
- Rash on toes
- Vorgeschichte
- Respiratory symptoms
- Andere Medikamente
- Flovent, Proventil
- Allergien
- None
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 36,0
- Geschlecht
- M
- Eingang
- 05.10.2022
- Impfdatum
- 28.09.2022
- Beginn
- 28.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- IM / UN
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
Symptomtext
Patient came into clinic for bivalent booster, patient received monovalent dose
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- OH
- Alter
- 12,0
- Geschlecht
- M
- Eingang
- 04.10.2022
- Impfdatum
- 04.10.2022
- Beginn
- 04.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
No adverse event
Symptomtext
Patient requested the Pfizer COVID-19 booster, 3rd dose. Patient was administered the MONOVALENT Pfizer-BioNTech as a booster dose instead of the BIVALENT Pfizer BioNTech booster dose that is currently approved. Patient tolerated vaccine and showed no signs of adverse reactions as was noted during the 15 minute wait after receiving the vaccine.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- IL
- Alter
- 36,0
- Geschlecht
- M
- Eingang
- 30.09.2022
- Impfdatum
- 30.09.2022
- Beginn
- 30.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- SYR / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect product formulation administered
Symptomtext
Patient inadvertently received monovalent Pfizer vaccine instead of bivalent Pfizer vaccine. Received fourth dose monovalent. Patient aware and counseled by on call physician.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- None
- Aktuelle Erkrankungen
- Unknown
- Vorgeschichte
- Unknown
- Andere Medikamente
- Unknown
- Allergien
- NKA
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 46,0
- Geschlecht
- F
- Eingang
- 30.09.2022
- Impfdatum
- 09.09.2022
- Beginn
- 09.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- IM / UN
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect product formulation administered
Symptomtext
Error: Wrong Vaccine Formulation (ex. Prevnar 13 v. Prevnar 23)-
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- ND
- Alter
- 60,0
- Geschlecht
- F
- Eingang
- 29.09.2022
- Impfdatum
- 01.09.2022
- Beginn
- 01.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Wrong product administered
Symptomtext
administered old Pfizer booster instead of the bivalent
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Wrong product administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- NKDA
- Vorherige Impfungen
- -
- Staat
- ND
- Alter
- 61,0
- Geschlecht
- F
- Eingang
- 29.09.2022
- Impfdatum
- 01.09.2022
- Beginn
- 01.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Wrong product administered
Symptomtext
Was supposed to give the Covid Pfizer Bivalent booster. Administered the tris in error
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Wrong product administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- nkda
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 65,0
- Geschlecht
- F
- Eingang
- 29.09.2022
- Impfdatum
- 29.09.2022
- Beginn
- 29.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- IM / UN
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
No adverse event
Symptomtext
Patient received the monovalent vaccines as a booster dose. No adverse reaction noted. Patient notified.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 56,0
- Geschlecht
- F
- Eingang
- 29.09.2022
- Impfdatum
- 29.09.2022
- Beginn
- 29.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- IM / UN
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
No adverse event
Symptomtext
Patient received the monovalent vaccines as a booster dose. No adverse reaction noted. Patient notified.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- No adverse event
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 58,0
- Geschlecht
- F
- Eingang
- 29.09.2022
- Impfdatum
- 29.09.2022
- Beginn
- 29.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- IM / UN
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
No adverse event
Symptomtext
Patient received the monovalent vaccines as a booster dose. No adverse reaction noted. Patient notified.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 54,0
- Geschlecht
- F
- Eingang
- 29.09.2022
- Impfdatum
- 29.09.2022
- Beginn
- 29.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- IM / UN
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
No adverse event
Symptomtext
Patient received the monovalent vaccines as a booster dose. No adverse reaction noted. Patient notified.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 82,0
- Geschlecht
- F
- Eingang
- 29.09.2022
- Impfdatum
- 29.09.2022
- Beginn
- 29.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- IM / UN
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
No adverse event
Symptomtext
Patient received the monovalent vaccines as a booster dose. No adverse reaction noted. Patient notified.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 87,0
- Geschlecht
- M
- Eingang
- 29.09.2022
- Impfdatum
- 29.09.2022
- Beginn
- 29.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- IM / UN
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
No adverse event
Symptomtext
Patient received the monovalent vaccines as a booster dose. No adverse reaction noted. Patient notified.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 40,0
- Geschlecht
- F
- Eingang
- 29.09.2022
- Impfdatum
- 29.09.2022
- Beginn
- 29.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- IM / UN
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
No adverse event
Symptomtext
Patient received the monovalent vaccines as a booster dose. No adverse reaction noted. Patient notified.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 60,0
- Geschlecht
- F
- Eingang
- 29.09.2022
- Impfdatum
- 29.09.2022
- Beginn
- 29.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- IM / UN
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
No adverse event
Symptomtext
Patient received the monovalent vaccines as a booster dose. No adverse reaction noted. Patient notified.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 44,0
- Geschlecht
- F
- Eingang
- 29.09.2022
- Impfdatum
- 29.09.2022
- Beginn
- 29.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- IM / UN
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
Symptomtext
Patient received the monovalent vaccines as a booster dose. No adverse reaction noted. Patient notified.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 27,0
- Geschlecht
- M
- Eingang
- 29.09.2022
- Impfdatum
- 29.09.2022
- Beginn
- 29.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- IM / UN
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
No adverse event
Symptomtext
Patient received monovalent vaccine as booster dose. No adverse reaction. Contacted patient.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 76,0
- Geschlecht
- F
- Eingang
- 29.09.2022
- Impfdatum
- 29.09.2022
- Beginn
- 29.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- IM / UN
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
No adverse event
Symptomtext
Patient received monovalent vaccine as booster dose. No adverse reaction. Contacted patient.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 37,0
- Geschlecht
- M
- Eingang
- 29.09.2022
- Impfdatum
- 29.09.2022
- Beginn
- 29.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- IM / UN
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
No adverse event
Symptomtext
Patient receive monovalent as booster dose. no adverse reaction
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 36,0
- Geschlecht
- F
- Eingang
- 29.09.2022
- Impfdatum
- 29.09.2022
- Beginn
- 29.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- IM / UN
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
No adverse event
Symptomtext
Patient receive monovalent as booster dose. no adverse reaction
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 67,0
- Geschlecht
- M
- Eingang
- 29.09.2022
- Impfdatum
- 29.09.2022
- Beginn
- 29.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- IM / UN
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
No adverse event
Symptomtext
Patient receive monovalent as booster dose. no adverse reaction
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 62,0
- Geschlecht
- F
- Eingang
- 29.09.2022
- Impfdatum
- 29.09.2022
- Beginn
- 29.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 5
- Route/Site
- IM / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
No adverse event
Symptomtext
Patient receive monovalent as booster dose. no adverse reaction
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 65,0
- Geschlecht
- F
- Eingang
- 29.09.2022
- Impfdatum
- 29.09.2022
- Beginn
- 29.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 5
- Route/Site
- IM / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
No adverse event
Symptomtext
Patient received monovalent vaccine as booster. no adverse reaction
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- SC
- Alter
- 82,0
- Geschlecht
- F
- Eingang
- 29.09.2022
- Impfdatum
- 23.09.2022
- Beginn
- 23.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- IM / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Incorrect product formulation administered
Symptomtext
Pt should have been given the Covid Bivalent dose
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- none
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- NKA
- Vorherige Impfungen
- -
- Staat
- NH
- Alter
- 81,0
- Geschlecht
- F
- Eingang
- 29.09.2022
- Impfdatum
- 27.09.2022
- Beginn
- 27.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect product formulation administered
No adverse event
Symptomtext
The patient was to receive the bivalent vaccine and received the monovalent vaccine instead. No ill effects were seen at all. Patient was notified of the error. Repeat vaccination to occur based on CDC guideline of 3 months.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- None
- Aktuelle Erkrankungen
- N/A
- Vorgeschichte
- N/A
- Andere Medikamente
- N/A
- Allergien
- PCN
- Vorherige Impfungen
- -
- Staat
- SC
- Alter
- 74,0
- Geschlecht
- M
- Eingang
- 29.09.2022
- Impfdatum
- 23.09.2022
- Beginn
- 23.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 5
- Route/Site
- IM / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Incorrect product formulation administered
Symptomtext
Pt should have received the Covid Bivalent dose
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- none
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- Lisinopril
- Vorherige Impfungen
- -
- Staat
- SC
- Alter
- 83,0
- Geschlecht
- F
- Eingang
- 29.09.2022
- Impfdatum
- 23.09.2022
- Beginn
- 23.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- IM / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Incorrect product formulation administered
Symptomtext
patient should have been given the Bivalent dose.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- None
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- Sulfa, Allopurinol, Doxycycline, Levofloxacine
- Vorherige Impfungen
- -
- Staat
- SC
- Alter
- 75,0
- Geschlecht
- M
- Eingang
- 29.09.2022
- Impfdatum
- 23.09.2022
- Beginn
- 23.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Incorrect product formulation administered
Symptomtext
Patient should have received the Bivalent Covid booster.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- None
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- Nexium
- Vorherige Impfungen
- -
- Staat
- NJ
- Alter
- 44,0
- Geschlecht
- M
- Eingang
- 29.09.2022
- Impfdatum
- 26.09.2022
- Beginn
- 26.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
No adverse event
Symptomtext
Pt did NOT have adverse reaction to Covid 19 Biontech Pfizer injection. Pt was suppose to get Bivalent and was given a regular dose instead. Will report and also pt will be contacted to advise that Bivalent can still be given in 2 months from 9/26/22
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- NJ
- Alter
- 70,0
- Geschlecht
- M
- Eingang
- 29.09.2022
- Impfdatum
- 26.09.2022
- Beginn
- 26.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
Symptomtext
PT was suppose to get Covid Pfizer Bivalent but instead received Covid19 Pfizer Biontech. Will also report and will contact pt to advise he can get the Bivalent in 2 months from 9/26/22.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- NJ
- Alter
- 66,0
- Geschlecht
- M
- Eingang
- 29.09.2022
- Impfdatum
- 26.09.2022
- Beginn
- 26.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 5
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect product formulation administered
No adverse event
Symptomtext
There was NO adverse event. Pt was suppose to get the Bivalent Booster and instead was given the regular Pfizer Biontech shot. Will report and also contact pt to let them know they can get Bivalent in 2 months from 9/26/22.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- N/A
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- -
- Alter
- 72,0
- Geschlecht
- F
- Eingang
- 29.09.2022
- Impfdatum
- 26.08.2022
- Beginn
- 01.09.2022
- Tage bis Beginn
- 6,0
- Dosis
- 4
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: ja
Disable: unbekannt
ER: unbekannt
Erholt: nein
Asthenia
Implantable cardiac monitor insertion
Implantable defibrillator insertion
Sinus arrest
Symptomtext
PATIENT HAD A 12-13 SECOND PAUSE ON HER LOOP RECORDER AND WEAKNESS
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Asthenia
- Hospital-Tage
- 4,0
- Labordaten
- LOOP RECORDER - 12-13 SECOND PAUSE. PATIENT HAD AN AICD IMPLANTED.
- Aktuelle Erkrankungen
- N/A
- Vorgeschichte
- T-TACH, A-FIB, OSTEOPOROSIS, SCOLIOSIS, HYPERLIPIDEMIA, HYPERTENSION, ARTHRITIS, ANEURYSM, ALZHEIMERS
- Andere Medikamente
- TYLENOL, AMLODIPINE, ELIQUIS, ATORVASTATIN, VITAMIN D, IBANDRONATE, IRBESARTAN, MULTIVITAMIN
- Allergien
- AMOXICILLIN, AMPICILLIN
- Vorherige Impfungen
- -
- Staat
- WV
- Alter
- 9,0
- Geschlecht
- F
- Eingang
- 28.09.2022
- Impfdatum
- 16.09.2022
- Beginn
- 16.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 2
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect dose administered
Symptomtext
PLEASE NOT THERE WERE NO ADVERSE EFFENTS RELATED TO THIS REPORT A higher dose of the COVID-19 (Pfizer-BioNTech) was administered. Inadvertently a higher dose of the vaccine (0.3ml) approver for ages 12-18 was administered. Pt. should have received Pfizer 0.2ml.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect dose administered
- Hospital-Tage
- -
- Labordaten
- N/A
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- None indicated on Vaccine checklist
- Andere Medikamente
- No
- Allergien
- NKDA or food allergies
- Vorherige Impfungen
- -
- Staat
- SD
- Alter
- 43,0
- Geschlecht
- M
- Eingang
- 28.09.2022
- Impfdatum
- 28.09.2022
- Beginn
- 28.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect product formulation administered
Symptomtext
Patient had received 2 doses of J&J Covid vaccine previously on: 5/7/21 & 1/21/22. The nurse mistakenly gave a monovalent Pfizer dose today instead of the bivalent as a booster.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- -
- Alter
- 65,0
- Geschlecht
- M
- Eingang
- 28.09.2022
- Impfdatum
- 27.09.2022
- Beginn
- 27.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
Symptomtext
Patient received monovalent Pfizer COVID vaccine & was supposed to receive bivalent Pfizer COVID booster.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- -
- Alter
- 68,0
- Geschlecht
- F
- Eingang
- 28.09.2022
- Impfdatum
- 27.09.2022
- Beginn
- 27.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 5
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
Symptomtext
Patient received monovalent Pfizer COVID vaccine & was supposed to receive bivalent Pfizer COVID booster.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- NJ
- Alter
- 58,0
- Geschlecht
- F
- Eingang
- 28.09.2022
- Impfdatum
- 01.08.2022
- Beginn
- 01.09.2022
- Tage bis Beginn
- 31,0
- Dosis
- 4
- Route/Site
- - / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
COVID-19
SARS-CoV-2 test
Vaccination failure
Symptomtext
COVID 19 Treatment; COVID 19 Treatment; This is a spontaneous report received from a contactable reporter(s) (Consumer or other non HCP). The reporter is the patient. A 58-year-old female patient (not pregnant) received BNT162b2 (BNT162B2), on 02Apr2021 as dose 1, single (Lot number: ER8733), on 23Apr2021 as dose 2, single (Lot number: EW0170), on 15Nov2021 as dose 3 (booster), single (Lot number: EW0191) and on 01Aug2022 as dose 4 (booster), single (Lot number: FP7138) at the age of 58 years for covid-19 immunisation. The patient had no relevant medical history. No Known allergies. Concomitant medication(s) included: ALPRAZOLAM, start date: 05Sep2022. The following information was reported: VACCINATION FAILURE (medically significant), COVID-19 (medically significant) all with onset Sep2022, outcome "not recovered" and all described as "COVID 19 Treatment". The patient underwent the following laboratory tests and procedures: SARS-CoV-2 test: (Sep2022) Positive, notes: Indication: Treatment of COVID-19; (Sep2022) Positive, notes: Covid-19 Rebound Infection. Therapeutic measures were taken as a result of vaccination failure, covid-19.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- COVID-19
- Hospital-Tage
- -
- Labordaten
- Test Date: 202209; Test Name: COVID test; Test Result: Positive ; Comments: Indication: Treatment of COVID-19; Test Date: 202209; Test Name: COVID test; Test Result: Positive ; Comments: Covid-19 Rebound Infection
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- Comments: List of non-encoded Patient Relevant History: Patient Other Relevant History 1: None
- Andere Medikamente
- ALPRAZOLAM
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- CA
- Alter
- 34,0
- Geschlecht
- F
- Eingang
- 27.09.2022
- Impfdatum
- 20.09.2022
- Beginn
- 20.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Incorrect product formulation administered
Symptomtext
Patient recieved a regular pfizer 12+ vaccine as a booster dose instead of the Bivalent Pfizer Booster
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- n/a
- Allergien
- n/a
- Vorherige Impfungen
- -
- Staat
- CA
- Alter
- 13,0
- Geschlecht
- F
- Eingang
- 27.09.2022
- Impfdatum
- 20.09.2022
- Beginn
- 20.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Incorrect product formulation administered
Symptomtext
Patient recieved a regular pfizer 12+ vaccine as a booster dose instead of the Bivalent Pfizer Booster
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- n/a
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- N/A
- Allergien
- N/A
- Vorherige Impfungen
- -
- Staat
- CA
- Alter
- 36,0
- Geschlecht
- M
- Eingang
- 27.09.2022
- Impfdatum
- 20.09.2022
- Beginn
- 20.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Incorrect product formulation administered
Symptomtext
Patient was given the regular Pfizer 12+ vaccine instead of the Bivalent Pfizer 12+ booster dose
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- n/a
- Allergien
- n/a
- Vorherige Impfungen
- -
- Staat
- CA
- Alter
- 33,0
- Geschlecht
- F
- Eingang
- 27.09.2022
- Impfdatum
- 20.09.2022
- Beginn
- 20.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Incorrect product formulation administered
Symptomtext
Patient was given regular pfizer vaccine as a booster dose instead of the Bivalent
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- unknown
- Allergien
- none
- Vorherige Impfungen
- -
- Staat
- CA
- Alter
- 64,0
- Geschlecht
- M
- Eingang
- 27.09.2022
- Impfdatum
- 20.09.2022
- Beginn
- 20.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- - / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect product formulation administered
Symptomtext
Patient was given the regular pfizer 12+ vaccine instead of the new Bivalent 12+ vaccine
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- none
- Vorgeschichte
- unknown
- Andere Medikamente
- unknown
- Allergien
- n/a
- Vorherige Impfungen
- -
- Staat
- AK
- Alter
- 32,0
- Geschlecht
- M
- Eingang
- 27.09.2022
- Impfdatum
- 20.09.2022
- Beginn
- 20.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- N/A
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
Symptomtext
Employee received a primary dose, and not the booster vaccine
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- AK
- Alter
- 60,0
- Geschlecht
- F
- Eingang
- 27.09.2022
- Impfdatum
- 20.09.2022
- Beginn
- 20.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect dose administered
Symptomtext
Employee received a primary dose, and not the booster vaccine
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect dose administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- CA
- Alter
- 54,0
- Geschlecht
- M
- Eingang
- 27.09.2022
- Impfdatum
- 13.09.2022
- Beginn
- 22.09.2022
- Tage bis Beginn
- 9,0
- Dosis
- 2
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Incorrect product formulation administered
Symptomtext
Client presented to the vaccination site on 09/22/2022. The client notified Lead nurse, that he received his Covid vaccine on 09/13/2022 at Health Center and brought documentation of his previous Covid Vaccine administered so that it could be entered in Immunization Registry today. Per client?s documentation, client received a Janssen primary series Lot # 1821281 in another country on 06/22/2021. Client had previously presented to vaccination site on 09/13/2022 and had requested a Covid Vaccine. A medical consult was done by lead nurse because client did not have documentation of previous Covid vaccine. Per client, he received a Pfizer first dose around March 2021, no adverse reactions to primary series, NKA, and no medical conditions. Medical consult was sent to Dr. at 1159 via text message. At 1204 Dr. approved via text message for a monovalent Pfizer second dose. At 1219 client received Pfizer monovalent second dose Lot# FP7138 on left arm. Client stayed in the observation area, reported no symptoms, and left the facility in a steady gait. Lead nurse explained to the client that because he had no documentation on 09/13/2022 and per what client had previously stated, he received a Pfizer monovalent second dose, but because his documentation says Janssen he should have received a Pfizer Bivalent booster per CDC guidelines. Client understood of the medication error. Client was informed that he could come back in two months for a Pfizer Bivalent booster. At 1110 client left the facility in a steady gait.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 38,0
- Geschlecht
- M
- Eingang
- 27.09.2022
- Impfdatum
- 06.09.2022
- Beginn
- 06.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Unevaluable event
Symptomtext
NO KNOWN SYMPTOMS OCCURED
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Unevaluable event
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- MI
- Alter
- 69,0
- Geschlecht
- M
- Eingang
- 27.09.2022
- Impfdatum
- 13.09.2022
- Beginn
- 13.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- - / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Vaccination error
Symptomtext
Monovalent Pfizer booster given in error
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Vaccination error
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- AR
- Alter
- 43,0
- Geschlecht
- F
- Eingang
- 27.09.2022
- Impfdatum
- 27.09.2022
- Beginn
- 27.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Cough
Pharyngeal swelling
Wheezing
Symptomtext
swollen throat and wheezing, cough
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Cough
- Hospital-Tage
- -
- Labordaten
- benadryl and xopenex updraft
- Aktuelle Erkrankungen
- none
- Vorgeschichte
- diabetes, autoimmune, htn
- Andere Medikamente
- Zoloft, benazapril, Januvia, glipiride, Topamax. hydroxychloroquine
- Allergien
- cephlasporins penicillin hydrocodone flagyl carafate Biaxin most antibiotics,
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 14,0
- Geschlecht
- M
- Eingang
- 27.09.2022
- Impfdatum
- 06.09.2022
- Beginn
- 06.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Unevaluable event
Symptomtext
NO KNOWN SYMPTOMS OCCURED
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Unevaluable event
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- MI
- Alter
- 92,0
- Geschlecht
- M
- Eingang
- 27.09.2022
- Impfdatum
- 05.09.2022
- Beginn
- 08.09.2022
- Tage bis Beginn
- 3,0
- Dosis
- 3
- Route/Site
- - / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
Symptomtext
Monovalent Pfizer Booster given in error
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- MI
- Alter
- 67,0
- Geschlecht
- M
- Eingang
- 27.09.2022
- Impfdatum
- 09.09.2022
- Beginn
- 09.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- - / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Wrong product administered
Symptomtext
Monovalent Pfizer Booster given in error
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Wrong product administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- MI
- Alter
- 77,0
- Geschlecht
- M
- Eingang
- 27.09.2022
- Impfdatum
- 07.09.2022
- Beginn
- 07.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- - / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
Symptomtext
Monovalent Pfizer booster given in error.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 29,0
- Geschlecht
- F
- Eingang
- 27.09.2022
- Impfdatum
- 06.09.2022
- Beginn
- 06.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
No adverse event
Symptomtext
NO KNOWN SYMPTOMS OCCURED
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- No adverse event
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 19,0
- Geschlecht
- F
- Eingang
- 27.09.2022
- Impfdatum
- 06.09.2022
- Beginn
- 06.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Unevaluable event
Symptomtext
NO KNOWN SYMPTOMS OCCURED
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Unevaluable event
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 70,0
- Geschlecht
- M
- Eingang
- 27.09.2022
- Impfdatum
- 06.09.2022
- Beginn
- 06.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Unevaluable event
Symptomtext
NO KNOWN SYMPTOMS OCCURED
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Unevaluable event
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- MI
- Alter
- 81,0
- Geschlecht
- F
- Eingang
- 27.09.2022
- Impfdatum
- 09.09.2022
- Beginn
- 09.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- - / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
Symptomtext
Monovalent Pfizer booster given in error
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- MI
- Alter
- 87,0
- Geschlecht
- M
- Eingang
- 27.09.2022
- Impfdatum
- 07.09.2022
- Beginn
- 07.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- - / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
Symptomtext
Monovalent Pfizer booster given in error.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- MI
- Alter
- 69,0
- Geschlecht
- M
- Eingang
- 27.09.2022
- Impfdatum
- 07.09.2022
- Beginn
- 07.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- - / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
Symptomtext
Monovalent Pfizer booster given in error.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- MI
- Alter
- 87,0
- Geschlecht
- F
- Eingang
- 27.09.2022
- Impfdatum
- 07.09.2022
- Beginn
- 07.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 2
- Route/Site
- - / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
Symptomtext
Monovalent Pfizer booster given in error.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- MI
- Alter
- 94,0
- Geschlecht
- M
- Eingang
- 27.09.2022
- Impfdatum
- 10.09.2022
- Beginn
- 10.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- - / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
Symptomtext
Monovalent Pfizer booster given in error.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- MI
- Alter
- 89,0
- Geschlecht
- F
- Eingang
- 27.09.2022
- Impfdatum
- 08.09.2022
- Beginn
- 08.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- - / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
Symptomtext
Monovalent Pfizer booster given in error.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- MI
- Alter
- 67,0
- Geschlecht
- F
- Eingang
- 27.09.2022
- Impfdatum
- 07.09.2022
- Beginn
- 07.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- - / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
Symptomtext
Monovalent Pfizer Booster given in Error.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- MA
- Alter
- 9,0
- Geschlecht
- M
- Eingang
- 27.09.2022
- Impfdatum
- 26.09.2022
- Beginn
- 27.09.2022
- Tage bis Beginn
- 1,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Incorrect dose administered
Product administered to patient of inappropriate age
Symptomtext
Patient received the 12+ vaccine instead of the Pedi 5-11 vaccine
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect dose administered
- Hospital-Tage
- -
- Labordaten
- NA
- Aktuelle Erkrankungen
- NA
- Vorgeschichte
- Increased BMI
- Andere Medikamente
- zyrtec melatonin
- Allergien
- NKA
- Vorherige Impfungen
- -
- Staat
- MA
- Alter
- 7,0
- Geschlecht
- F
- Eingang
- 27.09.2022
- Impfdatum
- 26.09.2022
- Beginn
- 27.09.2022
- Tage bis Beginn
- 1,0
- Dosis
- 3
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Incorrect dose administered
Product administered to patient of inappropriate age
Symptomtext
Patient received the 12+Pfizer vaccine instead of the Pedi dose for 5-11 years
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect dose administered
- Hospital-Tage
- -
- Labordaten
- none
- Aktuelle Erkrankungen
- Wheezing episode
- Vorgeschichte
- None
- Andere Medikamente
- Proair inhaler
- Allergien
- NKA
- Vorherige Impfungen
- -
- Staat
- MI
- Alter
- 82,0
- Geschlecht
- F
- Eingang
- 27.09.2022
- Impfdatum
- 12.09.2022
- Beginn
- 12.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- - / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
Symptomtext
Monovalent Pfizer booster given in error.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- MI
- Alter
- 81,0
- Geschlecht
- F
- Eingang
- 27.09.2022
- Impfdatum
- 08.09.2022
- Beginn
- 08.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 2
- Route/Site
- - / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
Symptomtext
Monovalent Pfizer booster given in error.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- MI
- Alter
- 85,0
- Geschlecht
- F
- Eingang
- 27.09.2022
- Impfdatum
- 07.09.2022
- Beginn
- 07.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- - / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
Symptomtext
Monovalent Pfizer booster given in error.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- MI
- Alter
- 49,0
- Geschlecht
- M
- Eingang
- 27.09.2022
- Impfdatum
- 09.09.2022
- Beginn
- 09.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 2
- Route/Site
- - / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
Symptomtext
Monovalent Pfizer Vaccine given in error as a booster.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- MI
- Alter
- 86,0
- Geschlecht
- F
- Eingang
- 27.09.2022
- Impfdatum
- 09.09.2022
- Beginn
- 09.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- - / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
Symptomtext
Monovalent Pfizer Booster given in error
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- MI
- Alter
- 83,0
- Geschlecht
- M
- Eingang
- 27.09.2022
- Impfdatum
- 07.09.2022
- Beginn
- 07.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- - / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
Symptomtext
Monovalent Pfizer given in error.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- MI
- Alter
- 83,0
- Geschlecht
- F
- Eingang
- 27.09.2022
- Impfdatum
- 09.09.2022
- Beginn
- 09.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- - / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect product formulation administered
Symptomtext
Monovalent Pfizer given in error.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- KS
- Alter
- 88,0
- Geschlecht
- M
- Eingang
- 26.09.2022
- Impfdatum
- 20.09.2022
- Beginn
- 20.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 5
- Route/Site
- IM / AR
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect product formulation administered
Symptomtext
Error: Wrong Vaccine Formulation (ex. Prevnar 13 v. Prevnar 23)-
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- KS
- Alter
- 58,0
- Geschlecht
- M
- Eingang
- 25.09.2022
- Impfdatum
- 20.09.2022
- Beginn
- 20.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 5
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect product formulation administered
Symptomtext
Error: Wrong Vaccine Formulation (ex. Prevnar 13 v. Prevnar 23)-
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- GA
- Alter
- 29,0
- Geschlecht
- F
- Eingang
- 24.09.2022
- Impfdatum
- 21.08.2022
- Beginn
- -
- Tage bis Beginn
- -
- Dosis
- 5
- Route/Site
- - / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
COVID-19
Drug ineffective
SARS-CoV-2 test
Symptomtext
Treatment of COVID-19; Treatment of COVID-19; This is a spontaneous report received from a contactable reporter(s) (Consumer or other non HCP). The reporter is the patient. A 29-year-old female patient (not pregnant) received BNT162b2 (COMIRNATY), on 21Aug2022 at 14:00 as dose 5 (booster), single (Lot number: FP7138) at the age of 29 years, in left arm for covid-19 immunisation; coviD-19 vaccine (COVID-19 VACCINE), as dose 1, single (Batch/Lot number: unknown), as dose 2, single (Batch/Lot number: unknown), as dose 3 (booster), single (Batch/Lot number: unknown) and as dose 4 (booster), single (Batch/Lot number: unknown) for covid-19 immunisation. The patient's relevant medical history included: "Generalized Anxiety Disorder" (unspecified if ongoing); "ADHD" (unspecified if ongoing); "chronic moderate Asthma" (unspecified if ongoing); "Known allergies: Lavender" (unspecified if ongoing). Concomitant medication(s) included: ADDERALL, start date: 01Mar2022, stop date: 13Sep2022; BUSPIRONE, start date: 01Apr2022, stop date: 12Sep2022; ESCITALOPRAM, start date: 01Jun2022, stop date: 20Sep2022; ZYRTEC [CETIRIZINE HYDROCHLORIDE], start date: 01Jan2022, stop date: 20Sep2022. The following information was reported: DRUG INEFFECTIVE (medically significant), COVID-19 (medically significant), outcome "not recovered" and all described as "Treatment of COVID-19". The patient underwent the following laboratory tests and procedures: SARS-CoV-2 test: Positive, notes: COVID 19 Treatment. Therapeutic measures were taken as a result of drug ineffective, covid-19.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- COVID-19
- Hospital-Tage
- -
- Labordaten
- Test Name: Covid-19 Test; Test Result: Positive ; Comments: COVID 19 Treatment
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- Medical History/Concurrent Conditions: ADHD; Allergy to plants; Asthma chronic; Generalized anxiety disorder
- Andere Medikamente
- ADDERALL; BUSPIRONE; ESCITALOPRAM; ZYRTEC [CETIRIZINE HYDROCHLORIDE]
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 41,0
- Geschlecht
- F
- Eingang
- 24.09.2022
- Impfdatum
- 17.09.2022
- Beginn
- 17.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect product formulation administered
Symptomtext
Error: Wrong Vaccine Formulation (ex. Prevnar 13 v. Prevnar 23)-
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- MI
- Alter
- 64,0
- Geschlecht
- M
- Eingang
- 23.09.2022
- Impfdatum
- 23.09.2022
- Beginn
- 23.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 5
- Route/Site
- SYR / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
Symptomtext
patient received monovalent pfizer as a booster instead of bivalent
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- ME
- Alter
- 62,0
- Geschlecht
- M
- Eingang
- 23.09.2022
- Impfdatum
- 23.09.2022
- Beginn
- 23.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 5
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
Symptomtext
patient received monovalent pfizer as a booster instead of bivalent
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- MI
- Alter
- 26,0
- Geschlecht
- M
- Eingang
- 23.09.2022
- Impfdatum
- 23.09.2022
- Beginn
- 23.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 5
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
Symptomtext
patient received monovalent pfizer as a booster instead of bivalent
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- MI
- Alter
- 71,0
- Geschlecht
- F
- Eingang
- 23.09.2022
- Impfdatum
- 23.09.2022
- Beginn
- 23.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 5
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
Symptomtext
patient received monovalent pfizer as a booster instead of bivalent
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- MI
- Alter
- 72,0
- Geschlecht
- M
- Eingang
- 23.09.2022
- Impfdatum
- 23.09.2022
- Beginn
- 23.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 5
- Route/Site
- SYR / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
Symptomtext
patient received monovalent pfizer as a booster instead of bivalent
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- MI
- Alter
- 75,0
- Geschlecht
- F
- Eingang
- 23.09.2022
- Impfdatum
- 12.09.2022
- Beginn
- 12.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- - / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
Symptomtext
Monovalent Pfizer given in error.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- MI
- Alter
- 79,0
- Geschlecht
- F
- Eingang
- 23.09.2022
- Impfdatum
- 07.09.2022
- Beginn
- 07.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- - / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
Symptomtext
Monovalent Pfizer Vaccine given in error.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- MI
- Alter
- 77,0
- Geschlecht
- M
- Eingang
- 23.09.2022
- Impfdatum
- 07.09.2022
- Beginn
- 07.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- - / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
Symptomtext
Monovalent Pfizer vaccine given in error.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- MI
- Alter
- 72,0
- Geschlecht
- M
- Eingang
- 23.09.2022
- Impfdatum
- 23.09.2022
- Beginn
- 23.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
Symptomtext
Patient received monovalent Pfizer as a booster instead of bivalent.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- MI
- Alter
- 65,0
- Geschlecht
- M
- Eingang
- 23.09.2022
- Impfdatum
- 23.09.2022
- Beginn
- 23.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
Symptomtext
patient received monovalent pfizer as a booster shot instead of the bivalent vaccine
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- MI
- Alter
- 66,0
- Geschlecht
- F
- Eingang
- 23.09.2022
- Impfdatum
- 23.09.2022
- Beginn
- 23.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
Symptomtext
Patient received monovalent pfizer 59267102501 instead of bivalent pfizer
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- ND
- Alter
- 13,0
- Geschlecht
- M
- Eingang
- 22.09.2022
- Impfdatum
- 01.09.2022
- Beginn
- 01.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- IM / RL
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Incorrect product formulation administered
Symptomtext
Patient received monovalent COVID vaccine instead of Bivalent COVID vaccine.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- ND
- Alter
- 30,0
- Geschlecht
- M
- Eingang
- 22.09.2022
- Impfdatum
- 02.09.2022
- Beginn
- 02.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect dose administered
Incorrect product formulation administered
Symptomtext
Pharmacy administered deauthorized booster dose on September 2, 2022. Dose given had been deauthorized on August 31, 2022.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect dose administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- MI
- Alter
- 68,0
- Geschlecht
- F
- Eingang
- 22.09.2022
- Impfdatum
- 07.09.2022
- Beginn
- 07.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 2
- Route/Site
- - / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
Symptomtext
Pfizer Monovalent Booster given in error.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- MI
- Alter
- 71,0
- Geschlecht
- F
- Eingang
- 22.09.2022
- Impfdatum
- 08.09.2022
- Beginn
- 08.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- - / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
Symptomtext
Patient given Pfizer Monovalent Booster in Error.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 37,0
- Geschlecht
- F
- Eingang
- 22.09.2022
- Impfdatum
- 06.09.2022
- Beginn
- 06.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Unevaluable event
Symptomtext
NO KNOWN SYMPTOMS OCCURED
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Unevaluable event
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- -
- Alter
- 55,0
- Geschlecht
- M
- Eingang
- 22.09.2022
- Impfdatum
- 19.09.2022
- Beginn
- 19.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 2
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Inappropriate schedule of product administration
Interchange of vaccine products
Symptomtext
Per pt report, had not received any doses of COVID vaccine, 1st dose in Pfizer series administered based on this information as we were at an outreach event and unable to access database. When looked up in database, pt had received a Moderna vaccine in 12/2021.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Inappropriate schedule of product administration
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- VA
- Alter
- 13,0
- Geschlecht
- M
- Eingang
- 21.09.2022
- Impfdatum
- 14.09.2022
- Beginn
- 14.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Incorrect product formulation administered
Symptomtext
monovalent in stock & bivalent not available. Given after EUA date change. No known ill effects.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- n/a
- Aktuelle Erkrankungen
- n/a
- Vorgeschichte
- n/a
- Andere Medikamente
- Ritalin & zoloft
- Allergien
- NKDA
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 14,0
- Geschlecht
- F
- Eingang
- 20.09.2022
- Impfdatum
- 06.09.2022
- Beginn
- 06.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
No adverse event
Symptomtext
NO KNOWN SYMPTOMS OCCURED
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- No adverse event
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- WI
- Alter
- 35,0
- Geschlecht
- M
- Eingang
- 20.09.2022
- Impfdatum
- 20.09.2022
- Beginn
- 20.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect product formulation administered
Symptomtext
monovalent given instead of Bivalent
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- n/a
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- CA
- Alter
- 51,0
- Geschlecht
- M
- Eingang
- 20.09.2022
- Impfdatum
- 17.09.2022
- Beginn
- 17.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect product formulation administered
Symptomtext
Patient given Monovalent Pfizer vaccine instead of bivalent
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- CA
- Alter
- 39,0
- Geschlecht
- F
- Eingang
- 20.09.2022
- Impfdatum
- 17.09.2022
- Beginn
- 17.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect product formulation administered
Symptomtext
Patient received Pfizer monovalent vaccine instead of bivalent.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- None
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- ME
- Alter
- 37,0
- Geschlecht
- M
- Eingang
- 20.09.2022
- Impfdatum
- 19.09.2022
- Beginn
- -
- Tage bis Beginn
- -
- Dosis
- 4
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect dose administered
Incorrect product formulation administered
No adverse event
Symptomtext
No adverse reaction- incorrect vaccine given dose should have Been Covid-19 Pfizer BioNTech Bivalent for this patinets booster dose.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect dose administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- ME
- Alter
- 81,0
- Geschlecht
- F
- Eingang
- 20.09.2022
- Impfdatum
- 19.09.2022
- Beginn
- -
- Tage bis Beginn
- -
- Dosis
- 4
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Extra dose administered
Incorrect product formulation administered
No adverse event
Symptomtext
No adverse reaction- incorrect vaccine given dose should have Been Covid-19 Pfizer BioNTech Bivalent for this patinets booster dose.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Extra dose administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -