- Staat
- NY
- Alter
- 13,0
- Geschlecht
- M
- Eingang
- 25.09.2023
- Impfdatum
- 23.09.2023
- Beginn
- 23.09.2023
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Pallor
Syncope
Symptomtext
Patient experienced syncope after receiving Hep A, influenza, MenACWY, Tdap, and varicella vaccines. Briefly unresponsive, pale complexion. Recovered quickly; monitored for almost 1 hour.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Syncope
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- Unknown
- Vorgeschichte
- Unknown
- Andere Medikamente
- Unknown
- Allergien
- No known allergies
- Vorherige Impfungen
- -
- Staat
- CA
- Alter
- 11,0
- Geschlecht
- M
- Eingang
- 19.07.2023
- Impfdatum
- 17.07.2023
- Beginn
- 17.07.2023
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: ja
Erholt: ja
Syncope
Symptomtext
patient waiting 15 minutes to see if no reactions with vaccines, after 5 minutes after administering vaccines, patient fainted in room, ambulance was called per Provider and patient was taken via ambulance to Hospital. Patient followed up in office today 07/19/2023 with our provider.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Syncope
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- None
- Andere Medikamente
- None
- Allergien
- None Known
- Vorherige Impfungen
- -
- Staat
- CA
- Alter
- 20,0
- Geschlecht
- F
- Eingang
- 18.05.2023
- Impfdatum
- 16.05.2023
- Beginn
- 16.05.2023
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Dizziness
Hypotension
Syncope
Symptomtext
Pt experienced a syncopal episode 10 minutes after vaccine administration. Pt reported dizziness and lightheadedness before syncope and was alert again after 10 seconds w/ low blood pressure. Pt evaluated by MD and felt better after legs being elevated and being given juice and crackers. Pt BP improved and pt was discharged home w/ follow up visit w/ PCP scheduled for later date.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Syncope
- Hospital-Tage
- -
- Labordaten
- none
- Aktuelle Erkrankungen
- unknown
- Vorgeschichte
- none
- Andere Medikamente
- unknown
- Allergien
- NKDA
- Vorherige Impfungen
- -
- Staat
- PA
- Alter
- 50,0
- Geschlecht
- F
- Eingang
- 22.03.2023
- Impfdatum
- 22.03.2023
- Beginn
- 22.03.2023
- Tage bis Beginn
- 0,0
- Dosis
- 2
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: ja
Erholt: nein
Seizure
Symptomtext
PT HAS NO HISTORY OF SEIZURE BUT HAD A SEIZURE A FEW MINUTES AFTER RECEIVING BOTH VACCINATIONS
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Seizure
- Hospital-Tage
- -
- Labordaten
- PT WAS SENT BY FACILITY VIA AMBULANCE TO EMERGENCY ROOM
- Aktuelle Erkrankungen
- NONE STATED
- Vorgeschichte
- NEWLY DIAGNOSED WITH LONG COVID AND PERIPHERAL NEUROPATHY
- Andere Medikamente
- VITAMIN D 50MCG, 1 PO QD VITAMIN B12 1000MCG , 1 PO QD CETIRIZINE 10MG, 1 PO QD MAYBE TRAZODONE 25MG QHS
- Allergien
- MORPHINE ALLERGY--PT STATED OUT OF BODY FEELING
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 13,0
- Geschlecht
- F
- Eingang
- 03.11.2022
- Impfdatum
- 01.11.2022
- Beginn
- 01.11.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Syncope
Symptomtext
Pt experienced syncopal event 4 min after immunization received. Slight movement noted of left arm and left leg for 15 seconds while syncopal event lasted. Pt regained consciousness 30 seconds after syncopal event started. Applied cold towel to forehead and cheeks, Pt maintained a pulse during syncopal event.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Syncope
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- None reported by Parent
- Vorgeschichte
- None reported by Parent at time of Immunization.
- Andere Medikamente
- None reported by Parent
- Allergien
- None reported by Parent
- Vorherige Impfungen
- -
- Staat
- MI
- Alter
- 23,0
- Geschlecht
- F
- Eingang
- 05.05.2023
- Impfdatum
- 02.05.2023
- Beginn
- 04.05.2023
- Tage bis Beginn
- 2,0
- Dosis
- 7+
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Chest discomfort
Chest pain
Painful respiration
Symptomtext
Patient called on 5/5/23 stating she has an aching pain in her chest, especially at the end of an exhale. Described and discomfort and ache in her chest.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Chest pain
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- History of Myocarditis and Pericarditis, history of heart surgery
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- PA
- Alter
- 12,0
- Geschlecht
- M
- Eingang
- 31.07.2023
- Impfdatum
- 31.07.2023
- Beginn
- 31.07.2023
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Dizziness
Pallor
Symptomtext
After all 3 shots were given and bandaids were being applied the patient turned white and got light headed. I grabbed him and laid him down on the table. Dr came in and checked on him. We had patient lay there for awhile then he sat up for awhile on the table. When he felt better he walked to the chair in the room and sat down for the rest of the 20 minutes. Patient was able to walk out on his own with dad.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Dizziness
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- MI
- Alter
- 13,0
- Geschlecht
- F
- Eingang
- 02.03.2023
- Impfdatum
- 07.02.2023
- Beginn
- 07.02.2023
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- - / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Pruritus
Rash
Symptomtext
Client states itching and rash on chest/neck in the waiting room approx. 5 min after receiving vaccines. Pt assessment done. 50 MG of Benadryl was given within a few min of patient reporting symptoms. Patient was assessed for half an hour. After a half hour patient self reported feeling better via translator and left the clinic.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Pruritus
- Hospital-Tage
- -
- Labordaten
- NA
- Aktuelle Erkrankungen
- No reported
- Vorgeschichte
- None reported
- Andere Medikamente
- None reported
- Allergien
- None Reported
- Vorherige Impfungen
- -
- Staat
- AZ
- Alter
- 54,0
- Geschlecht
- M
- Eingang
- 08.12.2022
- Impfdatum
- 08.12.2022
- Beginn
- 08.12.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Injection site reaction
Urticaria
Symptomtext
WELT BEGAN TO FORM IN PATIENTS ARM RIGHT AS VACCINE WAS ADMINISTERED. PATIEN DECLINED ANY PAIN INWELT OR SURROUNDING AREAS
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Injection site reaction
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- HYPERLIPIDEMIA
- Andere Medikamente
- - GABAPENTIN 100MG 3X DAILY - HYDROCHLOROTHIAZIDE 25MG ONCE A DAY - HYDROXIZINE HCI 10MG 2X A DAY PRN - IBUPROFEN 800MG PRN
- Allergien
- PENICILLINS
- Vorherige Impfungen
- -
- Staat
- PR
- Alter
- 11,0
- Geschlecht
- F
- Eingang
- 08.09.2022
- Impfdatum
- 06.09.2022
- Beginn
- 06.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Dizziness
Nausea
Symptomtext
After being vaccinated, the patient presents dizziness and nausea. She is given the required medical attention and remains under observation until she is stable.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Dizziness
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- MI
- Alter
- 62,0
- Geschlecht
- F
- Eingang
- 20.12.2023
- Impfdatum
- 11.12.2023
- Beginn
- 11.12.2023
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- - / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Expired product administered
Symptomtext
States an expired dose of BOOSTRIX was given to a patient; This non-serious case was reported by a other health professional via call center representative and described the occurrence of expired vaccine used in a 62-year-old female patient who received DTPa (Reduced antigen) (Boostrix) (batch number 2zf9n, expiry date 24-SEP-2023) for prophylaxis. On 11-DEC-2023, the patient received Boostrix. On 11-DEC-2023, an unknown time after receiving Boostrix, the patient experienced expired vaccine used (Verbatim: States an expired dose of BOOSTRIX was given to a patient). The outcome of the expired vaccine used was unknown. This report is made by GSK without prejudice and does not imply any admission or liability for the incident or its consequences. Additional Information: GSK Receipt Date: 11-DEC-2023 The reporter stated that an expired dose of Boostrix was given to a patient, which led to expired vaccine used. The reporter consented to follow up.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Expired product administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- PA
- Alter
- -
- Geschlecht
- F
- Eingang
- 09.10.2023
- Impfdatum
- 29.09.2023
- Beginn
- 29.09.2023
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- - / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Expired product administered
Symptomtext
expired dose of Boostrix was administered to a patient; This non-serious case was reported by a nurse via call center representative and described the occurrence of expired vaccine used in a 67-year-old female patient who received DTPa (Reduced antigen) (Boostrix) (batch number 2ZF9N, expiry date 24-SEP-2023) for prophylaxis. On 29-SEP-2023, the patient received Boostrix. On 29-SEP-2023, an unknown time after receiving Boostrix, the patient experienced expired vaccine used (Verbatim: expired dose of Boostrix was administered to a patient). The outcome of the expired vaccine used was unknown. Additional Information: GSK Receipt date: 29-SEP-2023 The reporter called to report that an expired dose of Boostrix was administered to a patient, which led to expired vaccine used. The reporter consented to follow up.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Expired product administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- KY
- Alter
- -
- Geschlecht
- F
- Eingang
- 06.10.2023
- Impfdatum
- 27.09.2023
- Beginn
- 27.09.2023
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- - / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Expired product administered
Symptomtext
patient received a dose of Boostrix that had already expired; This non-serious case was reported by a nurse via call center representative and described the occurrence of expired vaccine used in a female patient who received DTPa (Reduced antigen) (Boostrix) (batch number 2ZF9N, expiry date 24-SEP-2023) for prophylaxis. On 27-SEP-2023, the patient received Boostrix. On 27-SEP-2023, an unknown time after receiving Boostrix, the patient experienced expired vaccine used (Verbatim: patient received a dose of Boostrix that had already expired). The outcome of the expired vaccine used was unknown. Additional Information: GSK Receipt date: 27-SEP-2023 A nurse reported that earlier that day, a patient received a dose of Boostrix that had already expired on 24 September 2023 which led to expired vaccine used. The reporter did not consent to follow-up. This case was linked with case US2023133461 with same reporter.; Sender's Comments: US-GSK-US2023133461:Same reporter 2nd patient
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Expired product administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- SD
- Alter
- 12,0
- Geschlecht
- F
- Eingang
- 05.10.2023
- Impfdatum
- 25.09.2023
- Beginn
- 25.09.2023
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- - / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Expired product administered
Symptomtext
patient received a dose of Boostrix that expired the day before she was administered it; This non-serious case was reported by a nurse via call center representative and described the occurrence of expired vaccine used in a 12-year-old female patient who received DTPa (Reduced antigen) (Boostrix) (batch number 2ZF9N, expiry date 24-SEP-2023) for prophylaxis. On 25-SEP-2023, the patient received Boostrix. On 25-SEP-2023, an unknown time after receiving Boostrix, the patient experienced expired vaccine used (Verbatim: patient received a dose of Boostrix that expired the day before she was administered it). The outcome of the expired vaccine used was unknown. Additional Information: GSK receipt date: 26-Sept-2023 The case was received from the registered nurse. The reporter consented to follow-up. The patient received an expired dose of Boostrix, which led to expired vaccine used.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Expired product administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- KS
- Alter
- 12,0
- Geschlecht
- M
- Eingang
- 05.10.2023
- Impfdatum
- 26.09.2023
- Beginn
- 26.09.2023
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- - / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Expired product administered
Symptomtext
patient received an expired dose of Boostrix today. Vaccine expired on 24-SEP-2023; This non-serious case was reported by a nurse via call center representative and described the occurrence of expired vaccine used in a 12-year-old male patient who received DTPa (Reduced antigen) (Boostrix) (batch number 2ZF9N, expiry date 24-SEP-2023) for prophylaxis. On 26-SEP-2023, the patient received Boostrix. On 26-SEP-2023, an unknown time after receiving Boostrix, the patient experienced expired vaccine used (Verbatim: patient received an expired dose of Boostrix today. Vaccine expired on 24-SEP-2023). The outcome of the expired vaccine used was unknown. Additional Information: GSK receipt date: 26-Sept-2023 The case was received from the registered nurse. The reporter consented to follow-up. The patient received an expired dose of Boostrix, which led to expired vaccine used.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Expired product administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- KY
- Alter
- -
- Geschlecht
- F
- Eingang
- 04.10.2023
- Impfdatum
- 27.09.2023
- Beginn
- 27.09.2023
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- - / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Expired product administered
Symptomtext
a patient received a dose of Boostrix that had already expired on 24/Sep/2023; This non-serious case was reported by a nurse via call center representative and described the occurrence of expired vaccine used in a female patient who received DTPa (Reduced antigen) (Boostrix) (batch number 2ZF9N, expiry date 24-SEP-2023) for prophylaxis. On 27-SEP-2023, the patient received Boostrix. On 27-SEP-2023, an unknown time after receiving Boostrix, the patient experienced expired vaccine used (Verbatim: a patient received a dose of Boostrix that had already expired on 24/Sep/2023). The outcome of the expired vaccine used was unknown. Additional Information: GSK Receipt Date: 27-SEP-2023 A nurse called to inform that earlier that day, a patient received a dose of Boostrix that had already expired on 24th September 2023, which led to expired vaccine used. The reporter did not consent to follow-up. This case had been linked with US2023133458, reported by same reporter.; Sender's Comments: US-GSK-US2023133458:Same reporter 2nd patient
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Expired product administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- -
- Alter
- -
- Geschlecht
- M
- Eingang
- 04.10.2023
- Impfdatum
- 25.09.2023
- Beginn
- 25.09.2023
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- - / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Expired product administered
Symptomtext
Administration of an expired Boostrix dose to a patient.; This non-serious case was reported by a pharmacist via call center representative and described the occurrence of expired vaccine used in a 61-year-old male patient who received DTPa (Reduced antigen) (Boostrix) (batch number 2ZF9N, expiry date 24-SEP-2023) for prophylaxis. On 25-SEP-2023, the patient received Boostrix. On 25-SEP-2023, an unknown time after receiving Boostrix, the patient experienced expired vaccine used (Verbatim: Administration of an expired Boostrix dose to a patient.). The outcome of the expired vaccine used was unknown. This report is made by GSK without prejudice and does not imply any admission or liability for the incident or its consequences. Additional Information: GSK Receipt Date: 25-SEP-2023 The reporter reported that the patient received Boostrix vaccine which was already expired, which led to expired vaccine used. The reporter asked if the patient had to be re vaccinated. The reporter consented to follow up.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Expired product administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 7,0
- Geschlecht
- M
- Eingang
- 21.08.2023
- Impfdatum
- 19.08.2023
- Beginn
- 19.08.2023
- 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
On Saturday, 8/19/2023, the vaccinating LVN did not remember which vaccine she administered in the client's left deltoid. The client did not appear to exhibit signs or symptoms.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Unevaluable event
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- ID
- Alter
- 12,0
- Geschlecht
- M
- Eingang
- 19.07.2023
- Impfdatum
- 19.07.2023
- Beginn
- 19.07.2023
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Wrong product administered
Symptomtext
Pt was due for Meningococcal-MCV4. I made the mistake and gave pt VAXNEUVANCE instead. I notified vaccine supervisor, clinic manager and Clinic Dr. I am trying to contact mom and let her know of the mistake and to bring pt back to administer the correct vaccine.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Wrong product administered
- Hospital-Tage
- -
- Labordaten
- n/a
- Aktuelle Erkrankungen
- no
- Vorgeschichte
- bicuspid aortic valve
- Andere Medikamente
- no
- Allergien
- NKA
- Vorherige Impfungen
- -
- Staat
- NV
- Alter
- 4,0
- Geschlecht
- F
- Eingang
- 06.04.2023
- Impfdatum
- 05.04.2023
- Beginn
- 05.04.2023
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- IM / LA
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
- None
- Vorgeschichte
- None
- Andere Medikamente
- Tdap vaccine
- Allergien
- None
- Vorherige Impfungen
- -
- Staat
- MI
- Alter
- 17,0
- Geschlecht
- M
- Eingang
- 03.03.2023
- Impfdatum
- 02.03.2023
- Beginn
- 02.03.2023
- Tage bis Beginn
- 0,0
- Dosis
- 2
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Product administered to patient of inappropriate age
Wrong product administered
Symptomtext
Inadvertently gave MMRV which is not for the age group of 17 and older, also in giving the MMRV, this nurse also gave a dose of Varicella to the client. After giving the doses Supervisor notified, as well as Dr. notified. Contact made to current residence of patient.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Product administered to patient of inappropriate age
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- None
- Andere Medikamente
- N/A
- Allergien
- None identified
- Vorherige Impfungen
- -
- Staat
- UT
- Alter
- 14,0
- Geschlecht
- M
- Eingang
- 26.01.2023
- Impfdatum
- 24.01.2023
- Beginn
- 24.01.2023
- Tage bis Beginn
- 0,0
- Dosis
- 2
- Route/Site
- SYR / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Wrong product administered
Symptomtext
should have given a Varicella shot instead of a Proquad
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Wrong product administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- MI
- Alter
- 13,0
- Geschlecht
- F
- Eingang
- 04.01.2023
- Impfdatum
- 04.01.2023
- Beginn
- 04.01.2023
- Tage bis Beginn
- 0,0
- Dosis
- 6
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Wrong product administered
Symptomtext
RN intended to administer Meningococcal Conjugate; Administered Meningococcal B in error.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Wrong product administered
- Hospital-Tage
- -
- Labordaten
- None
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- None
- Andere Medikamente
- Unknown
- Allergien
- None
- Vorherige Impfungen
- -
- Staat
- NJ
- Alter
- 11,0
- Geschlecht
- M
- Eingang
- 03.01.2023
- Impfdatum
- 03.01.2023
- Beginn
- 03.01.2023
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect dose administered
Symptomtext
This child was given Pfizer Bivalent 12 and up dose (0.3ml) instead of Pfizer Bivalent 5-11 years (0.2ml)
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect dose administered
- Hospital-Tage
- -
- Labordaten
- n/a
- Aktuelle Erkrankungen
- n/a
- Vorgeschichte
- n/a
- Andere Medikamente
- n/a
- Allergien
- Zofran
- Vorherige Impfungen
- -
- Staat
- VT
- Alter
- 22,0
- Geschlecht
- F
- Eingang
- 17.11.2022
- Impfdatum
- 17.11.2022
- Beginn
- 17.11.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Inappropriate schedule of product administration
Symptomtext
Pt given Covid 19 Bivalent vaccine .Pt had previously received one on 10/13/22
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Inappropriate schedule of product administration
- Hospital-Tage
- -
- Labordaten
- none
- Aktuelle Erkrankungen
- none
- Vorgeschichte
- none
- Andere Medikamente
- none
- Allergien
- none
- Vorherige Impfungen
- -
- Staat
- MI
- Alter
- 13,0
- Geschlecht
- M
- Eingang
- 03.11.2022
- Impfdatum
- 01.11.2022
- Beginn
- 01.11.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- - / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Product administration error
Wrong product administered
Symptomtext
The patient was gave a Meningococcal Group B , instead of Meningococcal Conjugate (MCV4).. There has been no treatment, the parent has been notified along wit a vaccine administration error report has been submitted.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Product administration error
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 15,0
- Geschlecht
- M
- Eingang
- 05.10.2022
- Impfdatum
- 05.10.2022
- Beginn
- 05.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- 6
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Circumstance or information capable of leading to medication error
Extra dose administered
No adverse event
Product administered to patient of inappropriate age
Symptomtext
Student was administered Tdap and MCV4 based on Immunization record provided at tie of immunization which did not included Tdap and MCV4 doses. Student tolerated immunization swell, no Sx reported.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Circumstance or information capable of leading to medication error
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- CT
- Alter
- 11,0
- Geschlecht
- M
- Eingang
- 23.09.2022
- Impfdatum
- 22.09.2022
- Beginn
- 22.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 5
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Product preparation issue
Symptomtext
Covid vaccine found to have not been diluted prior to administration.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Product preparation issue
- Hospital-Tage
- -
- Labordaten
- n/a
- Aktuelle Erkrankungen
- None Known
- Vorgeschichte
- ADHD
- Andere Medikamente
- Children's Chewable Multivitamin
- Allergien
- None Known
- Vorherige Impfungen
- -
- Staat
- CT
- Alter
- 9,0
- Geschlecht
- F
- Eingang
- 12.09.2022
- Impfdatum
- 12.09.2022
- Beginn
- 12.09.2022
- 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
0.2ml of undiluted covid19 pfizer 5-11 administered, no symptoms/signs to date.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- none
- Aktuelle Erkrankungen
- none
- Vorgeschichte
- none
- Andere Medikamente
- Undiluted Covid19 pfizer 5-11 vaccine administration. 0.2ml
- Allergien
- none
- Vorherige Impfungen
- -
- Staat
- CT
- Alter
- 11,0
- Geschlecht
- F
- Eingang
- 12.09.2022
- Impfdatum
- 12.09.2022
- Beginn
- 12.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- N/A
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
No adverse event
Product preparation error
Symptomtext
Patient received 0.2 ml of undiluted Pfizer Covid vaccine 5-11yrs. No symptoms reported to date
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- No adverse event
- Hospital-Tage
- -
- Labordaten
- n/a
- Aktuelle Erkrankungen
- none
- Vorgeschichte
- asthma
- Andere Medikamente
- Proventil HFA inh
- Allergien
- nkda
- Vorherige Impfungen
- -