- Staat
- CA
- Alter
- 0,6
- Geschlecht
- F
- Eingang
- 06.12.2023
- Impfdatum
- 30.11.2023
- Beginn
- 30.11.2023
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- - / -
Tod: unbekannt
Lebensbedrohlich: ja
Hospital: ja
Disable: unbekannt
ER: unbekannt
Erholt: nein
Cardio-respiratory arrest
Computerised tomogram head
Cyanosis
Ejection fraction decreased
Enterovirus test positive
Human rhinovirus test positive
Lung assist device therapy
Product administered to patient of inappropriate age
Pyrexia
Respiratory viral panel
Wrong product administered
Symptomtext
On the evening of the day she received her vaccines she had a cyanotic event at home, was brought to the hospital and had a code event after obtaining a head CT. She also had a fever to 39.3C on arrival. She has known aortic stenosis. Her EF which had been normal earlier in the week was down to the 20%s. She was placed on ECMO. Concern for myocarditis vs vaccine adverse reaction. Of note, the RSV vaccine approved for adults and pregnant women was given by mistake along with her other routine 6mo vaccines. (This may be being reported by the clinic that administered the vaccines as well)
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Cardio-respiratory arrest
- Hospital-Tage
- -
- Labordaten
- Viral panel positive for rhino-enterovirus
- Aktuelle Erkrankungen
- Had 1-2 presumed viral URIs in the 1-3 weeks preceding the event
- Vorgeschichte
- None
- Andere Medikamente
- None
- Allergien
- None
- Vorherige Impfungen
- -
- Staat
- NY
- Alter
- 0,3
- Geschlecht
- M
- Eingang
- 24.03.2023
- Impfdatum
- 23.03.2023
- Beginn
- 23.03.2023
- Tage bis Beginn
- 0,0
- Dosis
- 2
- Route/Site
- IM / LL
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: ja
Erholt: ja
Chills
Enterovirus test positive
Human rhinovirus test positive
Seizure
Symptomtext
Rigor vs seizure in the evening after immunizations. Evaluated and observed in ER.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Seizure
- Hospital-Tage
- -
- Labordaten
- (+) Rhinovirus/enterovirus PCR
- Aktuelle Erkrankungen
- No
- Vorgeschichte
- No
- Andere Medikamente
- No
- Allergien
- No
- Vorherige Impfungen
- -
- Staat
- CA
- Alter
- -
- Geschlecht
- M
- Eingang
- 10.08.2023
- Impfdatum
- -
- Beginn
- -
- Tage bis Beginn
- -
- Dosis
- UNK
- Route/Site
- - / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Pyrexia
Symptomtext
Fever; This non-serious case was reported by a pharmacist via sales rep and described the occurrence of fever in a 1-year-old male patient who received DTPa-HBV-IPV (Pediarix) (batch number 4N2PM) for prophylaxis. On an unknown date, the patient received Pediarix. On an unknown date, 24 hrs after receiving Pediarix, the patient experienced fever (Verbatim: Fever). The outcome of the fever was resolved. It was unknown if the reporter considered the fever to be related to Pediarix and Pediarix Pre-Filled Syringe Device. It was unknown if the company considered the fever to be related to Pediarix and Pediarix Pre-Filled Syringe Device. 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: 31-JUL-2023 The reporter reported that the patient received Pediarix vaccine and 24 hours after received vaccine patient experienced fever. The reporter stated that the fever had resolved now. The reporter did consent to follow up.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Pyrexia
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- FL
- Alter
- 0,2
- Geschlecht
- M
- Eingang
- 03.08.2023
- Impfdatum
- 01.05.2023
- Beginn
- 01.05.2023
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / RL
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Fatigue
Symptomtext
Mother reported ( at the 4 month well visit) that infant was extremely tired following immunizations, he would wake up to feed then return to sleep for one week following immunization. He did get PCV, HIB and rotavirus as well, mother attributed reaction to Pertussis part of vaccine after researching vaccine side effects. Mother is now reluctant to get further pertussis vaccines and would like to proceed with one vaccine at a time
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Fatigue
- Hospital-Tage
- -
- Labordaten
- none
- Aktuelle Erkrankungen
- none
- Vorgeschichte
- none
- Andere Medikamente
- vitamin D
- Allergien
- none
- Vorherige Impfungen
- -
- Staat
- MI
- Alter
- 0,2
- Geschlecht
- M
- Eingang
- 12.05.2023
- Impfdatum
- 20.04.2023
- Beginn
- 21.04.2023
- Tage bis Beginn
- 1,0
- Dosis
- 1
- Route/Site
- IM / LL
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Dermatitis diaper
Diarrhoea
Pyrexia
Vomiting
Symptomtext
liquid stools, fever, diaper rash, vomiting
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Diarrhoea
- Hospital-Tage
- -
- Labordaten
- none
- Aktuelle Erkrankungen
- congestion
- Vorgeschichte
- none
- Andere Medikamente
- none
- Allergien
- none
- Vorherige Impfungen
- -
- Staat
- CA
- Alter
- 0,3
- Geschlecht
- F
- Eingang
- 10.05.2023
- Impfdatum
- 08.05.2023
- Beginn
- 08.05.2023
- Tage bis Beginn
- 0,0
- Dosis
- 2
- Route/Site
- IM / RL
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Injection site erythema
Injection site mass
Lethargy
Pyrexia
Symptomtext
3 cm X 4 cm indurated erythematous lumps at all 3 injection sites to bilateral thighs found by mom on the evening of 5/8/23. Mom also found her to be feverish and more lethargic on the evening of 5/8/23. Mom medicated her with infant's Tylenol at home and then brought her into see her pediatrician on 5/9/23.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Injection site erythema
- Hospital-Tage
- -
- Labordaten
- none
- Aktuelle Erkrankungen
- none
- Vorgeschichte
- none
- Andere Medikamente
- none
- Allergien
- none
- Vorherige Impfungen
- -
- Staat
- NC
- Alter
- 0,2
- Geschlecht
- M
- Eingang
- 23.03.2023
- Impfdatum
- 21.03.2023
- Beginn
- 21.03.2023
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / RL
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: ja
Erholt: ja
Lethargy
Urticaria
Symptomtext
Hives to bilateral legs/ abdomen and lethargy approximately 2 hours after vaccine administration. EMS called and IM benadryl given. Patient observed in the ED for 2 hours and returned to baseline.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Urticaria
- Hospital-Tage
- -
- Labordaten
- Patient has been referred to allergy specialist.
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- None
- Andere Medikamente
- None
- Allergien
- NKDA
- Vorherige Impfungen
- -
- Staat
- VA
- Alter
- 0,3
- Geschlecht
- F
- Eingang
- 06.03.2023
- Impfdatum
- 03.03.2023
- Beginn
- 03.03.2023
- Tage bis Beginn
- 0,0
- Dosis
- 2
- Route/Site
- SYR / LL
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Diarrhoea
Haematochezia
Mucous stools
Occult blood negative
Symptomtext
Patient developed diarrhea over the 24 hours after receiving vaccines. Over the next 2 days, she had mucous loose stools and one episode of blood-streaked stools. No periods of inconsolability, vomiting, fevers. Feeding well. When she was seen 3 days after the vaccine, she was still having looser, mucous stools but had not had any further bloody stools.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Diarrhoea
- Hospital-Tage
- -
- Labordaten
- 3/6/2023: Hemoccult stool test- NEGATIVE
- Aktuelle Erkrankungen
- No known illnesses
- Vorgeschichte
- N/A
- Andere Medikamente
- Gripe water
- Allergien
- NKA
- Vorherige Impfungen
- -
- Staat
- NY
- Alter
- 6,0
- Geschlecht
- M
- Eingang
- 29.09.2023
- Impfdatum
- 06.09.2023
- Beginn
- 06.09.2023
- 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
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Unevaluable event
- Hospital-Tage
- -
- Labordaten
- n/a
- Aktuelle Erkrankungen
- n/a
- Vorgeschichte
- n/a
- Andere Medikamente
- n/a
- Allergien
- n/a
- Vorherige Impfungen
- -
- Staat
- NY
- Alter
- 2,0
- Geschlecht
- M
- Eingang
- 26.09.2023
- Impfdatum
- 01.09.2023
- Beginn
- 01.09.2023
- Tage bis Beginn
- 0,0
- Dosis
- 2
- Route/Site
- IM / RL
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Unevaluable event
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Unevaluable event
- Hospital-Tage
- -
- Labordaten
- N/A
- Aktuelle Erkrankungen
- N/A
- Vorgeschichte
- N/A
- Andere Medikamente
- N/A
- Allergien
- N/A
- Vorherige Impfungen
- -
- Staat
- WA
- Alter
- 0,6
- Geschlecht
- M
- Eingang
- 06.09.2023
- Impfdatum
- 15.08.2023
- Beginn
- 15.08.2023
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- SYR / LL
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Inappropriate schedule of product administration
No adverse event
Symptomtext
No physical adverse reaction, documenting for vaccine error that PedvaxHib administered when it was not due.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Inappropriate schedule of product administration
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- OH
- Alter
- 0,1
- Geschlecht
- M
- Eingang
- 16.08.2023
- Impfdatum
- 09.06.2023
- Beginn
- 10.06.2023
- Tage bis Beginn
- 1,0
- Dosis
- UNK
- Route/Site
- - / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Immunisation reaction
Symptomtext
Adverse effect of other vaccines and biological substances, initial encounter on 2023-06-10.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Immunisation reaction
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- Encounter for routine child health examination NOS
- Vorgeschichte
- -
- Andere Medikamente
- None
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- CA
- Alter
- 1,3
- Geschlecht
- M
- Eingang
- 28.07.2023
- Impfdatum
- 28.07.2023
- Beginn
- 28.07.2023
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- IM / LL
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Extra dose administered
Wrong product administered
Symptomtext
An medical assistant (MA) had administered the incorrect medication (Pediarix) to a patient, when the order was for Infanrix. It is understood that what occurred was that the MA pulled infanrix from the cart and gave to the doctor to confirm. Per the doctor, he saw DTaP and did give the approval to administer the medication. The MA first administered the vaccine to the patient, followed by scanning the vaccine, and learned the vaccine administered was the incorrect pne due to a hard stop upon scanning. The MA informed the doctor. The doctor notified the patient's mother that they accidentally gave Pediarix and told her that the patient received an extra Hep B vaccine. The doctor reassured her that this was at a safe interval from previous (6 months administration) and to monitor the patient for side effects of vaccine administration. The patient expressed appreciation.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Extra dose administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- none
- Vorherige Impfungen
- -
- Staat
- CO
- Alter
- 1,0
- Geschlecht
- F
- Eingang
- 18.07.2023
- Impfdatum
- 14.07.2023
- Beginn
- 14.07.2023
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- - / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Extra dose administered
Wrong product administered
Symptomtext
patient received pediarix instead of Infanrix/ had gotten 3 doses and received Pediarix as 4th dose; patient received pediarix instead of Infanrix; This non-serious case was reported by a nurse via call center representative and described the occurrence of extra dose administered in a 15-month-old female patient who received DTPa-HBV-IPV (Pediarix) (batch number 4n2pm, expiry date 28-MAR-2025) for prophylaxis. Previously administered products included Pediarix (had gotten 3 doses on an unknown date). On 14-JUL-2023, the patient received the 4th dose of Pediarix. On 14-JUL-2023, an unknown time after receiving Pediarix, the patient experienced extra dose administered (Verbatim: patient received pediarix instead of Infanrix/ had gotten 3 doses and received Pediarix as 4th dose) and wrong vaccine administered (Verbatim: patient received pediarix instead of Infanrix). The outcome of the extra dose administered and wrong vaccine administered were 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: 17-Jul-2023 The reporter consented to follow-up. The patient was meant to be Infanrix (4th dose) but Pediarix was given instead, which led to extra dose administered and wrong vaccine administered.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Extra dose administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- ND
- Alter
- 0,1
- Geschlecht
- M
- Eingang
- 06.07.2023
- Impfdatum
- 15.06.2023
- Beginn
- 15.06.2023
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- IM / LL
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Product administered to patient of inappropriate age
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Product administered to patient of inappropriate age
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- CO
- Alter
- -
- Geschlecht
- U
- Eingang
- 21.06.2023
- Impfdatum
- -
- Beginn
- 23.03.2023
- Tage bis Beginn
- -
- Dosis
- UNK
- Route/Site
- - / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Product storage error
Symptomtext
Flulaval, Havrix, Kinrix, Pediarix, Infanrix that was stored at 49.8F x 185.5 hours; This non-serious case was reported by a other health professional via call center representative and described the occurrence of incorrect storage of drug in an unspecified number of patients who received Flu Seasonal QIV Quebec (FluLaval Quadrivalent 2022-2023 season) (batch number 2YB4G, expiry date 30-JUN-2023) for prophylaxis. Co-suspect products included HAV (Havrix) (batch number 9R5LC, expiry date 02-NOV-2024) for prophylaxis, DTPa-IPV (Kinrix) (batch number 5AY2J, expiry date 10-JUN-2024) for prophylaxis, DTPa-HBV-IPV (Pediarix) (batch number 4N2PM, expiry date 28-MAR-2025) and (batch number 25L32, expiry date 28-MAR-2025) for prophylaxis and DTPa (Infanrix) (batch number 7HM5J, expiry date 18-SEP-2024) and (batch number 7C9NJ, expiry date 10-NOV-2024) for prophylaxis. On an unknown date, the patient received FluLaval Quadrivalent 2022-2023 season, Havrix, Kinrix and Pediarix. On an unknown date, the patient received Infanrix. On 23-MAR-2023, an unknown time after receiving FluLaval Quadrivalent 2022-2023 season, Havrix, Kinrix, Pediarix and Infanrix, the patient experienced incorrect storage of drug (Verbatim: Flulaval, Havrix, Kinrix, Pediarix, Infanrix that was stored at 49.8F x 185.5 hours). The outcome of the incorrect storage of drug 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:14-JUN-2023 The health care professional (HCP) reported administration of Flulaval, Havrix, Kinrix, Pediarix, Infanrix that was stored at 49.8F x 185.5 hours (per audit, multiple excursions from March 23, 2023 - May 18, 2023). It was unknown how many patients and which vaccines were administered during this period or up until the current date. The reporter did not consent to follow up. The vaccines were stored wrongly which led to Incorrect storage of drug.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Product storage error
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- MO
- Alter
- 1,3
- Geschlecht
- U
- Eingang
- 08.06.2023
- Impfdatum
- -
- Beginn
- -
- Tage bis Beginn
- -
- Dosis
- UNK
- Route/Site
- - / RL
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Wrong product administered
Symptomtext
received pediarix instead of infanrix inadvertently; This non-serious case was reported by a other health professional via call center representative and described the occurrence of wrong vaccine administered in a 15-month-old patient who received DTPa-HBV-IPV (Pediarix) (batch number 4N2PM, expiry date 28-MAR-2025) for prophylaxis. On an unknown date, the patient received Pediarix (right thigh). On an unknown date, an unknown time after receiving Pediarix, the patient experienced wrong vaccine administered (Verbatim: received pediarix instead of infanrix inadvertently). The outcome of the wrong vaccine administered 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: 6-Jun-2023 The reporter consented to follow-up. The patient received a dose of Pediarix instead of Infanrix inadvertently, which led to wrong vaccine administered.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Wrong product administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- NC
- Alter
- 0,5
- Geschlecht
- M
- Eingang
- 25.05.2023
- Impfdatum
- 02.05.2023
- Beginn
- 02.05.2023
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- IM / RL
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
No adverse event
Product preparation error
Symptomtext
Wrong covid vaccine preparation given. No adverse outcome.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- No adverse event
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- NC
- Alter
- 0,5
- Geschlecht
- F
- Eingang
- 25.05.2023
- Impfdatum
- 04.05.2023
- Beginn
- 04.05.2023
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- IM / RL
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
No adverse event
Wrong product administered
Symptomtext
Wrong vaccine given, no adverse event.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- No adverse event
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- Vitamin D
- Allergien
- none known
- Vorherige Impfungen
- -
- Staat
- ND
- Alter
- 0,3
- Geschlecht
- F
- Eingang
- 22.05.2023
- Impfdatum
- 16.05.2023
- Beginn
- 16.05.2023
- Tage bis Beginn
- 0,0
- Dosis
- 2
- Route/Site
- IM / LL
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: ja
Disable: unbekannt
ER: ja
Erholt: ja
Faeces discoloured
Infant irritability
Mucous stools
Occult blood positive
Ultrasound abdomen normal
Urinary system X-ray
Urinary tract imaging normal
Symptomtext
Last 5/16/23 around 1:30PM mom called our office and informed us that patient had reddish mucus in the stool after their appointment with us. 2 hours later, mom informed us and described it as "strawberry jelly mucus". No fever, no vomiting, abdomen was soft, patient a little bit fussy. Talked the situation to the provider. He spoke to parents about the concerns and plan. The provider ordered stat ultrasound abdomen and stat occult blood screen. But the patient ended up being seen in the ER d/t almost past office hours of the clinic and occult blood sample was not accepted at the lab because it has to be in a stool container and that sample may be contaminated with urine. Patient was transferred to facility
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Faeces discoloured
- Hospital-Tage
- 1,0
- Labordaten
- US Abdomen - negative for intussusception Occult blood screen - Positive Patient was transfered to Facility Facility's Dx: could be r/t viral gastroenteritis 1 day admission KUB - negative US Abdomen - negative
- Aktuelle Erkrankungen
- Eczema Gastroesophageal reflux Ingrowing nail, right great toe
- Vorgeschichte
- none
- Andere Medikamente
- Infant's Tylenol
- Allergien
- No Known Allergies
- Vorherige Impfungen
- -
- Staat
- MI
- Alter
- 0,2
- Geschlecht
- M
- Eingang
- 12.05.2023
- Impfdatum
- 02.05.2023
- Beginn
- 02.05.2023
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / RL
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Haematochezia
Symptomtext
blood in stools
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Haematochezia
- Hospital-Tage
- -
- Labordaten
- none
- Aktuelle Erkrankungen
- none
- Vorgeschichte
- none
- Andere Medikamente
- Vitamin D drops
- Allergien
- none
- Vorherige Impfungen
- -
- Staat
- MD
- Alter
- 0,5
- Geschlecht
- F
- Eingang
- 04.05.2023
- Impfdatum
- 21.04.2023
- Beginn
- 21.04.2023
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- IM / LL
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Underdose
Symptomtext
CDC revised administration of Covid vaccine by eliminating the monovalent and advising to administer with first dose bivalent. Days later it was advised to increase the initial dose of 6 months- 5 years bivalent Moderna to the 6 years and up. This vaccine was administered prior to the increase being communicated to us. It was only recognized when we attended a Moderna information session. This was not communicated until April 28th through the local Health Dept.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Underdose
- Hospital-Tage
- -
- Labordaten
- None.
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- None
- Andere Medikamente
- None
- Allergien
- None
- Vorherige Impfungen
- -
- Staat
- MD
- Alter
- 0,5
- Geschlecht
- M
- Eingang
- 04.05.2023
- Impfdatum
- 25.04.2023
- Beginn
- 25.04.2023
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- IM / LL
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Underdose
Symptomtext
CDC revised administration of Covid vaccine by eliminating the monovalent and advising to administer with first dose bivalent. Days later it was advised to increase the initial dose of 6 months- 5 years bivalent Moderna to the 6 years and up. This vaccine was administered prior to the increase being communicated to us. It was only recognized when we attended a Moderna information session. This was not communicated until April 28th through the Department of Health
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Underdose
- Hospital-Tage
- -
- Labordaten
- None
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- None
- Andere Medikamente
- None
- Allergien
- None
- Vorherige Impfungen
- -
- Staat
- MD
- Alter
- 0,5
- Geschlecht
- F
- Eingang
- 04.05.2023
- Impfdatum
- 25.04.2023
- Beginn
- 25.04.2023
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- IM / LL
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Underdose
Symptomtext
CDC revised administration of Covid vaccine by eliminating the monovalent and advising to administer with first dose bivalent. Days later it was advised to increase the initial dose of 6 months- 5 years bivalent Moderna to the 6 years and up. This vaccine was administered prior to the increase being communicated to us. It was only recognized when we attended a Moderna information session. This was not communicated until April 28th through the Department
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Underdose
- Hospital-Tage
- -
- Labordaten
- None
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- None
- Andere Medikamente
- None
- Allergien
- None
- Vorherige Impfungen
- -
- Staat
- MD
- Alter
- 0,5
- Geschlecht
- M
- Eingang
- 04.05.2023
- Impfdatum
- 22.04.2023
- Beginn
- 22.04.2023
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- IM / RL
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Underdose
Symptomtext
CDC revised administration of Covid vaccine by eliminating the monovalent and advising to administer with first dose bivalent. Days later it was advised to increase the initial dose of 6 months- 5 years bivalent Moderna to the 6 years and up. This vaccine was administered prior to the increase being communicated to us. It was only recognized when we attended a Moderna information session. This was not communicated until April 28th through the Department of Health.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Underdose
- Hospital-Tage
- -
- Labordaten
- None
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- None
- Andere Medikamente
- None
- Allergien
- None
- Vorherige Impfungen
- -
- Staat
- MI
- Alter
- 0,3
- Geschlecht
- F
- Eingang
- 04.05.2023
- Impfdatum
- 03.05.2023
- Beginn
- 03.05.2023
- Tage bis Beginn
- 0,0
- Dosis
- 2
- Route/Site
- IM / LL
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Product dose omission in error
Product preparation error
Symptomtext
patient due for Rotavirus vaccine but was only given sterile diluent. pt did not get live virus. attempting to notify parents, will schedule for a nurse visit so patient can get dose that was missed . Unit manager and PCP notified.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Product dose omission in error
- Hospital-Tage
- -
- Labordaten
- n/a
- Aktuelle Erkrankungen
- n/a
- Vorgeschichte
- n/a
- Andere Medikamente
- cholecalciferol 400 IU
- Allergien
- NKDA
- Vorherige Impfungen
- -
- Staat
- WI
- Alter
- 0,5
- Geschlecht
- F
- Eingang
- 03.05.2023
- Impfdatum
- 28.04.2023
- Beginn
- 28.04.2023
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- IM / RL
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Underdose
Symptomtext
Patient received COVID-19 Moderna Bivalent 6 months - 5 years (dark pink cap with yellow label) 0.2 ml as dose #1 instead of receiving COVID-19 Moderna Bivalent 6 months - 5 years (dark blue cap with grey label) 0.25 ml
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Underdose
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- CO
- Alter
- 11,0
- Geschlecht
- F
- Eingang
- 24.03.2023
- Impfdatum
- 10.03.2023
- Beginn
- 10.03.2023
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- - / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Product administered to patient of inappropriate age
Wrong product administered
Symptomtext
11 year old patient was given Pediarix; 11 year old patient was given Pediarix instead of Boostrix; This non-serious case was reported by a other health professional via call center representative and described the occurrence of inappropriate age at vaccine administration in a 11-year-old female patient who received DTPa-HBV-IPV (Pediarix) (batch number 4N2PM, expiry date 28-MAR-2025) for prophylaxis. On 10-MAR-2023, the patient received Pediarix. On 10-MAR-2023, an unknown time after receiving Pediarix, the patient experienced inappropriate age at vaccine administration (Verbatim: 11 year old patient was given Pediarix) and wrong vaccine administered (Verbatim: 11 year old patient was given Pediarix instead of Boostrix). The outcome of the inappropriate age at vaccine administration and wrong vaccine administered were 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: 10-MAR-2023 The reporter was a medical assistant. The reporter was consented to follow up. The 11 year old patient was given Pediarix instead of Boostrix which led to inappropriate age at vaccine administration and wrong vaccine administered.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Product administered to patient of inappropriate age
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -