- Staat
- IA
- Alter
- 1,0
- Geschlecht
- M
- Eingang
- 03.04.2023
- Impfdatum
- 21.12.2022
- Beginn
- 24.12.2022
- Tage bis Beginn
- 3,0
- Dosis
- UNK
- Route/Site
- IM / LL
Tod: ja
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Death
Febrile convulsion
Symptomtext
Febrile seizure the following day. Died 3 days later of unknown causes.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Death
- Hospital-Tage
- -
- Labordaten
- none
- Aktuelle Erkrankungen
- Recent febrile seizure the day after receiving vaccines.
- Vorgeschichte
- None
- Andere Medikamente
- None
- Allergien
- No known allergies
- Vorherige Impfungen
- -
- Staat
- MN
- Alter
- 17,0
- Geschlecht
- F
- Eingang
- 23.11.2022
- Impfdatum
- 23.11.2022
- Beginn
- 23.11.2022
- Tage bis Beginn
- 0,0
- Dosis
- 2
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Immediate post-injection reaction
Pallor
Syncope
Symptomtext
Approx 1015 am, immediately following 4th vaccine injection (mening) pt. became pale, swayed to the side and fainted. Nurse lowered her to the lfoor slowly, put legs up, by the time she was on the floor, she was awake. She had not eaten breakfast prior to appointment and stated later she has fainted before with vaccination (x1). This was not shared with nurse. Felt completely fine after juice and a snack (15 minutes).
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Syncope
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- information regarding previous fainting unknown
- Staat
- IL
- Alter
- 7,0
- Geschlecht
- F
- Eingang
- 17.10.2022
- Impfdatum
- 05.10.2022
- Beginn
- 08.10.2022
- Tage bis Beginn
- 3,0
- Dosis
- 2
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: ja
Hospital: ja
Disable: unbekannt
ER: ja
Erholt: nein
Abdominal X-ray
Blood gases
Chest X-ray
Computerised tomogram
Decreased appetite
Endotracheal intubation
Fatigue
Full blood count
Headache
Hypotension
Inflammatory marker test
Intensive care
Metabolic function test
Nasal flaring
Peripheral pulse decreased
Pyrexia
Rash
Tachycardia
Symptomtext
Rash to face, neck, chest, abdomen, and extremities with fever prompting patient to be brought into the ED. Was also having decreased appetite, vomiting, headache, and fatigue. She was admitted to the floor on 10/10 for this. A rapid response was called on the patient on 10/12 due to hypotension, tachycardia, tachypnea, nasal flaring, decreased peripheral pulses, and decreased urine output. She was subsequently admitted to the PICU and is still being managed for this decompensation. She has required intubation and vasopressors for her condition.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Intensive care
- Hospital-Tage
- 7,0
- Labordaten
- VBG, ABG, CBC, CMP, inflammatory markers, CXR, CT scans, XR abdomen, UA.
- Aktuelle Erkrankungen
- Otherwise Healthy
- Vorgeschichte
- Otherwise Healthy
- Andere Medikamente
- Tylenol 160 MG/5ML suspension, Flintstones Gummies, Benadryl 12.5 MG/5ML
- Allergien
- NKDA
- Vorherige Impfungen
- -
- Staat
- -
- Alter
- 1,0
- Geschlecht
- M
- Eingang
- 05.10.2022
- Impfdatum
- 21.09.2022
- Beginn
- 21.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / RL
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Endotracheal intubation
Generalised tonic-clonic seizure
Symptomtext
child had the vaccines in the morning before 12 noon , and had generalised tonic clonis seizure lasted for more than 20 minutes EMS was called by the parent child was taken to the ER where intubated to secure the airways in ER , Hospital course was 2 days ,
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Generalised tonic-clonic seizure
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- none
- Allergien
- none
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 13,0
- Geschlecht
- M
- Eingang
- 19.08.2022
- Impfdatum
- 19.08.2022
- Beginn
- 19.08.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Dizziness
Dreamy state
Syncope
Symptomtext
11:07, Right after administering HPV patient had an episode of syncope that lasted approx. 5 seconds. Pt states he felt as he was dreaming. Patient oriented X3 and was given cookies, juice, and candy. 11:29 states he felt fine and no longer felt faint.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Syncope
- Hospital-Tage
- -
- Labordaten
- N/A
- Aktuelle Erkrankungen
- No
- Vorgeschichte
- None
- Andere Medikamente
- None
- Allergien
- NKA
- Vorherige Impfungen
- -
- Staat
- -
- Alter
- 1,1
- Geschlecht
- M
- Eingang
- 30.11.2022
- Impfdatum
- 01.11.2022
- Beginn
- 03.11.2022
- Tage bis Beginn
- 2,0
- Dosis
- 1
- Route/Site
- IM / LG
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: ja
Erholt: ja
Injection site pruritus
Papule
Pyrexia
Tremor
Symptomtext
fevers with shaking (unlikely seizures based on description) followed by itching at site of injection and diffusely scattered papules
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Tremor
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- none
- Vorgeschichte
- none
- Andere Medikamente
- none
- Allergien
- unknown, possible allergic reactions to nuts
- Vorherige Impfungen
- -
- Staat
- GA
- Alter
- -
- Geschlecht
- M
- Eingang
- 27.06.2023
- Impfdatum
- 03.01.2023
- Beginn
- 03.01.2023
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- IM / RL
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Back pain
Extra dose administered
Pain
Symptomtext
Seeming mild soreness; PedVaxHib was accidentally given in addition to Vaxelis, resulting in an extra dose of Hib vaccine; This case was retrieved during monitoring on 12-APR-2023 with the following Primary ID 2554760-1. The original narrative from the sender is as follows : Patient came in to get caught up on routine vaccines. PedVaxHib was accidentally given in addition to Vaxelis, resulting in an extra dose of Hib vaccine. No reaction noted at time of vaccination. Child tolerated vaccines well. Mom was contacted on 04-JAN-2023 to notify of extra dose and to ask how child was doing. Mom stated patient was doing well with no fever and seeming mild soreness. No concerns from mom other than to ask if child received all the vaccines he needed. The causal relationship between Vaxelis and the reported event Seeming mild soreness" was not provided. Due to the nature of the event, the causal relationship between Vaxelis and "PedVaxHib was accidentally given in addition to Vaxelis, resulting in an extra dose of Hib vaccine" was not applicable. No further information is expected.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Back pain
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- Prophylaxis
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- GA
- Alter
- 1,5
- Geschlecht
- M
- Eingang
- 09.01.2023
- Impfdatum
- 03.01.2023
- Beginn
- 03.01.2023
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / RL
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Extra dose administered
Pain
Symptomtext
Patient came in to get caught up on routine vaccines. PedVaxHib was accidentally given in addition to Vaxelis, resulting in an extra dose of Hib vaccine. No reaction noted at time of vaccination. Child tolerated vaccines well. Mom was contacted on 1/4/2023 to notify of extra dose and to ask how child was doing. Mom stated patient was doing well with no fever and seeming mild soreness. No concerns from mom other than to ask if child received all the vaccines he needed.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Pain
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- None
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 17,0
- Geschlecht
- M
- Eingang
- 08.11.2022
- Impfdatum
- 08.11.2022
- Beginn
- 08.11.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Vomiting
Symptomtext
Patient threw up 1 time after receiving vaccines
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Vomiting
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- NC
- Alter
- 9,0
- Geschlecht
- M
- Eingang
- 07.11.2022
- Impfdatum
- 24.10.2022
- Beginn
- 26.10.2022
- Tage bis Beginn
- 2,0
- Dosis
- UNK
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Rash erythematous
Vaccination site nodule
Symptomtext
Per mom , the child has red bumps all over body and a knot at site of right deltoid were vaccines given. Patient was seen by provider and per provider it may be varicella or MMR vaccine. Patient mom advise to use ice and NSAIDS
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Rash erythematous
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- n/a
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- IL
- Alter
- 17,0
- Geschlecht
- F
- Eingang
- 18.10.2022
- Impfdatum
- 18.10.2022
- Beginn
- 18.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Dizziness
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Dizziness
- Hospital-Tage
- -
- Labordaten
- none
- Aktuelle Erkrankungen
- none
- Vorgeschichte
- depression and anxiety
- Andere Medikamente
- Fluoxetine
- Allergien
- none known
- Vorherige Impfungen
- -
- Staat
- NM
- Alter
- 1,5
- Geschlecht
- M
- Eingang
- 22.12.2023
- Impfdatum
- 18.12.2023
- Beginn
- 18.12.2023
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / LL
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Expired product administered
Symptomtext
Expired hepatitis A vaccine administered to patient. Plan to have patient return in 6 months.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Expired product administered
- Hospital-Tage
- -
- Labordaten
- NA
- Aktuelle Erkrankungen
- NA
- Vorgeschichte
- NA
- Andere Medikamente
- NA
- Allergien
- NKA
- Vorherige Impfungen
- -
- Staat
- MS
- Alter
- 17,0
- Geschlecht
- M
- Eingang
- 06.12.2023
- Impfdatum
- 30.11.2023
- Beginn
- 30.11.2023
- 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
inadvertently administered an expired Havrix; This non-serious case was reported by a nurse via call center representative and described the occurrence of expired vaccine used in a 17-year-old male patient who received HAV (Havrix) (batch number CN3G5, expiry date 19-NOV-2023) for prophylaxis. On 30-NOV-2023, the patient received Havrix. On 30-NOV-2023, an unknown time after receiving Havrix, the patient experienced expired vaccine used (Verbatim: inadvertently administered an expired Havrix). 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: 30-NOV-2023 A nurse called to inquire, how to proceed and reported they inadvertently administered an expired Havrix dose to a patient today on 30 November 2023 which led to expired vaccine used. The reporter did not consent to follow-up.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Expired product administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- GA
- Alter
- 2,0
- Geschlecht
- M
- Eingang
- 27.06.2023
- Impfdatum
- 11.05.2023
- Beginn
- 11.05.2023
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- - / RL
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Wrong product administered
Symptomtext
Kinrix vaccine given in error instead of DTAP. Error noted during monthly inventory county. Attempted to contact parent. Phone number no longer working. Alert put in child's chart.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Wrong product administered
- Hospital-Tage
- -
- Labordaten
- None needed
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- None
- Andere Medikamente
- None Known
- Allergien
- None Known
- Vorherige Impfungen
- -
- Staat
- IN
- Alter
- 1,1
- Geschlecht
- F
- Eingang
- 09.06.2023
- Impfdatum
- 04.01.2023
- Beginn
- 04.01.2023
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- IM / RL
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Unevaluable event
Symptomtext
Patient is okay
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Unevaluable event
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- VA
- Alter
- 15,0
- Geschlecht
- M
- Eingang
- 01.06.2023
- Impfdatum
- 13.12.2022
- Beginn
- 13.12.2022
- Tage bis Beginn
- 0,0
- Dosis
- 2
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Inappropriate schedule of product administration
No adverse event
Symptomtext
In reviewing client's records for further immunizations, it was noted that the client's second Hep A was given too soon. He experienced no adverse events to the vaccine. I spoke with client's guardian to explain the situation and recommended that he be revaccinated. Client's guardian agreed and scheduled appointment for Hep A vaccine.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Inappropriate schedule of product administration
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- No known allergies
- Vorherige Impfungen
- -
- Staat
- OH
- Alter
- -
- Geschlecht
- U
- Eingang
- 01.05.2023
- Impfdatum
- 22.02.2023
- Beginn
- -
- Tage bis Beginn
- -
- Dosis
- 2
- Route/Site
- - / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Product storage error
Symptomtext
This non-serious case was reported by a other health professional and described the occurrence of incorrect storage of drug in a 1-year-old patient who received Hepatitis A vaccine (batch number CN3G5) for prophylaxis. On 22-FEB-2023, the patient received the 2nd dose of Hepatitis A vaccine. On an unknown date, an unknown time after receiving Hepatitis A vaccine, the patient experienced incorrect storage of drug (Verbatim: Received vaccines after a temperature excursion). The outcome of the incorrect storage of drug was unknown. Additional Information: GSK receipt date: 14-Apr-2023. The reporter consented to follow-up. This case is for one of 119 patients, reported by same reporter. The patient received unstable vaccine after a temperature excursion, which led to incorrect storage of drug. Sender's Comments: US-GSK-US2023054677: same reporter; US-GSK-US2023AMR055743: same reporter.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Product storage error
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- OH
- Alter
- -
- Geschlecht
- U
- Eingang
- 01.05.2023
- Impfdatum
- 10.01.2023
- Beginn
- -
- Tage bis Beginn
- -
- Dosis
- 2
- Route/Site
- - / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Product storage error
Symptomtext
Received vaccines after a temperature excursion; This non-serious case was reported by a other health professional and described the occurrence of incorrect storage of drug in a 10-year-old patient who received Hepatitis A vaccine (batch number CN3G5) for prophylaxis. On 10-JAN-2023, the patient received the 2nd dose of Hepatitis A vaccine. On an unknown date, an unknown time after receiving Hepatitis A vaccine, the patient experienced incorrect storage of drug (Verbatim: Received vaccines after a temperature excursion). The outcome of the incorrect storage of drug was unknown. Additional Information: GSK receipt date: 14-Apr-2023 The reporter consented to follow-up. This case is for one of 119 patients, reported by same reporter. The patient received unstable vaccine after a temperature excursion, which led to incorrect storage of drug.; Sender's Comments: US-GSK-US2023054677:same reporter US-GSK-US2023AMR055743:same reporter
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Product storage error
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- -
- Alter
- 1,1
- Geschlecht
- M
- Eingang
- 28.04.2023
- Impfdatum
- 01.02.2023
- Beginn
- 01.02.2023
- Tage bis Beginn
- 0,0
- Dosis
- 2
- Route/Site
- IM / LL
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Inappropriate schedule of product administration
Symptomtext
vaccine given too soon.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Inappropriate schedule of product administration
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- ME
- Alter
- 1,6
- Geschlecht
- F
- Eingang
- 26.04.2023
- Impfdatum
- 19.04.2023
- Beginn
- 19.04.2023
- Tage bis Beginn
- 0,0
- Dosis
- 2
- Route/Site
- IM / LL
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
No adverse event
Wrong product administered
Symptomtext
Pentacel was given when DTaP was ordered. Provider, and parent notified. Patient suffered no adverse reaction.
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
- -
- Alter
- -
- Geschlecht
- F
- Eingang
- 19.04.2023
- Impfdatum
- 11.04.2023
- Beginn
- 11.04.2023
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- - / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Extra dose administered
Vaccination error
Symptomtext
Patient received a third Havrix dose; This non-serious case was reported by a nurse via call center representative and described the occurrence of extra dose administered in a 4-year-old female patient who received HAV (Havrix) (batch number CN3G5, expiry date 19-NOV-2023) for prophylaxis. On 11-APR-2023, the patient received the 3rd dose of Havrix. On 11-APR-2023, an unknown time after receiving Havrix, the patient experienced extra dose administered (Verbatim: Patient received a third Havrix dose). The outcome of the extra dose administered was unknown. Additional Information: GSK Receipt Date: 18-MAR-2023 The reporter reported that by mistakenly patient received third dose of Havrix vaccine. The reporter wanted to know safety information regarding this situation. The reporter stated that the patient also received an extra dose of hepatitis B vaccine from Merck. The vaccine administration facility was the same as primary reporter. The reporter did consent to follow up. The patient received extra dose of Havrix vaccine in error, which led to extra dose administered.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Extra dose administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- MT
- Alter
- 1,0
- Geschlecht
- M
- Eingang
- 15.02.2023
- Impfdatum
- 01.02.2023
- Beginn
- 15.02.2023
- Tage bis Beginn
- 14,0
- Dosis
- 1
- Route/Site
- IM / RL
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Wrong product administered
Symptomtext
Grabbed MMRV out of freezer instead of just MMR.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Wrong product administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- KS
- Alter
- 2,0
- Geschlecht
- F
- Eingang
- 18.01.2023
- Impfdatum
- 17.01.2023
- Beginn
- 17.01.2023
- Tage bis Beginn
- 0,0
- Dosis
- 2
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
No adverse event
Product administered at inappropriate site
Wrong product administered
Symptomtext
Incorrect vaccine given for primary series and incorrect site. No reports of adverse reactions.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- No adverse event
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- None
- Andere Medikamente
- None
- Allergien
- None
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 16,0
- Geschlecht
- M
- Eingang
- 07.01.2023
- Impfdatum
- 21.10.2022
- Beginn
- 21.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- 2
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Asthenia
Symptomtext
Patient received routine vaccines listed above. Patient complained of feeling weak. Patient assessed by RN. Patient vitals checked. P- 88, O2 SAT- 98%, BP- 110/72 R-20. Patient assisted to the floor. Patient legs elevated. Patient states feeling better. Patient assisted back to chair. Offered to call EMS for patient. Patient and family member refused. Patient monitored for 30 minutes. Follow up post vaccination instructions from system? drink, monitor self, report any lingering physical complaints to own provider. Instruction given regarding calling 911 or going to local emergency room for emergency symptoms. Translation provided. Patient and family verbalized understanding.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Asthenia
- Hospital-Tage
- -
- Labordaten
- None
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- None
- Andere Medikamente
- None
- Allergien
- None
- Vorherige Impfungen
- -
- Staat
- GA
- Alter
- 0,3
- Geschlecht
- F
- Eingang
- 30.12.2022
- Impfdatum
- 19.12.2022
- Beginn
- 19.12.2022
- 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
Symptomtext
4 months old received Havrix; This case was reported by a other health professional via call center representative and described the occurrence of inappropriate age at vaccine administration in a 4-month-old female patient who received HAV (Havrix) (batch number CN3G5, expiry date 19th November 2023) for prophylaxis. On 19th December 2022, the patient received Havrix. On 19th December 2022, unknown after receiving Havrix, the patient experienced inappropriate age at vaccine administration. On an unknown date, the outcome of the inappropriate age at vaccine administration was unknown. Additional Information: GSK receipt date: 19-Dec-2022 Reporter's comment: The office manager called in to report that a Havrix dose was given to a patient under the recommended age for the Havrix vaccine. The vaccine was administered at the same location from where it was reported. The patient's information was collected. The vaccine administration facility was the same as primary reporter. The case was escalated to second line. The reporter consented to follow up. Additional supportive information: The patient received a dose of Havrix at inappropriate age, which led to inappropriate age at vaccine administration.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Product administered to patient of inappropriate age
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- TN
- Alter
- 1,4
- Geschlecht
- M
- Eingang
- 16.12.2022
- Impfdatum
- 15.12.2022
- Beginn
- 15.12.2022
- Tage bis Beginn
- 0,0
- Dosis
- 2
- Route/Site
- IM / LL
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Wrong product administered
Symptomtext
Nurse was completing a child health immunization visit. Child was needing the Dtap, HIB, & Prevnar 13 today; Mother had declined the Flu & Covid-19 vaccines. I had my sticky note with the vaccines written on there that the child needed, & I'm unsure as to why I pulled a Hep A vaccine to administer instead of the HIB. I checked my 3 vaccines in hand 2-3 times of the expiration date, etc., but it never dawned on me that I didn't have the HIB in my hand. I came into the clinic room & had the child to get prepped to receive the vaccines in the legs; the vaccines had been scanned in system, & no warning box was provided to alert me that Hep A was up to date; only a pop-up box for no allergy assessment. I later called the mother to inform her of the occurrence of what had happened after I realized later that afternoon what I had done & she verbalized understanding & reports no issues with the child at this time, I informed her that this Hep A dose would be considered invalid & that he would need another dose at the appropriate interval in 3 months or so. I told the mother that he would need to have another appt. scheduled to receive the HIB vaccine & she states she will call back in 1 week or so for child to receive.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Wrong product administered
- Hospital-Tage
- -
- Labordaten
- N/A
- Aktuelle Erkrankungen
- Unknown
- Vorgeschichte
- Unknown
- Andere Medikamente
- Unknown
- Allergien
- NKA
- Vorherige Impfungen
- -
- Staat
- NM
- Alter
- 7,0
- Geschlecht
- F
- Eingang
- 24.11.2022
- Impfdatum
- 26.09.2022
- Beginn
- 26.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / LL
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Product administered to patient of inappropriate age
Symptomtext
Provider ordered DTAP and pt is 7 years old. DTAP can only be under age 7. MA administered DTAP. Re educated MA about age indications. Handouts given on vaccine age limits. Provider also informed
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Product administered to patient of inappropriate age
- Hospital-Tage
- -
- Labordaten
- N/A
- Aktuelle Erkrankungen
- N/A
- Vorgeschichte
- None
- Andere Medikamente
- N/A
- Allergien
- NKA
- Vorherige Impfungen
- -
- Staat
- WA
- Alter
- 1,0
- Geschlecht
- F
- Eingang
- 07.11.2022
- Impfdatum
- 07.11.2022
- Beginn
- 07.11.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / RL
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Wrong product administered
Symptomtext
While drawing up the vaccine patient, intended to give 1 Varicella and 1 MMR. Instead, she was given 1 Varicella and 1 Proquad. The patient's parent was called after the MA consulted with MD. It was determined that the patient should not have any adverse effects after data was researched.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Wrong product administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- Runny nose and congestion
- Vorgeschichte
- None
- Andere Medikamente
- N/A
- Allergien
- NKA
- Vorherige Impfungen
- -
- Staat
- MI
- Alter
- 0,3
- Geschlecht
- M
- Eingang
- 01.11.2022
- Impfdatum
- 01.11.2022
- Beginn
- 01.11.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / LL
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Product administration error
Symptomtext
Patient received a pediatric dose of Hepatitis A in error. Did not discover until patient had left office. Patient left office in normal, stable condition. Spoke to PCP about this error who assured me that the patient would be okay. Called mother to let her know of mistake and explain that it was given in error, but there should be no adverse reactions..
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Product administration error
- Hospital-Tage
- -
- Labordaten
- None.
- Aktuelle Erkrankungen
- None.
- Vorgeschichte
- None.
- Andere Medikamente
- None.
- Allergien
- None.
- Vorherige Impfungen
- -
- Staat
- NC
- Alter
- 0,2
- Geschlecht
- F
- Eingang
- 28.10.2022
- Impfdatum
- 20.10.2022
- Beginn
- 20.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- - / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
No adverse event
Product administered to patient of inappropriate age
Symptomtext
administered Havrix to a "4 days away from 3 months old pt"; This case was reported by a other health professional via call center representative and described the occurrence of inappropriate age at vaccine administration in a 2-month-old female patient who received HAV (Havrix) (batch number CN3G5, expiry date 19th November 2023) for prophylaxis. On 20th October 2022, the patient received the 1st dose of Havrix. On 20th October 2022, unknown after receiving Havrix, the patient experienced inappropriate age at vaccine administration. On an unknown date, the outcome of the inappropriate age at vaccine administration was unknown. Additional Information: GSK receipt date: 20-Oct-2022 Reporter's comment: No other information was provided. No additional adverse event or product quality complaint was reported. The vaccine administration facility was the same as primary reporter. The reporter consented to follow-up. Additional supportive information: The medical assistant was accidently administered Havrix on the day of reporting to a patient, which led to inappropriate age at vaccine administration.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- No adverse event
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- VA
- Alter
- 11,0
- Geschlecht
- F
- Eingang
- 26.10.2022
- Impfdatum
- 24.10.2022
- Beginn
- 24.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- 2
- Route/Site
- SC / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
Symptomtext
Nurse gave 5-1 BIV as primary series as current recommendation states 5-11 BIV for booster dose only. Patient observed for 15 min post exposure. Discharged WNL.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- None
- Andere Medikamente
- -
- Allergien
- None
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 6,0
- Geschlecht
- M
- Eingang
- 25.10.2022
- Impfdatum
- 17.09.2022
- Beginn
- 17.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Product administered to patient of inappropriate age
Symptomtext
Patient Parent indicated on information form that patient was 7 years old when in actuality patient was 6 years and 8 months old. Patient received TDap instead of Dtap.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Product administered to patient of inappropriate age
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- NA
- Vorgeschichte
- NoNE
- Andere Medikamente
- N/A
- Allergien
- NKDA
- Vorherige Impfungen
- -
- Staat
- CA
- Alter
- 1,3
- Geschlecht
- F
- Eingang
- 17.10.2022
- Impfdatum
- 21.09.2022
- Beginn
- 21.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 2
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
No adverse event
Symptomtext
patient had no Symptoms
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- No adverse event
- Hospital-Tage
- -
- Labordaten
- N/A
- Aktuelle Erkrankungen
- N/A
- Vorgeschichte
- N/A
- Andere Medikamente
- N/A
- Allergien
- N/A
- Vorherige Impfungen
- -
- Staat
- WI
- Alter
- 16,0
- Geschlecht
- M
- Eingang
- 13.10.2022
- Impfdatum
- 10.10.2022
- Beginn
- 10.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Wrong product administered
Symptomtext
Client received MMR but did not need this vaccine. Foreign record of MMR given was not transcribed to state immunization registry prior to client's appointment.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Wrong product administered
- Hospital-Tage
- -
- Labordaten
- none
- Aktuelle Erkrankungen
- none
- Vorgeschichte
- none noted
- Andere Medikamente
- unknown
- Allergien
- none noted
- Vorherige Impfungen
- -
- Staat
- NJ
- Alter
- 5,0
- Geschlecht
- M
- Eingang
- 01.10.2022
- 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: nein
No adverse event
Product storage error
Symptomtext
A temperature excursion occurred 9/21/22 for 1 hour 38 minutes. Unknown at the time the IPOL vaccine was given. The IPOL was claimed as non viable and to be discarded. Family was notified and patient hasn't had any reactions.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- No adverse event
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- none
- Vorgeschichte
- none
- Andere Medikamente
- none
- Allergien
- none
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 5,0
- Geschlecht
- F
- Eingang
- 22.09.2022
- Impfdatum
- 22.09.2022
- Beginn
- 22.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Unevaluable event
Symptomtext
None at this time
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Unevaluable event
- Hospital-Tage
- -
- Labordaten
- None ordered
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- None, unacompanied minor arrived initially at facility on 9/19/2022 (same day)
- Andere Medikamente
- Ibuprofen, Acetaminophen, Hydrocortisone and Congestion Tablet
- Allergien
- No allergies
- Vorherige Impfungen
- -
- Staat
- ID
- Alter
- 4,0
- Geschlecht
- F
- Eingang
- 20.09.2022
- Impfdatum
- 19.09.2022
- Beginn
- 19.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / LL
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Underdose
Symptomtext
Administered a proquad in addition to a varicella vaccine. Due to patient moving a partial dose of varicella was given.
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
- 3,0
- Geschlecht
- M
- Eingang
- 20.09.2022
- Impfdatum
- 20.09.2022
- Beginn
- 20.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 2
- Route/Site
- IM / RL
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Product administered to patient of inappropriate age
Symptomtext
Tdap given to patient outside the recommended age range
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Product administered to patient of inappropriate age
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- TN
- Alter
- 1,5
- Geschlecht
- M
- Eingang
- 19.09.2022
- Impfdatum
- 19.09.2022
- Beginn
- 19.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / RL
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Product preparation error
Symptomtext
patient received undiluted dose of pfizer for 6m-4y. No reported adverse reactions as of today
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Product preparation error
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- n/a
- Vorgeschichte
- n/a
- Andere Medikamente
- n/a
- Allergien
- n/a
- Vorherige Impfungen
- -
- Staat
- TN
- Alter
- 1,6
- Geschlecht
- F
- Eingang
- 14.09.2022
- Impfdatum
- 14.09.2022
- Beginn
- 14.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 2
- Route/Site
- IM / LL
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Circumstance or information capable of leading to medication error
Expired product administered
Symptomtext
Pentacel Vaccine Lot # UJ571AAA Exp. date 09112011 was give by RN. He scanned Pentacel vaccine in system, administered vaccine, and attempted to put administration documentation and it would not pull vaccine with lot # and he realized he did not check expiration prior to administration and had administered an expired vaccine. LPN who manages vaccine inventory had Pentacel written on Monthly Expiration Date calendar and also on calendar at desk with other vaccine that was due to expire 09092022. She checks this calendar daily for vaccines that are due to expire and removes them. She removed other vaccine from vaccine refrigerator on 09092022 but failed to remove the Pentacel vaccine on 09092011 that expired 09112022. She put a check mark by vaccines on Monthly Expiration Date calendar and desk calendar indicating both had been removed. They immediately came to Nursing Supervisor and notified her of error.
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
- 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
- TX
- Alter
- 15,0
- Geschlecht
- M
- Eingang
- 10.09.2022
- Impfdatum
- 26.08.2022
- Beginn
- 26.08.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Inappropriate schedule of product administration
No adverse event
Symptomtext
No reported adverse event. 2nd COVID vaccine from primary series was given on day 15 instead of waiting for 21 days as recommended by guidelines
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Inappropriate schedule of product administration
- Hospital-Tage
- -
- Labordaten
- NA
- Aktuelle Erkrankungen
- None reported
- Vorgeschichte
- None reported
- Andere Medikamente
- Non reported
- Allergien
- NKDA
- Vorherige Impfungen
- -
- Staat
- TN
- Alter
- 16,0
- Geschlecht
- F
- Eingang
- 26.08.2022
- Impfdatum
- 26.08.2022
- Beginn
- 26.08.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
No adverse event
Vaccination error
Wrong product administered
Symptomtext
Administered Hepatitis A vaccine instead of HPV vaccine. Patient and patient mother notified of vaccine error, both voiced understanding. Patient remained in clinic 30 minutes post vaccine administration without adverse reactions.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- No adverse event
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- COVID-19 infection 7/2022, per patient mother.
- Vorgeschichte
- none
- Andere Medikamente
- Tri-Sprintec OCP one daily, prescribed by outside provider
- Allergien
- None
- Vorherige Impfungen
- -