- Staat
- CT
- Alter
- 17,0
- Geschlecht
- F
- Eingang
- 21.09.2023
- Impfdatum
- 15.09.2023
- Beginn
- 15.09.2023
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: ja
Disable: unbekannt
ER: ja
Erholt: unbekannt
Fall
Head injury
Laboratory test
Loss of consciousness
Syncope
Symptomtext
After receiving Bexsero vaccine and finger stick, patient fainted/lost consciousness from sitting position on exam table and fell to the floor hitting the back of her head. Event was witnessed by nurse who said patient lost consciousness for 30-60 seconds, no seizure-like activity was witnessed. Nurse was walking out of the room when the patient fell off the exam table. When asked exactly what transpired, she explained that vaccine and labs were drawn without issue, patient verbalized that she was feeling fine and stayed in sitting position, nurse turned around to walk out of the room/back was to the patient and just as she was exiting the room patient slipped off the table (she believes the LOC occurred before making contact with the ground), height of the table from ground was ~30 inches.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Loss of consciousness
- Hospital-Tage
- 1,0
- Labordaten
- -
- Aktuelle Erkrankungen
- N/A
- Vorgeschichte
- N/A
- Andere Medikamente
- N?A
- Allergien
- AUGMENTIN
- Vorherige Impfungen
- -
- Staat
- IN
- Alter
- 17,0
- Geschlecht
- M
- Eingang
- 16.08.2023
- Impfdatum
- 15.08.2023
- Beginn
- 16.08.2023
- Tage bis Beginn
- 1,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Fall
Feeling hot
Loss of consciousness
Symptomtext
Client passed out in clinic after receiving vaccines - though stated he had only 'eaten a donut at 8am'. Father of client called the following day to say that client also passed out at home at 1am - 'was feeling hot and fell over'.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Loss of consciousness
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- Unknown
- Vorgeschichte
- Unknown
- Andere Medikamente
- Unknown
- Allergien
- NKA
- Vorherige Impfungen
- -
- Staat
- GA
- Alter
- 16,0
- Geschlecht
- M
- Eingang
- 13.12.2022
- Impfdatum
- 12.12.2022
- Beginn
- 12.12.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: ja
Erholt: nein
Erythema
Face injury
Fall
Feeling hot
Nausea
Seizure
Vomiting
Symptomtext
1640 male here to receive school vaccines Bexsero, HPV and Menquafi. Child was accompanied by his mother. Patient was very anxious prior to vaccine administration. RN gave child phycological reassurance. After child received 3rd vaccine (HPV), without warning he fell to the floor, hitting his face forward to the floor. The chair fell on top of the child. After the child hit the floor, he convulsed for 5 secs. RN and mother attempted to raise his head of off the floor. RN and mother held the child and yelled out for assistance. Tech took child's vitals. 106/64 - 78 RN and mother was able to get child in sitting position. Child vomited x2 C/O nausea. Cool wet compress applied to child's head, along with ice pack to back of his Neck. Clerk called emergency services. Fan turned on to cool child due to C/O feeling hot. Observed a reddened area about a half dollar sized circle to child's forehead. 0 hematoma or lump noted. Child was alert and talkative after in sitting position. Patient stated his Name, date, day of week and location correctly. Child denied dizziness or any weakness or headaches. EMT arrived @ 1:50pm. Vital Signs taken by EMT staff. EMT assisted child off of floor to standing position where his BP was taken again.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Seizure
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- UNKNOWN
- Vorgeschichte
- UNKNOWN
- Andere Medikamente
- UNKOWN
- Allergien
- NONE NKDA
- Vorherige Impfungen
- -
- Staat
- NE
- Alter
- 17,0
- Geschlecht
- F
- Eingang
- 21.07.2023
- Impfdatum
- 13.07.2023
- Beginn
- 13.07.2023
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- - / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Chest pain
Chills
Computerised tomogram normal
Fibrin D dimer increased
Injection site irritation
Laboratory test abnormal
Pyrexia
Tachycardia
Symptomtext
minor irritation at injection site; chills; fever/febrile; chest pain; Heart Rate 120; Abnormal Laboratory Results; This non-serious case was reported by a other health professional via call center representative and described the occurrence of injection site irritation in a 17-year-old female patient who received Men B NVS (Bexsero) (batch number EN939, expiry date 31-OCT-2024) for prophylaxis. On 13-JUL-2023 10:30, the patient received Bexsero (injection, left deltoid). On 13-JUL-2023, 3 hrs after receiving Bexsero, the patient experienced chills (Verbatim: chills), fever (Verbatim: fever/febrile), chest pain (Verbatim: chest pain), tachycardia (Verbatim: Heart Rate 120) and lab test abnormal (Verbatim: Abnormal Laboratory Results). On 14-JUL-2023, the patient experienced injection site irritation (Verbatim: minor irritation at injection site). The patient was treated with ibuprofen and paracetamol (Tylenol). The outcome of the injection site irritation and lab test abnormal were unknown and the outcome of the chills, fever, chest pain and tachycardia were resolved. It was unknown if the reporter considered the injection site irritation, chills, fever, chest pain, tachycardia and lab test abnormal to be related to Bexsero and Bexsero Pre-Filled Syringe Device. It was unknown if the company considered the injection site irritation, chills, fever, chest pain, tachycardia and lab test abnormal to be related to Bexsero and Bexsero 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: 14-JUL-2023 At approximately 1:00 pm patient's mother called at doctor's office and reported about chills, fever and chest pain, then gave patient Ibuprofen. Patient's mother was instructed to bring patient to office for assessment. Abnormal value reported by Physician Assistant as D-Dimer more than 5000. Patient given Tylenol at doctor's office. Symptoms resolved and patient was sent home in Mothers care. On the reporting day, the patient complained of minor irritation at injection site during follow up call. The reporter consented to follow up.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Chest pain
- Hospital-Tage
- -
- Labordaten
- Test Date: 20230713; Test Name: Blood Pressure; Result Unstructured Data: (Test Result:116/80,Unit:unknown,Normal Low:,Normal High:); Test Date: 20230713; Test Name: D-Dimer; Result Unstructured Data: (Test Result:D-Dimer more than 5000,Unit:unknown,Normal Low:,Normal High:); Test Date: 20230713; Test Name: computed tomography; Result Unstructured Data: (Test Result:R/O pulmonary emboli,Unit:unknown,Normal Low:,Normal High:); Test Date: 20230713; Test Name: Heart rate; Result Unstructured Data: (Test Result:120,Unit:unknown,Normal Low:,Normal High:); Test Date: 20230713; Test Name: Pulse Oximetry; Test Result: 100 %; Test Date: 20230713; Test Name: Respirations; Result Unstructured Data: (Test Result:20,Unit:unknown,Normal Low:,Normal High:); Test Date: 20230713; Test Name: body temperature; Result Unstructured Data: (Test Result:100.8,Unit:degree F,Normal Low:,Normal High:)
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 16,0
- Geschlecht
- F
- Eingang
- 08.05.2023
- Impfdatum
- 04.05.2023
- Beginn
- 04.05.2023
- Tage bis Beginn
- 0,0
- Dosis
- 2
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Arthralgia
Injection site nodule
Injection site swelling
Injection site warmth
Loss of personal independence in daily activities
Mobility decreased
Pain
Pain in extremity
Peripheral swelling
Pyrexia
Symptomtext
She had a reaction the first time she had the vaccine but that was also with the boosters. She got her vaccine, 20 minutes after the vaccine she started complaining that her arm was getting sore. She said that it felt like she had been bruised and could hardly move her arm. The next morning her arm was swollen, it went down halfway down her arm from the shoulder was puffy and swollen and has a knot at the injection site. It was hot to touch, fever. She was complaining with body aches, especially in her thighs and hips area, and then down her arm. The aching was in her shoulders, like she had been running high fever and affecting her joints. She said it felt like when she had COVID. She missed school the next day and still cannot pick up things with that arm as it is still swollen and puffed up. Mother called the doctor, they did not tell her to bring her in and that there was really not much to do for her and to give her Ibuprofen and Tylenol and mother believes she has been taking Ibuprofen and ice packs.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Mobility decreased
- Hospital-Tage
- -
- Labordaten
- None.
- Aktuelle Erkrankungen
- None.
- Vorgeschichte
- ADD.
- Andere Medikamente
- Cetirizine, Montelukast, Buspar, Pepcid.
- Allergien
- None.
- Vorherige Impfungen
- Prior meningitis vaccine, but took with COVID vaccines. She had similar issues with the knot but nothing that has lasted this l
- Staat
- -
- Alter
- 17,0
- Geschlecht
- M
- Eingang
- 24.01.2023
- Impfdatum
- 24.01.2023
- Beginn
- 24.01.2023
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Palpitations
Visual impairment
Symptomtext
pt c/o heart racing and vision going black
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Palpitations
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- IN
- Alter
- 18,0
- Geschlecht
- F
- Eingang
- 04.01.2023
- Impfdatum
- 29.12.2022
- Beginn
- 29.12.2022
- Tage bis Beginn
- 0,0
- Dosis
- 2
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Dyspnoea
Electrocardiogram abnormal
Sinus tachycardia
Tachycardia
Urticaria
Symptomtext
Patient developed hives within 5 hours of administration on bilateral arms and chest and then developed a feeling of shortness of breath and tachycardia rate of 108. Patient was given 40 mg Solumedrol IM in the office. Given 0.3 mg IM epinephrine by EMS and taken to the ED for further evaluation, where she was given oral Benadryl and Pepcid for full anaphylaxis prevention treatment and monitored for approximately 2 hours and then discharged to home in stable and improved condition.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Dyspnoea
- Hospital-Tage
- -
- Labordaten
- EKG: Sinus Tachycardia, otherwise normal. Vital Signs: Temp 97.5, Pulse 108, RR 22, BP 108/61, oxygen 98 % on Room Air
- Aktuelle Erkrankungen
- GERD
- Vorgeschichte
- None
- Andere Medikamente
- Sprintec 28, 0.25-35 mg-mcg, 1 tablet daily Omeprazole, 20 mg, delayed release daily
- Allergien
- NKA
- Vorherige Impfungen
- -
- Staat
- LA
- Alter
- 16,0
- Geschlecht
- F
- Eingang
- 06.10.2023
- Impfdatum
- 06.10.2023
- Beginn
- 06.10.2023
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: ja
Erholt: nein
Blood test normal
Crying
Headache
Hyporesponsive to stimuli
Pallor
Urine analysis normal
Symptomtext
Patient was fine in the clinic and waited 15 minutes before leaving clinic after she received the injection. Caregiver called the clinic at 10:19 AM and stated her daughter was having a severe Headache. She stated she was crying stating her head hurt so bad. Caregiver gave child 3 ibuprofen and then was going to take the child to the MD office and she stated that her daughter the patient turned white and was very slow to respond. She went to the ER and said upon admission her B/P was 124/46.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Headache
- Hospital-Tage
- -
- Labordaten
- All the ER nurse and the caregiver stated was that blood work was collected along with a urine sample and the MD stated all the results were normal. They also stated that she received on 1000ml of Normal Saline per IV. Caregiver stated the patient was discharged at approx. 1:15PM. She stated the patient still complained of a H/A, but that it was much better.
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- Iron Deficiency Anemia
- Andere Medikamente
- Ferous Sol 325 mg daily, Multivitamin, Probiotic, Vit C, and Electrolytes Tablet
- Allergien
- PCN
- Vorherige Impfungen
- -
- Staat
- MN
- Alter
- 17,0
- Geschlecht
- M
- Eingang
- 28.07.2023
- Impfdatum
- 25.07.2023
- Beginn
- 25.07.2023
- Tage bis Beginn
- 0,0
- Dosis
- 2
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Fatigue
Injection site erythema
Injection site induration
Injection site swelling
Injection site warmth
Pain
Symptomtext
Patient with extreme fatigue day after vaccine. Large red bump at site of injection, hot to touch, hard. Arm very sore to move.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Fatigue
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- Elevated cholesterol, GERD, asthma, ADHD, Autism
- Andere Medikamente
- escitalopram montelukast trazodone
- Allergien
- Amoxicillin clavulanic acid cefprozil cephalexin Animals, dust mites
- Vorherige Impfungen
- -
- Staat
- AZ
- Alter
- 18,0
- Geschlecht
- F
- Eingang
- 10.06.2023
- Impfdatum
- 06.06.2023
- Beginn
- 06.06.2023
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Chills
Fatigue
Headache
Hot flush
Injection site pain
Nausea
Rash
Symptomtext
Fatigue, headache, soreness at injection site started almost right away. Followed by hot flashes/chills and nausea later in the day. 5 days later a non itchy rash has appeared on face. Nausea, head ache, and Fatigue are better but still present after 5 days. Taking Tylenol or ibuprofen to manage soreness and headache. Benedryl for the rash
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Chills
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- None
- Andere Medikamente
- Vit c, zinc, allegra
- Allergien
- None
- Vorherige Impfungen
- -
- Staat
- CA
- Alter
- 16,0
- Geschlecht
- F
- Eingang
- 09.05.2023
- Impfdatum
- 02.05.2023
- Beginn
- 02.05.2023
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Contusion
Erythema
Feeling hot
Mass
Pain
Symptomtext
Redness/warmth/pain later that day with lump and bruising after; prescribed Benadryl & ibuprofen
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Pain
- Hospital-Tage
- -
- Labordaten
- N/A
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- Anxiety/depression Concern for obstructive sleep apnea
- Andere Medikamente
- -
- Allergien
- NKDA
- Vorherige Impfungen
- -
- Staat
- GA
- Alter
- 17,0
- Geschlecht
- F
- Eingang
- 15.04.2023
- Impfdatum
- 14.03.2023
- Beginn
- -
- Tage bis Beginn
- -
- Dosis
- UNK
- Route/Site
- - / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Chills
Myalgia
Pyrexia
Rash
Rash erythematous
Symptomtext
Fever; Chills; Pain in left deltoid; Red rash in left arm; This non-serious case was reported by a nurse via sales rep and described the occurrence of fever in a 17-year-old female patient who received Men B NVS (Bexsero) (batch number EN939, expiry date 31-OCT-2024) for prophylaxis. On 14-MAR-2023, the patient received Bexsero (left deltoid). On 15-MAR-2023, 1 days after receiving Bexsero, the patient experienced fever (Verbatim: Fever), chills (Verbatim: Chills) and localized muscle pain (Verbatim: Pain in left deltoid). On 16-MAR-2023, the patient experienced red rash (Verbatim: Red rash in left arm). The outcome of the fever, chills, localized muscle pain and red rash were resolved (duration 24 hrs). It was unknown if the reporter considered the fever, chills, localized muscle pain and red rash to be related to Bexsero and Bexsero Pre-Filled Syringe Device. It was unknown if the company considered the fever, chills, localized muscle pain and red rash to be related to Bexsero and Bexsero 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: 10-APR-2023 Reporter was a nurse Nurse reported that female patient received Bexsero vaccine in her left deltoid then 24 hours later the patient started with fever, chills and pain in left deltoid. Reporter also informed 48 hours after the administration the patient experienced a red rash in her left deltoid. All symptoms went away in 24 hours. The reporter was consented to follow up.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Chills
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- WA
- Alter
- 17,0
- Geschlecht
- F
- Eingang
- 30.03.2023
- Impfdatum
- 28.03.2023
- Beginn
- 29.03.2023
- Tage bis Beginn
- 1,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Urticaria
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Urticaria
- Hospital-Tage
- -
- Labordaten
- N/A
- Aktuelle Erkrankungen
- Viral URI with cough (COVID and Flu PCR negative) 3 weeks prior, symptoms had resolved
- Vorgeschichte
- None
- Andere Medikamente
- Aviane (levonogestrel-ethinyl estradiol oral contraceptive) and albuterol inhaler PRN
- Allergien
- Adhesives
- Vorherige Impfungen
- -
- Staat
- AZ
- Alter
- 16,0
- Geschlecht
- F
- Eingang
- 27.03.2023
- Impfdatum
- 21.02.2023
- Beginn
- 21.02.2023
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Arthralgia
Symptomtext
Left shoulder pain for approximately 4 days. She took Tylenol for pain.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Arthralgia
- Hospital-Tage
- -
- Labordaten
- none
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- none
- Vorherige Impfungen
- -
- Staat
- IN
- Alter
- 12,0
- Geschlecht
- M
- Eingang
- 21.03.2023
- Impfdatum
- 20.03.2023
- Beginn
- 01.03.2023
- Tage bis Beginn
- -
- Dosis
- N/A
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Pain in extremity
Symptomtext
Per father, Pt experienced soreness in both arms with more in the right arm than the left last night. His son took Tylenol for discomfort in the evening and went to bet with no issues. This morning, he said the son had no complaints before going to school.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Pain in extremity
- Hospital-Tage
- -
- Labordaten
- none
- Aktuelle Erkrankungen
- none
- Vorgeschichte
- none
- Andere Medikamente
- -
- Allergien
- none
- Vorherige Impfungen
- -
- Staat
- KY
- Alter
- 18,0
- Geschlecht
- F
- Eingang
- 17.03.2023
- Impfdatum
- 15.03.2023
- Beginn
- 16.03.2023
- Tage bis Beginn
- 1,0
- Dosis
- 1
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Injection site erythema
Injection site swelling
Injection site warmth
Symptomtext
Pt returned to clinic 2 days after vaccination and had redness, swelling, warmth to Left Deltoid Region where she received vaccine. Denies other symptoms
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Injection site erythema
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- none
- Vorgeschichte
- none
- Andere Medikamente
- none
- Allergien
- PCN
- Vorherige Impfungen
- -
- Staat
- AZ
- Alter
- 16,0
- Geschlecht
- F
- Eingang
- 15.03.2023
- Impfdatum
- 08.03.2023
- Beginn
- 09.03.2023
- Tage bis Beginn
- 1,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Induration
Pain in extremity
Tenderness
Symptomtext
Left arm with pain, tenderness, and induration persisting one week after vaccination
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Pain in extremity
- Hospital-Tage
- -
- Labordaten
- none
- Aktuelle Erkrankungen
- back pain
- Vorgeschichte
- obesity, asthma, seborrheic dermatitis
- Andere Medikamente
- Vitamin D3 50mcg capsule daily
- Allergien
- Penicillin, cefdinir
- Vorherige Impfungen
- -
- Staat
- PR
- Alter
- 16,0
- Geschlecht
- M
- Eingang
- 07.02.2023
- Impfdatum
- 23.01.2023
- Beginn
- 24.01.2023
- Tage bis Beginn
- 1,0
- Dosis
- 2
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Eye swelling
Pain in extremity
Symptomtext
Mother refers "adolescent remained with pain in arm and gave Advil. 30 minutes after Advil, eyes became swollen. Notified doctor but an appointment was given for 1/25/2023.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Pain in extremity
- Hospital-Tage
- -
- Labordaten
- Mother took to doctor consult, already better as observed by doctor.
- Aktuelle Erkrankungen
- reflux
- Vorgeschichte
- N/A
- Andere Medikamente
- N/A
- Allergien
- N/A
- Vorherige Impfungen
- -
- Staat
- OH
- Alter
- 17,0
- Geschlecht
- F
- Eingang
- 25.01.2023
- Impfdatum
- 19.01.2023
- Beginn
- 21.01.2023
- Tage bis Beginn
- 2,0
- Dosis
- 2
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Ear pain
Eye pruritus
Peripheral swelling
Pruritus
Pyrexia
Rash erythematous
Swelling face
Swelling of eyelid
Symptomtext
Right arm swelling (present but improved at time of presentation), right arm itching (no longer present at time of presentation), right arm erythematous rash (no longer present at time of presentation), face & eyelid swelling (present but improved at time of presentation), fever for 2 days (had resolved as of presentation), ear pain (bilateral, present at time of presentation), itchy eyes (resolved at time of presentation)
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Ear pain
- Hospital-Tage
- -
- Labordaten
- None
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- None
- Andere Medikamente
- None
- Allergien
- None
- Vorherige Impfungen
- -
- Staat
- FL
- Alter
- 16,0
- Geschlecht
- M
- Eingang
- 14.12.2022
- Impfdatum
- 12.12.2022
- Beginn
- 13.12.2022
- Tage bis Beginn
- 1,0
- Dosis
- 1
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: ja
Erholt: nein
Rash
Symptomtext
The patient presented a rash over his chest, back, and both arms. No respiratory distress. He was given a Benadryl 20 mg around 04:15 pm and was then taken to the ER for further evaluation. He has been prescribed Prednisone 20 mg to be taken as follows: 2 tabs (40 mg total) PO, one time each day for 5 days.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Rash
- Hospital-Tage
- -
- Labordaten
- None
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- None
- Andere Medikamente
- None
- Allergien
- NKDA
- Vorherige Impfungen
- -
- Staat
- -
- Alter
- 12,0
- Geschlecht
- F
- Eingang
- 22.12.2023
- Impfdatum
- 14.11.2023
- Beginn
- 14.11.2023
- 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
Vaccine was given too early. No signs and symptoms of anyphylaxis, no excessive redness or swelling, no hospitalization.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Unevaluable event
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- IN
- Alter
- 11,0
- Geschlecht
- F
- Eingang
- 11.08.2023
- Impfdatum
- 10.08.2023
- Beginn
- 10.08.2023
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Unevaluable event
Symptomtext
Patient received 4 vaccines during appointment. Patient's guardian, authorized 2 of the 4 vaccinations (Tdap and Meningococcal). Patient's guardian was present during administration of the vaccines. After the patient and her guardian left the office, it was found that the guardian only authorized the 2 vaccines. Health Department left voicemail on guardian's cell at 4:31 PM. Health Department spoke to guardian on Friday, August 11 at 8:25 AM. Guardian stated outrage regarding the administering of the 2 other vaccinations and requested documentation regarding her consent. Side effects and vaccine appropriateness explained. Requested documentation and educational materials were placed in the mail today at 9:05 AM.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Unevaluable event
- Hospital-Tage
- -
- Labordaten
- None
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- NM
- Alter
- 13,0
- Geschlecht
- M
- Eingang
- 01.08.2023
- Impfdatum
- 25.07.2023
- Beginn
- 01.08.2023
- Tage bis Beginn
- 7,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
No adverse event
Product administered to patient of inappropriate age
Symptomtext
There is no adverse reaction to report. The pt was given Bexsero as their first meningococcal vaccine ever instead of MCV4 and he is under the recommended age of 16 for Bexsero
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- No adverse event
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- NM
- Alter
- 15,0
- Geschlecht
- F
- Eingang
- 01.08.2023
- Impfdatum
- 25.07.2023
- Beginn
- 01.08.2023
- Tage bis Beginn
- 7,0
- Dosis
- 1
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
No adverse event
Product administered to patient of inappropriate age
Symptomtext
No adverse reaction has happened. The pt was given this as a first dose of meningococcal vaccine instead of the MCV4. This pt is also under the recommended age of 16 for Bexsero
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- No adverse event
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- MA
- Alter
- 18,0
- Geschlecht
- M
- Eingang
- 27.06.2023
- Impfdatum
- 23.06.2023
- Beginn
- 23.06.2023
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- - / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Wrong product administered
Symptomtext
This patient received the Bexsero State vaccine instead of the Private vaccine. A private Bexsero vaccine was transferred to the state stock to replace the dose. Bexsero state vaccine given: Lot # EN939 Expiration date: 10/31/2024 NDC:58160-976-02 Manufacturer: GlaxoSmithKline Bexsero Private vaccine transferred to state stock: Lot # J52PN Expiration date: 03/31/2024 NDC: 58160-976-02 Manufacturer: GlaxoSmithKline
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Wrong product administered
- Hospital-Tage
- -
- Labordaten
- N/A
- Aktuelle Erkrankungen
- N/A
- Vorgeschichte
- N/A
- Andere Medikamente
- N/A
- Allergien
- N/A
- Vorherige Impfungen
- -
- Staat
- ID
- Alter
- 18,0
- Geschlecht
- F
- Eingang
- 26.06.2023
- Impfdatum
- 07.04.2023
- Beginn
- 07.04.2023
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Interchange of vaccine products
Symptomtext
Patient received Bexsero as second dose for Men B. Original dose was Trumenba. Patient will need second dose of either Bexero or Trumenba to complete the series
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Interchange of vaccine products
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- Depression
- Andere Medikamente
- Sertraline
- Allergien
- NKA
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 18,0
- Geschlecht
- F
- Eingang
- 06.06.2023
- Impfdatum
- 06.06.2023
- Beginn
- 06.06.2023
- 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 administration error
Symptomtext
Patient has severe allergy to Latex. Men B (Bexsero) was administered in an error. Patient called to ensure that she did not have any adverse reaction at 1:07 pm on 06/06/2023. Pt denied any adverse reaction at the time of call.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- No adverse event
- Hospital-Tage
- -
- Labordaten
- None needed
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- None
- Andere Medikamente
- None
- Allergien
- Allergies to Penicillin- Anaphylaxis Allergies to Latex-Shortness of breath
- Vorherige Impfungen
- -
- Staat
- GA
- Alter
- 16,0
- Geschlecht
- M
- Eingang
- 23.05.2023
- Impfdatum
- 20.04.2023
- Beginn
- 21.04.2023
- Tage bis Beginn
- 1,0
- Dosis
- UNK
- Route/Site
- IM / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Peripheral swelling
Symptomtext
Patient's mother called the office stating patient's arm was swollen. Denied redness or rash.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Peripheral swelling
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- none
- Vorgeschichte
- -
- Andere Medikamente
- none
- Allergien
- NKDA
- Vorherige Impfungen
- -
- Staat
- TN
- Alter
- 0,2
- Geschlecht
- M
- Eingang
- 07.04.2023
- Impfdatum
- 13.03.2023
- Beginn
- -
- Tage bis Beginn
- -
- Dosis
- 1
- Route/Site
- IM / RL
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
No adverse event
Wrong product administered
Symptomtext
No adverse events incorrect vaccine given - Mother - contacted & informed - S&S listed of reaction - Directions in care of inj site. Advised to take to ER if needed or RTC if so. 3-15-23 - Mother states child is doing well.
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
- MI
- Alter
- 11,0
- Geschlecht
- M
- Eingang
- 07.04.2023
- Impfdatum
- 06.04.2023
- Beginn
- 06.04.2023
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Wrong product administered
Symptomtext
Patient inadvertently received MenB vaccine. Patient was not due for Men B, and just due for Meningococcal Conjugate. Men B was pulled from refrigerator and administered to patient. Patient received planned vaccines of Tdap, Meningococcal Conjugate and HPV. Patient was notified in person and mother was notified via phone. Updated system , VIS sheets, and a copy of signed vaccine consent sent home with patient. Patient experienced no symptoms and returned to class 15 minutes after vaccine administration. Snack and water eaten by student while waiting and ice pack applied to arms . Clinical supervisor notified, debriefing scheduled to discuss vaccine safety and administration techniques to prevent future adverse events.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Wrong product administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- ADD/ADHD : Oppositional defiant disorder
- Andere Medikamente
- Multi-Vitamin and Zyrtec as needed
- Allergien
- Seasonal allergies
- Vorherige Impfungen
- -
- Staat
- ID
- Alter
- 17,0
- Geschlecht
- F
- Eingang
- 06.04.2023
- Impfdatum
- 06.04.2023
- Beginn
- 06.04.2023
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect product formulation administered
Vaccination error
Symptomtext
Bivalent vaccine incorrectly administered for the primary series.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- N/A
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- None
- Andere Medikamente
- None
- Allergien
- NKDA
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 17,0
- Geschlecht
- F
- Eingang
- 22.03.2023
- Impfdatum
- 24.02.2023
- Beginn
- -
- Tage bis Beginn
- -
- Dosis
- 1
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Exposure during pregnancy
No adverse event
Symptomtext
No adverse reaction report. Dr spoke with patient and explained theoretical side effects of administering live vaccines during pregnancy. Patient follow up with O.B. on 3/13/23, 3/10/23. Next appt 4/6/23.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Exposure during pregnancy
- Hospital-Tage
- -
- Labordaten
- None
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- None
- Andere Medikamente
- None
- Allergien
- NKA
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 16,0
- Geschlecht
- F
- Eingang
- 10.03.2023
- Impfdatum
- 06.03.2023
- Beginn
- 08.03.2023
- Tage bis Beginn
- 2,0
- Dosis
- UNK
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Administration site erythema
Administration site reaction
Administration site swelling
Muscular weakness
Symptomtext
Patient presented to clinic 2 days after vaccine administration with redness, swelling and weakness on arm where injection was administered.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Administration site erythema
- Hospital-Tage
- -
- Labordaten
- NA
- Aktuelle Erkrankungen
- NA
- Vorgeschichte
- NA
- Andere Medikamente
- NA
- Allergien
- NA
- 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
- IM / RA
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
- -