- Staat
- CO
- Alter
- 25,0
- Geschlecht
- F
- Eingang
- 28.11.2022
- Impfdatum
- 27.11.2022
- Beginn
- 27.11.2022
- Tage bis Beginn
- 0,0
- Dosis
- N/A
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Bladder dysfunction
Loss of consciousness
Moaning
Muscle rigidity
Pallor
Symptomtext
The patient reported a history of sycope after vaccines. She said she usually gets light headed and needs to lay down after receiving the vaccine. Patient began taking deep breaths prior to administration and upon receiving the vaccine she started to lose consciousness. She then became pale, rigid and moaned. She then relaxed and awoke. I refused the second scheduld vaccine and the patient moved to the other chair in the immunization room and lost consciousness again and lost bladder control. Patient then awoke again and remained conscious for the remainder of her time at the pharmacy. EMS was not allerted as the patient reported that is was her normal recation to receving vaccines. Patient remained in the pharmacy for a total of 25-30 minutes total post vaccine. She was accompanied by an adult who sat with her during the episode and left with the patient. The patient reported no further episodes and was doing well as of 11/28/2022 when I placed a follow up call to check on the patient.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Loss of consciousness
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- N/A
- Vorgeschichte
- Sycope with vaccine administration
- Andere Medikamente
- UNKNOWN
- Allergien
- NKDA
- Vorherige Impfungen
- -
- Staat
- IL
- Alter
- 3,0
- Geschlecht
- F
- Eingang
- 18.11.2022
- Impfdatum
- 18.11.2022
- Beginn
- 18.11.2022
- Tage bis Beginn
- 0,0
- Dosis
- N/A
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Crying
Syncope
Unresponsive to stimuli
Symptomtext
The patient fainted for less than 10 seconds after the flu shot was administered. The patient was sitting in her mom's lap and after receiving the shot, the mom noticed she wasn't responding. Her mom shook her to wake her up while the immunizer came and got me (the pharmacist). I immediately went into our vaccine room and when I walked in, the patient had woken up and was crying. I immediately called EMS. They arrived at our pharmacy within 10 minutes. The patient's vitals were normal, and she did not have any other signs/symptoms of an adverse reaction. Upon evaluation, the paramedics gave the parent the okay to take her child home. The parent will be following up with the pediatrician as this has not happened in the past.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Syncope
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- none
- Vorgeschichte
- none
- Andere Medikamente
- none
- Allergien
- none
- Vorherige Impfungen
- -
- Staat
- IL
- Alter
- 18,0
- Geschlecht
- F
- Eingang
- 17.01.2023
- Impfdatum
- 06.01.2023
- Beginn
- 08.01.2023
- Tage bis Beginn
- 2,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Hypoaesthesia
Paraesthesia
Symptomtext
2 days after shot developed numbness and tingling in left wrist and hand, this did not resolve. Client saw her provider and was given Prednisone. Symptoms have since resolved
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Paraesthesia
- Hospital-Tage
- -
- Labordaten
- N/A
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- None
- Andere Medikamente
- None
- Allergien
- N/A
- Vorherige Impfungen
- -
- Staat
- OH
- Alter
- 37,0
- Geschlecht
- F
- Eingang
- 23.10.2022
- Impfdatum
- 23.10.2022
- Beginn
- 23.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: ja
Erholt: nein
Dyspnoea
Erythema
Pruritus
Tachypnoea
Wheezing
Symptomtext
Approximately 10 minutes after the vaccine, patient experienced: Total body itching, shortness of breath, red in color in her chest, tachypnea, wheezing. She has never experienced allergic type reactions to flu shots in the past.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Dyspnoea
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- Penicillin antibiotics, Moderna Covid vaccine
- Vorherige Impfungen
- -
- Staat
- NC
- Alter
- 17,0
- Geschlecht
- F
- Eingang
- 13.01.2023
- Impfdatum
- 21.10.2022
- Beginn
- 21.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- N/A
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Injection site pain
Loss of personal independence in daily activities
Muscle injury
Neck pain
Nerve injury
Pain
Pain in extremity
Symptomtext
Patient received a flu vaccine at the 10/21/22 vaccine clinic. She felt pain at the time of vaccination from the site of injection to the tip of her thumb. Patient's mother, observed the bandage was placed at the top of Patient's shoulder towards the front of her body. Patient reported a dull pain when her arm was held down, was unable to wash or brush her hair and experienced pain worse with movement from her neck to her fingers Patient's mother took her to the pediatrician when pain was unrelieved by ibuprofen/naproxen and Patient lost the ability to place objects into her pockets. Patient's pediatrician diagnosed Patient with a syndrome caused by improper vaccine injection technique and referred her to a neurologist.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Injection site pain
- Hospital-Tage
- -
- Labordaten
- Patient seen by pediatrician and pediatric neurologist. Both physicians diagnosed a painful syndrome caused by improper injection technique. Axillary nerve damage diagnosed by neurologist. The deltoid muscle and axillary nerve were damaged by the needle's point of entry. Patient lost reflexive control, which is slowly returning, secondary to vaccine administration. Her range of motion is better now, but is slow to return.
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- CO
- Alter
- 33,0
- Geschlecht
- M
- Eingang
- 22.12.2022
- Impfdatum
- 21.12.2022
- Beginn
- 22.12.2022
- Tage bis Beginn
- 1,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Immediate post-injection reaction
Injection site erythema
Injection site induration
Injection site swelling
Nausea
Symptomtext
After administration of the covid-19 booster- site on injection immediately became red, swollen, and hard. Pt became nauseous.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Injection site erythema
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- WA
- Alter
- 18,0
- Geschlecht
- F
- Eingang
- 23.11.2022
- Impfdatum
- 14.11.2022
- Beginn
- 14.11.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Dizziness
Rash
Rash erythematous
Urticaria
Wheezing
Symptomtext
Upon receiving vaccinations patient broke out in hives and became light headed. She sat and waited and tried to calm herself down. Her wheezing continued to become worse and a red rash started on her neck and upper arms of both arms. She used her albuterol inhaler and took some Benadryl that she had with her. She has had allergic reactions in the past. Allergy testing wasn't able to determine the agents due to the strong immune response she was exhibiting. She carried an Epi-Pen but it was not used. Her mother arrived after being notified and she was able to help calm her further and assist her with deep breathing to abate symptoms.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Dizziness
- Hospital-Tage
- -
- Labordaten
- N/A
- Aktuelle Erkrankungen
- N/A
- Vorgeschichte
- Alleriges
- Andere Medikamente
- Epi-Pen, Benadryl, Albuterol
- Allergien
- History of allergic reactions to multiple items. Unknown the specifics.
- Vorherige Impfungen
- -
- Staat
- AZ
- Alter
- 4,0
- Geschlecht
- F
- Eingang
- 17.11.2022
- Impfdatum
- 10.11.2022
- Beginn
- 16.11.2022
- Tage bis Beginn
- 6,0
- Dosis
- 1
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: ja
Erholt: nein
Lethargy
Lymphadenopathy
Pyrexia
Symptomtext
11/16/22: Received message from Appointment Desk stating parent of patient, states child is having a reaction to her vaccines done on 11/10/22. Wanted us to know. Mom is taking child to Urgent Care. 11/17/22: Called mother, left message to call back. Mother called back, states child was taken to urgent care yesterday after developing left gland swelling from ear lobe to shoulder. States child was prescribed antibiotic in case of infection and anti-inflammatory medication. States doctor said it could have been a reaction to the vaccines. States child had high temps and lethargy for 4 days after receiving vaccinations. States child had received all vaccinations previously with no issues. This was the first time receiving the flu vaccine. Advised to continue care per urgent care instructions and follow up with doctor as needed. Advised will submit a VAERS report with information provided.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Pyrexia
- Hospital-Tage
- -
- Labordaten
- Unknown
- Aktuelle Erkrankungen
- None reported
- Vorgeschichte
- None reported
- Andere Medikamente
- None
- Allergien
- None
- Vorherige Impfungen
- -
- Staat
- NC
- Alter
- 36,0
- Geschlecht
- F
- Eingang
- 14.11.2022
- Impfdatum
- 11.11.2022
- Beginn
- 11.11.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Burning sensation
Eye irritation
Pruritus
Symptomtext
Itching all over on back, burning of face and eyes.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Pruritus
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- unknown
- Vorgeschichte
- unknown
- Andere Medikamente
- unknown
- Allergien
- unknown
- Vorherige Impfungen
- -
- Staat
- IA
- Alter
- 60,0
- Geschlecht
- F
- Eingang
- 03.11.2022
- Impfdatum
- 28.10.2022
- Beginn
- 29.10.2022
- Tage bis Beginn
- 1,0
- Dosis
- N/A
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Arthralgia
Myalgia
Sensitive skin
Symptomtext
Severe muscle pain and arthralgia along with extreme skin sensitivity
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Arthralgia
- Hospital-Tage
- -
- Labordaten
- Contact with PCP via Chart to discuss symptoms
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- MN
- Alter
- 7,0
- Geschlecht
- M
- Eingang
- 23.12.2022
- Impfdatum
- 22.12.2022
- Beginn
- 22.12.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Product storage error
Symptomtext
drawn up from vial from previous day that was not disposed
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Product storage error
- Hospital-Tage
- -
- Labordaten
- na
- Aktuelle Erkrankungen
- na
- Vorgeschichte
- na
- Andere Medikamente
- na
- Allergien
- na
- Vorherige Impfungen
- -
- Staat
- IL
- Alter
- 3,0
- Geschlecht
- F
- Eingang
- 26.11.2022
- Impfdatum
- 17.11.2022
- Beginn
- 17.11.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- - / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Underdose
Symptomtext
patient had received an underdose of Fluarix; This case was reported by a pharmacist via call center representative and described the occurrence of underdose in a 3-year-old female patient who received Flu Seasonal QIV Dresden (Fluarix Quadrivalent 2022-2023 season) (batch number JN7YG, expiry date 30th June 2023) for prophylaxis. Co-suspect products included flu seasonal qiv dresden pre-filled syringe device (Fluarix Tetra Pre-Filled Syringe Device) injection syringe for prophylaxis. On 17th November 2022, the patient received Fluarix Quadrivalent 2022-2023 season and Fluarix Tetra Pre-Filled Syringe Device. On 17th November 2022, unknown after receiving Fluarix Quadrivalent 2022-2023 season and Fluarix Tetra Pre-Filled Syringe Device, the patient experienced underdose. On an unknown date, the outcome of the underdose 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: 18-NOV-2022 Reporter's comment: Pharmacist reported that a patient had received an underdose of Fluarix QIV. The vaccine administration facility was the same as primary reporter. HCP (Health Care Professional) gave consented to Follow-up via phone number. Additional Supportive Information: The patient had received an underdose of Fluarix Quadrivalent 2022-2023 season, which led to underdose.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Underdose
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- NY
- Alter
- 42,0
- Geschlecht
- M
- Eingang
- 14.11.2022
- Impfdatum
- 18.10.2022
- Beginn
- 18.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Product storage error
Symptomtext
VACCINE HAD LOW TEMPERATURE EXCURSION
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Product storage error
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- NY
- Alter
- 12,0
- Geschlecht
- F
- Eingang
- 14.11.2022
- Impfdatum
- 01.10.2022
- Beginn
- 18.10.2022
- Tage bis Beginn
- 17,0
- Dosis
- UNK
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Product storage error
Symptomtext
VACCINE HAD LOW TEMPERATURE EXCURSION
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Product storage error
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- MA
- Alter
- 62,0
- Geschlecht
- F
- Eingang
- 10.11.2022
- Impfdatum
- 10.11.2022
- Beginn
- 10.11.2022
- Tage bis Beginn
- 0,0
- Dosis
- N/A
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect dose administered
Symptomtext
Administered incorrect dose, MD administered volume containing more than one dose
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect dose administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- Hypertension; tobacco use disorder; opioid use disorder in remission on maintenance therapy
- Andere Medikamente
- Amlodipine, buprenorphine-naloxone, ibuprofen
- Allergien
- Codeine: rash
- Vorherige Impfungen
- -
- Staat
- NY
- Alter
- -
- Geschlecht
- U
- Eingang
- 28.10.2022
- Impfdatum
- -
- Beginn
- -
- Tage bis Beginn
- -
- Dosis
- UNK
- Route/Site
- - / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Product storage error
Symptomtext
received fluarix after being exposed at -2.1?C; This case was reported by a other health professional via call center representative and described the occurrence of incorrect storage of drug in a patient who received Flu Seasonal QIV Dresden (Fluarix Quadrivalent 2022-2023 season) (batch number JN7YG, expiry date 30th June 2023) for prophylaxis. Co-suspect products included flu seasonal qiv dresden pre-filled syringe device (Fluarix Tetra Pre-Filled Syringe Device) injection syringe for prophylaxis. On an unknown date, the patient received Fluarix Quadrivalent 2022-2023 season and Fluarix Tetra Pre-Filled Syringe Device. On an unknown date, unknown after receiving Fluarix Quadrivalent 2022-2023 season and Fluarix Tetra Pre-Filled Syringe Device, the patient experienced incorrect storage of drug. On an unknown date, 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: 19-OCT-2022 Reporter's comment: A health care professional reported that a patient received dose of Fluarix , a box of vaccines exposed at minus 2.1 degree Celsius. The reporter consented to follow-up. Additional Supportive Information: The patient received dose of Fluarix exposed at minus 2.1 degree Celsius, 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
- -