- Staat
- CA
- Alter
- 37,0
- Geschlecht
- F
- Eingang
- 14.11.2022
- Impfdatum
- 10.11.2022
- Beginn
- 10.11.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- SC / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Dizziness
Fatigue
Headache
Injection site pain
Lethargy
Nausea
Tremor
Vomiting
Symptomtext
Site: Pain at Injection Site-Mild, Systemic: Dizziness / Lightheadness-Medium, Systemic: Exhaustion / Lethargy-Mild, Systemic: Headache-Medium, Systemic: Nausea-Mild, Systemic: Shakiness-Mild, Systemic: Vomiting-Mild
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Tremor
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- -
- Alter
- 1,0
- Geschlecht
- F
- Eingang
- 12.01.2023
- Impfdatum
- 11.01.2023
- Beginn
- 12.01.2023
- Tage bis Beginn
- 1,0
- Dosis
- 2
- Route/Site
- SC / LL
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Injection site erythema
Product administration error
Symptomtext
A trained employee and a employee in training were administering the vaccines to this patient. The employee in training injected all the ones in the left thigh listed above. The MMR was administered correctly, but the Hep A and HiB were not. One of these IM injections was administered in an area of the leg lateral to the cleansed region, and the other was administered at a 45 degree angle. Patient's parents were concerned when an erythematous area appeared 24 hours after injections in left leg. Uncertain which vaccine was administered in site of erythema noted by parents. Parents took infant to physician for evaluation today and monitoring was recommended.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Injection site erythema
- Hospital-Tage
- -
- Labordaten
- N/A
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- egg (urticaria in areas of contact or when ingested)
- Vorherige Impfungen
- -
- Staat
- OH
- Alter
- 13,0
- Geschlecht
- M
- Eingang
- 17.08.2023
- Impfdatum
- 03.08.2023
- Beginn
- 03.08.2023
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- SC / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Product administered to patient of inappropriate age
Symptomtext
Dr. ordered DtaP instead of Tdap. However, Medical Assistant, administered Pentacel. Dr. spoke to Dr. at Community Health Services pediatrician. Dr. states should count for IPV, and 12-year-old Tdap. Dr. called mother to let her know about this and that Hib vaccine included in Pentacel should not harm him. Patient in on 8/10/2023 with no symptoms documented. No calls received in-between appointments.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Product administered to patient of inappropriate age
- Hospital-Tage
- -
- Labordaten
- NA
- Aktuelle Erkrankungen
- None noted in chart..
- Vorgeschichte
- ADHD Prader Willi Syndrome Autism Anxiety
- Andere Medikamente
- Clonidine HCL 0.1 mg tablet. One tablet daily Methylphenidate HCL ER (CD) 50 mg capsule extended release 1 capsule before breakfast in the morning Sertraline HCL 25 mg tablet oral
- Allergien
- NKDA
- Vorherige Impfungen
- -
- Staat
- TN
- Alter
- 12,0
- Geschlecht
- M
- Eingang
- 05.06.2023
- Impfdatum
- 05.06.2023
- Beginn
- 05.06.2023
- Tage bis Beginn
- 0,0
- Dosis
- 2
- Route/Site
- SC / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Expired product administered
Symptomtext
On 6/5/2023, RN, administered expired Hep B vaccine with expiration date of 6/3/23 to a patient. Nurse failed to check expiration date on Hep B vaccine prior to administering to the patient. There was a tag on the Hep B vaccine box stating to watch expiration date. LPN, failed to put Hep B on the expiration date calendar for the month of June. The calendar is checked each morning by her and Nursing Supervisor.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Expired product administered
- Hospital-Tage
- -
- Labordaten
- none
- Aktuelle Erkrankungen
- unknown
- Vorgeschichte
- unknown
- Andere Medikamente
- unknown
- Allergien
- no known allergies
- Vorherige Impfungen
- -
- Staat
- AL
- Alter
- 4,0
- Geschlecht
- M
- Eingang
- 16.01.2023
- Impfdatum
- 13.12.2022
- Beginn
- 13.12.2022
- Tage bis Beginn
- 0,0
- Dosis
- 2
- Route/Site
- SC / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
No adverse event
Product preparation error
Symptomtext
NO ADVERSE EVENT. PATIENT RECEIVED THESE VACCINES WITH VIALS THAT WERE DRAWN UP WITH LIDOCAINE.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- No adverse event
- Hospital-Tage
- -
- Labordaten
- NONE
- Aktuelle Erkrankungen
- NONE
- Vorgeschichte
- NONE
- Andere Medikamente
- ALBUTEROL SULFATE INHALER
- Allergien
- NKDA
- Vorherige Impfungen
- -
- Staat
- AL
- Alter
- 4,0
- Geschlecht
- M
- Eingang
- 16.01.2023
- Impfdatum
- 06.12.2022
- Beginn
- 06.12.2022
- Tage bis Beginn
- 0,0
- Dosis
- 2
- Route/Site
- SC / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
No adverse event
Product preparation error
Symptomtext
NO ADVERSE EVENT. PATIENT RECEIVED THESE VACCINES WITH VIALS THAT WERE DRAWN UP WITH LIDOCAINE.
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
- 7,0
- Geschlecht
- F
- Eingang
- 10.01.2023
- Impfdatum
- 10.01.2023
- Beginn
- 10.01.2023
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- SC / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect product formulation administered
No adverse event
Symptomtext
There was no adverse reaction at time of reporting. Pfizer Bivalent was given in error. Monovalent should have been administered.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- No
- Aktuelle Erkrankungen
- No
- Vorgeschichte
- NO
- Andere Medikamente
- No
- Allergien
- No
- Vorherige Impfungen
- -
- Staat
- MI
- Alter
- 9,0
- Geschlecht
- M
- Eingang
- 10.01.2023
- Impfdatum
- 06.01.2023
- Beginn
- 06.01.2023
- Tage bis Beginn
- 0,0
- Dosis
- 2
- Route/Site
- SC / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
No adverse event
Product use issue
Symptomtext
There was no adverse reaction. Pfizer Bivalent was administered in error after beyond use date. Client will come back for a bivalent dose that is not beyond use date.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- No adverse event
- Hospital-Tage
- -
- Labordaten
- None
- Aktuelle Erkrankungen
- No
- Vorgeschichte
- No
- Andere Medikamente
- No
- Allergien
- No
- Vorherige Impfungen
- -
- Staat
- TN
- Alter
- 44,0
- Geschlecht
- U
- Eingang
- 21.12.2022
- Impfdatum
- 16.11.2022
- Beginn
- 16.11.2022
- 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
No additional AE reported; Medical assistant student calling with question about adult vaccination with MMR II and VARIVAX states an adult patient was recently vaccinated with MMR II. Because there is no adult dosing schedule in the MMR II prescribing information, AE is being; This spontaneous report was received from a medical assistant student and refers to a 44-year-old patient of unknown gender. The patient's medical history, concurrent conditions and concomitant medications were not provided. On 16-NOV-2022, the patient was vaccinated with a dose of measles, mumps, and rubella (wistar ra 27-3) virus vaccine, live (rHA) (M-M-R II) subcutaneous injection, lot #U039908, expiration date: 16-DEC-2023, administered for prophylaxis (strength, and route of administration were not provided) reconstituted with a sterile diluent (Inappropriate age at vaccine administration).
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Product administered to patient of inappropriate age
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- Prophylaxis
- Vorgeschichte
- -
- Andere Medikamente
- STERILE DILUENT
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- AZ
- Alter
- 17,0
- Geschlecht
- M
- Eingang
- 15.12.2022
- Impfdatum
- 14.12.2022
- Beginn
- 14.12.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- SC / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect product formulation administered
Symptomtext
Patient received 0.5mL of the Moderna Bivalent covid vaccine instead of 0.5mL of the Moderna covid vaccine (primary series)
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- none
- Aktuelle Erkrankungen
- none
- Vorgeschichte
- none
- Andere Medikamente
- none
- Allergien
- none
- Vorherige Impfungen
- -
- Staat
- AZ
- Alter
- 15,0
- Geschlecht
- M
- Eingang
- 15.12.2022
- Impfdatum
- 14.12.2022
- Beginn
- 14.12.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- SC / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect product formulation administered
Symptomtext
Patient received 0.5mL of the Moderna Bivalent covid vaccine instead of 0.5mL of the Moderna covid vaccine (primary series)
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- none
- Aktuelle Erkrankungen
- none
- Vorgeschichte
- none
- Andere Medikamente
- none
- Allergien
- none
- Vorherige Impfungen
- -
- Staat
- AZ
- Alter
- 17,0
- Geschlecht
- M
- Eingang
- 15.12.2022
- Impfdatum
- 14.12.2022
- Beginn
- 14.12.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- SC / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect product formulation administered
Symptomtext
Patient was given 0.5mL of the Moderna Bivalent covid vaccines instead of 0.5mL of the Moderna Covid vaccine (primary series)
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- none
- Aktuelle Erkrankungen
- none
- Vorgeschichte
- none
- Andere Medikamente
- none
- Allergien
- none
- Vorherige Impfungen
- -
- Staat
- AZ
- Alter
- 15,0
- Geschlecht
- M
- Eingang
- 15.12.2022
- Impfdatum
- 14.12.2022
- Beginn
- 14.12.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- SC / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect product formulation administered
Symptomtext
Patient was given 0.5mL of the Moderna Bivalent covid vaccines instead of 0.5mL of the Moderna covid vaccines (primary series)
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- none
- Aktuelle Erkrankungen
- none
- Vorgeschichte
- none
- Andere Medikamente
- none
- Allergien
- none
- Vorherige Impfungen
- -
- Staat
- AZ
- Alter
- 17,0
- Geschlecht
- M
- Eingang
- 15.12.2022
- Impfdatum
- 14.12.2022
- Beginn
- 14.12.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- SC / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
No adverse event
Wrong product administered
Symptomtext
Patient was given 0.5mL of the Moderna Bivalent covid vaccine instead of 0.5mL of the Moderna covid-10 vaccine (primary series). no none symptoms
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
- IN
- Alter
- -
- Geschlecht
- F
- Eingang
- 06.12.2022
- Impfdatum
- 31.10.2022
- Beginn
- -
- Tage bis Beginn
- -
- Dosis
- 1
- Route/Site
- SC / LL
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Incorrect dose administered
Product preparation issue
Symptomtext
Patient was given undiluted Pfizer COVID vaccine, maroon cap, 6m-4y and was given a larger (0.3 mg) dose than she should have recieved.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect dose administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- No illness at the time of vaccination or a month prior
- Vorgeschichte
- None
- Andere Medikamente
- No medications being taken at the time of vaccination
- Allergien
- No known allergies
- Vorherige Impfungen
- -
- Staat
- AR
- Alter
- 6,0
- Geschlecht
- M
- Eingang
- 07.11.2022
- Impfdatum
- 02.11.2022
- Beginn
- 02.11.2022
- Tage bis Beginn
- 0,0
- Dosis
- 2
- Route/Site
- SC / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Wrong patient received product
Wrong product administered
Symptomtext
I went to get immunzation pt from waiting room and when called mom responded. When brought to exam room it was noted that 2 patients with similar names were both ready to be seen. I had asked mom is this is correct patient and she said yes. Mom was very sleepy during the visit as she had just worked night shift. She kept falling asleep during the visit and one point daughter had to wake her up. I then realized I had wrong patient in my room and had given him the wrong immunizations. Mom was very understanding and knew that there was confusion over the names/patients. Pt received tdap, meningococcal, HPV, and MMR. The first 3 were not supposed to be given at this time. Mom was informed of this and still very understanding. Was present and I also had informed her what happened. They had spoken with mom and explained everything. Appointment was made for child to return on 12-1-22 for dtap and varicella vaccines. I also contacted his school nurse so that they would not put him out of school.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Wrong patient received product
- Hospital-Tage
- -
- Labordaten
- N/A
- Aktuelle Erkrankungen
- none
- Vorgeschichte
- none
- Andere Medikamente
- none
- Allergien
- none
- Vorherige Impfungen
- -
- Staat
- MI
- Alter
- 69,0
- Geschlecht
- F
- Eingang
- 26.09.2022
- Impfdatum
- 23.09.2022
- Beginn
- 26.09.2022
- Tage bis Beginn
- 3,0
- Dosis
- 2
- Route/Site
- SC / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Expired product administered
Symptomtext
Patient was given last year's flu vaccine, flu vaccine expired 30 JUne 2022
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Expired product administered
- Hospital-Tage
- -
- Labordaten
- none
- Aktuelle Erkrankungen
- none
- Vorgeschichte
- none
- Andere Medikamente
- none
- Allergien
- none
- Vorherige Impfungen
- -