- Staat
- TN
- Alter
- 13,0
- Geschlecht
- F
- Eingang
- 04.10.2022
- Impfdatum
- 09.05.2022
- Beginn
- 10.05.2022
- Tage bis Beginn
- 1,0
- Dosis
- 1
- Route/Site
- SC / LA
Tod: ja
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Abdominal pain
Autopsy
Myocarditis
Resuscitation
Sleep disorder
Unresponsive to stimuli
Symptomtext
Patient received vaccine on 05/09/2022. She began experiencing what was described to family as abdominal pain on 05/10/2022. At 0400 hours on 05/11/2022, she woke up with abdominal pain and took pepto bismol to go back to sleep. She was found unresponsive later that morning and resuscitation was unsuccessful. Autopsy revealed acute lymphocytic myocarditis.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Myocarditis
- Hospital-Tage
- -
- Labordaten
- Autopsy revealed acute lymphocytic myocarditis.
- Aktuelle Erkrankungen
- Unknown
- Vorgeschichte
- None reported.
- Andere Medikamente
- Unknown
- Allergien
- No known allergies.
- Vorherige Impfungen
- -
- Staat
- CA
- Alter
- 12,0
- Geschlecht
- M
- Eingang
- 13.09.2022
- Impfdatum
- 31.08.2022
- Beginn
- 31.08.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Dizziness
Loss of consciousness
Muscle rigidity
Unresponsive to stimuli
Vomiting
Eye disorder
Eye movement disorder
Musculoskeletal stiffness
Seizure
Tremor
Symptomtext
the varicella vaccine was given first, then the polio vaccine was administered. As soon as the nurse pulled the needle out, my sons eyes got real big, he sat up very straight - his head shook a little and his eyes looked locked open very big. his head tilted to the side just a little bit and his arms stiffened up, his eyes were wide open as i called his name to see if he was coherent and he was not - he was not responding to me calling his name, his back arched and his head tilted back a little bit and his eyes rolled up a little, but remained open and he was still unresponsive to me calling his name, at that point it seemed to me he was having a seizure and so i laid him down from his seat, onto the ground, on his side... he was as stiff as a board, legs extended straight w knees locked, his back still arched and his fist tight and clenched, elbows bent with hands up by his chest, he was convulsing a little bit. the whole event was about 30 seconds at least. and then he finally seem to come to, and look around and realized he was on the ground and unsure how he got there. He threw up two times within 10 and 15 minutes after the episode The paramedics were called and responded.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Loss of consciousness
- Hospital-Tage
- -
- Labordaten
- Pt. was taken to his primary care provider the next day (as per there advice as the office was closed as this was around 8 or 815pm when this happened, i spoke to the after hours on call nurse) Clinic have that visit and notes on record. The pharmacists REFUSED to give me any documentation, I asked about 4 or 5 times before I left the with my son. a I had to go back to pharmacy the next day to try and get documentation, and the pharmacist was still saying she couldnt give me any documentation, and then i mentioned she was required by law to report it to vaers, and then she said she was working on the report and had to notify her supervisor, i am currently waiting to hear from corporate to get any kind of documentation.
- Aktuelle Erkrankungen
- none
- Vorgeschichte
- none
- Andere Medikamente
- none
- Allergien
- none
- Vorherige Impfungen
- -
- Staat
- TN
- Alter
- 11,0
- Geschlecht
- M
- Eingang
- 16.12.2021
- Impfdatum
- 15.12.2021
- Beginn
- 15.12.2021
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Abdominal discomfort
Asthenia
Loss of consciousness
Symptomtext
Patient received above listed vaccines in clinic without difficulties at approximately 2:45pm with mom and uncle present in room. Patient was sent to lobby for 10 minutes of monitoring. At 3:00pm front office staff came to nurses room stating patient had passed out and was carried to vehicle by his uncle. Nurse to patient vehicle, alert and oriented x4. vital signs stable. patient stated he began feeling weak and sick to his stomach and then passed out. Stated he now feels "normal".
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Loss of consciousness
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- NKA
- Vorherige Impfungen
- -
- Staat
- TN
- Alter
- 17,0
- Geschlecht
- M
- Eingang
- 05.10.2021
- Impfdatum
- 05.10.2021
- Beginn
- 05.10.2021
- Tage bis Beginn
- 0,0
- Dosis
- 2
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Blood glucose increased
Hyperhidrosis
Nausea
Syncope
Vomiting
Symptomtext
Syncope, Nausea, Vomiting, diaphoretic Blood Pressure - 90/62 @ 11:30 am Blood Pressure - 104/66 @ 11:50am Blood Pressure - 93/63 @ 12:30 pm
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Syncope
- Hospital-Tage
- -
- Labordaten
- Only had water earlier today: Blood Sugar - 113 Communication via language line; Mother refused EMT to be called.
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- None
- Andere Medikamente
- None
- Allergien
- NKDA
- Vorherige Impfungen
- -
- Staat
- MD
- Alter
- 14,0
- Geschlecht
- F
- Eingang
- 14.02.2022
- Impfdatum
- 14.02.2022
- Beginn
- 14.02.2022
- Tage bis Beginn
- 0,0
- Dosis
- 2
- Route/Site
- SC / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: ja
Erholt: nein
Aphasia
Dyskinesia
Dyspnoea
Pallor
Tremor
Symptomtext
Signed consent and center enrolment form obtained. VIS provided, student denies any allergies, and No past medical history. At 11:00am IZs IPV, HBV, Tdap, MCV, MMR and Varicella administered, student stated that she is having difficulty of breathing. Assessed student. At 11:10 student c/o difficulty breathing, B/P 85/57, HR 83, RR 26, O2 Sat 96% alert, oriented to time, place, and person. Pupils equal, round, and reactive to light, Lungs clear bilaterally, Student continue complaining of SOB, lower lip pale, fingers bilaterally pale. Mild Diaphysis 11:23am Epinephrine, (Auto-injectors) 0.3 mg administered by NP. Student started shaking, difficulty to verbalize, facial expression were symmetrical, strong grips bilaterally, and strong bilateral extremities movements. 11:30am normal skin color BP 96/65 HR 80 O2 sat 100%, student stated her breathing is improved. Alert and oriented, School administers, student?s guardian notified, EMS call initiated, student?s guardian notified. EMT arrived brief report given, student transferred to Hospital.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Dyspnoea
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- none
- Vorgeschichte
- none
- Andere Medikamente
- none
- Allergien
- none
- Vorherige Impfungen
- -
- Staat
- NY
- Alter
- 15,0
- Geschlecht
- M
- Eingang
- 03.01.2022
- Impfdatum
- 20.12.2021
- Beginn
- 22.12.2021
- Tage bis Beginn
- 2,0
- Dosis
- UNK
- Route/Site
- OT / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Chest pain
Headache
Symptomtext
complaining of intermittent chest pain and headache; complaining of intermittent chest pain and headache; Initial information received on 22-Dec-2021 regarding an unsolicited valid non-serious case received from a health professional. This case involves a 15 years old male patient who was complaining of intermittent chest pain and headache, while receiving vaccine IPV (VERO) [IPOL]. The patient's past medical history, medical treatment(s), vaccination(s) and family history were not provided. Concomitant medications included DIPHTHERIA VACCINE TOXOID, PERTUSSIS VACCINE ACELLULAR 5-COMPONENT, TETANUS VACCINE TOXOID (ADACEL) for Prophylactic vaccination. On 20-Dec-2021, the patient received a dose of suspect IPV (VERO) (lot U1A452M, expiry date:20-Feb-2023) via intramuscular route in unknown administration site for prophylactic vaccination. On 22-DEC-2021 the patient developed a non-serious event "complaining of intermittent chest pain and headache" (chest pain) 2 days following the administration of IPV (VERO). On 22-DEC-2021 the patient developed a non-serious event "complaining of intermittent chest pain and headache" (headache) 2 days following the administration of IPV (VERO). Action taken with POLIOMYELITIS VACCINE (INACTIVATED) (IPOL) was not applicable. It was not reported if the patient received a corrective treatment for the events (complaining of intermittent chest pain and headache, complaining of intermittent chest pain and headache). At time of reporting, the outcome was Unknown for the event complaining of intermittent chest pain and headache and was Unknown for the event complaining of intermittent chest pain and headache.; Sender's Comments: 00908756:associated case
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Chest pain
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- MI
- Alter
- 0,5
- Geschlecht
- M
- Eingang
- 15.02.2023
- Impfdatum
- 14.02.2023
- Beginn
- 15.02.2023
- Tage bis Beginn
- 1,0
- Dosis
- 1
- Route/Site
- IM / RL
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Body temperature increased
Crying
Poor quality sleep
Productive cough
Vomiting
Symptomtext
Mom called. She states that patient had vaccine yesterday. Since then, he has been up wimpering or crying. Did not sleep well last night. His rectal temp was 103.2. She is giving tylenol, but thinks that he spit up last dose. Patient is eating ok and having appropriate amount of wet diapers. She states that patient had a slight cough prior to getting the vaccinations, but now it's more phlegmy. Please advise. Nurse Call Per NP Continue to monitor. We discussed normal for a slight temp. Lungs were clear on exam yesterday. Continue tylenol or ibuprofen every 6 hours. Should improve in the next 24 hours. If tylenol not working for temp, can try ibuprofen it is ok now that he is 6 months and sometimes works better.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Vomiting
- Hospital-Tage
- -
- Labordaten
- none
- Aktuelle Erkrankungen
- diaper rash at time of vaccination
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- nkda
- Vorherige Impfungen
- -
- Staat
- WA
- Alter
- 14,0
- Geschlecht
- F
- Eingang
- 17.05.2022
- Impfdatum
- 06.05.2022
- Beginn
- 17.05.2022
- Tage bis Beginn
- 11,0
- Dosis
- 1
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Abdominal mass
Fatigue
Pyrexia
Rash
Rash pruritic
Symptomtext
pt developed a lump / itchy rash on her abdomen day after administration. fatigue, low grade fever. treatment has been rest and OTC hydrocortisone cream for the itching.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Fatigue
- Hospital-Tage
- -
- Labordaten
- n/a
- Aktuelle Erkrankungen
- depression joint pain
- Vorgeschichte
- depression joint pain
- Andere Medikamente
- none
- Allergien
- amoxicillin
- Vorherige Impfungen
- -
- Staat
- MN
- Alter
- 15,0
- Geschlecht
- M
- Eingang
- 08.10.2021
- Impfdatum
- 08.10.2021
- Beginn
- 08.10.2021
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Dizziness
Flushing
Hypoaesthesia
Nausea
Pallor
Symptomtext
Client started feeling flushed, dizzy, nauseous, hands were numb and he looked pale. Drink was given, he was monitored and the felt better a few minutes later.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Dizziness
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- MA
- Alter
- 7,0
- Geschlecht
- M
- Eingang
- 14.04.2023
- Impfdatum
- -
- Beginn
- -
- Tage bis Beginn
- -
- Dosis
- UNK
- Route/Site
- OT / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Extra dose administered
No adverse event
Symptomtext
extra dose of IPOL given in error with no reported adverse event; Initial information received on 11-Apr-2023 regarding an unsolicited valid non-serious case received via nurse. GMI number: 01570626 This case involves 7 years old male patient who experienced extra dose of ipol (IPV (VERO)) given in error with no reported adverse event. The patient's past medical history, medical treatment(s), vaccination(s) and family history were not provided. This case is linked to case 2023SA113922 and 01570409. Concomitant medications included MEASLES VACCINE, MUMPS VACCINE, RUBELLA VACCINE (MMR) for Immunization. On an unknown date, the patient received extra dose of suspect IPV (VERO) at dose 0.5ml frequency unknown (lot: U1A452M, expiry date: 20-Feb-2023) via subcutaneous route in unknown administration site for Immunization given in error with no reported adverse event (extra dose administered) at same day latency. It was reported that "Nurse has questions on how to proceed. She states the PENTACEL components were all given separately, and an extra dose was given by accident. The nurse states that their clinic did not receive the immunization records on a new patient until after extra doses of DAPTACEL, IPOL, and ACTHIB were given in error. Extra dose of ACTHIB given on 21Jun2022. Clarified as NOT PENTACEL as all 3 vaccines (DAPTACEL, IPOL, and ACTHIB) were given on separated dates and as separate injections. The nurse asks if these are valid doses or should they be reinjected. The HCP inquired if the patient would experience any adverse event because of this." Action taken: Not applicable. At time of reporting, the outcome was Unknown for the event extra dose administered. This suspected adverse reaction report is submitted and classified as a medication error solely and exclusively to ensure the marketing authorization holder's compliance with the requirements set out in the guidelines. The classification as a medical error is in no way intended, nor should it be interpreted or construed as an allegation or claim made by the marketing authorization holder that any third party has contributed to or is to be held liable for the occurrence of this medication error.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Extra dose administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- FL
- Alter
- -
- Geschlecht
- U
- Eingang
- 31.03.2023
- Impfdatum
- -
- Beginn
- -
- Tage bis Beginn
- -
- Dosis
- UNK
- Route/Site
- OT / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Expired product administered
No adverse event
Symptomtext
reports that they believe expired IPOL was administered to a patient with no reported adverse event; Initial information received on 27-Mar-2023 regarding an unsolicited valid non-serious case received from an other health professional. This case involves an unknown age and gender patient to whom an expired IPV (VERO) [IPOL] vaccine was administered with no reported adverse event. The patient's past medical history, medical treatment(s), vaccination(s) , concomitant(s) and family history were not provided. On an unknown date, the patient received an unknown dose of suspect IPV (VERO), suspension for injection (lot U1A452M , expiry date: 12-Feb-2023) (With unknown strength, route and at unknown administration site) for prophylactic vaccination (immunization). On an unknown date reporter reported that that an expired ipol was administered to a patient with no reported adverse event(expired product administered) (same day latency). No lab data were reported. Action taken: not applicable. At time of reporting, the outcome was Unknown for the event. This suspected adverse reaction report is submitted and classified as a medication error solely and exclusively to ensure the marketing authorization holder's compliance with the requirements set out in the guideliens. The classification as a medical error is in no way intended, nor should it be interpreted or construed as an allegation or claim made by the marketing authorization holder that any third party has contributed to or is to be held liable for the occurrence of this medication error.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Expired product administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- MD
- Alter
- 8,0
- Geschlecht
- F
- Eingang
- 24.03.2023
- Impfdatum
- 16.03.2023
- Beginn
- 16.03.2023
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- OT / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Expired product administered
Medication error
No adverse event
Symptomtext
expired dose of IPOL was administered with no reported adverse event; Initial information was received on 17-Mar-2023 regarding an unsolicited valid non-serious case received from a other health professional. This case involves 8 years old female patient who reported expired dose of ipol was administered with no reported adverse event after receiving vaccine ipv (VERO) [Ipol]. The patient's past medical history, medical treatment(s), vaccination(s) and family history were not provided. Concomitant medications included measles vaccine, MUMPS VACCINE, rubella vaccine (MMR VACCIN) for Prophylactic vaccination. On 16-Mar-2023, the patient received 0.5 ml Total dose (once) of suspect ipv (VERO) (Suspension for Injection) (lot: U1A452M, expiry date: 20-Feb-2023) unknown strength via intramuscular route in left deltoid for Immunisation. On 16-Mar-2023 the patient developed a non-serious event of expired dose of ipol was administered with no reported adverse event (expired product administered) same day following the administration of ipv (VERO). Action taken: not applicable. It was not reported if the patient received a corrective treatment for the event. At time of reporting, the outcome was Unknown for the event. This suspected adverse reaction report is submitted and classified as a medication error solely and exclusively to ensure the marketing authorization holder's compliance with the requirements set out in the guidelines. The classification as a medical error is in no way intended, nor should it be interpreted or construed as an allegation or claim made by the marketing authorization holder that any third party has contributed to or is to be held liable for the occurrence of this medication error.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Expired product administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- LA
- Alter
- 17,0
- Geschlecht
- F
- Eingang
- 02.01.2023
- Impfdatum
- 23.11.2022
- Beginn
- 23.11.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Exposure during pregnancy
No adverse event
Symptomtext
No additional AE; was administered to a pregnant patient 11/23/2022. She states the patient has not experienced any issues since being vaccinated and did not know she was pregnant.; This spontaneous report was received from a nurse and refers to a pregnant 17-year-old female patient. The patient's medical history, concurrent conditions and concomitant medications were not reported. On 23-NOV-2022, the pregnant patient was vaccinated with varicella virus vaccine live (oka/merck) (VARIVAX) subcutaneous injection, lot #W005208, expiration date: 14-FEB-2024, administered for prophylaxis (anatomical location, and route of administration were not provided) and sterile diluent solution for injection/infusion (strength, lot #, expiry date, route of administration, and indication were not provided) (exposure during pregnancy). The reporter stated that the patient has not experienced any issues since being vaccinated and did not know she was pregnant. No Varicella Zoster Virus Identification Program (VZVIP) information was being sent as patient did not develop symptoms after being vaccinated and health care professional (HCP) stated the patient did not even want to be pregnant and would most likely not be interested in providing a specimen. Last menstrual period (LMP) was estimated at 2022. At the time of the reporting the outcome of pregnancy was outcome pending and fetal outcome was unknown. There were no adverse events reported (no adverse event).
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Exposure during pregnancy
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- CA
- Alter
- 9,0
- Geschlecht
- F
- Eingang
- 15.12.2022
- Impfdatum
- 20.01.2022
- Beginn
- 20.01.2022
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect dose administered
Product preparation issue
Symptomtext
Incorrect dose of Pfizer Covid-19 vaccine administered due to incorrect mixing of dilute in vaccine vial.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Product preparation issue
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- none
- Allergien
- none
- Vorherige Impfungen
- -
- Staat
- CA
- Alter
- 9,0
- Geschlecht
- F
- Eingang
- 15.12.2022
- Impfdatum
- 20.01.2022
- Beginn
- 20.01.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect dose administered
Product preparation issue
Symptomtext
Incorrect dose of Pfizer Covid-19 vaccine administered due to incorrect mixing of dilute in vaccine vial.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Product preparation issue
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- none
- Allergien
- none
- Vorherige Impfungen
- -
- Staat
- NC
- Alter
- 14,0
- Geschlecht
- F
- Eingang
- 19.09.2022
- Impfdatum
- 18.07.2022
- Beginn
- 01.08.2022
- Tage bis Beginn
- 14,0
- Dosis
- 3
- Route/Site
- SC / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
No adverse event
Product administered to patient of inappropriate age
Symptomtext
Child was too old to receive a proquad. No adverse reaction.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- No adverse event
- Hospital-Tage
- -
- Labordaten
- NA
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- Depression
- Andere Medikamente
- Lexapro
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- IL
- Alter
- -
- Geschlecht
- U
- Eingang
- 13.08.2022
- Impfdatum
- -
- Beginn
- -
- Tage bis Beginn
- -
- Dosis
- UNK
- Route/Site
- OT / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
No adverse event
Poor quality product administered
Product storage error
Symptomtext
IPOL was opened since the excursion (11.22 degrees C for 10 hours) and was used once with no adverse event; IPOL had multiple temperature excursion with no adverse event; Initial information received on 08-Aug-2022 regarding an unsolicited valid non-serious case received from a other health professional. This case involves an unknown age and unknown gender patient it was reported IPV (VERO) [IPOL] was opened since the excursion (11.22 degrees c for 10 hours) and was used once with no adverse event and had multiple temperature excursion with no adverse event. The patient's past medical history, medical treatment(s), vaccination(s) and family history were not provided. On an unknown date, the patient received a dose of suspect IPV (VERO), suspension for injection, (lot U1A452M and expiry date not reported) was opened since the excursion (11.22 degrees c for 10 hours) and was used once with no adverse event (poor quality product administered) (unknown latency) It was reported that IPOL had multiple temperature excursion with no adverse event (product storage error) (unknown latency) Prior excursions: 10.93 degrees C for 12 hours, 1.17 degrees C for 45 minutes; 11.22 degrees C for 10 hours; and 8.63 degrees C for 15 minutes. Action taken : not applicable. Outcome ; Unknown. This suspected adverse reaction report is submitted and classified as a medication error solely and exclusively to ensure the marketing authorization holder's compliance with the requirements set out in the guidelines. The classification as a medical error is in no way intended, nor should it be interpreted or construed as an allegation or claim made by the marketing authorization holder that any third party has contributed to or is to be held liable for the occurrence of this medication error.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- No adverse event
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- IL
- Alter
- 14,0
- Geschlecht
- F
- Eingang
- 12.08.2022
- Impfdatum
- 19.07.2022
- Beginn
- 19.07.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- OT / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Poor quality product administered
Product storage error
Symptomtext
vaccine had multiple temperature excursion with no reported adverse event; administering dose post temperature excursion with reported adverse event; Initial information received on 08-Aug-2022 regarding an unsolicited valid non-serious case received from a other health professional. This case involves a 14 years old female patient and reporter stated that vaccine had multiple temperature excursion with no reported adverse event and administering dose post temperature excursion with reported adverse event involving vaccine IPV (VERO) [IPOL]. The patient's past medical history, medical treatment(s), vaccination(s) and family history were not provided. Concomitant medications included MEASLES VACCINE LIVE, MUMPS VACCINE LIVE, RUBELLA VACCINE LIVE (MEASLES MUMPS AND RUBELLA VACCINE LIVE ATTENUATED) for Immunisation. It was reported that there were multiple excursions, the first on unopened MDV on 05-Apr-2022 a high of 8.63C for 15 minutes, reporting a dose was administered post excursion but the MDV was sealed at the time of the excursion at 8.63C for 15 minutes. The second excursion occurring on 05-Jul-2022 at a high of 11.22C out of range for 10 hours, and on 18-Jul-2022 a low of 1.17C for 45 minutes. On 19-Jul-2022, the patient received a 0.5ml dose of suspect IPV (VERO) (strength, formulation was unknown, lot U1A452M and expiry date: 20-Feb-2023) via intramuscular route in the right deltoid for Immunization. On 19-Jul-2022, the patient developed a non-serious event of vaccine had multiple temperature excursion with no reported adverse event (product storage error). On 19-Jul-2022 the patient developed a non-serious event of administering dose post temperature excursion with reported adverse event (poor quality product administered) (Latency: same day) following the administration of IPV (VERO). Further it was reported that the excursion occurring on 29-Jul-2022 at 10.93C for 12 hours, and on 06-Aug-2022 at 1.6C for 1 hour Action taken with POLIOMYELITIS VACCINE (INACTIVATED) (IPOL) was not applicable. Outcome: Unknown This suspected adverse reaction report is submitted and classified as a medication error solely and exclusively to ensure the marketing authorization holder's compliance with the requirements set out in the guidelines. The classification as a medical error is in no way intended, nor should it be interpreted or construed as an allegation or claim made by the marketing authorization holder that any third party has contributed to or is to be held liable for the occurrence of this medication error.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Poor quality product administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- IL
- Alter
- 16,0
- Geschlecht
- F
- Eingang
- 12.08.2022
- Impfdatum
- 22.07.2022
- Beginn
- 05.04.2022
- Tage bis Beginn
- -
- Dosis
- 5
- Route/Site
- OT / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
No adverse event
Poor quality product administered
Product storage error
Symptomtext
administering dose post temperature excursion with reported adverse event; vaccine had multiple temperature excursion with no reported adverse event; Initial information received on 08-Aug-2022 regarding an unsolicited valid non-serious case received from a other health professional. This case involves a 15 years old female patient who was administered dose post temperature excursion with reported adverse event and vaccine had multiple temperature excursion with no reported adverse event ,while receiving vaccine IPV (VERO) [IPOL]. The patient's past medical history, medical treatment(s), vaccination(s) and family history were not provided. Concomitant medications included ALTHAEA OFFICINALIS ROOT, CINNAMOMUM CAMPHORA ESSENTIAL OIL, CITRUS AURANTIUM OIL, EUCALYPTUS GLOBULUS LEAF ESSENTIAL OIL, MENTHA X PIPERITA ESSENTIAL OIL (GARDISIL); MEASLES VACCINE LIVE (ENDERS-EDMONSTON), MUMPS VACCINE LIVE (JERYL LYNN), RUBELLA VACCINE LIVE (WISTAR RA 27/3), VARICELLA ZOSTER VACCINE LIVE (OKA/MERCK) (PROQUAD); MENINGOCOCCAL VACCINE A/C/Y/W CONJ (DIP TOX) (MENACTRA); HEPATITIS A VACCINE INACT (HEP A IN VAC); and DIPHTHERIA VACCINE TOXOID, PERTUSSIS VACCINE ACELLULAR, TETANUS VACCINE TOXOID (TDAP). On 22-Jul-2022, the patient received a 5th dose of suspect IPV (VERO)( lot U1A452M and expiration date: 20-Feb-2023) at a dose of 0.5ml once via intramuscular route in the right arm for immunization. On 22-Jul-2022, the patient was administered doses post excursion (poor quality product administered) (latency: same day). It was also mentioned that the vaccines had multiple excursions (product storage error), the first on unopened MDV on 05-APR-2022 a high of 8.63C for 15 minutes, reporting a dose was administered post excursion but the MDV was sealed at the time of the excursion at 8.63C for 15 minutes and the second excursion occurring on 05-JUL-2022 at a high of 11.22C out of range for 10 hours, and on 18JUL2022 a low of 1.17C for 45 minutes, on 29JUL2022 at 10.93C for 12 hours, and on 06AUG2022 at 1.6C for 1 hour. Action taken: not applicable It was not reported if the patient received a corrective treatment for the events. Outcome: unknown for both events . This suspected adverse reaction report is submitted and classified as a medication error solely and exclusively to ensure the marketing authorization holder's compliance with the requirements set out in the guidelines. The classification as a medical error is in no way intended, nor should it be interpreted or construed as an allegation or claim made by the marketing authorization holder that any third party has contributed to or is to be held liable for the occurrence of this medication error.; Sender's Comments: 01226710: 01226726: 01226027:
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- No adverse event
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- IL
- Alter
- 18,0
- Geschlecht
- M
- Eingang
- 12.08.2022
- Impfdatum
- 05.07.2022
- Beginn
- 05.07.2022
- Tage bis Beginn
- 0,0
- Dosis
- 6
- Route/Site
- OT / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Poor quality product administered
Product storage error
Symptomtext
administering dose post temperature excursion with reported adverse event; vaccine had multiple temperature excursion with no reported adverse event; Initial information received on 08-Aug-2022 regarding an unsolicited valid non-serious case received from a other health professional. This case is linked to case 2022SA327223(CLUSTER). This case involves a 18 years old male patient to whom IPV (VERO) [IPOL] was administered a dose post temperature excursion with reported adverse event and vaccine had multiple temperature excursion with no reported adverse event. The patient's past medical history, medical treatment(s), vaccination(s) and family history were not provided. Concomitant medications included MEASLES VACCINE LIVE (ENDERS-EDMONSTON), MUMPS VACCINE LIVE (JERYL LYNN), RUBELLA VACCINE LIVE (WISTAR RA 27/3) (MMRVAXPRO) for Immunisation; MEASLES VACCINE LIVE (ENDERS-EDMONSTON), MUMPS VACCINE LIVE (JERYL LYNN), RUBELLA VACCINE LIVE (WISTAR RA 27/3), VARICELLA ZOSTER VACCINE LIVE (OKA/MERCK) (PROQUAD) for Immunisation; and HEPATITIS A VACCINE (HEPATITIS A) for Immunisation. On 05-Jul-2022, the patient received a 6th dose of suspect IPV (VERO), suspension for injection, at dose of 0.5 ml once (lot U1A452M and expiration date: 20-Feb-2023) via intramuscular route in the left arm for immunization post temperature excursion with reported adverse event (poor quality product administered) (latency: same day). It was reported that vaccine had multiple temperature excursion with no reported adverse event (product storage error) (latency: same day) the first on unopened MDV on 05-APR-2022 a high of 8.63C for 15 minutes, reporting a dose was administered post excursion but the MDV was sealed at the time of the excursion at 8.63C for 15 minutes and the second excursion occurring on 05-JUL-2022 at a high of 11.22C out of range for 10 hours, and on 18JUL2022 a low of 1.17C for 45 minutes, on 29JUL2022 at 10.93C for 12 hours, and on 06AUG2022 at 1.6C for 1 hour. Action taken : not applicable. Outcome : Unknown. This suspected adverse reaction report is submitted and classified as a medication error solely and exclusively to ensure the marketing authorization holder's compliance with the requirements set out in the guidelines. The classification as a medical error is in no way intended, nor should it be interpreted or construed as an allegation or claim made by the marketing authorization holder that any third party has contributed to or is to be held liable for the occurrence of this medication error.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Poor quality product administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- LA
- Alter
- 16,0
- Geschlecht
- M
- Eingang
- 04.08.2022
- Impfdatum
- 03.08.2022
- Beginn
- 03.08.2022
- Tage bis Beginn
- 0,0
- Dosis
- 2
- Route/Site
- SC / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Expired product administered
Symptomtext
On 8/3/2022 @ 0840, I went into vaccine room and pulled up patient's record in system to check what vaccines were due. After checking, I went to vaccine refrigerator and pulled required vaccines. I called patient to check medications and allergies. Then I pulled each vaccine. I went into EHR and put each vaccine in by lot number and expiration. Patient called in and each vaccine was given. I went to my desk and looked at reconciliation so that I could order COVID vaccines. At this point I noticed the MMR vaccine I administered was high-lighted in red. I went back and double-checked the expiration date and it was 7/30/2022. No treatment was needed. 1330- Patient called and no adverse reactions verbalized.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Expired product administered
- Hospital-Tage
- -
- Labordaten
- N/A
- Aktuelle Erkrankungen
- N/A
- Vorgeschichte
- N/A
- Andere Medikamente
- N/A
- Allergien
- N/A
- Vorherige Impfungen
- -
- Staat
- OH
- Alter
- 5,0
- Geschlecht
- F
- Eingang
- 01.08.2022
- Impfdatum
- 16.07.2022
- Beginn
- 16.07.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- OT / LL
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Poor quality product administered
Product storage error
Symptomtext
IPOL was administered after the excursion with no adverse event; IPOL being administered post excursion with no reported adverse event; Initial information received on 22-Jul-2022 regarding an unsolicited valid non-serious case received from a other health professional. This case involves a 5 years old female patient who was administered Ipol post excursion with no reported adverse event, while receiving vaccine IPV (VERO) [IPOL]. The patient's past medical history, medical treatment(s), vaccination(s) and family history were not provided. Concomitant medications included MEASLES VACCINE, MUMPS VACCINE, RUBELLA VACCINE (MMR) for Immunisation; and VARICELLA ZOSTER VACCINE (VARICELLA VACCINE) for Immunisation. On 16-Jul-2022, the patient received a dose of suspect IPV (VERO) lot U1A452M at a dose of 0.5ml once via intramuscular route in the left thigh for immunization. On an unknown date, the reporter stated that the vaccine Ipol had temperature excursion with no adverse event (product storage error). On 16-Jul-2022, the patient developed a non-serious event of Ipol being administered post excursion with no reported adverse event (poor quality product administered)same day following the administration of IPV (VERO). Action taken :not applicable. Outcome: unknown for both events This suspected adverse reaction report is submitted and classified as a medication error solely and exclusively to ensure the marketing authorization holder's compliance with the requirements set out in the guidelines. The classification as a medical error is in no way intended, nor should it be interpreted or construed as an allegation or claim made by the marketing authorization holder that any third party has contributed to or is to be held liable for the occurrence of this medication error.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Poor quality product administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- MS
- Alter
- 4,0
- Geschlecht
- M
- Eingang
- 04.05.2022
- Impfdatum
- 22.04.2022
- Beginn
- 24.04.2022
- Tage bis Beginn
- 2,0
- Dosis
- UNK
- Route/Site
- IM / RL
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Erythema
Nodule
Skin discolouration
Skin warm
Swelling
Symptomtext
Two days post vaccination large knot, discolorations and swelling occurred. Knot was about 2.5" in diameter with the center being a dark black color that was about 1.5" in diameter. The outside of the diameter was a bright red color, looked kinda like cellulitis. Area was warm to the touch. Treated it by placing ice pack on leg for 15 minutes over the course of eight hours. The next day the area was less red and the black center was slowly going away. By the third day the site had decreased significantly and the fourth it was pretty much gone.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Erythema
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- N/A
- Vorgeschichte
- N/A
- Andere Medikamente
- N/A
- Allergien
- No known food or medication allergies.
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 17,0
- Geschlecht
- F
- Eingang
- 01.04.2022
- Impfdatum
- 23.03.2022
- Beginn
- 23.03.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- OT / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Extra dose administered
Medication error
No adverse event
Symptomtext
she gave a 17 year old female an extra dose of IPOL by accident with no reported adverse event; Initial information received on 25-Mar-2022 regarding an unsolicited valid non-serious case received from other health professional via Nurse. This case involves a 17 years old female adolescent patient who was given an extra dose of ipol by accident with no reported adverse event while receiving vaccine IPV (VERO) [IPOL]. The patient's past medical history, medical treatment(s), vaccination(s) and family history were not provided. The patient's concomitant medications includes unspecified Tuberculosis vaccines for Prophylactic vaccination. On 23-Mar-2022, the patient received 0.5 ml (fifth dose) of suspect IPV (POLIOMYELITIS VACCINE INACTIVATED) (lot U1A452M) (strength: unknown; expiry date: 20-FEB-2023) via subcutaneous route in the left arm for Immunization. 4 other doses were administered subcutaneously at 8 weeks, 4 months, 7 months and 4 years on unknown dates for suspect IPV (VERO). On 23-MAR-2022 the patient received an extra dose of ipol by accident with no reported adverse event (extra dose administered) following the administration of IPV (VERO). It was reported, Pregnancy: none and Last menstrual period was on 28-Feb-2022 Dose = 0.25 mL to 2 mL for vaccines or 0.1 mL for TB skin test- 0.5ML. Strength is standard except for Fluzone HD-STANDARD Indications: Immunization or TB skin test-TB Test/Immunization. Action taken with POLIOMYELITIS VACCINE (INACTIVATED) (IPOL) was not applicable. At time of reporting, the outcome was Unknown for the event This suspected adverse reaction report is submitted and classified as a medication error solely and exclusively to ensure the marketing authorization holder's compliance with the requirements set out in the Directive 2001/83/EC and Module VI of the Good Pharmacovigilance Practices. The classification as a medical error is in no way intended, nor should it be interpreted or construed as an allegation or claim made by the marketing authorization holder that any third party has contributed to or is to be held liable for the occurrence of this medication error.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Extra dose administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- OK
- Alter
- 5,0
- Geschlecht
- M
- Eingang
- 24.11.2021
- Impfdatum
- 19.11.2021
- Beginn
- 19.11.2021
- Tage bis Beginn
- 0,0
- Dosis
- N/A
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Extra dose administered
Symptomtext
When adding vaccination history as provided by patient's records, public health nurse misinterpreted "Refuerzo" as refused instead of the correct interpretation, reinforced (or additional). This resulted in a non-indicated, additional dose of DTap and IPV being administered to the patient.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Extra dose administered
- Hospital-Tage
- -
- Labordaten
- N/A
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- None
- Andere Medikamente
- None
- Allergien
- None
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- -
- Geschlecht
- U
- Eingang
- 16.10.2021
- Impfdatum
- -
- Beginn
- -
- Tage bis Beginn
- -
- Dosis
- UNK
- Route/Site
- OT / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
No adverse event
Product storage error
Symptomtext
no adverse event; Non case: No stability data available in temperature excursion case no adverse event with no medication error case
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- No adverse event
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 2,0
- Geschlecht
- F
- Eingang
- 29.09.2021
- Impfdatum
- -
- Beginn
- -
- Tage bis Beginn
- -
- Dosis
- UNK
- Route/Site
- OT / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Drug abuse
Symptomtext
a patient was administered a 1 ml dose of IPOL vaccine/ No AE; Initial information received on 17-Sep-2021 regarding an unsolicited valid non-serious case received from an other health care professional via physician via consumer via phone via Medical Information number: 00775126. This case is linked to cases 2021SA311330, 2021SA314182, 2021SA312255 and 2021SA312326 (same reporter). This case involved 2 year-4-month-old female patient who was administered a 1 ml dose of IPV (VERO) [IPOL] vaccine (overdose). Relevant medical history, medical treatment(s), vaccination(s) concomitant medication and family history were not provided. On an unknown date, the patient received 1ml total dose of suspect IPV (VERO) (lot: U1A452M and expiry date: 20-Feb-2023) frequency: once, strength: standard via unknown route in unknown administration site for prophylactic vaccination (overdose). It was a case of actual medication error due to overdose (latency: same day). It was reported " Caller/ Medical Assistant reports that IPOL was administered to 5 patients, caller states that she does not know if patients received a 1 mL dose or a 0.5 mL dose, caller requests information on possible adverse effects from a 1 mL dose of IPOL. Caller states she does not have time to look through all patient charts for adverse event information, she will call back at a less busy time." At time of reporting, no adverse event was reported.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Drug abuse
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 5,0
- Geschlecht
- M
- Eingang
- 27.09.2021
- Impfdatum
- -
- Beginn
- -
- Tage bis Beginn
- -
- Dosis
- UNK
- Route/Site
- OT / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Incorrect dose administered
Symptomtext
a patient was administered a 1 ml dose of IPOL vaccine/ No AE; Initial information received on 17-Sep-2021 regarding an unsolicited valid non-serious case received from another health care professional via physician via consumer via phone via Medical Information number: 00775110. This case is linked to cases 2021SA311330, 2021SA312326, 2021SA314197 and 2021SA312255 (same reporter) This case involved 5-year-old male patient was administered a 1 ml dose of IPV (VERO) [IPOL] vaccine (overdose) Relevant medical history, medical treatment(s), vaccination(s) concomitant medication and family history were not provided. On an unknown date, the patient received 1ml total dose of suspect IPV (VERO) (lot: U1A452M and expiry date: 20-Feb-2023) frequency: once, strength: standard via unknown route in unknown administration site for prophylactic vaccination (overdose). It was a case of overdose (latency: same day). It was reported " Caller/ Medical Assistant reports that IPOL was administered to 5 patients, caller states that she does not know if patients received a 1 mL dose or a 0.5 mL dose, caller requests information on possible adverse effects from a 1 mL dose of IPOL. Caller states she does not have time to look through all patient charts for adverse event information, she will call back at a less busy time." At time of reporting, no adverse event was reported.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect dose administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 4,0
- Geschlecht
- F
- Eingang
- 27.09.2021
- Impfdatum
- -
- Beginn
- -
- Tage bis Beginn
- -
- Dosis
- UNK
- Route/Site
- OT / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Incorrect dose administered
Symptomtext
a patient was administered a 1 ml dose of IPOL vaccine/ No AE; Initial information received on 17-Sep-2021 regarding an unsolicited valid non-serious case received from an other health care professional via physician via consumer via phone via Agency number: 00775098. This case is linked to cases 2021SA311330, 2021SA312326, 2021SA314197 and 2021SA314182 (same reporter) This case involved 4-year-old female patient was administered a 1 ml dose of IPV (VERO) [IPOL] vaccine (overdose) Relevant medical history, medical treatment(s), vaccination(s) concomitant medication and family history were not provided. On an unknown date, the patient received 1ml total dose of suspect IPV (VERO) (lot: U1A452M and expiry date: 20-Feb-2023) frequency: once, strength: standard via unknown route in unknown administration site for prophylactic vaccination (overdose). It was a case of overdose (latency: same day). It was reported " Caller/ Medical Assistant reports that IPOL was administered to 5 patients, caller states that she does not know if patients received a 1 mL dose or a 0.5 mL dose, caller requests information on possible adverse effects from a 1 mL dose of IPOL. Caller states she does not have time to look through all patient charts for adverse event information, she will call back at a less busy time." At time of reporting, no adverse event was reported.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect dose administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 14,0
- Geschlecht
- F
- Eingang
- 25.09.2021
- Impfdatum
- -
- Beginn
- -
- Tage bis Beginn
- -
- Dosis
- UNK
- Route/Site
- OT / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Incorrect dose administered
Symptomtext
a patient was administered a 1 ml dose of IPOL vaccine/ No AE; Initial information received on 17-Sep-2021 regarding an unsolicited valid non-serious case received from an other health care professional via physician via consumer via phone via Medical Information number: 00775118. This case was linked to cases 2021SA312255, 2021SA312326, 2021SA314182 and 2021SA314197 (same reporter). This case involves a 14-years-old female patient who received a 1 ml dose of IPV (VERO) [IPOL] (overdose). The patient medical history, past medical treatment, vaccination, family history and concomitant medication were not provided. On an unknown date, the patient received a 1 ml total dose of suspect IPV (VERO) lot number: U1A452M, expiry date: 20-Feb-2023, frequency: once, strength: standard via an unknown route at an unknown administration site for prophylactic vaccination. It was a case of overdose (latency: same day). It was reported " Caller/ Medical Assistant reports that IPOL was administered to 5 patients, caller states that she does not know if patients received a 1 mL dose or a 0.5 mL dose, caller requests information on possible adverse effects from a 1 mL dose of IPOL. Caller states she does not have time to look through all patient charts for adverse event information, she will call back at a less busy time." At time of reporting, no adverse event was reported. This suspected adverse reaction report is submitted and classified as a medication error solely and exclusively to ensure the marketing authorization holders compliance with the requirements set out in Directive 2001/83/EC and Module VI of the Good Pharmacovigilance Practices. The classification as a medical error is in no way intended, nor should it be interpreted or construed as an allegation or claim made by the marketing authorization holder that any third party has contributed to or is to be held liable for the occurrence of this medication error.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect dose administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- CA
- Alter
- 4,0
- Geschlecht
- F
- Eingang
- 15.09.2021
- Impfdatum
- 15.09.2021
- Beginn
- 15.09.2021
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- IM / RL
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Vaccination error
Symptomtext
Vaccine Administration Error - Patient moved while Dtap was being administered and did not receive a full dose due to the needle coming back out (25Gx1) ; patient also moved while Polio was being administered and did not receive a full dose due to the needle bending (retractable Vanish Point needle). The vaccines are normally given together in a combination vaccine (Kinrix) at 4 years old, but we were out of stock for that vaccine. Patient received full Dtap dose in left deltoid with assistance and full Polio dose in the right deltoid with assistance.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Vaccination error
- Hospital-Tage
- -
- Labordaten
- None
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- None
- Andere Medikamente
- None
- Allergien
- None
- Vorherige Impfungen
- -
- Staat
- IL
- Alter
- -
- Geschlecht
- U
- Eingang
- 11.09.2021
- Impfdatum
- 25.08.2021
- Beginn
- -
- Tage bis Beginn
- -
- Dosis
- UNK
- Route/Site
- OT / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Product storage error
Symptomtext
One patient may have received IPOL post-excursion at minus 0.7 degree Celsius with no A/E; Initial information was received on 01-Sep-2021 regarding an unsolicited valid non-serious case received from an other health care professional via consumer (under Inquiry Number: 00751004) . This case is linked to case Id: 2021SA292867(CLUSTER). This case involves a patient of (unknown demographics) who had received IPOL post-excursion at minus 0.7 degree Celsius with no adverse event (Product storage error) IPV (VERO) [IPOL]. On an unknown date, the patient received a dose of suspect IPV(VERO) lot number: U1A452M and expiry date: 02-Feb-2023 via unknown route in unknown administration site for prophylactic vaccination. It was a case of actual medication error due to Product storage error temperature too low (latency: same day). It was reported "Caller stated that a temperature excursion of unknown origin occurred on 25-Aug-2021. The low temperature was Negative 0.7C and the excursion lasted for 5 minutes before the products were transferred to a different refrigerator. The products involved were a punctured MDV of IPOL as well as unopened ACTHIB and MENACTRA. Caller also stated that 16 patients received the ACTHIB post-excursion, 9 patients received the MENACTRA post-excursion and 1 patient may have received the IPOL post-excursion. Caller stated that she did not had any patient information available at that time, but she can be contacted in the future if it is needed. Caller had asked for stability information for these products." At the time of reporting, no adverse event reported. This suspected adverse reaction report is submitted and classified as a medication error solely and exclusively to ensure the marketing authorization holder's compliance with the requirements set out in the Directive 2001/83/EC and Module VI of the Good Pharmacovigilance Practices. The classification as a medical error is in no way intended, nor should it be interpreted or construed as an allegation or claim made by the marketing authorization holder that any third party has contributed to or is to be held liable for the occurrence of this medication error.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Product storage error
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- MI
- Alter
- 4,0
- Geschlecht
- F
- Eingang
- 07.09.2021
- Impfdatum
- 03.09.2021
- Beginn
- 03.09.2021
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- IM / RL
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Extra dose administered
No adverse event
Wrong product administered
Symptomtext
Patient was due for 4 year vaccines (MMR, Varicella, IPV and DTaP) at her physical and was given an extra dose of HIB along with the 4 year vaccines. Nurse practitioner was immediately notified when the HIB was given instead of the IPV and she went and spoke with mom about the extra dose of HIB being given and the patient needed to receive one more vaccine which was the IPV. This was given that same day before they left the office. No reports of any side effects after vaccines were given. Nurse practitioner also spoke with mother later in the afternoon, Patient was doing well.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Extra dose administered
- Hospital-Tage
- -
- Labordaten
- N/A
- Aktuelle Erkrankungen
- None.
- Vorgeschichte
- None.
- Andere Medikamente
- Multi-vitamin
- Allergien
- None.
- Vorherige Impfungen
- -
- Staat
- IN
- Alter
- 5,0
- Geschlecht
- F
- Eingang
- 10.08.2021
- Impfdatum
- 09.08.2021
- Beginn
- 09.08.2021
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- SC / LL
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Dyskinesia
Injury associated with device
Scratch
Symptomtext
During the vaccination process the patient jerked away and the needle scratched the patient's right thigh. The scratch was shallow, approximately 50 mm long, and did not actively bleed. A bandaid was applied to the scratch.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Dyskinesia
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- Patient's mother did not report any illnesses.
- Vorgeschichte
- Patient's mother did not report any long-standing health conditions.
- Andere Medikamente
- Unknown.
- Allergien
- Patient's mother reported no allergies.
- Vorherige Impfungen
- -