Zurueck zur Suche

Reporte zur Charge U6767AA

Verknuepft ueber VAERS_ID mit VAERSDATA, Vax und Symptoms

15Reporte angezeigt
0Todesfaelle
0Hospitalisiert
0Lebensbedrohlich
1Bleibende Schaeden
TX 5 MD 2 AL 1 SC 1 PA 1 UT 1 IL 1 ID 1 NY 1 GA 1

VAERS 1804287

SANOFI PASTEUR · TDAP (ADACEL) · Charge u6767aa

schwer
Staat
AL
Alter
14,0
Geschlecht
F
Eingang
21.10.2021
Impfdatum
20.10.2021
Beginn
20.10.2021
Tage bis Beginn
0,0
Dosis
N/A
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Dizziness Inappropriate schedule of product administration Myoclonus Syncope

Symptomtext

Patient received 4 vaccines in this order: Pfizer BioNtech and fluzone quad in the right deltoid, then Adacel followed by Gardarsil-9 in the left deltoid. Within one minute of final vaccine administration patient had a syncopal episode while seated that involved myoclonus (aproximately 10 seconds). Patient regained consciousness and remained seated. Patient was dizzy for approximately 5 minutes. An ice pack was applied to the back of the neck while they drank a refrigerated fruit smoothie beverage. Patient recovered fully by the end of the15 minute post vaccine observation period. No other side effects or injuries were noted.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Syncope
Hospital-Tage
-
Labordaten
none
Aktuelle Erkrankungen
NONE
Vorgeschichte
NONE
Andere Medikamente
NONE
Allergien
NONE
Vorherige Impfungen
-

VAERS 1798079

SANOFI PASTEUR · TDAP (ADACEL) · Charge U6767AA

schwer
Staat
SC
Alter
26,0
Geschlecht
F
Eingang
19.10.2021
Impfdatum
18.10.2021
Beginn
18.10.2021
Tage bis Beginn
0,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: nein
Chills Dizziness Feeling cold Feeling hot Hypotension Loss of consciousness Pulse abnormal Tremor

Symptomtext

Client received MMR, Tdap, and hepatitis B at 11:50AM - During visit, client kept sleeping, 4 month old infant in carrier strapped to client's chest. Following vaccination, client reported feeling "dizzy and hot". This nurse applied a cool compress to client's neck and offered a cup of water. Client consumed a piece of candy during 20 minute monitoring window with this nurse. After monitoring, this nurse observed and assessed client as client began to stand - client stated she "felt better, more stable". This nurse informed client she would follow client downstairs in case client began to feel ill. Upon arriving to elevator, client stated, "I need to sit". This nurse helped client to a near-by chair, and had an administrative staff member sit with client while this nurse retrieved a wheelchair. Client was shivering as this nurse helped client into wheelchair. Client maintained consciousness, no issues with breathing, and client reported no issues with breathing, stating "I'm just very cold". A registered nurse brought this nurse a stethoscope and blood pressure cuff, but client began to lose consciousness. Client regained and lost consciousness and would shake/shiver. Admin staff member removed infant from carrier, and this nurse and second nurse removed child carrier from client. Second nurse stated that client's blood pressure was "very low" and client had a "weak pulse" in left wrist, alerting staff to contact EMS. This nurse was able to ask client, as she regained consciousness, the name of client's emergency contact. Upon EMS arrival, patient's emergency contact name was given to EMS, and infant child and client were transported from the health department.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Loss of consciousness
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
None, per client
Vorgeschichte
None, per client
Andere Medikamente
None, per client
Allergien
None, per client
Vorherige Impfungen
-

VAERS 1059726

SANOFI PASTEUR · TDAP (ADACEL) · Charge U6767AA

schwer
Staat
PA
Alter
25,0
Geschlecht
M
Eingang
27.02.2021
Impfdatum
27.02.2021
Beginn
27.02.2021
Tage bis Beginn
0,0
Dosis
N/A
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Feeling cold Loss of consciousness Pallor Paraesthesia

Symptomtext

THE PATIENT RECEIVED HIS IMMUNIZATION, HE THEN FOLLOWED ME TO THE CASH REGISTER FOR PAYMENT, AND HE PASSED OUT. HIS WIFE CAUGHT HIM AND WE PLACED HIM ON THE FLOOR. HE DID LOSE CONSCIOUSNESS, BUT WAS AWAKENED RIGHT AWAY. WE MONITORED HIS BLOOD PRESSURE AND IT WAS NORMAL. HE WAS PALE, AND MENTIONED THAT HE FELT TINGLY AND THEN GOT COLD. NO OTHER SIDE EFFECTS OCCURED. THE PATIENT WAS TRANSPORTED TO THE HOSPITAL TO BE CHECKED OUT

Weitere VAERSDATA-Felder
Praegender Schweregrund
Loss of consciousness
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
NONE
Vorgeschichte
NONE
Andere Medikamente
NONE
Allergien
NONE
Vorherige Impfungen
-

VAERS 1769041

SANOFI PASTEUR · TDAP (ADACEL) · Charge U6767AA

moderat
Staat
UT
Alter
43,0
Geschlecht
F
Eingang
07.10.2021
Impfdatum
29.10.2020
Beginn
29.10.2020
Tage bis Beginn
0,0
Dosis
N/A
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: ja ER: unbekannt Erholt: nein
Angina pectoris Blood test Cardiac discomfort Cardiac stress test Chest discomfort Chest pain Cough Discomfort Electrocardiogram abnormal Electrocardiogram ambulatory Exercise tolerance decreased Palpitations Pericardial effusion Vaccination complication Wheezing X-ray

Symptomtext

Within 15-20 minutes of receiving the Tdap immunization i started feeling major chest pain, pressure, palpitations (felt like I was having a heart attack) and coughing and wheezing. I immediately call the doctors office and they said I was having a reaction to the shot. The nurse told me to take Benadryl and to go to the ER if I couldn't breathe. I could always breathe and didn?t want to go to the ER because we had brand new insurance with a very high deductible. (My husband lost his job a few month before due to Covid layoffs). I couldn't afford to go to the ER because I got a routine Tdap booster. I spent the next 5 days with extreme heart pain, pressure, palpitations, and discomfort. I was taking Benadryl every 4 hours for 5 days straight. I couldn?t exercise for 2+ months and have had heart discomfort ever since. I have since been diagnosed with a ?Chronic Pericardial Effusion?. I?ve had numerous tests, monitors and blood work done. I haven't been able to lie on my left side at night in almost a year without discomfort. My cardiologist believes that the Tdap is the cause of my chronic pericardial Effusion. I meet with a vaccine induced specialist on November 1st, 2021. I truly feel like I should be reimbursed for financial, physical, and emotional damages by what this immunization has done to me.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Chest pain
Hospital-Tage
-
Labordaten
10/29/2020 Tdap & blood work. Within 15 minutes felt like I was having a heart attack. Pressure, tightness, pain, palpitations. Coughing, weezing. Bad pain & discomfort went on for 5 days. Couldn?t exercise for 2 months. Can?t lie on left side of body for 11+ months without feeling discomfort. 1/4/2021 Blood work. 1/5/2021 Dr Apt with provider 3/25/2021 Blood work 3/26/2021 Dr Apt with provider to go over blood work 3/26/2021 Cardiology X-ray - Medical Center 4/27/2021 Cardiology Stress Test - Medical Center 5/3/2021 Dr Apt with provider & blood work 5/4/2021 Holter Monitor & EKG Medical Center 5/20/2021 Apt with Cardiologist, Electrocardiogram ***confirmed PERICARDIAL EFFUSION 6/2/2021 Electrocardiogram, Stress test and Blood work. Still shows PERICARDIAL EFFUSION 6/14/2021 Electrocardiogram (still shows PERICARDIAL EFFUSION), blood work 6/25/2021 More blood work 7/26/2021 Dr Apt with provider 8/25/2021 Electrocardiogram. Now classified as ?CHRONIC PERICARDIAL EFFUSION?. 9/6/2021-10/7/2021 30 day Heart monitor 11/1/2021 Apt scheduled with Dr. (head of cardiology)
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
Levothyroxine 50 MCG Estrogen, progesterone, and testosterone bio identical hormone replacement cream
Allergien
amoxicillin
Vorherige Impfungen
-

VAERS 1692819

SANOFI PASTEUR · TDAP (ADACEL) · Charge U6767AA

mild
Staat
MD
Alter
11,0
Geschlecht
M
Eingang
11.09.2021
Impfdatum
24.08.2021
Beginn
24.08.2021
Tage bis Beginn
0,0
Dosis
1
Route/Site
OT / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Incorrect dose administered Injection site pruritus Injection site rash Rash papular Vaccination site pruritus Vaccination site rash

Symptomtext

papular rash with itchiness on the right deltoid where the ADACEL injection was given, papular rash on the left deltoid where the MENACTRA was given as well as a less prominent rash on the left forearm where the TUBERSOL was administered; papular rash with itchiness on the right deltoid where the ADACEL injection was given; 0.2 ml tubersol administered; Initial information received on 27-Aug-2021 regarding an unsolicited valid non-serious case from a physician via Information (Reference number- 00744329). This case is link to the 2021SA288844 and 2021SA286572 (same reporter). This case involves a 11-year-old male patient who had papular rash with itchiness on the right deltoid where the DIPHTHERIA-2/TETANUS/5 AC PERTUSSIS VACCINE [ADACEL] injection was given, papular rash on the left deltoid where the MENINGOCOCCAL A-C-Y-W135 (D CONJ) VACCINE [MENACTRA] was given as well as a less prominent rash on the left forearm where the TUBERCULIN TEST [TUBERSOL] was administered pruritus (vaccination site rash, vaccination site pruritus). The patient's past medical history, medical treatment(s), vaccination(s), concomitant medication(s) and family history were not provided. On 24-Aug-2021, the patient received a first dose of suspect DIPHTHERIA-2/TETANUS/5 AC PERTUSSIS VACCINE (Injection, 0.5 ml, lot U6767AA and expiration date: 31-Jul-2022) via intramuscular route in the right deltoid for prophylactic vaccination; a first dose of suspect MENINGOCOCCAL A-C-Y-W135 (D CONJ) VACCINE (0.5 ml, lot U6951AA and expiration date: 06-Jun-2022) via intramuscular route in the left deltoid for prophylactic vaccination and a first dose of TUBERSOL (TUBERCULIN TEST) (Solution for injection, 0.2 mL in total, lot - C5806AA and expiration date:25-Mar-2023) via intradermal route in the left forearm for tuberculin test. It was a case of drug overdose (overdose, same day latency), as 0.2 ml tuberculin test was administered. On an unknown date, the patient developed a non-serious papular rash with itchiness on the right deltoid where the DIPHTHERIA-2/TETANUS/5 AC PERTUSSIS VACCINE [ADACEL] injection was given, papular rash on the left deltoid where the MENINGOCOCCAL A-C-Y-W135 (D CONJ) VACCINE [MENACTRA] was given as well as a less prominent rash on the left forearm where the TUBERCULIN TEST [TUBERSOL] was administered pruritus (vaccination site rash, vaccination site pruritus) [unknown latency]. It was reported "Doctor states that a patient was seen in her office on 24-Aug-2021 and received injections of ADACEL, MENACTRA, and TUBERSOL during this visit. Doctor states that patient returned to office on 26AUG2021 to have the TUBERSOL results read and the patient's caregiver mentioned rashes that had formed in the areas where the vaccinations were given. The patient had a papular rash with itchiness on the right deltoid where the ADACEL injection was given. The patient also had a papular rash on the left deltoid where the MENACTRA was given as well as a less prominent rash on the left forearm where the TUBERSOL was administered. Doctor stated that she was unsure if this needed to be reported to safety and called Information to be safe. Doctor also asked whether she needed to contact the Vaccine Adverse Event Reporting System as well. Doctor states that the VAERS (vaccine adverse reporting system)website referred her to the package inserts of each product." No laboratory data reported. It was not reported if the patient received a corrective treatment. At time of reporting, the outcome was unknown for all the reported events.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Injection site pruritus
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
TUBERSOL
Allergien
-
Vorherige Impfungen
-

VAERS 1670835

SANOFI PASTEUR · TDAP (ADACEL) · Charge U6767AA

mild
Staat
MD
Alter
11,0
Geschlecht
M
Eingang
03.09.2021
Impfdatum
24.08.2021
Beginn
26.08.2021
Tage bis Beginn
2,0
Dosis
1
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Injection site pruritus Injection site rash Rash papular Tuberculin test

Symptomtext

non erythematous papular rash clustered around vaccination sites within 2 days and itchy at only Tdap site also

Weitere VAERSDATA-Felder
Praegender Schweregrund
Injection site pruritus
Hospital-Tage
-
Labordaten
ppd test applied at same visit on left lower forearm
Aktuelle Erkrankungen
none
Vorgeschichte
-
Andere Medikamente
-
Allergien
none known
Vorherige Impfungen
-

VAERS 1446570

SANOFI PASTEUR · TDAP (ADACEL) · Charge U6767AA

mild
Staat
IL
Alter
25,0
Geschlecht
F
Eingang
04.07.2021
Impfdatum
04.07.2021
Beginn
04.07.2021
Tage bis Beginn
0,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: nein
Dizziness

Symptomtext

SEVERE DIZZINESS

Weitere VAERSDATA-Felder
Praegender Schweregrund
Dizziness
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
NA
Vorgeschichte
NA
Andere Medikamente
NA
Allergien
NA
Vorherige Impfungen
-

VAERS 1395822

SANOFI PASTEUR · TDAP (ADACEL) · Charge U6767AA

mild
Staat
TX
Alter
11,0
Geschlecht
M
Eingang
14.06.2021
Impfdatum
10.06.2021
Beginn
10.06.2021
Tage bis Beginn
0,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Dizziness Hyperhidrosis Nausea Pallor

Symptomtext

Vaccines given at 1344 BP at this time 123/80, HR 82, Temp. 98.8. Patient verbalized feeling dizzy and nausea at 1348. Patient was asked to lay down on exam table. B/P 89/46 left arm, HR 74, RESP 22, Temp. 98.8. PT was oriented x3, visibly pale and sweating, @ 1351 BP 102/64, HR 76 laying down left arm. Pt sat up drank water, at 1355 BP 116/82 left arm sitting, HR 88, SPO2 99%. PT was evaluated by the Nurse Practitioner and cleared to go home.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Dizziness
Hospital-Tage
-
Labordaten
NA
Aktuelle Erkrankungen
n/a
Vorgeschichte
n/a
Andere Medikamente
otc allergy medication
Allergien
n/a
Vorherige Impfungen
-

VAERS 1327123

SANOFI PASTEUR · TDAP (ADACEL) · Charge U6767AA

mild
Staat
ID
Alter
11,0
Geschlecht
M
Eingang
18.05.2021
Impfdatum
14.05.2021
Beginn
15.05.2021
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 was given immunizations per protocol . The next morning pt woke up with his left arm red swollen and warm to the touch.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Injection site erythema
Hospital-Tage
-
Labordaten
none
Aktuelle Erkrankungen
none
Vorgeschichte
childhood obesity
Andere Medikamente
none
Allergien
none
Vorherige Impfungen
-

VAERS 948111

SANOFI PASTEUR · TDAP (ADACEL) · Charge U6767AA

mild
Staat
TX
Alter
11,0
Geschlecht
M
Eingang
15.01.2021
Impfdatum
11.01.2021
Beginn
11.01.2021
Tage bis Beginn
0,0
Dosis
1
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Dyskinesia Eye movement disorder Fatigue

Symptomtext

Patient eyes rolled back and his arms became still and hands turned outward. It lasted 5 -10seconds. Patient was alert and oriented to person and place within 10 seconds. He complained of being tired immediately afterward. Patient drank some cold water and was seen by a pediatrician in the clinic. Neurology referral placed for patient to follow up.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Fatigue
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 2497290

SANOFI PASTEUR · TDAP (ADACEL) · Charge U6767AA

gering
Staat
TX
Alter
35,0
Geschlecht
M
Eingang
03.11.2022
Impfdatum
25.10.2022
Beginn
25.10.2022
Tage bis Beginn
0,0
Dosis
UNK
Route/Site
OT / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Expired product administered No adverse event

Symptomtext

an expired ADACEL (31Jul2022) was accidentally given to a patient today with no reported adverse event; Initial information received on 25-Oct-2022 regarding an unsolicited valid non-serious case received from a pharmacist. This case involves a 35 years old male patient who received an expired adacel (31jul2022) with no reported adverse event while receiving vaccine DIPHTHERIA-2/TETANUS/5 AC PERTUSSIS VACCINE [ADACEL]. The patient's past medical history, medical treatment(s), vaccination(s) and family history were not provided. On 25-Oct-2022, the patient received 0.5 mL total dose of suspect DIPHTHERIA-2/TETANUS/5 AC PERTUSSIS VACCINE once (lot U6767AA and expiry date: 310Jul-2022) via intramuscular route in the deltoid nos for prophylactic vaccination. On 25-Oct-2022, (latency: same day) an expired adacel (31jul2022) was accidentally given to a patient today with no reported adverse event (expired product administered) following the administration of DIPHTHERIA-2/TETANUS/5 AC PERTUSSIS VACCINE. Action taken 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 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
-

VAERS 2409563

SANOFI PASTEUR · TDAP (ADACEL) · Charge U6767AA

gering
Staat
NY
Alter
11,0
Geschlecht
F
Eingang
12.08.2022
Impfdatum
08.08.2022
Beginn
08.08.2022
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

Symptomtext

expired dose of ADACEL was administered with no adverse event; Initial information received on 08-Aug-2022 regarding an unsolicited valid non-serious case received from health professional. (GMI number: 01226493). This case involves a 11-year-old female patient to whom expired dose of Diphtheria-2/Tetanus/5 AC Pertussis Vaccine [Adacel] was administered with no adverse event. The patient's past medical history, medical treatment(s), vaccination(s) and family history were not provided. Concomitant medications included Meningococcal Vaccine A/C/Y/W CONJ (DIP TOX) (Menactra) for Immunization, and HPV vaccine for Immunization. On 08-Aug-2022, the patient received a 1st dose of suspect Adacel vaccine at dose 0.5ml once via intramuscular route in the left deltoid (Lot: U6767AA, expiry date: 31-JUL-2022) with Immunization (expired product administered, same day latency). No adverse event was reported. Action taken: Not applicable. At time of reporting, the outcome was 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
Expired product administered
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 2128204

SANOFI PASTEUR · TDAP (ADACEL) · Charge U6767AA

gering
Staat
TX
Alter
12,0
Geschlecht
M
Eingang
19.02.2022
Impfdatum
12.01.2022
Beginn
26.01.2022
Tage bis Beginn
14,0
Dosis
UNK
Route/Site
OT / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Extra dose administered No adverse event Product administered to patient of inappropriate age

Symptomtext

patient received two doses of ADACEL two weeks apart with no adverse event; Initial information was received on 09-Feb-2022 regarding an unsolicited valid non-serious case from a other health professional via call center. This case involves a 12 years old male patient who received two doses of adacel two weeks apart with no adverse event while receiving vaccine Diphtheria-2/tetanus/5 ac pertussis vaccine [Adacel]. The patient's past medical history, medical treatment(s), vaccination(s) and family history were not provided. Concomitant medications included Influenza vaccine inact split 4v (Fluzone quadrivalent) and althaea officinalis root, cinnamomum camphora essential oil, citrus aurantium oil, eucalyptus globulus leaf essential oil, mentha x piperita essential oil (Gardisil). On 12-JAN-2022, the patient received a first dose of suspect Diphtheria-2/tetanus/5 ac pertussis vaccine (strength, formulation, dose and frequency: unknown) (batch number: U6767AA, expiry date: unknown) via intramuscular route in unknown administration site. On 26-Jan-2022, the patient received second dose of vaccine (strength, formulation, dose, batch number and expiry date: unknown) via intramuscular route in unknown administration site for immunization. On 26-JAN-2022, the patient had received two doses of adacel two weeks apart with no adverse event (inappropriate schedule of product administration) (latency: 14 days) following the administration of Diphtheria-2/tetanus/5 ac pertussis vaccine. Action taken: Not applicable. At time of reporting, the outcome was Unknown for the event patient received two doses of adacel two weeks apart with no adverse event.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Extra dose administered
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 2037703

SANOFI PASTEUR · TDAP (ADACEL) · Charge U6767AA

gering
Staat
GA
Alter
0,4
Geschlecht
F
Eingang
15.01.2022
Impfdatum
06.01.2022
Beginn
06.01.2022
Tage bis Beginn
0,0
Dosis
UNK
Route/Site
OT / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Wrong product administered

Symptomtext

5 month old patient got tdap instead of dtap vaccine with no reported adverse event; Initial information received on 06-Jan-2022 regarding an unsolicited valid non-serious case received from a physician. This case involves a 5 months old female patient who had 5 month old patient got tdap instead of dtap vaccine with no reported adverse event while receiving vaccine DIPHTHERIA-2/TETANUS/5 AC PERTUSSIS VACCINE [ADACEL]. The patient's past medical history, medical treatment(s), vaccination(s) and family history were not provided. Concomitant medications included pneumococcal vaccine (pneumococcal vaccine) for prophylactic vaccination; polio vaccine inact 3v (vero) (ipol [polio vaccine inact 3v (vero)]) for prophylactic vaccination; hib vaccine conj (tet tox) (acthib) for prophylactic vaccination; and rotavirus vaccine (rotavirus vaccine) for Prophylactic vaccination. On 06-Jan-2022, the patient received a dose of suspect DIPHTHERIA-2/TETANUS/5 AC PERTUSSIS VACCINE lot U6767AA via intramuscular route. On 06-JAN-2022 the patient developed a non-serious 5 month old patient got tdap instead of dtap vaccine with no reported adverse event (wrong product administered) following the administration of DIPHTHERIA-2/TETANUS/5 AC PERTUSSIS VACCINE. Action taken was not applicable. It was not reported if the patient received a corrective treatment for the event (5 month old patient got tdap instead of dtap vaccine with no reported adverse event). At time of reporting, the outcome was Unknown for the event 5 month old patient got tdap instead of dtap vaccine with no reported adverse 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
Wrong product administered
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 1019175

SANOFI PASTEUR · TDAP (ADACEL) · Charge U6767AA

gering
Staat
TX
Alter
-
Geschlecht
U
Eingang
10.02.2021
Impfdatum
01.12.2020
Beginn
01.12.2020
Tage bis Beginn
0,0
Dosis
UNK
Route/Site
OT / -
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Product storage error

Symptomtext

A temperature excursion of unknown cause at 0.7 Celsius for 25 hours and 24 minutes with no AE; Initial information received on 25-Jan-2021 regarding an unsolicited valid non-serious case received from an other health professional. This case involves a patient (unspecified age and gender) for whom reported temperature excursion of unknown cause at 0.7 Celsius for 25 hours and 24 minutes (Product storage error), while he received DIPHTHERIA/TETANUS/5 HYBRID AC PERTUSSIS/IPV(MRC5)/HIB(PRP/T) VACCINE [PENTACEL], ,MENINGOCOCCAL A-C-Y-W135 (D CONJ) VACCINE [MENACTRA], IPV (VERO) [IPOL], DIPHTHERIA-15/TETANUS/5 AC PERTUSSIS VACCINE [DAPTACEL] and DIPHTHERIA-2/TETANUS/5 AC PERTUSSIS VACCINE [ADACEL] [lot number and expiry date not reported] via an unknown route at an unknown administration site for prophylactic vaccination and INFLUENZA QUADRIVAL A-B MULTIDOSE VACCINE PRESERVED [FLUZONE] [lot UJ477AA and expiry date: 30-Jun-2021] via an intramuscular route at an unknown administration site for prophylactic vaccination on Dec-2021. Medical history, medical treatment, vaccination, concomitant medication and family history were not provided. It was a case of actual medication error due to product storage error temperature too low. [Latency: at the same time of vaccination]. Details of laboratory data not reported. It was reported that, caller reported opened Ipol Multi dose vials and opened Fluzone quadrivalent MDVs. Caller reporting excursion occurring in Dece-2020. Caller reported 11 doses of Fluzone quadrivalent MDVs were administered post excursion. Caller with question on viability of administered vaccines. It was not reported if the patient received a corrective treatment. At the time of report, 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 holder's 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. There will be no information available on the batch number for this case.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Product storage error
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-