- Staat
- NV
- Alter
- 17,0
- Geschlecht
- F
- Eingang
- 16.08.2022
- Impfdatum
- 16.08.2022
- Beginn
- 16.08.2022
- 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
Symptomtext
Pt felt lightheaded and passed out for a few seconds 3-4 minutes after vaccination
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Loss of consciousness
- Hospital-Tage
- -
- Labordaten
- BP 138/52 @ 8/16 12:30pm (shortly after pt regained consciousness)
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- IL
- Alter
- 17,0
- Geschlecht
- F
- Eingang
- 12.08.2022
- Impfdatum
- 12.08.2022
- Beginn
- 12.08.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Pallor
Syncope
Symptomtext
Patient got pale and fainted within a few minutes of receiving the vaccine. She was feeling well after sitting for approximately 20 minutes with a cool, wet towel around neck. No additional treatment was needed at this time
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Syncope
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- NKDA
- Vorherige Impfungen
- -
- Staat
- VA
- Alter
- 12,0
- Geschlecht
- M
- Eingang
- 05.08.2022
- Impfdatum
- 05.08.2022
- Beginn
- 05.08.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Dyskinesia
Immediate post-injection reaction
Nausea
Pallor
Skin warm
Syncope
Symptomtext
Client entered the clinic with his parent. Interpretation was utilized. Client received Hepatitis A, Tdap, and MCV4 vaccines without issue. HPV (Gardisil 9) was injected last, causing the client to have an immediate syncopal episode. He turned pale and flailed his arms for a couple seconds and then was immediately coherent. He was seated for vaccination and did not fall out of his chair. The incident occurred at 11:45am. Immediately, another nurse entered the room and his blood pressure and heart rate were measured (heart rate: 58, pressure 71/55). He was given 2 cups of water to drink. He stated he was nauseated but did not vomit. His skin remained warm. At 11:50am, his heart rate was 60, blood pressure 84/59. He was given 2 more cups of water to drink and remarked that he was feeling better. At 11:55am, his heart rate was 63, blood pressure 107/80. He said he felt normal. The nurse assisting me is fluent in his language and explained to his mom that this type of reaction is not unexpected with Gardisil 9 and educated her to pre-warn staff ahead of time the next time he receives any kind of vaccination or procedure. A note was also made in chart to also warn staff of his reaction. His mom proceeded to tell her that he had this same type of reaction with both doses of Covid-19 vaccines. This fact was not previously known by me as the vaccinator. Upon interview, before vaccines were given, I reviewed his questionnaire and allergies. His only allergy is to shrimp (swelling, rash) but when asked if he has previously had a reaction to any kind of vaccine, his mother stated, "no." The client was moved to the waiting room 15 minutes after vaccination (12pm) and remained in the waiting room under observation until 12:15pm. His color had returned to normal and he was able to ambulate without feeling ill.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Syncope
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- Shrimp
- Vorherige Impfungen
- covid-19 vaccine, age, date and brand name unknown
- Staat
- CA
- Alter
- 16,0
- Geschlecht
- M
- Eingang
- 03.03.2022
- Impfdatum
- 03.03.2022
- Beginn
- 03.03.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Dizziness
Pallor
Syncope
Symptomtext
Patient complained of feeling dizzy. He fainted and looked pale. Student laid down flat with both feet elevated. O2 given, vital signs taken. No respiratory distress noted. Patient arousable. Alert and oriented. Denied feeling dizzy and able to get up on his own. Patient recovered well. No injury noted. Student went home with his mother.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Syncope
- Hospital-Tage
- -
- Labordaten
- n/a
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- None
- Andere Medikamente
- None
- Allergien
- None
- Vorherige Impfungen
- -
- Staat
- PA
- Alter
- 18,0
- Geschlecht
- M
- Eingang
- 20.09.2021
- Impfdatum
- 20.09.2021
- Beginn
- 20.09.2021
- Tage bis Beginn
- 0,0
- Dosis
- 2
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Syncope
Symptomtext
Patient fainted on way out of the store after receiving the vaccine
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Syncope
- Hospital-Tage
- -
- Labordaten
- none
- Aktuelle Erkrankungen
- None known, but patient is not answering his phone
- Vorgeschichte
- None known, but patient is not answering his phone
- Andere Medikamente
- not known, patient not answering his phone
- Allergien
- Nka per pharmacy computer, but patient is not answering phone
- Vorherige Impfungen
- -
- Staat
- AL
- Alter
- 15,0
- Geschlecht
- F
- Eingang
- 09.09.2021
- Impfdatum
- 08.09.2021
- Beginn
- 08.09.2021
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Seizure like phenomena
Syncope
Symptomtext
Event occurred 09/08/2021: Pt had syncopal vs seizure like episode after vaccines. Patient received TDAP, MMR, Varicella, Hep A, HPV 9 and MCV4. Last vaccine given at approx 11:41am. Patient was scared and upset while receiving vaccines. As soon as last vaccine (HPV 9) was given patient had syncopal episode, but also appeared to have a seizure. The seizure like activity only lasted for approx 10 seconds. Patient didn't appear to have a post-ictal period. 911 called at 11:45am. VS at 11:45am BP 110/64, HR 96 and O2sat 99. Fire Dept arrived at 11:52am. Patient evaluated. Mother refused for patient to to hospital. Fire Dept also believes that patient had a seizure based on the way patient was acting. Heavily educated mother on the need for child to go to the doctor to be evaluated. Fire Dept escorted patient to vehicle. 09/09/2021 Called mother this morning to check on patient. Mother states that patient is fine, and she did not take her to the doctor. Mother says that patient is at school this morning.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Seizure like phenomena
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- none
- Vorgeschichte
- none
- Andere Medikamente
- none
- Allergien
- NKDA
- Vorherige Impfungen
- -
- Staat
- AZ
- Alter
- 11,0
- Geschlecht
- F
- Eingang
- 02.08.2021
- Impfdatum
- 02.08.2021
- Beginn
- 02.08.2021
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Crying
Immediate post-injection reaction
Nervousness
Rash macular
Syncope
Symptomtext
syncope and collapse following vaccination. Occurred at the time of injection; patient seemed nervous at the time of vaccination. when provider came into the room, patient slumped - regained consciousness, and was crying afterwards. denied headache, denies sore nexk pain, no bruising at the site - still blotchy skinny from crying follow syncope episode.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Syncope
- Hospital-Tage
- -
- Labordaten
- none
- Aktuelle Erkrankungen
- n/a
- Vorgeschichte
- n/a
- Andere Medikamente
- n/a
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- VA
- Alter
- 17,0
- Geschlecht
- M
- Eingang
- 01.08.2022
- Impfdatum
- 01.08.2022
- Beginn
- 01.08.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Dizziness
Dry mouth
Hyperhidrosis
Hypotension
Symptomtext
One minute after receiving the vaccine, patient experienced dizziness, dry mouth, sweating, and low bp. I checked his bp at 121p and it was 97/51 pulse 51; rechecked at 130p and it was 106/60 pulse 56. I gave him water, icepacks, a glucose tablet and had him sit on the bench while I monitored for any other symptoms. He recovered after 10 minutes and walked out on his own power.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Hypotension
- Hospital-Tage
- -
- Labordaten
- none
- Aktuelle Erkrankungen
- unknown
- Vorgeschichte
- none
- Andere Medikamente
- unknown
- Allergien
- nkda
- Vorherige Impfungen
- -
- Staat
- GA
- Alter
- 11,0
- Geschlecht
- F
- Eingang
- 18.07.2022
- Impfdatum
- 16.07.2022
- Beginn
- 16.07.2022
- Tage bis Beginn
- 0,0
- Dosis
- 2
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Asthenia
Blood glucose normal
Dizziness
Nausea
Pallor
Skin warm
Symptomtext
This patient was seen today in office for vaccines pt got tdap, hpv, meningitis vaccine. After the vaccines were given the patient began to feel nausea, dizzy, weak & and "hot on her back". We went to get staff. We noticed that she was pale we took he bp and bs. Her blood sugar was 89 NF and her bp 77/39. Staff thinks it could possibly be vasovagal. Could you run this by Dr if she would need any further testing before she continues any further vaccines series.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Dizziness
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- unknown
- Vorgeschichte
- unknown
- Andere Medikamente
- unknown
- Allergien
- NKDA
- Vorherige Impfungen
- -
- Staat
- AZ
- Alter
- 11,0
- Geschlecht
- M
- Eingang
- 09.03.2022
- Impfdatum
- 07.03.2022
- Beginn
- 07.03.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: ja
Erholt: nein
Injection site erythema
Injection site swelling
Pain
Symptomtext
ACCORDING TO TRIAGE NOTE Interpreter used. Mom states that pt received vaccines on 3/7. She states that injection site looks swollen and is red. Mom denies fever. Mom is giving Tylenol and ibuprofen for pain and swelling and states that is it helping some. Advised mom that for a local reaction at injection site, she can apply cold packs for 20 mins on and 20 mins off. Continue to dose with Tylenol and ibuprofen for pain. Also advised that patient use his arm like normal and drink lots of fluids. Advised mom to CB if this worsens or does not improve in 24-48hrs. CALLED PT BACK AND PER PROVIDER INDICATION, ADVISED PT TO GO TO THE ER
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Injection site erythema
- Hospital-Tage
- -
- Labordaten
- PT DIRECTED TO GO TO ER
- Aktuelle Erkrankungen
- NONE
- Vorgeschichte
- NONE
- Andere Medikamente
- NONE
- Allergien
- NONE
- Vorherige Impfungen
- -
- Staat
- -
- Alter
- 19,0
- Geschlecht
- M
- Eingang
- 08.09.2021
- Impfdatum
- 07.09.2021
- Beginn
- 07.09.2021
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- IM / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Urticaria
Symptomtext
15 minutes following immunizations patient experienced hives
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Urticaria
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- FL
- Alter
- 18,0
- Geschlecht
- M
- Eingang
- 06.07.2023
- Impfdatum
- 01.07.2023
- Beginn
- 01.07.2023
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- OT / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Expired product administered
No adverse event
Symptomtext
an expired dose of menactra was inadvertently administered with no reported adverse event; Initial information received on 03-Jul-2023 regarding an unsolicited valid non-serious case received from a pharmacist. This case involves a 18 years old male patient to whom an expired dose of meningococcal A-C-Y-W135 (D CONJ) vaccine [Menactra] was inadvertently administered with no reported adverse event. The patient's past medical history, medical treatment(s), vaccination(s) and family history were not provided. On 01-Jul-2023, the patient received 0.5 mL expired dose 1 of suspect meningococcal A-C-Y-W135 (D CONJ) vaccine, solution for injection (batch number: U7190AA; Expiry date: 16-Jan-2023) via intramuscular route in the left arm for immunization, inadvertently with no reported adverse event (expired product administered) (same day latency). Action taken: not applicable. At time of reporting, the outcome was Unknown for the event an expired dose of menactra was inadvertently administered 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
- Expired product administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- TN
- Alter
- 11,0
- Geschlecht
- F
- Eingang
- 01.11.2022
- Impfdatum
- 31.10.2022
- Beginn
- 31.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Expired product administered
Symptomtext
Exp date on vaccine was 10/28/22 and given on 10/31/22. Error not discovered until vaccine given
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Expired product administered
- Hospital-Tage
- -
- Labordaten
- none
- Aktuelle Erkrankungen
- none
- Vorgeschichte
- none
- Andere Medikamente
- fluticasone nasal spray prn
- Allergien
- NKDA
- Vorherige Impfungen
- -
- Staat
- MD
- Alter
- 17,0
- Geschlecht
- F
- Eingang
- 20.07.2022
- Impfdatum
- 19.07.2022
- Beginn
- 19.07.2022
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
No adverse event
Wrong product administered
Symptomtext
Meningococcal conjugate vaccine (Menactra) given (dose #3), instead of Bexsero (Meningococcal Group B Vaccine-dose #2) by another Nurse. No adverse reactions noted or reported.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- No adverse event
- Hospital-Tage
- -
- Labordaten
- None
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- Allergic Rhinitis Mood Disorder
- Andere Medikamente
- cetirizine, Lithium carb, olanzapine, escitalopram, fluticason
- Allergien
- None
- Vorherige Impfungen
- -
- Staat
- IL
- Alter
- 24,0
- Geschlecht
- F
- Eingang
- 16.03.2022
- Impfdatum
- 15.03.2022
- Beginn
- 15.03.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Wrong product administered
Symptomtext
Patient came in to the pharmacy to receive a MMR vaccine. Patient was given Menactra instead. Patient did not show any sign of reactions when she returned to the pharmacy 2-3 hours later. Wanted to report discrepancy.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Wrong product administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- Unknown
- Vorgeschichte
- Unknown
- Andere Medikamente
- Unknown
- Allergien
- Unknown
- Vorherige Impfungen
- -
- Staat
- AZ
- Alter
- 17,0
- Geschlecht
- M
- Eingang
- 07.12.2021
- Impfdatum
- 07.12.2021
- Beginn
- 07.12.2021
- Tage bis Beginn
- 0,0
- Dosis
- N/A
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Extra dose administered
Symptomtext
Minor patient brought in by mother for second dose of Pfizer Covid Vaccine. Mother said she couldn't find his card. Only ONE dose was recorded previously in our EHR, on 8/18/21. Vaccine was administered. Mother found patient's card after dose administered, showing a previous "first" dose on 7/21/21. Both doses, July & Aug were given at Rec Center. Patient monitored for 15-20 min. with no immediate adverse reactions.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Extra dose administered
- Hospital-Tage
- -
- Labordaten
- none
- Aktuelle Erkrankungen
- none
- Vorgeschichte
- none
- Andere Medikamente
- none listed
- Allergien
- NKA
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 12,0
- Geschlecht
- F
- Eingang
- 03.11.2021
- Impfdatum
- 27.10.2021
- Beginn
- 27.10.2021
- 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
No adverse event
Symptomtext
extra dose of Menactra administered in error, as a booster dose was not indicated due to receipt of a first Menactra dose by this patient with no reported adverse.; Initial information was regarding an unsolicited valid non serious case was received from a other health professional via Medical Information (MI) (Reference number- 00831432) and transmitted to Sanofi on 27-Oct-2021. This case involves a 12-year-old female patient who received MENINGOCOCCAL A-C-Y-W135 (D CONJ) VACCINE [MENACTRA] (extra dose administered). The patient's medical history, past medical treatment(s), vaccination(s), concomitant medications and family history were not provided. On 27-Oct-2021, the patient received a 0.5 mL dose of suspect MENINGOCOCCAL A-C-Y-W135 (D CONJ) VACCINE (lot U7190AA, expiry date: 16-Jan-2023) via an unknown route in the left arm for prophylactic vaccination. It was an actual medication error due to extra dose administered (latency: same day). It was reported "A 12 year old patient received a dose of Menactra today, 27Oct2021, in error, as a booster dose was not indicated due to receipt of a first Menactra dose by this patient in 2019." At 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
- Extra dose administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- CA
- Alter
- 11,0
- Geschlecht
- M
- Eingang
- 01.11.2021
- Impfdatum
- 01.11.2021
- Beginn
- 01.11.2021
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Product administered to patient of inappropriate age
Symptomtext
Patient was only eleven years old and received Pfizer vaccine approved for ages 12 and older.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Product administered to patient of inappropriate age
- Hospital-Tage
- -
- Labordaten
- None
- Aktuelle Erkrankungen
- none
- Vorgeschichte
- none
- Andere Medikamente
- none
- Allergien
- none
- Vorherige Impfungen
- -
- Staat
- VA
- Alter
- 33,0
- Geschlecht
- F
- Eingang
- 16.10.2021
- Impfdatum
- 04.10.2021
- Beginn
- 04.10.2021
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- OT / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Extra dose administered
No adverse event
Wrong product administered
Symptomtext
A patient received MENACTRA vaccine instead of MMR vaccine no reported AE; A patient received MENACTRA on 04-OCT-2021 and received a dose of MENACTRA last year as well no AE; Initial information regarding an unsolicited valid non-serious case was received from a pharmacist via consumer/non-health care professional via Medical Information (Reference number- 00800779) and transmitted to Sanofi on 06-Oct-2021. This case involves a 33-year-old female patient who received MENINGOCOCCAL A-C-Y-W135 (D CONJ) VACCINE [MENACTRA] and the patient received a dose of MENACTRA vaccine last year as well (Extra dose administered) instead of MEASLES VACCINE, MUMPS VACCINE, RUBELLA VACCINE (MMR) (wrong product administered). The patient's past vaccination(s) included MENACTRA for prophylactic vaccination. The patient's medical history, medical treatment(s) and family history were not provided. Concomitant medications included DIPHTHERIA VACCINE TOXOID, PERTUSSIS VACCINE ACELLULAR 5-COMPONENT, TETANUS VACCINE TOXOID (ADACEL) and INFLUENZA VACCINE for Prophylactic vaccination. On 04-Oct-2021, the patient received a 0.5 ml dose of suspect MENINGOCOCCAL A-C-Y-W135 (D CONJ) VACCINE (lot U7190AA, expiry: 16-Jan-2023, formulation: solution for injection) via intramuscular route in unknown administration site for prophylactic vaccination instead of MEASLES VACCINE, MUMPS VACCINE, RUBELLA VACCINE (MMR). It was a case of an actual medication error due to Extra dose administered and wrong vaccine administered (latency same day). It was reported "Pharmacy manager states they administered a dose of MENACTRA to a patient on 04Oct2021, and found out afterwards that the patient received a dose last year as well. Pharmacist reports that on 04oct2021, a 33-year-old, female patient, came in seeking an MMR vaccination. She received MENACTRA instead, along with Adacel and a flu shot. Pharmacist states that she's not sure how the error occurred, but the patient does not speak english fluently, so that may have been a contributing factor." No other 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 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
- ADACEL; INFLUENZA VACCINE
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- VA
- Alter
- 12,0
- Geschlecht
- F
- Eingang
- 07.09.2021
- Impfdatum
- 23.08.2021
- Beginn
- 23.08.2021
- Tage bis Beginn
- 0,0
- Dosis
- 2
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
No adverse event
Wrong product administered
Symptomtext
Child received Meningococcal (MCV4) IM in deltoid instead of HPV9 vaccine. Mother of child stated that child has no adverse reaction.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- No adverse event
- Hospital-Tage
- -
- Labordaten
- N/A
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- none
- Andere Medikamente
- None
- Allergien
- none
- Vorherige Impfungen
- -