- Staat
- CA
- Alter
- 18,0
- Geschlecht
- F
- Eingang
- 05.08.2022
- Impfdatum
- 04.08.2022
- Beginn
- 05.08.2022
- Tage bis Beginn
- 1,0
- Dosis
- 1
- Route/Site
- IM / AR
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Dizziness
Fall
Syncope
Symptomtext
Syncope, dizziness, patient fell down
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Syncope
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- Unknown
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- SC
- Alter
- 12,0
- Geschlecht
- M
- Eingang
- 02.08.2022
- Impfdatum
- 01.08.2022
- Beginn
- 01.08.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: ja
Erholt: ja
Cold sweat
Electrocardiogram normal
Hyperhidrosis
Hypotension
Laboratory test normal
Pallor
Presyncope
Seizure
Unresponsive to stimuli
Vomiting
Symptomtext
Child received vaccine at 3:46 pm. Approx 3:49 pm he had a vasovagal response and had a brief seizure lasting less than 15 seconds. He was unresponsive during this time, pale, and diaphoretic. His mother held his head, and I elevated his feet. He was alert and oriented immediately after seizure, and threw up x1. He was then placed on the floor in lying position with legs elevated on a chair as he was hypotensive. 88/38. He was talkative while on the floor and remained alert and oriented. He was clammy, and still slightly pale but blood pressure was better 98/62. Pulse rate and respirations remained WNL the entire time. About 7 minutes later the child wanted to drink something so Gatorade was offered, and he drank about 8 oz with no nausea nor vomitting. He was sitting at this time. BP was 98/62. Then about 10 minutes later he wanted to sit in a chair. His BP remained stable and color improved slightly. BP 102/78 Mother declined EMS 3 times and stated she would drive child to the ER as it was only a couple of miles down the road, and husband was coming to help her. Child left in wheelchair around 4:25 pm. BP was 100/68. Heart rate and respirations remained WNL the entire time. Addendum-mother called me back later that night to let me know that the ER testing was all normal. EKG and Vital signs (not sure of other testing). She did say that pt has same vagal response to the IV start with a seizure as well. She stated it was the exact thing that happened after vaccination. The ER physician stated this was indeed a vasovagal response to a stressful situation, and he referred child to pediatrician for more evaluation.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Presyncope
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- TN
- Alter
- 18,0
- Geschlecht
- F
- Eingang
- 20.07.2022
- Impfdatum
- 20.07.2022
- Beginn
- 20.07.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Moaning
Pallor
Syncope
Symptomtext
Mom stated that patient had " passed out with her last vaccine" Mom states this vaccines was an HPV . Prior to vaccine had patient to lay down on exam table for shot. Vaccine given in right deltoid per protocol pt tol well. Recommended patient lay for few minutes before sitting, pt stated felt ok. Patient sat on exam table for approxmiate 5-10 minutes. Mother at side. After approx 5-10 minutes pt moaned and had syncopal episode with patient lying back on table with color turning pale. Pt awake and talking within a few seconds of episode. Pt's feet elevated, patient able to answer questions, b/p 106/78 heart rate 68 and regular. Notified Dr, she stated to check another blood pressure before patient released. B/P rechecked approx 10 minutes later with bp 106/72 hr 57. Patient's color back to normal , patient stated she felt better. Patient sat in exam room in upright approx 20 minutes beforing leaving with mother. Patient stated she felt better. Encouraged if any more issues patient should see a health care provider.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Syncope
- Hospital-Tage
- -
- Labordaten
- Blood pressure and heart rate checked
- Aktuelle Erkrankungen
- none
- Vorgeschichte
- none
- Andere Medikamente
- none
- Allergien
- none
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 17,0
- Geschlecht
- M
- Eingang
- 22.06.2022
- Impfdatum
- 22.06.2022
- Beginn
- 22.06.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Fall
Immediate post-injection reaction
Syncope
Symptomtext
Immediately after receiving the Menactra vaccine pt. experienced syncope (fainted). He fell forward, I caught him and laid him down with his feet above his head. He "came to " within 60 seconds. Kept him laying down for approximately 10 minutes then seated for 20 minutes with feet up. He left with his mom and was doing well .
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Syncope
- Hospital-Tage
- -
- Labordaten
- None required. Primary care Dr was notified, no further action required.
- Aktuelle Erkrankungen
- none
- Vorgeschichte
- none
- Andere Medikamente
- Does not take any medications
- Allergien
- No known allergies
- Vorherige Impfungen
- -
- Staat
- NY
- Alter
- 16,0
- Geschlecht
- M
- Eingang
- 22.06.2022
- Impfdatum
- 22.06.2022
- Beginn
- 22.06.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Dizziness
Hyperhidrosis
Nausea
Syncope
Symptomtext
3 immunizations given in right arm, 2 immunizations given in left arm, patient had syncopal episode. Diaphoretic, and patient complained of dizziness and slight nausea; Oxygenation 98%, BP monitored q 5-10 minutes 88/60-110/60, pulse monitored q 5-10 minutes 58-60 BPM, Respirations 12-16 per minute. Patient stated he had not eaten any breakfast prior to appointment, given juice and water. Legs elevated and cold compress to neck
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Syncope
- Hospital-Tage
- -
- Labordaten
- None
- Aktuelle Erkrankungen
- None known
- Vorgeschichte
- -
- Andere Medikamente
- None known
- Allergien
- None known
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 18,0
- Geschlecht
- M
- Eingang
- 07.06.2022
- Impfdatum
- 07.06.2022
- Beginn
- 07.06.2022
- Tage bis Beginn
- 0,0
- Dosis
- N/A
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: ja
Erholt: nein
Dizziness
Dyskinesia
Loss of consciousness
Seizure like phenomena
Symptomtext
Patient requested to have both shots on the same arm. Menactra was given first then the M.M.R. About 5 to 10 seconds later, he lost consciousness and starting having seizing-like movements which lasted about 20-30 seconds. His mother, who was outside during the vaccine administration, came into the room and patient had a repeat episode in which he woke up about 20-30 seconds later as well. Another pharmacist on duty called EMS to have help dispatched. When they arrived about 5 minutes later, patient was conscious but still feeling dizzy and lightheaded. He was then taken to the hospital via an ambulance.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Loss of consciousness
- Hospital-Tage
- -
- Labordaten
- None at this time
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- None
- Andere Medikamente
- Unknown
- Allergien
- None
- Vorherige Impfungen
- -
- Staat
- DE
- Alter
- 17,0
- Geschlecht
- F
- Eingang
- 10.05.2022
- Impfdatum
- 09.05.2022
- Beginn
- 09.05.2022
- Tage bis Beginn
- 0,0
- Dosis
- 2
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Impaired work ability
Injected limb mobility decreased
Loss of consciousness
Pain in extremity
Syncope
Symptomtext
11:15am- vaccine given 12:15pm- patient reported syncope & collapse at work- +loss of consciousness for a few seconds- felt better after lying down Reports significant L arm soreness day 24 hours after- improved by motrin. ROM improved with ibuprofen but still limited abduction. Denies R arm soreness.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Loss of consciousness
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- Blount disease
- Andere Medikamente
- Junel Fe q day (OCPs)
- Allergien
- None
- Vorherige Impfungen
- -
- Staat
- AZ
- Alter
- 21,0
- Geschlecht
- F
- Eingang
- 21.04.2022
- Impfdatum
- 19.04.2022
- Beginn
- 19.04.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: ja
Erholt: ja
Anaphylactic reaction
Cardiovascular insufficiency
Dizziness
Dyspnoea
Oxygen saturation decreased
Respiratory distress
Throat tightness
Urticaria
Symptomtext
At 1525, medical emergency response system activated for a patient that was having an anaphylactic response to one of the vaccines that she had received. The patient had hives on her lower legs, she was struggling to catch her breath, felt her throat was closing, and was dizzy. The patient was given epinephrine 0.3mg at 1526 in her left vastus lateralis. Oxygen was administered to the patient as her O2 level was slowly dropping and she appeared in respiratory distress. BP at that time was 145/90, O2 97%, pulse 84. Vitals were monitored at the following times: 15:30: 127/72, pulse 66, 98% 2L 15:33: 120 78,84, 99% RA 15:42: 128/ 87 The patient's PCP was notified of the event. She recommended the patient seek care at the ER due to possible rebound from the epi. The patient agreed to us calling EMS to transport her. 1549: 135/87, pulse 70, O2 99% RA Fire department arrived: 1549 EMS arrived: 1605 Nursing Assessment: Airway: Open Breathing: Labored Circulation: Pulse present Mentation: Alert Skin: Hives She was transported to the emergency department via ambulance at 1605.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Anaphylactic reaction
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- Omalizumab, Dexamethasone, Dates, Latex, Milk, Peanut
- Vorherige Impfungen
- -
- Staat
- AZ
- Alter
- 32,0
- Geschlecht
- F
- Eingang
- 25.03.2022
- Impfdatum
- 24.03.2022
- Beginn
- 24.03.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: ja
Erholt: ja
Anaphylactic reaction
Chest pain
Dyspnoea
Odynophagia
Urticaria
Symptomtext
Anaphylaxis about 15 minutes after the injections. Chest pain, shortness of breath, hives, pain with swallowing. She was given an EpiPen, put on oxygen, vital signs monitored and were stable. Patient was transported to a local emergency room. Recovered. Referred to allergist for further evaluation
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Anaphylactic reaction
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- Anxiety, asthma, depression, GERD, hypothyroidism, IBS, migraine, osteopenia, Hashimoto's
- Andere Medikamente
- -
- Allergien
- Avocado, barley, Cabbage, codeine, cucumber, fish, grapefruit, Vicodin, milk, nuts, pair, pineapple, rye, shellfish, wheat, latex, see the med if in
- Vorherige Impfungen
- -
- Staat
- CT
- Alter
- 12,0
- Geschlecht
- M
- Eingang
- 24.02.2022
- Impfdatum
- 23.02.2022
- Beginn
- 23.02.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Feeling hot
Malaise
Syncope
Vomiting
Symptomtext
Patient received vaccine and was advised to wait 10 minutes after appointment to monitor for adverse reaction. The patient exited the room with mother to go to the bathroom because he was not feeling well. Patient fainted without hitting his head while in the bathroom. Mother caught the patient in the fall. He proceeded to regain consciousness and vomited. Doctor assessed immediately and ensured he was okay before leaving. Following incident, mother stated this happens when he gets too warm. It was a warmer day and was warmer than usual in the office.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Syncope
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- Anxiety
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- AL
- Alter
- 15,0
- Geschlecht
- F
- Eingang
- 07.02.2022
- Impfdatum
- 07.02.2022
- Beginn
- 07.02.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Syncope
Symptomtext
Pt into Health Department for vaccinations. Brought previous immunization records. Entered into system and determined patient needed Tdap, Ipol, 2nd Hep A, 1st HPV and 1st Meningicoccal vaccinations. Pt was administered vaccines. Approximately, 2 minutes after vaccinations patient had a fainting episode.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Syncope
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- CA
- Alter
- 21,0
- Geschlecht
- F
- Eingang
- 13.10.2022
- Impfdatum
- 10.10.2022
- Beginn
- 10.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- 2
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Injection site pain
Injection site swelling
Injection site warmth
Symptomtext
Patient right upper arm was swollen hot to the touch and very painful. No other reaction noted.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Injection site pain
- Hospital-Tage
- -
- Labordaten
- None
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- None
- Andere Medikamente
- None
- Allergien
- NKDA
- Vorherige Impfungen
- -
- Staat
- AZ
- Alter
- 16,0
- Geschlecht
- F
- Eingang
- 29.08.2022
- Impfdatum
- 26.07.2022
- Beginn
- 26.07.2022
- Tage bis Beginn
- 0,0
- Dosis
- 2
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Injection site swelling
Symptomtext
swelling left should for 8 days
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Injection site swelling
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- NONE
- Vorgeschichte
- NONE
- Andere Medikamente
- NONE
- Allergien
- NONE
- Vorherige Impfungen
- -
- Staat
- FL
- Alter
- 16,0
- Geschlecht
- M
- Eingang
- 01.07.2022
- Impfdatum
- 09.06.2022
- Beginn
- 09.06.2022
- Tage bis Beginn
- 0,0
- Dosis
- 2
- Route/Site
- IM / AR
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: ja
Erholt: ja
Dizziness
Dyskinesia
Symptomtext
30 min after vaccination, felt dizzy, had abnormal movements of neck and upper limbs, no loss of consciousness
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Dizziness
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- NONE
- Vorgeschichte
- NONE
- Andere Medikamente
- NONE
- Allergien
- NONE
- Vorherige Impfungen
- -
- Staat
- MN
- Alter
- 39,0
- Geschlecht
- M
- Eingang
- 15.05.2022
- Impfdatum
- 11.04.2022
- Beginn
- 13.04.2022
- Tage bis Beginn
- 2,0
- Dosis
- 1
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: ja
Hospital: ja
Disable: ja
ER: ja
Erholt: nein
Cellulitis
Haematoma
Lymphadenopathy
Pyrexia
Subcutaneous abscess
Symptomtext
Left axililla cellulitis abscess,, fever, soft >4cm hematoma in area of left axillia lymph node presenting 24 hours post vaccine administration
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Pyrexia
- Hospital-Tage
- 8,0
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- Biktarvey Zoloft
- Allergien
- None known
- Vorherige Impfungen
- -
- Staat
- MP
- Alter
- 11,0
- Geschlecht
- M
- Eingang
- 29.03.2022
- Impfdatum
- 29.03.2022
- Beginn
- 29.03.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Cold sweat
Dizziness
Malaise
Nausea
Pallor
Visual impairment
Symptomtext
Verified patient's name/DOB/allergies. nurse administered the vaccines correctly and sent patient to observation because he received the meningitis vaccine which causes some patients to become dizzy, nauseated. When I went to check on the patient 5 mins later, he looked pale and was having cold sweats. The patient said he sees "white" and did not feel well at all. Patient stated that he was not having any difficulty breathing but he did feel like vomiting. I assisted the patient to vomit, but only spit. Patient's vitals were monitored and patient was given water to sip on. Vitals: 09:35a BP @ 89/55 | O2 @ 99% | P @ 81 09:45a BP @ 106/74 | O2 @ 99% | P @ 81 09:55 BP @ 108/73 | O2 @ 99% | P @ 70 Patient was taken to school principal's office to lie down and speak with his father, which made him feel better. Patient pallor returned to normal and patient verbally stated that he felt good. Patient was then sent back to class.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Dizziness
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- Nothing stated
- Vorgeschichte
- Nothing stated
- Andere Medikamente
- None given
- Allergien
- None
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 16,0
- Geschlecht
- F
- Eingang
- 28.03.2022
- Impfdatum
- 28.03.2022
- Beginn
- 28.03.2022
- Tage bis Beginn
- 0,0
- Dosis
- 2
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Dizziness
Headache
Hyperhidrosis
Muscular weakness
Nausea
Pallor
Retching
Symptomtext
Gave MCV-4 then HPV in right arm first then Men B third in left arm. Patient got up from exam table and stated she had a headache and sat down in an other chair. Complained of dizziness and became diaphoretic and pale. Then got up and complained of nausea. Tried to get up to go to bathroom with mother but knees gave out and mother, medical assistant and myself brought patient back to room. Had Patient lie down, and dry heaved a few times. Gave cold rag and alcohol pads to breath in to help with nausea. Had patient legs up and gave candy and soda to help. After 10min from immunization patient color improved and nausea improved.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Dizziness
- Hospital-Tage
- -
- Labordaten
- BP 104/63 84
- Aktuelle Erkrankungen
- No
- Vorgeschichte
- NO
- Andere Medikamente
- No
- Allergien
- NO
- Vorherige Impfungen
- -
- Staat
- VA
- Alter
- 18,0
- Geschlecht
- M
- Eingang
- 30.11.2021
- Impfdatum
- 09.11.2021
- Beginn
- 10.11.2021
- Tage bis Beginn
- 1,0
- Dosis
- 2
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Rash
Urticaria
Symptomtext
generalized hive like rash, not pruritic; has been treated with two courses of Prednisone without worsening or improvement in sx's.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Rash
- Hospital-Tage
- -
- Labordaten
- none
- Aktuelle Erkrankungen
- none
- Vorgeschichte
- none
- Andere Medikamente
- none
- Allergien
- Latex; PCN
- Vorherige Impfungen
- -
- Staat
- PA
- Alter
- 11,0
- Geschlecht
- F
- Eingang
- 21.10.2021
- Impfdatum
- 21.10.2021
- Beginn
- 21.10.2021
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Injection site erythema
Injection site swelling
Macule
Rash macular
Symptomtext
After receiving Menactra in her left arm, she immediately started with swelling and erythema around the Menactra injection. I was called into the room by the medical assistant and patient was upset and crying that her arm hurt. She had an approx. 4 inch diameter area of erythema around the injection site and it was swollen. We immediately applied an ice pack. Then a few minutes later, mom noted three small red macules on her right forehead and a splotchy red rash on her chest. Her chest was clear, there were no respiratory symptoms, no mouth or facial swelling. Vitals were stable the entire time. She was given 300mg ibuprofen for the pain and 37.5mg benadryl for the rash. Even before giving the benadryl, the chest rash disappeared and the forehead rash started to improve. Patient was observed for approx. 45-50 minute after the vaccine and rash, swelling, and pain had completely resolved prior to leaving the office. Lungs were clear the entire time.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Injection site erythema
- Hospital-Tage
- -
- Labordaten
- None
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- Left discoid meniscus of knee, osteochondritis dissecans of left knee
- Andere Medikamente
- None
- Allergien
- Bee stings
- Vorherige Impfungen
- -
- Staat
- MO
- Alter
- 16,0
- Geschlecht
- F
- Eingang
- 06.05.2023
- Impfdatum
- 03.05.2023
- Beginn
- 03.05.2023
- Tage bis Beginn
- 0,0
- Dosis
- 2
- Route/Site
- OT / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Expired product administered
No adverse event
Symptomtext
administered an expired dose of the vaccine with no reported AE; Initial information received on 03-May-2023 regarding an unsolicited valid non-serious case received from a other health professional. This case involves a 16 years old female patient who had administered an expired dose of the vaccine with no reported ae after receiving vaccine meningococcal a-c-y-w135 (d conj) vaccine [menactra]. The patient's past medical history, medical treatment(s), vaccination(s) and family history were not provided. On 03-May-2023, the patient received a dose 2 0.5 ml of suspect meningococcal a-c-y-w135 (d conj) vaccine Solution for injection lot U7211AA, 14-MAR-2023 via intramuscular route in the left deltoid for immunisation. On 03-May-2023 the patient developed a non-serious event administered an expired dose of the vaccine with no reported ae (expired product administered) (latency: same day). Lab data was not reported. Action taken was not applicable. Outcome: Unknown for the event administered an expired dose of the vaccine with no reported ae. 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
- MI
- Alter
- 12,0
- Geschlecht
- M
- Eingang
- 28.09.2022
- Impfdatum
- 01.09.2022
- Beginn
- 01.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Product administered to patient of inappropriate age
Wrong product administered
Symptomtext
Patient is 12 years old and received Dtap. Should have received Tdap
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
- WA
- Alter
- 16,0
- Geschlecht
- M
- Eingang
- 31.08.2022
- 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
Cataplexy
Cognitive disorder
Hyperhidrosis
Hypotonia
Immediate post-injection reaction
Tinnitus
Symptomtext
Patient immediately started feeling diaphoretic, ringing in his ears and unable to understand questions that were asked. He then started to close his eyes at which his mother and myself got him to open his eyes again. He repeated this a couple times becoming very limp. We got him up to the exam table and applied some cold compresses. Once he became alert, gave him some apple and orange juice. Blood pressure was taking twice during this time, which both were normal. Report given to Dr. who said once feeling well can go home.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Cataplexy
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- none
- Vorgeschichte
- Ventricular Septal Defect
- Andere Medikamente
- Multivitamin
- Allergien
- NKA
- Vorherige Impfungen
- -
- Staat
- TN
- Alter
- 24,0
- Geschlecht
- M
- Eingang
- 28.07.2022
- Impfdatum
- 28.07.2022
- Beginn
- 28.07.2022
- Tage bis Beginn
- 0,0
- Dosis
- 2
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect dose administered
Product administered to patient of inappropriate age
Symptomtext
Hep A administered was a pediatric dose versus an adult dose indicated for client.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect dose administered
- Hospital-Tage
- -
- Labordaten
- n/a
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- OH
- Alter
- 12,0
- Geschlecht
- M
- Eingang
- 21.07.2022
- Impfdatum
- 12.07.2022
- Beginn
- 12.07.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / RL
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Poor quality product administered
Symptomtext
vaccine administration error non-viable vaccine
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Poor quality product administered
- Hospital-Tage
- -
- Labordaten
- N/A
- Aktuelle Erkrankungen
- N/A
- Vorgeschichte
- N/A
- Andere Medikamente
- N/A
- Allergien
- N/A
- Vorherige Impfungen
- -
- Staat
- CA
- Alter
- 16,0
- Geschlecht
- M
- Eingang
- 20.06.2022
- Impfdatum
- 13.06.2022
- Beginn
- 13.06.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- OT / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
No adverse event
Product storage error
Symptomtext
lowest temperature reached 30.63 Fahrenheit (F) and the total excursion lasted 1 hour and 15 minutes with no reported adverse event; Menactra was administered post excursion with no reported adverse event on 14-Jun-2022 regarding an unsolicited valid non-serious case received from a other health professional. This case involves a 16 years old male patient and it was reported that temperature reached 30.63 Fahrenheit (F) and the total excursion lasted 1 hour and 15 minutes with no reported adverse event and Menactra was administered post excursion with no reported adverse event , for vaccine MENINGOCOCCAL A-C-Y-W135 (D CONJ) VACCINE [Menactra]. The patient's past medical history, medical treatment(s), vaccination(s) and family history were not provided. On 13-Jun-2022, the patient received a 0.5 ml dose of suspect MENINGOCOCCAL A-C-Y-W135 (D CONJ) VACCINE, once ( lot: U7211AA ; expiry date: 14-Mar-2023) via intramuscular route in the left deltoid for immunization On 13-Jun-2022 the lowest temperature reached 30.63 Fahrenheit (F) and the total excursion lasted 1 hour and 15 minutes (product storage error) (latency: same day) for vaccine MENINGOCOCCAL A-C-Y-W135 (D CONJ) VACCINE ( Menactra) . And then on the same day , Menactra was administered post excursion (poor quality product administered) . there were no adverse reactions reported Action taken : not applicable for both the events. Outcome: unknown for both the 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
- No adverse event
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- GU
- Alter
- 11,0
- Geschlecht
- F
- Eingang
- 09.06.2022
- Impfdatum
- 09.06.2022
- Beginn
- 09.06.2022
- Tage bis Beginn
- 0,0
- Dosis
- 2
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Extra dose administered
Symptomtext
PATIENT RECIEVED MENACTRA VACCINE AND TDAP BOOSTRIX ON OCTOBER 12TH 2021, PATIENT RECIEVED MENACTRA VACCINE AND TDAP BOOSTRIX AGAIN TODAY ( JUNE 9TH 2022 ). PATIENT IS STABLE AT THIS TIME. INSTRUCTED PATIENT TO REPORT TO ER OR PCM IF ANY CONCERNS.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Extra dose administered
- Hospital-Tage
- -
- Labordaten
- N/A
- Aktuelle Erkrankungen
- N/A
- Vorgeschichte
- N/A
- Andere Medikamente
- N/A
- Allergien
- N/A
- Vorherige Impfungen
- -
- Staat
- OR
- Alter
- 52,0
- Geschlecht
- F
- Eingang
- 17.05.2022
- Impfdatum
- 13.05.2022
- Beginn
- 13.05.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
No adverse event
Wrong product administered
Symptomtext
Patient was expecting to receive the MMR vaccine, but the menactra vaccine was prepared and administered. Menactra was typed up in the computer, checked the vaccine, and then administered to the patient. When giving the vaccine, I stated that I was giving the menactra, without realizing that the MMR was expected. After administration, the patient's companion asked for her vaccine history with the MMR vaccine on it. I then realized that the wrong vaccine was given. I explained to the patient and her companion what happened and prepared/administered the MMR vaccine shortly after. I discussed the menactra and mmr vaccines with the patient and her companion and answered any questions that they had. There was no side effects at the time.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- No adverse event
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- none
- Vorgeschichte
- none
- Andere Medikamente
- none
- Allergien
- no known allergies
- Vorherige Impfungen
- -
- Staat
- VT
- Alter
- 15,0
- Geschlecht
- M
- Eingang
- 04.04.2022
- Impfdatum
- 01.04.2022
- Beginn
- 01.04.2022
- Tage bis Beginn
- 0,0
- Dosis
- 2
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Inappropriate schedule of product administration
Symptomtext
Doses administered too early, before 16th birthday Menactra will have to be repeated near high school graduation to extend through college years.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Inappropriate schedule of product administration
- Hospital-Tage
- -
- Labordaten
- None
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- Anxiety, OCD , Seasonal allergies
- Andere Medikamente
- Sertraline 150 mg
- Allergien
- None
- Vorherige Impfungen
- -
- Staat
- IL
- Alter
- -
- Geschlecht
- U
- Eingang
- 18.03.2022
- Impfdatum
- -
- Beginn
- -
- Tage bis Beginn
- -
- Dosis
- UNK
- Route/Site
- - / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Product storage error
Symptomtext
is reported as potential AE because of temperature excursion; Initial information received on 08-Mar-2022 regarding an unsolicited valid non-serious case received from a other health professional. This case involves an unknown demographic and unknown gender patient who experienced is reported as potential ae because of temperature excursion while receiving vaccines IPV (VERO) [IPOL] and MENINGOCOCCAL A-C-Y-W135 (D CONJ) VACCINE [MENACTRA]. 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 MENINGOCOCCAL A-C-Y-W135 (D CONJ) VACCINE lot U7211AA and suspect IPV (VERO) lot U7191AB. On an unknown date the patient developed a non-serious is reported as potential ae because of temperature excursion (product temperature excursion issue) (unknown latency) following the administration of MENINGOCOCCAL A-C-Y-W135 (D CONJ) VACCINE and (unknown latency) following the administration of IPV (VERO). It was reported "that she doubts an excursion actually happened and most likely might have been a glitch since it triggered after the data logger was plugged in and the back up data loggers did not record any temperatures out of range. See related case 01009162 for opened IPOL Additional Description of event Adverse events :Nurse is requesting stability information for unopened MENACTRA and opened IPOL after the data logger recorded 30.5 degrees F lasting for 14 minutes". Action taken:not applicable. It was not reported if the patient received a corrective treatment. At time of reporting, the outcome was Unknown.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Product storage error
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- MI
- Alter
- 11,0
- Geschlecht
- F
- Eingang
- 10.02.2022
- Impfdatum
- 03.02.2022
- Beginn
- 03.02.2022
- Tage bis Beginn
- 0,0
- Dosis
- N/A
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Expired product administered
Product storage error
Symptomtext
COVID vaccine given past thaw expiration date.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Product storage error
- Hospital-Tage
- -
- Labordaten
- None
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- allergic rhinitis, allergy to foods
- Andere Medikamente
- cetirizine 10mg tablet daily, hydrocortisone 2.5% ointment BID
- Allergien
- acetaminophen, hydrocodone, cilantro
- Vorherige Impfungen
- -