- Staat
- OH
- Alter
- 18,0
- Geschlecht
- F
- Eingang
- 22.08.2023
- Impfdatum
- 22.08.2023
- Beginn
- 22.08.2023
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: ja
Erholt: ja
Dizziness
Hypoaesthesia
Nausea
Paraesthesia
Syncope
Symptomtext
Dizziness Syncopy Numbness Tingly Nausea Possible seizure
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Syncope
- Hospital-Tage
- -
- Labordaten
- N/a
- Aktuelle Erkrankungen
- None reported
- Vorgeschichte
- None reported
- Andere Medikamente
- None reported
- Allergien
- None reported
- Vorherige Impfungen
- -
- Staat
- WI
- Alter
- 20,0
- Geschlecht
- M
- 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
Loss of consciousness
Pain in extremity
Symptomtext
Under the direction and supervision of DOCTOR, administered 0.5 mL of typhoid vaccine into patient's right deltoid, 0.5 mL of Meningococcal MenAcWy vaccine into patient's right deltoid, and 0.5 mL of Yellow Fever vaccine into patient's right arm. Patient after administration of Yellow fever vaccination was noted to have brief moment where he loss consciousness then quickly recovered with seconds. Patient regained full consciousness. Patient shared he in past when donating blood was noted to pas out for brief moment. Patient was given water and observed for 15 minutes then left clinic ambulatory. Call placed to patient at 1335 to follow up with patient regarding vaccinations and adverse reaction with injections. Patient shared he is doing fine and only notes a sore arm. Reviewed with patient adverse reactions to be aware of the next 30 days and if symptoms develop and worsen to be seen at local ER/UC for adverse reactions. Patient was understanding and had no further questions.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Loss of consciousness
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- none
- Vorgeschichte
- none
- Andere Medikamente
- acetaminophen 1000 mg po every 6 hours prn ibuprofen 400 mg po every 6 hours prn
- Allergien
- no known drug allergies
- Vorherige Impfungen
- -
- Staat
- IL
- Alter
- 16,0
- Geschlecht
- M
- Eingang
- 14.09.2022
- Impfdatum
- 08.09.2022
- Beginn
- 09.09.2022
- Tage bis Beginn
- 1,0
- Dosis
- 2
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: ja
Erholt: ja
Blood bilirubin normal
Dizziness
Fall
Feeling abnormal
Full blood count abnormal
Haemoglobin normal
Head injury
Headache
Metabolic function test normal
Nausea
Paraesthesia
Platelet count decreased
Red blood cell count normal
Syncope
Troponin normal
Vomiting
Symptomtext
9/9/22 Received call from mother at 3:41 am and she reports patient had a syncopal episode and is now laying on the floor after family had to remove him from the shower. He is breathing and talking but can not described exactly what happened. He reports he hit his head and legs feel tingly and he has nausea. After calming family on speaker phone, I was able to obtain a more detailed history from mother and patient while patient was laying on the floor. Mother reports after his well visit today, patient had a milk shake, then they returned home and had dinner. He seemed fine and went to bed at a typical time, then awoke around 2am complaining of headache so mother gave him some motrin and water, No fever or other noted symptoms. Soon after he had one small emesis then went back to bed and then had another large emesis and which had gotten all over him so mother had him take a shower. Mother reports while he was in the shower she heard a large thud and they found him on the floor of the shower. His parents and brother lifted him out of the shower and on to the floor then called MD. I asked patient if he remembers what happened and he recounted the events of before the shower and reports in the shower he remembered reaching down for the shampoo and then awoke on the floor, he does believe he bumped his head but does not know on what. He states he is still a little nauseated and feeling a little tingly, no bleeding or visible bruising per mother. I asked if he thought he could sit up, he was unsure, I asked family to assist him in sitting up to see if he could tolerate this. Immediately upon them trying to help him sit up, he said he felt bad and like he was going to vomit again. Started to feel faint again. Based on this, I advised mother to call 911 for evaluation and transport to the hospital for evaluation as patient was not able to get up and as he is an adult size it would not be safe for them to try to carry patient to the car for transport. Mother verbalized understanding of the plan and will hang up to call 911. Seen In ER and subsequently discharged after evaluation dx with syncope. CBC and CMP done in ER and notable for mild abnormals in cbc and Bilirubin. He was discharged from the ER within a couple hours with recommendations for cintinued hydration and rest. Patients symptoms completely resolved and he was well. Follow up repeat labs are planned for 1 month from now with PCP.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Syncope
- Hospital-Tage
- -
- Labordaten
- 9/9/2022 Mild abnormals: Platelets 102, hgb 13, bilirubin 1.0 9/9/2022 Normal Results: RBC indicies, CMP, troponin
- Aktuelle Erkrankungen
- none, but recent weight loss
- Vorgeschichte
- recent resolution of obesity
- Andere Medikamente
- none
- Allergien
- dust, maple flavor
- Vorherige Impfungen
- -
- Staat
- UT
- Alter
- 12,0
- Geschlecht
- F
- Eingang
- 12.08.2022
- Impfdatum
- 11.08.2022
- Beginn
- 11.08.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Dyskinesia
Fall
Head injury
Pallor
Syncope
Symptomtext
Client fainted within 5-10 minutes of receiving shot. Not witnessed by health department staff. According to witness, Client waiting in line to get back to school pictures taken when she took a couple of steps backwards and then fell back onto the carpeted floor. Jerking movements observed. Client hit back of head witness said and also said she woke right up. Client's legs propped up. Once staff from Health department arrived client assisted up and moved to classroom where it was cooler. Given water and juice to drink. Reassured client, mom, and witness that fainting was fairly normal for this age group after vaccine as well as the jerking movements. Client stated she only had a piece of toast for breakfast and no fluids. Client started to turn pale again. Was laid down and legs elevated. Did not pass out again. After 5-7 minutes of lying down. Sat up and encouraged to finish drinking juice and water. Observed client for another 10 minutes. Discussed with parent to watch for signs of concussion. Client did not complain of any head pain or HA when questioned. Denied nausea. Follow Up phone call 8/12/2022 to mom. Mom stated client did fine the rest of that day and this morning. Denies headache or other signs of concussion.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Syncope
- Hospital-Tage
- -
- Labordaten
- none
- Aktuelle Erkrankungen
- unknown. Stated not sick today or had any vaccinations within 4 weeks
- Vorgeschichte
- unknown
- Andere Medikamente
- unknown
- Allergien
- unknown
- Vorherige Impfungen
- -
- Staat
- CA
- Alter
- 18,0
- Geschlecht
- F
- Eingang
- 12.08.2022
- Impfdatum
- 08.08.2022
- Beginn
- 08.08.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Blood pressure increased
Chest pain
Dizziness
Dyspnoea
Pallor
Presyncope
Tremor
Symptomtext
Systemic: Dizziness / Lightheadness-Mild, Systemic: near syncope event-Mild, Systemic: Shakiness-Mild, Additional Details: at 10:30. patient was sitting outside exam room after vaccine. Patient reports lightheaded. patient appeared pale. Patient was assisted to lying position with legs elevated BP 12060, HR 58 RR 20. patient was given water. After 10 min patient feeling better and assisted to exam room to lie down. After 5 min BP 120/80 RR 18 HR 72 temp 97.2, 10 min BP 120/78 HR 74 temp 97.2, after 15 min BP 120/78 HR 74 temp 97.2 patient reports absence of symptoms dizziness, SOB, chest pain. Mom drove pt home.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Presyncope
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- UT
- Alter
- 12,0
- Geschlecht
- M
- Eingang
- 15.11.2022
- Impfdatum
- 10.11.2022
- Beginn
- 10.11.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Diarrhoea
Dyspnoea
Eye movement disorder
Glassy eyes
Headache
Muscle rigidity
Muscle tightness
Nausea
Personality change
Posture abnormal
Speech disorder
Tearfulness
Vomiting
Symptomtext
Pt. was calm before, during, and after his injection. He was talking for approximately 30 seconds after his 2nd injection, when his shoulders tensed, his neck outstretched backwards, and his eyes rolled back. This rigidity lasted about 30 seconds. When he started responding the first thing he said was ?it?s hard to breathe? and ?my head hurts?. BP was taken at this point and it was 139/97, sp02 98%, HR 54. He continued to have a glossy look, was tearful, and unlike himself. After another 15 minutes of the change in personality, he was moved to a bed. He put his legs up and 1 minute later he was noticeably different in speech patterns ?back to normal?. Sunday night he awoke to diarrhea, nausea, vomiting without fever, cough or other symptoms. Before bed on Monday evening he vomited again
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Dyspnoea
- Hospital-Tage
- -
- Labordaten
- None
- Aktuelle Erkrankungen
- No known illness
- Vorgeschichte
- None
- Andere Medikamente
- None
- Allergien
- Nka
- Vorherige Impfungen
- -
- Staat
- NV
- Alter
- 49,0
- Geschlecht
- F
- Eingang
- 12.10.2022
- Impfdatum
- 11.10.2022
- Beginn
- 11.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Dizziness
Feeling jittery
Oropharyngeal discomfort
Paraesthesia
Pharyngeal swelling
Symptomtext
5 minutes after the 5 vaccines, She felt an abnormal feeling in her throat like it was maybe swollen, tingling sensation in both arms, lightheaded feeling, jittery. HR and BP was good, no fever, breathing sounds remained clear. Patient was laid down and within 5 minutes or less 50 mg of IM Benadryl was given. Within 5 minutes or less, she felt the swelling sensation in throat get better. She slowly got better over the next 1 to 1.5 hours and left feeling well, not excessively tired.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Paraesthesia
- Hospital-Tage
- -
- Labordaten
- None.
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- GERD- well controlled.
- Andere Medikamente
- testosterone, progesterone, pantaprozole
- Allergien
- morphine, Pfizer COVID-19 Vaccine
- Vorherige Impfungen
- 04/20/2021- She had 2nd Pfizer covid-19 vaccine and it caused mild difficulty breathing.
- Staat
- KS
- Alter
- 12,0
- Geschlecht
- M
- Eingang
- 07.09.2022
- Impfdatum
- 28.07.2022
- Beginn
- 28.07.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: ja
Erholt: ja
Dyspnoea
Injection site erythema
Injection site nodule
Symptomtext
Client reported redness and knot at site within 15" after vaccination. After left clinic client reported shortness of breath and was taken to the Emergency Room
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Dyspnoea
- Hospital-Tage
- -
- Labordaten
- N/A.
- Aktuelle Erkrankungen
- N/A.
- Vorgeschichte
- N/A.
- Andere Medikamente
- N/A.
- Allergien
- Amoxicillin.
- Vorherige Impfungen
- -
- Staat
- -
- Alter
- 20,0
- Geschlecht
- F
- Eingang
- 12.06.2023
- Impfdatum
- 08.06.2023
- Beginn
- 09.06.2023
- Tage bis Beginn
- 1,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Dizziness
Erythema
Headache
Injection site pain
Myalgia
Pruritus
Pyrexia
Symptomtext
6/9/2023: headache, dizzy, fever, muscle soreness, redness 6/10/2023: redness, itchy, and feel burnt at the injection site 6/11/2023: redness expand larger than previous day, more frequently inchy and burnt
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Dizziness
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- Tylenol 500mg 1st pill at 1pm 6/8/2023 Tylenol 500mg 2nd pill at 8pm 6/8/2023
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- CO
- Alter
- 16,0
- Geschlecht
- F
- Eingang
- 06.10.2022
- Impfdatum
- 03.10.2022
- Beginn
- 04.10.2022
- Tage bis Beginn
- 1,0
- Dosis
- 2
- 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
Awoke 10/04 with erythema, swelling and warmth surrounding site of MenQuadFi injection site. Entire size approx 4 inches round.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Injection site erythema
- Hospital-Tage
- -
- Labordaten
- none
- Aktuelle Erkrankungen
- none
- Vorgeschichte
- anxiety, depression
- Andere Medikamente
- none
- Allergien
- seasonal allergies
- Vorherige Impfungen
- -
- Staat
- IA
- Alter
- 11,0
- Geschlecht
- F
- Eingang
- 05.10.2022
- Impfdatum
- 27.09.2022
- Beginn
- 27.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Pain in extremity
Product administered to patient of inappropriate age
Symptomtext
On 9/29/22 Health Dept. called to clarify which vaccine was given. it was at that point I realized the Pfizer bivalent vaccine was given and the patient is not 12 years old yet. MD was notified. Department manager, RN was notified. Father was notified on 9/29/22. Dad stated she had sore arms the day after her 4 vaccines, but has not had any adverse effects other than that.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Pain in extremity
- Hospital-Tage
- -
- Labordaten
- None
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- None
- Andere Medikamente
- None
- Allergien
- None known
- Vorherige Impfungen
- -
- Staat
- -
- Alter
- 16,0
- Geschlecht
- F
- Eingang
- 01.08.2022
- Impfdatum
- 19.07.2022
- Beginn
- 19.07.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- OT / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Injection site erythema
Injection site pruritus
Injection site rash
Vaccination site rash
Symptomtext
Itchy red rash on the upper half of her daughter's left arm; Initial information received on 26-Jul-2022 regarding an unsolicited valid non-serious courtesy case received from partner Pfizer via a consumer/non-hcp. This case involves a 16 years old female patient who had itchy red rash on the upper half of her left arm after receiving vaccine Meningococcal A-C-Y-135 (T Conj) Vaccine [Menquadfi]. The patient's past vaccination(s) included HPV VACCINE on 19-Jul-2021 with Itchy at the site Onset Age: One year ago when her daughter was 15 and Menquadfi on 28-Dec-2016. The patient's past medical history, medical treatment(s) and family history were not provided. On 19-Jul-2022, the patient received a dose of suspect Meningococcal A-C-Y-135 (T Conj) Vaccine (lot U7218AA, strength, formulation, dose and expiry date: unknown) via intramuscular route in the left arm indicated for age group and suggested by pediatrician. On 19-Jul-2022 (at 11:45 am approximately) (latency: same day) the patient had itchy red rash on the upper half of her left arm (vaccination site rash) following the administration of Meningococcal A-C-Y-135 (T Conj) Vaccine. Action taken: Not applicable. Corrective treatment: She did talk to nurse about it and they said take Benadryl and watch it but her daughter didn't need to come in. Outcome: Unknown.; Sender's Comments: 202201006134:
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Injection site erythema
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- CO
- Alter
- 16,0
- Geschlecht
- F
- Eingang
- 29.07.2022
- Impfdatum
- 19.07.2022
- Beginn
- 19.07.2022
- Tage bis Beginn
- 0,0
- Dosis
- 2
- Route/Site
- OT / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Vaccination site erythema
Vaccination site pruritus
Vaccination site rash
Symptomtext
Itchy red rash on the upper half of her daughter's left arm/ the itchy rash is around the Trumenba and the injection site on the upper half of the arm; Itchy red rash on the upper half of her daughter's left arm/ the itchy rash is around the Trumenba and the injection site on the upper half of the arm; Itchy red rash on the upper half of her daughter's left arm/ the itchy rash is around the Trumenba and the injection site on the upper half of the arm; This is a spontaneous report received from contactable reporter(s) (Consumer or other non HCP). The reporter is the parent. A 16-year-old female patient received meningococcal group b Rlp2086 (TRUMENBA), on 19Jul2022 at 11:45 as dose 1, single (Lot number: FJ4128) at the age of 16 years intramuscular, in left arm for immunisation; meningococcal vaccine a/c/y/w conj (tet tox) (MENQUADFI), on 19Jul2022 as dose 2, single (Lot number: U7218AA) intramuscular, in left arm for immunisation. The patient had no relevant medical history. There were no concomitant medications. Vaccination history included: HPV, administration date: 19Jul2021, when the patient was 15-year-old, for Immunization, reaction(s): "Itchy at the site"; menquadfi (Dose 1), administration date: 28Dec2016, for Immunization. The following information was reported: VACCINATION SITE PRURITUS (non-serious), VACCINATION SITE ERYTHEMA (non-serious), VACCINATION SITE RASH (non-serious) all with onset 19Jul2022, outcome "unknown" and all described as "Itchy red rash on the upper half of her daughter's left arm/ the itchy rash is around the Trumenba and the injection site on the upper half of the arm". Therapeutic measures were taken as a result of vaccination site pruritus, vaccination site erythema, vaccination site rash. Additional information: The reporter stated that her daughter had the Trumenba vaccine on 19Jul2022 and her daughter told her she had a reaction. Her daughter is a teenager. Her daughter noticed it on 19Jul2022 but didn't make her aware until Thursday 21Jul2022. Her daughter had Trumenba and had other quadrivalent meningococcal vaccine at the same time, so it may have been the other one. Her daughter started to have a red itchy rash. Her daughter got the Trumenba in her left arm and the itchy rash is around the Trumenba and the injection site on the upper half of the arm. She clarified to an itchy red rash on the upper half of her daughter's left arm. The rash was smaller. Her daughter just texted her this morning and her daughter is at work. As of last night her daughter did still have it. Her daughter told her because it got bigger. The area was a little red on Tuesday 19Jul2022 and it got bigger and spread until last night. It was just a little bit red on Tuesday, but then it got bigger. She did talk to nurse about it and they said take Benadryl and watch it but her daughter didn't need to come in. She clarified that she can't say how it is today but as of last night it had worsened, about 11pm last night 21Jul2022. Other quadrivalent meningococcal vaccine at the same time: She clarified the vaccine was Menquadfi. She hadn't talked to her daughter's doctor. As of now the plan is to fully vaccinate her daughter. For suspect product - Menquadfi: She believes this is her daughters second dose, it was either the second or third dose. She isn't sure but she realized she has the immunization record. She confirmed the first dose was given 28Dec2016 of quadrivalent meningococcal vaccine, and the second dose was Menquadfi given on 19Jul2022. She clarified that the immunization record doesn't specify which quadrivalent meningococcal vaccine was administered on 28Dec2016, she knows there are two available. The specific quadrivalent meningococcal vaccine was only specified on the date of the second one which she knows is Menquadfi. She confirmed the dose received on 19Jul2022 was her daughters first dose of Trumenba. Other Medical Conditions: The last time her daughter got a vaccine, besides the COVID vaccine, she is trying to see what the vaccine was. Her daughter was itchy from that too. She clarified the vaccine that caused her daughter to be itchy was the HPV Vaccine. Her daughter did not tell her about it at the time. She clarified the date of the HPV vaccine that made her daughter Itchy at the site was 19Jul2021. Anatomical Location of Menquadfi was left upper arm about an inch apart from Trumenba. The event was reported as itchy red rash on the upper half of her daughter's left arm. Her daughter had a long sleeve on, it may have been night before but her daughter woke up and got dressed and looked at her arm around 7am, 19Jul2022. The event didn't require a visit to Emergency Room or Physician Office. Follow-up attempts are completed. No further information is expected.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Vaccination site pruritus
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- Comments: List of non-encoded Patient Relevant History: Patient Other Relevant History 1: NONE
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- OK
- Alter
- 18,0
- Geschlecht
- M
- Eingang
- 14.07.2023
- Impfdatum
- 14.07.2023
- Beginn
- 14.07.2023
- Tage bis Beginn
- 0,0
- Dosis
- 2
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Posture abnormal
Symptomtext
patient slumped in his chair after immunization and immediately recovered, he waited several minutes and left, he was accompanied by a family member
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Posture abnormal
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- none
- Vorherige Impfungen
- -
- Staat
- OK
- Alter
- 12,0
- Geschlecht
- M
- Eingang
- 06.02.2023
- Impfdatum
- 06.02.2023
- Beginn
- 06.02.2023
- 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
Extra dose administered
Symptomtext
PATIENT GIVEN EXPIRED PRIVATE PAY HEPATITIS A (PED) VACCINE TODAY; VACCINE EXPIRED ON 2/3/23, BUT WAS NOT TAKEN OUT OF THE FRIDGE WHEN EXPIRED; TOLD PARENT THAT CHILD RECEIVED EXPIRED HEP A VACCINE. PER IMMUNIZE, PATIENT OK TO RECEIVE ANOTHER DOSE OF HEP A VACCINE TODAY. PARENT CONSENTED TO ANOTHER DOSE OF HEP A VACCINE. CHECKED HEP A VACCINE LOT AND EXP DATE; PATIENT GIVEN NEW DOSE OF HEP A VACCINE. PATIENT AND PARENT HAVING NO COMPLAINTS; PATIENT ORIENTED AND WALKED OUT OF CLINIC WITH STEADY GAIT;
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
- NKDA
- Vorherige Impfungen
- -
- Staat
- CA
- Alter
- 11,0
- Geschlecht
- M
- Eingang
- 09.11.2022
- Impfdatum
- 18.10.2022
- Beginn
- 18.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Wrong product administered
Symptomtext
N/A - Reporting incorrect vaccine given - COVID booster
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Wrong product administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- CA
- Alter
- 11,0
- Geschlecht
- F
- Eingang
- 09.11.2022
- Impfdatum
- 17.10.2022
- Beginn
- 17.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Wrong product administered
Symptomtext
N/A - Reporting incorrect vaccine given - COVID booster
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Wrong product administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- NC
- Alter
- 16,0
- Geschlecht
- F
- Eingang
- 16.09.2022
- Impfdatum
- 15.08.2022
- Beginn
- 15.08.2022
- Tage bis Beginn
- 0,0
- Dosis
- 2
- Route/Site
- - / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Expired product administered
No adverse event
Symptomtext
No adverse reaction. Expiration format different and expired vaccine given to patient. When error discovered (9/14/2022) system notified and advised corrective action to take. Parent notified on 9/15/2022 and will bring patient back to office to get recommended repeat vaccine. Documentation in patients' chart and staff educated on format of expiration dates
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Expired product administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- None
- Andere Medikamente
- BenzaClin with pump(benzoyl peroxide-clindamycin topical) 5%-1% gel and Sprintec(ethinyl estradiol-norgestimate) 35 mcg-0.25 mg tablet
- Allergien
- Oranges-Hives
- Vorherige Impfungen
- -
- Staat
- NC
- Alter
- 17,0
- Geschlecht
- F
- Eingang
- 16.09.2022
- Impfdatum
- 26.08.2022
- Beginn
- 29.08.2022
- Tage bis Beginn
- 3,0
- Dosis
- 2
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Expired product administered
No adverse event
Symptomtext
No adverse reaction. Expiration format different and expired vaccine given to patient. When error discovered (9/14/2022) Agency notified and advised corrective action to take. Parent notified on 9/15/2022 and will bring patient back to office to get recommended repeat vaccine. Documentation in patients' chart and staff educated on format of expiration dates
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Expired product administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- None
- Andere Medikamente
- None
- Allergien
- None
- Vorherige Impfungen
- -
- Staat
- NC
- Alter
- 17,0
- Geschlecht
- F
- Eingang
- 16.09.2022
- Impfdatum
- 29.08.2022
- Beginn
- 29.08.2022
- Tage bis Beginn
- 0,0
- Dosis
- 2
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Expired product administered
No adverse event
Symptomtext
No adverse reaction. Expiration format different and expired vaccine given to patient. When error discovered (9/14/2022) system notified and advised corrective action to take. Parent notified on 9/15/2022 and will bring patient back to office to get recommended repeat vaccine. Documentation in patients' chart and staff educated on format of expiration dates
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Expired product administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- None
- Andere Medikamente
- None
- Allergien
- None
- Vorherige Impfungen
- -
- Staat
- NY
- Alter
- 6,0
- Geschlecht
- M
- Eingang
- 11.09.2021
- Impfdatum
- 30.08.2021
- Beginn
- -
- Tage bis Beginn
- -
- Dosis
- UNK
- Route/Site
- OT / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Inappropriate schedule of product administration
Symptomtext
patient received MENQUADFI vaccine within one year of age/ NO AE; Initial information regarding an unsolicited valid non serious case was received from other health care professional via the regulatory authority (Reference number: 00748364) and transmitted to Sanofi on 31-Aug-2021. This case involves a 16-year-old male patient who was given MENINGOCOCCAL A-C-Y-W135 (T CONJ) VACCINE [MENQUADFI] too soon after his last dose (inappropriate schedule of product administration). Medical history, past medical treatment, vaccination, family history and concomitant medication were not provided. No other vaccines. On 30-Aug-2021, the patient received 0.5 mL total dose of suspect MENINGOCOCCAL A-C-Y-W135 (T CONJ) VACCINE [strength: standard, frequency: once lot U7218AA, expiry date: 22-Feb-2024] via an intramuscular route in left deltoid site for prophylactic vaccination. It was reported ''The caller wants to know if we have any recommendations for a patient who was given a MENQUADIFI too early? See the additional event details field for more info. Additional Description of event Adverse events: Patient given a dose of MENQUADFI too soon after his last dose.'' Patient age less than 1 year enter as 2 month and 4 month, etc. Many pediatric vaccines need month for age. Dose 0.25 mL to 2 mL for vaccines or 0.1 mL for TB skin test 0.5mL strength: standard except for Fluzone HD. Vaccine was not used for first time. This was actual medication error case due to drug dose administration interval too short. 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
- Inappropriate schedule of product administration
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -