- Staat
- FL
- Alter
- 16,0
- Geschlecht
- M
- Eingang
- 01.03.2022
- Impfdatum
- 25.02.2022
- Beginn
- 26.02.2022
- Tage bis Beginn
- 1,0
- Dosis
- 2
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: ja
Hospital: ja
Disable: unbekannt
ER: ja
Erholt: nein
Activated partial thromboplastin time shortened
Benzodiazepine drug level increased
Blood fibrinogen
Blood gases
Blood pH decreased
C-reactive protein increased
Chest X-ray abnormal
Coma scale
Computerised tomogram head normal
Cortical dysplasia
Culture negative
Electroencephalogram abnormal
Endotracheal intubation
Fibrin D dimer
International normalised ratio normal
Magnetic resonance imaging head normal
Mechanical ventilation
N-terminal prohormone brain natriuretic peptide normal
Symptomtext
At 6:50am on 02/26 (approximately 20 hours post immunization) patient was found by parents in bed with active seizures. EMS arrived and found patient with seizures. Transported to Medical Center. On arrival intermittent seizures with Glascow Coma Scale of 3. Electively intubated. Mechanically ventilated for 36 hours. Extubated on 02/27/22
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Coma scale
- Hospital-Tage
- -
- Labordaten
- Work up shows WBC 31.8k with 45S, 1B, 38L. Platelets 449k. Blood gas shows pH 7.17 with a base deficit of 12.2. PT 12.6. INR 1.1. PTT 39.1. D-Dimer 677. Fibrinogen 352. CRP 1.1. ESR 3. N-Pro NBT 44. Troponin <0.012. UA negative. COVID negative. Cultures negative. Tox screen negative except for benzodiazepine. CXR with possible RML infiltrate. CT scan of the brain negative. MRI of the brain in normal. Continuous video EEG is abnormal due to the presence of intermittent left frontotemporal slowing, often sharply contoured, admixed with the background in awake and sleep states. Findings indicate focal cortical dysfunction in this region.
- Aktuelle Erkrankungen
- COVID on 01/02/2022. URI symptoms with cough and congestion but no fever the week of 02/21/22
- Vorgeschichte
- none
- Andere Medikamente
- none
- Allergien
- none
- Vorherige Impfungen
- -
- Staat
- CA
- Alter
- 18,0
- Geschlecht
- F
- Eingang
- 06.09.2022
- Impfdatum
- 06.09.2022
- Beginn
- 06.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Cold sweat
Pain of skin
Syncope
Symptomtext
Fainted about 5 minutes after vaccine (patient already left vaccine room), temp taken and temp was 93.9F, patient skin was clammy to the touch. Patient declined pharmacy staff to call EMS or go to emergency room. Patient waited extra 15-20 minutes in pharmacy waiting room. Patient's doctor was called by patient while waiting in pharmacy waiting room. Patient looked much better when she left pharmacy (skin had more color, temperature was rising when temperature checked later, skin did not feel clammy)
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Syncope
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- none
- Vorgeschichte
- none
- Andere Medikamente
- none
- Allergien
- none
- Vorherige Impfungen
- -
- Staat
- PA
- Alter
- 16,0
- Geschlecht
- M
- Eingang
- 20.04.2022
- Impfdatum
- 04.04.2022
- Beginn
- 04.04.2022
- Tage bis Beginn
- 0,0
- Dosis
- 2
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: ja
Disable: unbekannt
ER: ja
Erholt: ja
Blood culture negative
Chest X-ray normal
Computerised tomogram head normal
Dehydration
Dizziness
Echocardiogram normal
Electrocardiogram normal
Full blood count normal
Headache
Hyperhidrosis
Hypotension
Metabolic function test normal
Muscular weakness
Neurological examination normal
Pallor
Respiratory pathogen panel
Syncope
Tremor
Symptomtext
He received the vaccines on 4/4/2022 as above. 1 hour later in a store, he felt faint, complained of a headache, sweating, shaking,pallor, and weak legs. He went to Grandmothe's and they called an ambulance. He was evaluated at a local ER. BP was low. Was diagnosed with dehydration and given IV fluids, toradol, benadryl, and reglan. He was discharged and on the way out of the ER fainted. He was then admitted to the hospital. Neurology consult obtained - normal exam. Of note it is not clear that he ate lunch that day or had had enough to drink. He had been ill a month prior with a viral illness. On the day of the vacinations he had mild nasal congestion and allergy medication was sent to the pharmacy. No fever or complaints at the visit.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Syncope
- Hospital-Tage
- 1,0
- Labordaten
- 4/4/2022 CT scan of brain - normal 4/5/2022 Echocardiogram - normal 4/4/2022CBC, CMP, Nasal respiratory panel,Blood culture- all normal 4/4/2022 CXR-normal 4/5/2022 EKG-normal
- Aktuelle Erkrankungen
- viral illness one month prior
- Vorgeschichte
- h/o kidney injury sees nephrology yearly
- Andere Medikamente
- None
- Allergien
- sulfa
- Vorherige Impfungen
- -
- Staat
- NJ
- Alter
- 15,0
- Geschlecht
- M
- Eingang
- 04.04.2022
- Impfdatum
- 30.03.2022
- Beginn
- 30.03.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Fall
Head injury
Neurological examination
Syncope
Symptomtext
A few minutes after receiving vaccines, approx 8:10pm, the pt fainted and fell in the exam room. The fall was witnessed by the pt's aunt. Per pt's aunt, the pt "got up from the table, fainted, fell and hit his head on the floor." When the nurse arrived to the room, the pt was laying on the floor with the aunt rubbing his head. Pt opened his eyes. The doctor was immediately called to the room and vital signs were taken. Pt denied pain and dizziness. Pt slowly got up from the floor and was able to sit on the table. Pt denied nausea, dizziness, and pain. The doctor assessed the pt and completed a neuro exam. The doctor advised the aunt to take the pt to the ER if pt c/o h/a, n/v, blurry vision. Pt stayed in waiting area for observation before leaving. Upon leaving, pt states he is feeling better. He continues to deny pain, dizziness, and nausea.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Syncope
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- None reported.
- Vorgeschichte
- None reported.
- Andere Medikamente
- NA
- Allergien
- No known allergies.
- Vorherige Impfungen
- -
- Staat
- MA
- Alter
- 11,0
- Geschlecht
- F
- 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: nein
Syncope
Symptomtext
Patient fainted less than 5 minutes after vaccination. EMS was called to transport pt to ED for further eval, but mom and patient left the clinic.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Syncope
- Hospital-Tage
- -
- Labordaten
- none.
- Aktuelle Erkrankungen
- Hx of hypoglycemia
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- Ceftriaxone Sodium
- Vorherige Impfungen
- -
- Staat
- DE
- Alter
- 17,0
- Geschlecht
- M
- Eingang
- 16.02.2022
- Impfdatum
- 16.02.2022
- Beginn
- 16.02.2022
- Tage bis Beginn
- 0,0
- Dosis
- 2
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Asthenia
Eye movement disorder
Hyperhidrosis
Loss of consciousness
Pallor
Unresponsive to stimuli
Vomiting
Symptomtext
Pt was here for his 17yr physical exam today at 8:30am. When exam was completed, I administered the ordered vaccines: Administered Influenza and Menactra in Left deltoid, then administered Trumenba in Right deltoid. Immediately after giving the Trumenba, pt leaned back against the wall and was grabbing his right arm. I asked if he felt ok, he said yes. I asked if he has eaten anything yet this morning and he replied no, so I gave him a juicebox. I advised pt and his mother the concern for possible passing out due to receiving vaccines early in the morning on an empty stomach. Mom assured me he was ok and I left the room. Around 9:15am, I was alerted to patients status and went into the exam room. At that time, pt was sitting in a chair and was extremely pale. Immediately alerted provider and she came into the exam room. His eyes rolled back and seemed to have passed out, was unresponsive for about 5-10 seconds. Pt then opened his eyes and was responsive and vomited small amount onto the floor. He was weak and sweating. Applied icepack to back of his neck, then was given water and some pretzels. Continued to have pt sit and was monitored by RN, for about 10 more minutes. At that time, pt reprted he was feeling normal. Pt and mother felt they were comfortable to leave, they left the office around 9:31am. Advised mom to please notify office asap of any changes or symptoms today, also notify us if pt develops fever or chills tonight.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Loss of consciousness
- Hospital-Tage
- -
- Labordaten
- None
- Aktuelle Erkrankungen
- NONE
- Vorgeschichte
- Psoriasis; Pectus Excavatum.
- Andere Medikamente
- Ketoconazole 2% shampoo; Ketoconazole 2% cream.
- Allergien
- NKA
- Vorherige Impfungen
- -
- Staat
- ID
- Alter
- 16,0
- Geschlecht
- F
- Eingang
- 13.10.2022
- Impfdatum
- 26.07.2022
- Beginn
- 24.08.2022
- Tage bis Beginn
- 29,0
- Dosis
- UNK
- Route/Site
- OT / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Blood chloride increased
Chest X-ray normal
Cold sweat
Electrocardiogram normal
Nervousness
Pallor
Supraventricular tachycardia
Symptomtext
episode of supraventricular tachycardia (SVT) with heartbeat in the 290s range.; pale; clammy; scared; Initial information was received on 06-Oct-2022 regarding an unsolicited valid non-serious case received from a nurse. This case is linked to case 2022SA414365. This case involves a 16 years old female patient who experienced episode of supraventricular tachycardia (svt) with heartbeat in the 290s range. while receiving vaccine MENINGOCOCCAL A-C-Y-W135 (D CONJ) VACCINE [MENACTRA]. The patient's past medical treatment included MENINGOCOCCAL VACCINE A/C and TDAP on 11-JUL-2018. The patient's past medical history, vaccination(s) and family history were not provided. On 26-Jul-2022, the patient received 0.5 ml of suspect MENINGOCOCCAL A-C-Y-W135 (D CONJ) VACCINE (lot U7268AA) (strength and expiry: unknown) via intramuscular route in the left deltoid prophylactic vaccination. On 24-AUG-2022 the patient developed a non-serious episode of supraventricular tachycardia (svt) with heartbeat in the 290s range. (supraventricular tachycardia) with symptoms pale (pallor) clammy (cold sweat) and scared (nervousness) (latency 29 days) following the administration of MENINGOCOCCAL A-C-Y-W135 (D CONJ) VACCINE. It was reported that "The ER doctor advised her to follow-up with her primary care physician. Two days later, on 26-Aug-2022, they saw a new pediatrician, who advised follow-up with a pediatric cardiologist. She saw the pediatric cardiologist on 27-Sep-2022". Relevant laboratory test results included: Blood chloride - On an unknown date: [slightly elevated levels] Chest X-ray - On an unknown date: [normal] Electrocardiogram - On an unknown date: [normal] Heart rate - On 24-Aug-2022: 270 beats/min then 298 beats/min [via pulse oximeter] then 204 beats/min then 88 beats/min Action taken with MENINGOCOCCAL VACCINE (MENACTRA) was not applicable. Corrective treatment-intravenous fluids and follow-up care At time of reporting, the outcome was Recovering / Resolving for the event episode of supraventricular tachycardia (svt) with heartbeat in the 290s range
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Supraventricular tachycardia
- Hospital-Tage
- -
- Labordaten
- Test Name: chloride; Result Unstructured Data: slightly elevated levels; Test Name: chest x-ray; Result Unstructured Data: normal; Test Name: twelve-lead EKG; Result Unstructured Data: normal; Test Date: 20220824; Test Name: Heart beat; Test Result: 270 {DF}; Test Date: 20220824; Test Name: Heart beat; Test Result: 298 {DF}; Result Unstructured Data: via pulse oximeter; Test Date: 20220824; Test Name: heart rate; Test Result: 204 {DF}; Test Date: 20220824; Test Name: heart rate; Test Result: 88 {DF}
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- CT
- Alter
- 16,0
- Geschlecht
- F
- Eingang
- 04.03.2022
- Impfdatum
- 04.03.2022
- Beginn
- 04.03.2022
- Tage bis Beginn
- 0,0
- Dosis
- 2
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: ja
Erholt: unbekannt
Abdominal pain
Dyspnoea
Immediate post-injection reaction
Injection site erythema
Nausea
Symptomtext
Immediate difficulty breathing, abdominal pain, nausea, and redness at injection site.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Dyspnoea
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- -
- Alter
- 17,0
- Geschlecht
- F
- Eingang
- 09.08.2022
- Impfdatum
- 09.08.2022
- Beginn
- 09.08.2022
- Tage bis Beginn
- 0,0
- Dosis
- 2
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Dizziness
Feeling hot
Pallor
Symptomtext
Patient came into the clinic for her required Menactra vaccine for school. After giving vaccines to her and her 3 siblings, patient started feeling lightheaded and dizzy. She was then offered juice, and patient started feeling better, not as lightheaded and dizzy but reported feeling hot. We asked if she had ate before this appointment and she reports that she did not. Patient then said she was okay to return to the lobby to wait the 15 minutes with her brothers, who received their covid vaccine. Patient vitals were checked in the lobby of the clinic when she started to look pale. Vitals with were low. More juice was given and patient started to feel better and regained color.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Dizziness
- Hospital-Tage
- -
- Labordaten
- BLOOD PRESSURE AND PULE
- Aktuelle Erkrankungen
- NO
- Vorgeschichte
- NO
- Andere Medikamente
- NO
- Allergien
- NO
- Vorherige Impfungen
- -
- Staat
- NC
- Alter
- 48,0
- Geschlecht
- F
- Eingang
- 03.08.2022
- Impfdatum
- 02.08.2022
- Beginn
- 02.08.2022
- Tage bis Beginn
- 0,0
- Dosis
- 2
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Pain in extremity
Peripheral swelling
Skin warm
Tenderness
Symptomtext
Patient states that left arm began swelling and becoming sore the night of the vaccination. She states that it is warm, tender and swollen. She went to PCP and they gave her a tordal injection to relieve the pain. Instructed to take benadryl and pepcid by PCP.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Pain in extremity
- Hospital-Tage
- -
- Labordaten
- n/a
- Aktuelle Erkrankungen
- Shingles (07/28/2022)
- Vorgeschichte
- Sarcoidosis Hypertension Seasonal Allergies IBS
- Andere Medikamente
- Lisinopril 5mg Linzess 290mg OTC Pre Probiotic Claritin 10mg
- Allergien
- None
- Vorherige Impfungen
- -
- Staat
- CO
- Alter
- 16,0
- Geschlecht
- M
- Eingang
- 01.08.2022
- Impfdatum
- 15.07.2022
- Beginn
- 16.07.2022
- Tage bis Beginn
- 1,0
- Dosis
- UNK
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Lymph node pain
Lymphadenopathy
Ultrasound lymph nodes
X-ray normal
Symptomtext
tender. reactionary lymph node by right clavical present 24 hrs after administration of MCV vaccine completed xray WNL completed ultrasound confirmed small lymph node, slightly mobile tender. denies any other symptoms at this time
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Lymph node pain
- Hospital-Tage
- -
- Labordaten
- xray WNL, ultrasound lymph node dx confirmed
- Aktuelle Erkrankungen
- none
- Vorgeschichte
- None
- Andere Medikamente
- No medications taken
- Allergien
- NKA
- Vorherige Impfungen
- -
- Staat
- IN
- Alter
- 11,0
- Geschlecht
- M
- Eingang
- 09.06.2022
- Impfdatum
- 09.06.2022
- Beginn
- 09.06.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Dizziness
Pallor
Symptomtext
Presents today for vaccinations. Needs Meningitis and TDAP. No complaints. Received vaccination in the past with no reaction. After receiving the injection, began feeling light headed and dizzy. Patient appeared pale. Did not appear to have an seizure like activity. Respirations were easy and unlabored. However, blood pressure was normal. Patient was still awake and alert. Room was hot. Patient did not have food to eat prior to coming to clinic. After resting and ice pack placed on the back of the neck, patient blood pressure was normal, heart rate was normal. Still awake and alert. Repeat blood pressure and HR - normal Advised mom that this is not a normal reaction after receiving vaccine. Gave parent number to report to VARES regarding. Also advised the he not receive Menactra in the future. Mother verbalized understanding and agreement. This provider will report this reaction as well.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Dizziness
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- None
- Andere Medikamente
- None
- Allergien
- None
- Vorherige Impfungen
- -
- Staat
- IN
- Alter
- 17,0
- Geschlecht
- M
- 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
Dizziness
Immunisation reaction
Pallor
Symptomtext
Presents today for vaccinations. Needs Meningitis No complaints. Received vaccination in the past with no reaction. After receiving the injection, began feeling light headed and dizzy. Patient appeared pale. Did not appear to have an seizure like activity. Respirations were easy and unlabored. However, blood pressure was 70's/40's. Patient was still awake and alert. Room was hot. Patient did have food to eat prior to coming to clinic. After resting and ice pack placed on the back of the neck, patient blood pressure was 80's/50's, heart rate was high 40's. Still awake and alert. Repeat blood pressure began climbing to normal levels, 90's/50's and heart rate was 64. Last blood pressure was 116/54; heart rate was 65. Patient still awake and alert and in no acute distress. Advised mom that this is not a normal reaction after receiving vaccine. Gave parent number to report to VARES regarding. Also advised the he not receive Menactra in the future. Mother verbalized understanding and agreement. This provider will report this reaction as well.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Dizziness
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- None
- Andere Medikamente
- None
- Allergien
- Allergies to multiple foods
- Vorherige Impfungen
- -
- Staat
- PA
- Alter
- 17,0
- Geschlecht
- F
- Eingang
- 02.06.2022
- Impfdatum
- 26.04.2022
- Beginn
- 26.04.2022
- Tage bis Beginn
- 0,0
- Dosis
- 2
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Nausea
Vision blurred
Vitreous floaters
Symptomtext
Child's mother called the office at 413pm on 4/26/2022 and reported child was having blurry vision, seeing floaters, ad nauseated. Mother was directed to take child to ER. Attempts to reach family to update on the status of child's status have unsuccessful.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Nausea
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- none
- Vorgeschichte
- migraines
- Andere Medikamente
- none
- Allergien
- none
- Vorherige Impfungen
- -
- Staat
- FL
- Alter
- 16,0
- Geschlecht
- M
- Eingang
- 28.05.2022
- Impfdatum
- 18.05.2022
- Beginn
- 18.05.2022
- Tage bis Beginn
- 0,0
- Dosis
- 2
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Chills
Diarrhoea
Erythema
Localised oedema
Tenderness
Symptomtext
in the evening after vaccination, pt experienced chills and loose stools. Resolved by next day 3 days later (on 5/23/22), pt started with tenderness and local edema of erythema of left deltoid (site of meningitis injection). Worsening on 5/24, then started to improve on 5/25 when pt was seen in clinic
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Chills
- Hospital-Tage
- -
- Labordaten
- none
- Aktuelle Erkrankungen
- none
- Vorgeschichte
- none
- Andere Medikamente
- none
- Allergien
- none
- Vorherige Impfungen
- -
- Staat
- AZ
- Alter
- 11,0
- Geschlecht
- M
- Eingang
- 14.04.2022
- Impfdatum
- 11.04.2022
- Beginn
- 12.04.2022
- Tage bis Beginn
- 1,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Rash
Rash pruritic
Urticaria
Symptomtext
rahs - irregular shaped wheals, pruritic in nature - hives resolved by 4/14 w/ use of Benadryl
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Rash
- Hospital-Tage
- -
- Labordaten
- not applicable
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- ADHD
- Andere Medikamente
- Amphetamine-Dextroamphet ER
- Allergien
- None known
- Vorherige Impfungen
- -
- Staat
- MP
- Alter
- 11,0
- Geschlecht
- F
- Eingang
- 11.04.2022
- Impfdatum
- 07.04.2022
- Beginn
- 07.04.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Nausea
Symptomtext
Pt came to location for immunization. Verified pt name, DOB, and allergies. Explained to pt what vaccines will be given. Pt verbalized understanding. Vaccines administered. Pt tolerated the injections well. Pt understood aftercare instructions for pain/fever. Pt was observed and started to feel like vomiting. Pt was escorted to the nurse's room by nurse who took over the situation. BP: 109/59 | O2: 99% | P: 80 BP: 110/63 | O2: 99% | P: 80 Pt stated she felt better and was released back to class. School contacted parent and explained the situation. Staff attempted to call the parent, but still awaiting phone call back.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Nausea
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- None stated
- Vorgeschichte
- None stated
- Andere Medikamente
- None stated
- Allergien
- None stated
- Vorherige Impfungen
- -
- Staat
- MP
- Alter
- 11,0
- Geschlecht
- F
- Eingang
- 11.04.2022
- Impfdatum
- 07.04.2022
- Beginn
- 07.04.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Nausea
Symptomtext
Pt came to location for immunization. Verified pt name, DOB, and allergies. Explained to pt what vaccines will be given. Pt verbalized understanding. Vaccines administered. Pt tolerated the injections well. Pt understood aftercare instructions for pain/fever. Pt was observed and started to feel like vomiting. Pt escorted to nurse's room by school nurse. BP: 92/62 | O2: 97% | P:94 BP: 93/55 | O2:100 % Pt felt better and was sent back to class in stable condition. School contacted parents about the situation, and nurse also spoke with pt parent about the situation.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Nausea
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- None stated
- Vorgeschichte
- None stated
- Andere Medikamente
- None stated
- Allergien
- None stated
- Vorherige Impfungen
- -
- Staat
- OH
- Alter
- 26,0
- Geschlecht
- M
- Eingang
- 28.10.2021
- Impfdatum
- 25.10.2021
- Beginn
- 25.10.2021
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Myalgia
Wrong product administered
Symptomtext
Patient was brought to pharmacy in wheelchair for a pneumovax 23 vaccine and received a menactra vaccine on accident. Pharmacy proceeded to give intended pneumo vaccine in the other arm.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Myalgia
- Hospital-Tage
- -
- Labordaten
- Mother, who is caregiver, reported muscle aches for patient after receiving unintended menactra vaccine
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- wheel-chair bound, skeletal neurological condition
- Andere Medikamente
- unknown
- Allergien
- unknown
- Vorherige Impfungen
- -
- Staat
- MA
- Alter
- 73,0
- Geschlecht
- M
- Eingang
- 11.05.2023
- Impfdatum
- -
- Beginn
- 04.05.2023
- Tage bis Beginn
- -
- Dosis
- 1
- Route/Site
- OT / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Expired product administered
Medication error
No adverse event
Symptomtext
patient was given an expired menactra with no reported adverse event; Initial information received on 04-May-2023 regarding an unsolicited valid non-serious case received from other health professional. This case involves a 73 years old male patient who was given an expired Meningococcal A-C-Y-W135 (D CONJ) vaccine [Menactra] with no reported adverse event. The patient's past medical history, medical treatment(s), vaccination(s) and family history were not provided. Concomitant medications included Pneumococcal vaccine Polysacch 23V (Pneumovax) for Immunization. On 04-May-2023, the patient received 0.5 ml dose (dose 1) (total) of suspect Meningococcal A-C-Y-W135 (D CONJ) vaccine (strength: standard) Solution for injection of lot U7268AA and expiry: 22-Apr-2023 via intramuscular route in the right deltoid for immunization. On 04-May-2023, the patient developed a non-serious event patient was given an expired Meningococcal A-C-Y-W135 (D CONJ) vaccine with no reported adverse event (expired product administered) (latency: Same day). No lab data was reported. 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
- -
- Staat
- PA
- Alter
- 71,0
- Geschlecht
- M
- Eingang
- 01.03.2023
- Impfdatum
- 23.02.2023
- Beginn
- 23.02.2023
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- OT / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Medication error
No adverse event
Wrong product administered
Symptomtext
RN states that she mistakenly administered a manectra vaccination to a patient instead of the intended MMR (with no reported adverse event); Initial information was received on 23-Feb-2023 regarding an unsolicited valid non-serious case received from a other health professional. This case involves 71 years old male patient who reported that RN states that she mistakenly administered a manectra vaccination to a patient instead of the intended MMR (with no reported adverse event) after receiving 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 23-Feb-2023, the patient received a dose of 0.5 ml of suspect meningococcal a-c-y-w135 (d conj) vaccine(Solution for injection) (lot U7268AA, Expiry date : 22-Apr-2023) (strength : unknown) via intramuscular route in the left deltoid for Immunization. On 23-Feb-2023 the patient developed a non-serious event of RN states that she mistakenly administered a manectra vaccination to a patient instead of the intended MMR (with no reported adverse event) (wrong product administered) (latency: same day) following the administration of meningococcal a-c-y-w135 (d conj) vaccine. Action taken with meningococcal vaccine (Menactra) was not applicable. At time of reporting, the outcome was Unknown for the event RN states that she mistakenly administered a manectra vaccination to a patient instead of the intended MMR (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 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
- Medication error
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- MI
- Alter
- 1,0
- Geschlecht
- F
- Eingang
- 24.08.2022
- Impfdatum
- 10.08.2022
- Beginn
- -
- Tage bis Beginn
- -
- Dosis
- 1
- Route/Site
- IM / LL
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Wrong product administered
Symptomtext
Patient given MCV4 instead of PCV13.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Wrong product administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- OH
- Alter
- 18,0
- Geschlecht
- M
- Eingang
- 08.08.2022
- Impfdatum
- 03.08.2022
- Beginn
- 03.08.2022
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Extra dose administered
No adverse event
Symptomtext
No adverse events, but received 3 dose
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Extra dose administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- LA
- Alter
- 11,0
- Geschlecht
- F
- Eingang
- 01.08.2022
- Impfdatum
- 19.07.2022
- Beginn
- 19.07.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- OT / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Medication error
No adverse event
Poor quality product administered
Symptomtext
temperature excursion range from 31.7F to 52.4F for 300 hours due to a refrigerator malfunction; vaccine administration post excusrion; medication error due to administration post excursion vaccine with no adverse event; Initial information received on 22-Jul-2022 regarding an unsolicited valid non-serious case received from a other health professional. This case involves a 11 years old female patient who experienced medication error due to administration post excursion vaccine with no adverse event, temperature excursion range from 31.7f to 52.4f for 300 hours due to a refrigerator malfunction and vaccine administration post excusrion while 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. Concomitant medications included DIPHTHERIA VACCINE TOXOID, PERTUSSIS VACCINE ACELLULAR 5-COMPONENT, TETANUS VACCINE TOXOID (ADACEL). On 19-Jul-2022, the patient received a 0.5 ml dose of suspect MENINGOCOCCAL A-C-Y-W135 (D CONJ) VACCINE once (lot U7268AA; expiry date: 22-Apr-2023) via intramuscular route in the right deltoid for immunization. On 19-JUL-2022 the patient developed a non-serious medication error due to administration post excursion vaccine with no adverse event (medication error), vaccine administration post excusrion (poor quality product administered) and On an unknown date the patient developed a non-serious temperature excursion range from 31.7f to 52.4f for 300 hours due to a refrigerator malfunction (product storage error) following the administration of MENINGOCOCCAL A-C-Y-W135 (D CONJ) VACCINE. Action taken: not applicable. At time of reporting, the outcome was Unknown for the event medication error,poor quality product administered, product storage error 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
- Medication error
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- NC
- Alter
- 17,0
- Geschlecht
- F
- Eingang
- 03.07.2022
- Impfdatum
- 21.06.2022
- Beginn
- 21.06.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- OT / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Extra dose administered
No adverse event
Symptomtext
given an extra dose of MENACTRA (with no reported adverse event); Initial information received on 21-Jun-2022 regarding an unsolicited valid non-serious case received from a other health professional. This case involves a 17 years old female patient who was given an extra dose of menactra (with no reported adverse event) while 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 21-Jun-2022, the patient received a 0.5ml of dose of suspect MENINGOCOCCAL A-C-Y-W135 (D CONJ) VACCINE (formulation, strength: unknown) lot U7268AA, expiration date: 22-Apr-2023, via intramuscular route in the right arm as Immunisation. The patient used the product for the first time. On 21-JUN-2022 the patient was given an extra dose of menactra (with no reported adverse event) (extra dose administered) same day following the administration of MENINGOCOCCAL A-C-Y-W135 (D CONJ) VACCINE. Action taken was not applicable. It was not reported if the patient received a corrective treatment for the event (given an extra dose of MENACTRA (with no reported adverse event)). At time of reporting, the outcome was Unknown for the event. This suspected adverse reaction report is submitted and classified as a medication error solely and exclusively to ensure the marketing authorization holder's compliance with the requirements set out in the guidelines. The classification as a medical error is in no way intended, nor should it be interpreted or construed as an allegation or claim made by the marketing authorization holder that any third party has contributed to or is to be held liable for the occurrence of this medication error.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Extra dose administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- LA
- Alter
- 18,0
- Geschlecht
- M
- Eingang
- 15.06.2022
- Impfdatum
- 14.06.2022
- Beginn
- 14.06.2022
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Extra dose administered
No adverse event
Wrong product administered
Symptomtext
Men B dose #1 was ordered in chart by physician. Nurse inadvertently gave Menactra instead. When she realized the error she then gave patient the Men B that was originally ordered. Nurse informed charge nurse and physician of error. Physician informed patient and parent that an extra dose of Menactra was inadvertently given. Patient was observed in clinic and no adverse effectes were reported. Paitent and parent instructed if any symptoms oor side effects develop to seek immediate medical attention.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Extra dose administered
- Hospital-Tage
- -
- Labordaten
- N/A
- Aktuelle Erkrankungen
- n/A
- Vorgeschichte
- None
- Andere Medikamente
- n/a
- Allergien
- NKDA
- Vorherige Impfungen
- -
- Staat
- NV
- Alter
- 16,0
- Geschlecht
- F
- Eingang
- 09.06.2022
- Impfdatum
- 27.04.2022
- Beginn
- 01.04.2022
- Tage bis Beginn
- -
- Dosis
- 2
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Expired product administered
No adverse event
Symptomtext
Covid vaccine given after the adjusted use-by date but before the official expiration date. There was no adverse event per, local health dept instructed us to file this report anyway.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Expired product administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- -
- Alter
- 17,0
- Geschlecht
- U
- Eingang
- 06.05.2022
- Impfdatum
- 01.04.2022
- Beginn
- -
- Tage bis Beginn
- -
- Dosis
- UNK
- Route/Site
- OT / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
No adverse event
Product storage error
Symptomtext
total time out of range is 2 days with a minimum of 9.2C and maximum of 28.3C, 30 minutes with a minimum of 12.3C and maximum of 15.6C, 1 hour with a minimum of negative 1.8C and maximum of 1.8C with no reported adverse event; Initial information regarding an unsolicited valid non-serious case received from health professional received on 29-Apr-2022. This case involves a 17 years old patient of unknown gender who was administered vaccine with reported total time out of range is 2 days with a minimum of 9.2c and maximum of 28.3c, 30 minutes with a minimum of 12.3c and maximum of 15.6c, 1 hour with a minimum of negative 1.8c and maximum of 1.8c with no reported adverse event while 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 17-Oct-2021, It was reported that temperature excursion of Menactra vaccine occurred with total time out of range is 2 days with a minimum of 9.2c and maximum of 28.3c, on 19-Oct-2021, temperature excursion occurred with 30 minutes with a minimum of 12.3c and maximum of 15.6c, 1 hour with a minimum of negative 1.8c and maximum of 1.8c with no reported adverse event (product temperature excursion issue). On 01-Apr-2022, the patient received a dose of suspect Menactra vaccine (lot U7268AA, expiry date: 22-Apr-2023) (formulation, strength, dose, lot number, expiration date, route of administration and administration site: unknown) as prophylactic vaccination (immunization). Action taken: Not applicable. At time of reporting, the outcome was Unknown for the event.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- No adverse event
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- AL
- Alter
- 7,0
- Geschlecht
- M
- Eingang
- 21.03.2022
- Impfdatum
- 15.03.2022
- Beginn
- 15.03.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Extra dose administered
Incorrect dose administered
Symptomtext
TDAP, Menactra, HPV given on incorrect dosage schedule. Prevnar given as an extra dose. Child was 7 years old. Vaccines was accepted by system.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Extra dose administered
- Hospital-Tage
- -
- Labordaten
- None
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- Herpes Labialis, Childhood Obesity, ADHD, Atopic Dermatitis
- Andere Medikamente
- Acyclovir, Dextroamphetamine-Amphetamine, Guanfacine,
- Allergien
- None
- Vorherige Impfungen
- -