- Staat
- KS
- Alter
- 11,0
- Geschlecht
- M
- Eingang
- 07.04.2023
- Impfdatum
- 07.04.2023
- Beginn
- 07.04.2023
- Tage bis Beginn
- 0,0
- Dosis
- N/A
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Altered state of consciousness
Crying
Depressed level of consciousness
Dyskinesia
Fall
Head injury
Headache
Seizure like phenomena
Tremor
Symptomtext
(RN) was giving client HPV vaccination in right arm while client was sitting on client table. Client was facing mom, w/ his back to the wall. RN gave shot & went to put band aid on when client started to have shaking, convulsion-or-seizure-like movements and fell backward while still sitting and hit the back of his head on the office wall. Mom stated client's eyes remained open but did not seem alert or aware of what was happening. Mom grabbed patient and helped him lie down on the client table. Client immediately became aware that he might have 'blacked out' or passed out, and then started crying while lying on the client table. RN & mom tried to comfort client & asked how he was feeling. Client stated he felt fine but did have a headache that felt like it was on the top part of his head. Client remained lying and/or sitting on client table for 15 minutes + to make sure he was feeling ok. RN told client's mom that when she felt comfortable, they were ok to leave as long as client was feeling ok. Client walked out of office and building on his own, without assistance.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Seizure like phenomena
- Hospital-Tage
- -
- Labordaten
- None
- Aktuelle Erkrankungen
- None that were reported
- Vorgeschichte
- None that were reported
- Andere Medikamente
- -
- Allergien
- Rash when take cephalexin
- Vorherige Impfungen
- -
- Staat
- CO
- Alter
- 11,0
- Geschlecht
- F
- Eingang
- 13.09.2022
- Impfdatum
- 13.09.2022
- Beginn
- -
- Tage bis Beginn
- -
- Dosis
- 1
- Route/Site
- IM / AR
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Dizziness
Musculoskeletal stiffness
Seizure
Tremor
Symptomtext
After receiving vaccines in office patient felt dizzy, sat in mom's lap then had brief seizure. Body stiffening, shaking, lasted 30-60 seconds. resolved
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Seizure
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- N/A
- Vorgeschichte
- N/A
- Andere Medikamente
- N/A
- Allergien
- N/A
- Vorherige Impfungen
- -
- Staat
- VA
- Alter
- 17,0
- Geschlecht
- F
- Eingang
- 19.08.2022
- Impfdatum
- 19.08.2022
- Beginn
- 19.08.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Immediate post-injection reaction
Presyncope
Symptomtext
The child is a under care. The child immediately had a vasovagal reaction after injection of HPV vaccine. She did not loss consciousness . The FNP was called into the room and had the child lie down and drink Gatorade and eat a popsicle. Less than 5 minutes after she started to eat the popsicle, color had returned to the child's face. Within 10 minutes she stated she felt better. She was able to walk normally and move all 4 extremities well. The child denied pain. No swelling or redness noted at the injection site. No respiratory distress noted. After the 15 minute observation period, the child left the office. The child and staff who had accompanied child were instructed to call the clinic as needed,
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Presyncope
- Hospital-Tage
- -
- Labordaten
- None
- Aktuelle Erkrankungen
- None known, none diagnosed or disclosed
- Vorgeschichte
- None known, none diagnosed or disclosed
- Andere Medikamente
- Multivitamin gummies 2 a day
- Allergien
- No known allergies to food or drugs
- Vorherige Impfungen
- -
- Staat
- CA
- Alter
- 18,0
- Geschlecht
- F
- Eingang
- 09.08.2022
- Impfdatum
- 09.08.2022
- Beginn
- 09.08.2022
- Tage bis Beginn
- 0,0
- Dosis
- 2
- Route/Site
- IM / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Blood glucose normal
Blood pressure decreased
Full blood count
Headache
Injection site pain
Metabolic function test
Nausea
Presyncope
Tremor
Vomiting
Symptomtext
Sudden nausea, headache, shaking 40 mins after vaccine Vomiting x1 Slight decreased in baseline BP 106/50 Reports injection was painful NO LOC Sx Resolved after NS Bolus 1000ml NO Epinephrine given Suspect vasovagal response
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Presyncope
- Hospital-Tage
- -
- Labordaten
- CBC, BMP, Glucose normal
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- None
- Andere Medikamente
- None
- Allergien
- None
- Vorherige Impfungen
- -
- Staat
- MN
- Alter
- 12,0
- Geschlecht
- F
- Eingang
- 09.08.2022
- Impfdatum
- 08.08.2022
- Beginn
- 08.08.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- SYR / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Condition aggravated
Seizure
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Seizure
- Hospital-Tage
- -
- Labordaten
- none
- Aktuelle Erkrankungen
- none
- Vorgeschichte
- history of idiopatic seizure
- Andere Medikamente
- vitamin D multivitamin
- Allergien
- none
- Vorherige Impfungen
- -
- Staat
- OH
- Alter
- 13,0
- Geschlecht
- M
- Eingang
- 15.06.2022
- Impfdatum
- 15.06.2022
- Beginn
- 15.06.2022
- Tage bis Beginn
- 0,0
- Dosis
- 6
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Anxiety
Crying
Cyanosis
Dizziness
Eye movement disorder
Loss of consciousness
Nausea
Pallor
Symptomtext
At 0930 on 6/15/2022, completed administration of immunizations to client (order Right Arm: Hep A, MenQuadfi, Left Arm: Tdap, HPV). After five seconds, client's skin color became pale, lip color turned blue, eyes rolled into head, and client lost consciousness. Client unconscious for thirty seconds before awaking. Client alert but oriented to person. Client anxious, crying. Assured client he was safe and brought mother around into client's vision better. Reclined chair back 45 degrees. Used cool compress to the temples. After five minutes of mother talking and providing touch, client stopped crying and became oriented x 4. Client stated felt dizzy and nauseous. RN gave client some time but also outlined for mother and client goals for client to drink, eat, and be steady on feet before client could leave clinic. Provided water and Graham crackers. After five minutes, client sat forward on own in chair and able to tolerate water and graham crackers. Skin color pink, lip color pink, behavior almost returned to baseline. After five minutes, client wants to attempt standing. Client stood and took five steps in room; client stated feeling dizzy. Returned client to reclined chair, encouraging client to sip water. After ten minutes, client attempts standing again. Client able to tolerate. RN and mother escort client to private vehicle.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Loss of consciousness
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- Cephalexin - causes lip swelling and multiple mouth sores
- Vorherige Impfungen
- -
- Staat
- MN
- Alter
- 25,0
- Geschlecht
- F
- Eingang
- 31.05.2022
- Impfdatum
- 31.05.2022
- Beginn
- 31.05.2022
- Tage bis Beginn
- 0,0
- Dosis
- N/A
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Confusional state
Disorientation
Hypotonia
Loss of consciousness
Pallor
Syncope
Symptomtext
pt had syncopal event following tdap and varivax administration. she was okay during tdap shot and immediately after safety mechanism activated with varivax, she experienced her event. she pasted out for no more than 5 seconds. She slumped back into her chair without sustaining injury. i was able to lift her upright and she immediately regained consciousness. she was pale and confused at first and i was able to orientate her to person place and time. i administered cold compress and cold water. code was called to pharmacy. in discussion following event, she told me she did not eat much for lunch and had just started her new job. I had a tech grab her gatorade to give hydration, sucrose and electrolytes. she regained her pre-vaccine color. we all suggested she remain in pharmacy for at least 30 minutes, walk around the store for 5 minutes to ensure no repeat events and instructed her to have a family member come support her leaving. her aunt lives close and she called her to tell her she is coming to expect her arrival. she left on her own
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Loss of consciousness
- Hospital-Tage
- -
- Labordaten
- none
- Aktuelle Erkrankungen
- none
- Vorgeschichte
- none
- Andere Medikamente
- Tdap and Varivax
- Allergien
- Vicodin
- Vorherige Impfungen
- she feels this way with all shots before but never passed out
- Staat
- TX
- Alter
- 12,0
- Geschlecht
- M
- Eingang
- 03.08.2023
- Impfdatum
- 03.08.2023
- Beginn
- 03.08.2023
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Chest discomfort
Dyspnoea
Symptomtext
Patient complained of not being being able to catch his breath. Chest was feeling tight. No complaints of feeling dizzy. 10:35 am his vitals 02 sat were 99 Heart rate was 85 Blood Pressure 100/65 respiration 24 and patient stated he felt better. NO signs or symptoms of respiratory distress noted. Vital signs prior to release at 10:50 am were 02 sat 99%. Heart rate 82. Blood pressure 108/66. Respiratory rate was 20. Patient stated he continued to feel fine. No respiratory distress noted. Released to leave at 10:53 with guardian/aunt.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Dyspnoea
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- N/A
- Vorgeschichte
- N/A
- Andere Medikamente
- N/A
- Allergien
- N/A
- Vorherige Impfungen
- -
- Staat
- KS
- Alter
- 68,0
- Geschlecht
- F
- Eingang
- 17.08.2023
- Impfdatum
- 15.08.2023
- Beginn
- 16.08.2023
- Tage bis Beginn
- 1,0
- Dosis
- UNK
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Abdominal discomfort
Diarrhoea
Headache
Malaise
Nausea
Symptomtext
Nausea, headache, uneasy stomach, diarrhea, general malaise.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Diarrhoea
- Hospital-Tage
- -
- Labordaten
- None
- Aktuelle Erkrankungen
- No
- Vorgeschichte
- Noone
- Andere Medikamente
- Vitamin C, calcium vitamin d citalopram, atorvastatin, losartan
- Allergien
- sulfa, Lisinopril, Sporanox
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 12,0
- Geschlecht
- F
- Eingang
- 31.05.2023
- Impfdatum
- 31.05.2023
- Beginn
- 31.05.2023
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Headache
Hypoacusis
Immunisation reaction
Nausea
Pallor
Skin warm
Visual impairment
Symptomtext
PATIENT RECEIVED VACCINES AT 1251PM AND AFTER SHE SAT DOWN FOR OBSERVATION, PATIENT HAD A REACTION. PT STATED SHE BEGAN TO SEE BLACK SPOTS, AND WAS NOT ABLE TO HEAR CLEARLY. DESCRIBED IT AS BEING UNDERWATER. PT STATED SHE STARTED TO FEEL NAUSEATED, WITH PAIN BEHIND HER HEAD. VITALS WAS TAKEN DURING REACTION WITH DIFFICULTY GETTING BP READING. P-64, O2SATS @100, LIPS PALE WITH SKIN WARM TO TOUCH,AT 1306 PM BLOOD PRESSURE READING AT 116/64, P-88, O2 SATS @98%. COLOR TO FACE AND LIPS VISIBLE (NO PALOR). PT. MONITORED FOR 30 MINUTES AND IS HEARING AND SEEING WELL, NO MRE PAIN TO HEAD. MOTHER ASKED IF DAUGHTER HAD EAEN THIS MORNING AND SHE SAID NO AND NO FLUIDS. ADVISED MOTHER TO GIVE FOOD THAT SHE CAN TOLERATE AND TO HYDRATE. ADVISED MOTHER IF SYMPTOMS RETURN CALL PEDIATRICIANOR NEAREST ER FOR FURTHER EVALUATION. MOTHER VERBALIZED UNDERSTANDING. BEFORE PATIENT WAS RELEASED THE NURSE HAD HER TO AMBULAABOUT 6 5FT UP AND BACK. NO UNSTABLENESS AND NO SYMPTOMS. PAT STATED SHE FELT GOOD. ADVISED MOTHER TO INFORM PEDIATRICIAN OF POST REACTION TO VACCINES. PATIEN AMBULATED OUT THE DOOR ON HER OWN @ 1335PM.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Headache
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- NONE
- Vorgeschichte
- NONE
- Andere Medikamente
- NONE
- Allergien
- NONE
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 11,0
- Geschlecht
- F
- Eingang
- 08.05.2023
- Impfdatum
- 08.05.2023
- Beginn
- 08.05.2023
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Asthenia
Dizziness
Vision blurred
Symptomtext
After receiving TDAP, HPV, MCV4 vaccines patient began to experience dizziness, weakness, and blurry vision. VS were obtained at 9:55AM; BP 105/70, O2 95%, HR 54. Cold pack was applied to back of neck. Mother stated no prior history of vaccine reactions and no allergies. Patient showed no signs of improvement; EMS was called at 10:07AM. Patient stated she was feeling better at 10:15AM. EMS arrived at 10:20AM, VS retaken O2 100%, HR 90. Patient was transferred to EMS and discharged.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Dizziness
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 46,0
- Geschlecht
- F
- Eingang
- 14.10.2022
- Impfdatum
- 13.10.2022
- Beginn
- 14.10.2022
- Tage bis Beginn
- 1,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Headache
Myalgia
Urticaria
Symptomtext
Headache, Urticaria, Myalgia
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Headache
- Hospital-Tage
- -
- Labordaten
- N/A
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 12,0
- Geschlecht
- F
- Eingang
- 23.09.2022
- Impfdatum
- 20.09.2022
- Beginn
- 23.09.2022
- Tage bis Beginn
- 3,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Injection site erythema
Injection site swelling
Symptomtext
Mother called today to say that school nurse noted that childs arm near injection site was swollen and red (golf ball sized). The mother said that the nurse also told her that the child had been scratching the area and the mother stated she wasn't sure if it wasn't a mosquito bite. I advised mother to take the child to the pediatrician to have it checked out.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Injection site erythema
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- None known
- Vorgeschichte
- Unknown
- Andere Medikamente
- Mother denies any other medications
- Allergien
- Unknown
- Vorherige Impfungen
- -
- Staat
- NY
- Alter
- 65,0
- Geschlecht
- M
- Eingang
- 17.08.2022
- Impfdatum
- 09.08.2022
- Beginn
- 10.08.2022
- Tage bis Beginn
- 1,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Pain in extremity
Peripheral swelling
Symptomtext
left arm swelling and pain
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Pain in extremity
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- none
- Vorgeschichte
- -
- Andere Medikamente
- flonase, xyzal, tamsulosin, coumadin, furosemide, norvasc, famotidine, ferrous gluconate
- Allergien
- pencillin allergy
- Vorherige Impfungen
- -
- Staat
- IL
- Alter
- 32,0
- Geschlecht
- F
- Eingang
- 12.08.2022
- Impfdatum
- 04.08.2022
- Beginn
- 08.08.2022
- Tage bis Beginn
- 4,0
- Dosis
- N/A
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Erythema
Injection site pain
Skin warm
Swelling
Symptomtext
Local 8 days ago had TDAP Getting series Had # 2 dose Last week. The next day got red ane swollen. 1 st TDAP shot 2018 No rxn. Warm area x 4 days. Now better Iced No SOB No mouth swelling. Slight swollen.now + pain Lt upper arm Took Tylenol for temp 100.2 1 week ago. Exam No swelling slight tender No erythema Lt upper arm
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Injection site pain
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 37,0
- Geschlecht
- M
- Eingang
- 10.08.2022
- Impfdatum
- 08.08.2022
- Beginn
- 09.08.2022
- Tage bis Beginn
- 1,0
- Dosis
- UNK
- Route/Site
- SYR / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: ja
Erholt: nein
Diarrhoea
Nausea
Pyrexia
Vomiting
Wound closure
Symptomtext
PT RECEIVED INJECTION 8/8/2022 AT ED AFTER LACERATION REPAIR, 8/10/2022, PT WAS SEEN AT URGENT CARE FOR SX THAT OCCURRED 5 HRS AFTER INJECTION. PT REPORTS FEVER, NAUSEA, VOMITING AND DIARRHEA.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Diarrhoea
- Hospital-Tage
- -
- Labordaten
- NONE
- Aktuelle Erkrankungen
- LACERATION ON RT MIDDLE FINGER
- Vorgeschichte
- UNKNOWN
- Andere Medikamente
- NONE
- Allergien
- PENICILLINS Cephalosporins
- Vorherige Impfungen
- -
- Staat
- MI
- Alter
- 42,0
- Geschlecht
- F
- Eingang
- 25.07.2022
- Impfdatum
- 15.07.2022
- Beginn
- 16.07.2022
- Tage bis Beginn
- 1,0
- Dosis
- 1
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Injection site erythema
Injection site mass
Injection site pain
Injection site swelling
Symptomtext
Patient awoke morning after receiving vaccine and stated she had a large lump the size of a "baseball" at the injection site. Patient stated site was "severely swollen" red and "painful to touch". Patient denied fever, trouble breathing or hives. Patient stated she applied ice to injection site with little relief.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Injection site erythema
- Hospital-Tage
- -
- Labordaten
- N/A
- Aktuelle Erkrankungen
- N/A
- Vorgeschichte
- N/A
- Andere Medikamente
- Varenicline, Escitalopram, Buspirone, Cyclobenzaprine, ProAir, Tramadol, Clobetasol and Xanax
- Allergien
- Sulfamethoxazole and Trimethoprim
- Vorherige Impfungen
- -
- Staat
- MI
- Alter
- 57,0
- Geschlecht
- F
- Eingang
- 22.07.2022
- Impfdatum
- 20.07.2022
- Beginn
- 21.07.2022
- Tage bis Beginn
- 1,0
- Dosis
- UNK
- Route/Site
- SYR / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Chills
Dizziness
Pain in extremity
Symptomtext
Patient became lightheaded and developed chills the day after the vaccine. She also has a sore arm. I spoke with the patient and let her know that these can be side effects of the vaccine. Advised to take tylenol and motrin. Her arm will likely be sore for a couple of days, but the other symptoms should resolve. Asked her to give us a call tomorrow if she's not any better and we'll see if there's anything additional that needs to be done.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Chills
- Hospital-Tage
- -
- Labordaten
- None
- Aktuelle Erkrankungen
- Shoulder pain
- Vorgeschichte
- High cholesterol, hypothyroidism, hypertension, and anxiety.
- Andere Medikamente
- Amlodipine-atorvastatin, Bilberry Plus Lutein, Calcium Citrate, Ginkgo Biloba, Ibuprofen, Iron, Vitamin D, Xanax
- Allergien
- NKA
- Vorherige Impfungen
- -
- Staat
- PA
- Alter
- 54,0
- Geschlecht
- F
- Eingang
- 25.05.2022
- Impfdatum
- 24.05.2022
- Beginn
- 24.05.2022
- Tage bis Beginn
- 0,0
- Dosis
- N/A
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Asthenia
Influenza like illness
Malaise
Pyrexia
Symptomtext
PATIENT PRESENTED TODAY WITH FLU-LIKE SYMPTOMS (FEVER, MAILISE, WEAKNESS) PATIENT ADVISED TO KEEP HYDRATED
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Malaise
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- TN
- Alter
- 12,0
- Geschlecht
- F
- Eingang
- 12.07.2023
- Impfdatum
- 12.07.2023
- Beginn
- 12.07.2023
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Asthenia
Hyperhidrosis
Pallor
Symptomtext
Patient reported she was "a little nervous" about receiving vaccines prior to administration. Patient was crying and tearful when nurse re-entered room to administer vaccines. However, stated she was "ok." Patient was ready to receive vaccines and tolerated well. Allowed patient to sit in clinic room for a couple of minutes prior to going back to waiting area. Patient reported she was fine. Nurse went into clinic waiting area about two minutes later and noticed patient appeared pale and diaphoretic. Assisted patient back into clinic room. Patient was weak. Assisted her to lay down on clinic table, elevated feet, and placed a cool towel on her face. Within about one minute patient was asking for a drink of water and reported she felt better. After about one minute, assisted patient to sitting position. Patient sat for approximately two minutes and reported she fine and back to normal. Patient and her father went back into clinic waiting area to wait for about 15 minutes to ensure she continued to feel ok prior to leaving clinic.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Asthenia
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- n/a
- Vorgeschichte
- n/a
- Andere Medikamente
- n/a
- Allergien
- n/a
- Vorherige Impfungen
- -
- Staat
- NE
- Alter
- 1,6
- Geschlecht
- M
- Eingang
- 15.02.2023
- Impfdatum
- 13.02.2023
- Beginn
- 13.02.2023
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- IM / RL
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Wrong product administered
Symptomtext
Wrong vaccine type was given. Patient was given Adacel (Tdap) and should have been given DTaP (Infanrix). No additional treatment was needed for the patient.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Wrong product administered
- Hospital-Tage
- -
- Labordaten
- NA
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- None
- Andere Medikamente
- N/A
- Allergien
- NKA
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 11,0
- Geschlecht
- M
- Eingang
- 26.01.2023
- Impfdatum
- 22.11.2022
- Beginn
- 01.11.2022
- Tage bis Beginn
- -
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect dose administered
Symptomtext
ADOLESCENT COVID BOOSTER GIVEN TO AN 11 YO PATIENT
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect dose administered
- Hospital-Tage
- -
- Labordaten
- NONE
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- AZ
- Alter
- -
- Geschlecht
- U
- Eingang
- 12.10.2022
- Impfdatum
- -
- Beginn
- -
- Tage bis Beginn
- -
- Dosis
- UNK
- Route/Site
- OT / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Incorrect route of product administration
Symptomtext
ADACEL was administered to a patient subcutaneously instead of intramuscularly,with no reported adverse event; Initial information received on 03-Oct-2022 regarding an unsolicited valid non-serious case received from a pharmacist. This case involves an unknown age and unknown gender patient to whom DIPHTHERIA-2/TETANUS/5 AC PERTUSSIS VACCINE [ADACEL] was administered to a patient subcutaneously instead of intramuscularly, with no reported adverse event. The patient's past medical history, medical treatment(s), concomitant medication, vaccination(s) and family history were not provided. On an unknown date, the patient received an unknown dose of suspect DIPHTHERIA-2/TETANUS/5 AC PERTUSSIS VACCINE (strength, formulation was unknown, lot number: U7453AA and expiry date: 29-Jun-2024) via subcutaneous route in unknown administration site for Immunization. On an unknown date the patient developed a non-serious event of adacel was administered to a patient subcutaneously instead of intramuscularly, with no reported adverse event (incorrect route of product administration) (latency: same day) following the administration of DIPHTHERIA-2/TETANUS/5 AC PERTUSSIS VACCINE. Action taken : not applicable. Outcome: Unknown This suspected adverse reaction report is submitted and classified as a medication error solely and exclusively to ensure the marketing authorization holder's compliance with the requirements set out in the guidelines. The classification as a medical error is in no way intended, nor should it be interpreted or construed as an allegation or claim made by the marketing authorization holder that any third party has contributed to or is to be held liable for the occurrence of this medication error.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect route of product administration
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- OH
- Alter
- 31,0
- Geschlecht
- M
- Eingang
- 03.07.2022
- Impfdatum
- 15.06.2022
- Beginn
- 15.06.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- OT / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
No adverse event
Product storage error
Symptomtext
Patient received Adacel after a temperature excursion where the product was not suitable for use with no adverse event; temperature excursion where the product was not suitable for use with no adverse event; Initial information received on 16-Jun-2022 regarding an unsolicited valid non-serious case received from a other health professional via call center. This case involves a 31 years old male patient who received diphtheria-2/tetanus/5 ac pertussis vaccine [Adacel] where the product was not suitable for use after a temperature excursion with no adverse event . The patient's past vaccination(s) included diphtheria-2/tetanus/5 ac pertussis vaccine on 09-SEP-1997. The patient's past medical history, medical treatment(s) and family history were not provided. On 15-Jun-2022, the patient received a 0.5 ml dose of suspect diphtheria-2/tetanus/5 ac pertussis vaccine(batch lot U7453AA,Expiry date :29-Jun-2024)(unknown formulation and strength) via intramuscular route in the right deltoid for immunization. On 15-Jun-2022 (latency :same day) the patient received adacel where the product was not suitable for use with no adverse event (poor quality product administered) after a temperature excursion (product storage error) following the administration of diphtheria-2/tetanus/5 ac pertussis vaccine. Action taken : not applicable. At time of reporting, the outcome was Unknown for the 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
- OH
- Alter
- 21,0
- Geschlecht
- M
- Eingang
- 20.06.2022
- Impfdatum
- 15.06.2022
- Beginn
- 15.06.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- OT / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Medication error
No adverse event
Poor quality product administered
Product storage error
Symptomtext
Received adacel after a temperature excursion where the product was not suitable for use with no reported adverse event; Received adacel after a temperature excursion where the product was not suitable for use with no reported adverse event; Initial information received on 16-Jun-2022 regarding an unsolicited valid non-serious case received from a other health professional. This case involves a 21 years old male patient who experienced received adacel after a temperature excursion where the product was not suitable for use with no reported adverse event while receiving vaccine diphtheria-2/tetanus/5 ac pertussis vaccine [adacel]. The patient's past vaccination(s) included pertussis vaccine acellular. The patient's past medical history, medical treatment(s), concomitant medication(s) and family history were not provided. On 15-Jun-2022, the patient received a 0.5 ml dose of suspect diphtheria-2/tetanus/5 ac pertussis vaccine lot U7453AA, expiry date: 29-Jun-2024, frequency: once, unknown strength via intramuscular route in the left deltoid for immunization. On an unknown date the patient developed a non-serious event received adacel after a temperature excursion where the product was not suitable for use with no reported adverse event (product storage error) (unknown latency) following the administration of diphtheria-2/tetanus/5 ac pertussis vaccine. On 15-JUN-2022 the patient developed a non-serious event received adacel after a temperature excursion where the product was not suitable for use with no reported adverse event (poor quality product administered) latency: same day following the administration of diphtheria-2/tetanus/5 ac pertussis vaccine. Action taken was not applicable. It was not reported if the patient received a corrective treatment for the events (poor quality product administered and product storage error). At time of reporting, the outcome was Unknown for the event poor quality product administered and 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
- OH
- Alter
- 12,0
- Geschlecht
- F
- Eingang
- 13.06.2022
- Impfdatum
- 13.06.2022
- Beginn
- 13.06.2022
- Tage bis Beginn
- 0,0
- Dosis
- 6
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Aphasia
Pallor
Sleep deficit
Unresponsive to stimuli
Vision blurred
Symptomtext
Client presented to clinic for seventh grade vaccinations on 6/13/2022. At 11:40AM, client received vaccines listed above. Twenty seconds after completing vaccine administration, client stopped talking mid-sentence and leaned against cushion of exam table. Eyes staring ahead unfocused, client not responsive to verbal stimuli. After four seconds, client spontaneously sat up, becomes awake and alert x 4, and commented "I must have fell asleep for a moment" then continued with conversation. Lip color pale (client skin color very fair as baseline). Mother stated client has never passed out to vaccines before. Mother stated client admitted not have breakfast before coming. Client also stated attended camp all week the week before and "still sleep deprived." Mother stated family history of father passing out routinely for vaccines and blood draws. Gave water and Goldfish crackers, able to tolerate. After five minutes, client stated felt good to go. Escorted out to private vehicle by mother.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Aphasia
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -