- Staat
- PA
- Alter
- 4,0
- Geschlecht
- F
- Eingang
- 13.10.2022
- Impfdatum
- 13.10.2022
- Beginn
- 01.10.2022
- Tage bis Beginn
- -
- Dosis
- 5
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Anaphylactic reaction
Symptomtext
Anaphylactic reaction occuring 15 min after administration. Benadryl and Epi administered and EMS called. Sent to ED, currently being treated
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Anaphylactic reaction
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- No
- Vorgeschichte
- Waardenberg Syndrome Failure to Thrive Sensorineural hearing loss with Cochlear implants bilaterally
- Andere Medikamente
- Lactulose FLonase Cyproheptadine
- Allergien
- No
- Vorherige Impfungen
- -
- Staat
- GA
- Alter
- 4,0
- Geschlecht
- M
- Eingang
- 07.09.2022
- Impfdatum
- 08.08.2022
- Beginn
- 09.08.2022
- Tage bis Beginn
- 1,0
- Dosis
- 4
- Route/Site
- IM / LL
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Alanine aminotransferase increased
Aspartate aminotransferase increased
Asthma
Blood bilirubin increased
Condition aggravated
Decreased appetite
Hepatic enzyme decreased
Hepatitis viral test negative
Lethargy
Ocular icterus
Symptomtext
Moved on June 2022. On 8/8/22 rec'd quadracel and vaqta. 24 hours after vaccination developed scleral icterus, loss of appetite, and lethargy. Seen in office on 8/10/22. Found to have scleral icterus. Labs drawn and shown elevated AST, ALT, and bilirubin. Hepatitis panel and G6PD drawn and were negative/normal. By 8/11/22 was clinically doing better. Eating and playing usual amounts. No medications had been given. 8/12/22 was seen in office and clinically was normal. Labs showed decreasing liver enzymes. Was admitted for asthma exacerbation on 8/22/22 for 24 hours.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Condition aggravated
- Hospital-Tage
- -
- Labordaten
- 8/10/22 ALT: 2377 AST: 2221 tbili: 5.2 8/18/22 ALT: 1101 AST: 673 tbili: 2.3 awaiting labs 9/10/22
- Aktuelle Erkrankungen
- NONE
- Vorgeschichte
- ASTHMA
- Andere Medikamente
- NONE
- Allergien
- NONE
- Vorherige Impfungen
- -
- Staat
- AL
- Alter
- 1,3
- Geschlecht
- M
- Eingang
- 11.09.2023
- Impfdatum
- 15.08.2023
- Beginn
- 15.08.2023
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- IM / RL
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Rash
Symptomtext
Mom reports Pt was taken to the pediatrician on the same day of health dept visit for a rash after vaccination. Mom reported this to the clinic on her return for further vaccination on 9.7.23. Mom reports pediatrician advised for the child not to receive the Quadracel combination in future.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Rash
- Hospital-Tage
- -
- Labordaten
- Unknown
- Aktuelle Erkrankungen
- non known
- Vorgeschichte
- non known
- Andere Medikamente
- non known
- Allergien
- milk and latex
- Vorherige Impfungen
- -
- Staat
- WI
- Alter
- 4,0
- Geschlecht
- M
- Eingang
- 21.08.2023
- Impfdatum
- 18.08.2023
- Beginn
- 19.08.2023
- Tage bis Beginn
- 1,0
- Dosis
- 1
- Route/Site
- IM / LL
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Gait disturbance
Injection site erythema
Injection site pain
Injection site swelling
Injection site warmth
Symptomtext
Received vaccine in his left thigh on 8/18/2023. On 8/19/2023 he experienced localized reaction. His left thigh was raised, swollen, red, hot, and painful to touch. Baseball size - less than 4 inches across. No rashes. Is able to walk, with an occasional limp due to leg soreness.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Injection site erythema
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- -
- Andere Medikamente
- None
- Allergien
- NKDA
- Vorherige Impfungen
- -
- Staat
- AZ
- Alter
- 5,0
- Geschlecht
- F
- Eingang
- 15.08.2023
- Impfdatum
- 09.08.2023
- Beginn
- 11.08.2023
- Tage bis Beginn
- 2,0
- Dosis
- 5
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Injection site reaction
Rash erythematous
Symptomtext
Per NP at pediatricians office, Mom brought child in to office today for worsening rash. Per report child broke out in red flat rash starting at bilateral upper arm injection sites. Rash continued to get worse. Per provider it is a "very red, angry rash" No additional symptoms per mom or provider. Mom gave child benedryl with no improvement. No ill contacts. Provider treating with prednisone X7 days.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Injection site reaction
- Hospital-Tage
- -
- Labordaten
- none
- Aktuelle Erkrankungen
- None known
- Vorgeschichte
- None
- Andere Medikamente
- None
- Allergien
- None
- Vorherige Impfungen
- -
- Staat
- CA
- Alter
- 5,0
- Geschlecht
- F
- Eingang
- 10.08.2023
- Impfdatum
- 07.08.2023
- Beginn
- 10.08.2023
- Tage bis Beginn
- 3,0
- Dosis
- UNK
- Route/Site
- IM / LL
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Injection site erythema
Injection site swelling
Symptomtext
Localized swelling at injection site s/p 8 hours after injection, treated with oral benadryl at moms discretion resulting in waxing/waning of swelling. Patient presented 2 days following injection, physical exam noted mild erythema with minimal localized swelling, no warmth, no tenderness, and no change in gait.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Injection site erythema
- Hospital-Tage
- -
- Labordaten
- N/A
- Aktuelle Erkrankungen
- EAR INFECTION
- Vorgeschichte
- NONE
- Andere Medikamente
- NONE
- Allergien
- NONE
- Vorherige Impfungen
- -
- Staat
- OH
- Alter
- 4,0
- Geschlecht
- M
- Eingang
- 14.07.2023
- Impfdatum
- 13.07.2023
- Beginn
- 13.07.2023
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: ja
Erholt: ja
Erythema
Injection site erythema
Injection site swelling
Swelling face
Urticaria
Symptomtext
GUARDIAN REPORTS THAT AFTER THE SHOTS PATIENT WAS FINE. THEY STOPPED TO GET LUNCH THROUGH A DRIVE THRU AND WHEN SHE ARRIVED AT HOME (1 HOUR LATER), SHE TURNED TO GET PATIENT OUT OF THE CAR AND NOTICED HIS FACE WAS "BEET RED" AND HIS BODY WAS RED WITH HIVES ON HIS BELLY AND BACK. SHE DECRIBED HIS ARM, INJECTION SITE AS RED AND SWOLLEN. SHE ALSO MENTIONED HIS FACE WAS SWOLLEN. SHE IMMEDIATLY GAVE HIM BENADRYL AT HOME AND TOOK HIM TO THE MEDICAL CENTER ER. ACCORDING TO HER: THERE HE WAS TREATED WITH STEROIDS, MONITORED AND WAS SENT HOME WITH A SCRIPT FOR BENADRYL. SHE REPORTS HE WAS NEVER APPPEARED IN DISTRESS OR SHORT OF BREATH. When he was RELEASED FROM THE ER. GUARDIAN CALLED THE HEALTH DEPARTMENT TO REPORT THE INCIDENT. (ABOUT 2:50 PM) AT THAT TIME, SHE REPORTED PATIENT WAS FINE. NO REDNESS VISIBLE, NO SOB, NO DISTRESS, AND APPEARED BACK TO HIS NORMAL SELF. 7/14/23 9:30 AM ON A FOLLOW UP CALL TO PATIENT'S GUARDIAN. SHE REPORTS PATIENT DOING FINE NO OTHER INCIDENCES OCCURRED.-RN
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Injection site erythema
- Hospital-Tage
- -
- Labordaten
- UNKNOWN DUE TO THE FOLLOW UP WAS IN THE ER
- Aktuelle Erkrankungen
- none reported
- Vorgeschichte
- Guardian reports being treated for: Muscular dystrophy: anxiety, seasonal allergies, ADHD and Autism spectrum
- Andere Medikamente
- GABAPENTIN 25O MG/5ML TAKES 3ML TWICE A DAY PREDNISONE 15 MG TAKES A DOSE EVERY SATURDAY AND SUNDAY SINGULAR 4 MG TAKES A DOSE DAILY AT BEDTIME CLONIDINE HCL 0.1 MG TAKES 1/2 TAB TWICE a day RISPERIDONE 0.5 MG TAKES A DOSE TWICE A DAY FLINS
- Allergien
- no known drug allergies
- Vorherige Impfungen
- -
- Staat
- CO
- Alter
- 4,0
- Geschlecht
- M
- Eingang
- 19.05.2023
- Impfdatum
- 16.05.2023
- Beginn
- 18.05.2023
- Tage bis Beginn
- 2,0
- Dosis
- 4
- Route/Site
- IM / LL
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Pyrexia
Rash
Symptomtext
One to two days following vaccination, the patient developed a rash on his face as well as reported fevers.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Pyrexia
- Hospital-Tage
- -
- Labordaten
- None
- Aktuelle Erkrankungen
- Strep pharyngitis
- Vorgeschichte
- None
- Andere Medikamente
- None
- Allergien
- None
- Vorherige Impfungen
- Mother reports rash with previous vaccination but is not sure what vaccination led to rash.
- Staat
- IN
- Alter
- 5,0
- Geschlecht
- M
- Eingang
- 02.05.2023
- Impfdatum
- 15.11.2022
- Beginn
- 16.11.2022
- Tage bis Beginn
- 1,0
- Dosis
- UNK
- Route/Site
- - / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Dizziness
Headache
Injection site cellulitis
Injection site erythema
Injection site rash
Injection site scab
Injection site swelling
Injection site vesicles
Loss of personal independence in daily activities
Pain in extremity
Symptomtext
Patient had a sore arm the night after vaccination, woke up with a red swollen deltoid muscle, rash and a blister at the injection site. Child felt headache, and dizzy the next, and missed school on day 3. Parents took child to a walk in clinic where child was given keflex and told to use ibuprofen. The following day a new blister appeared, and redness and swelling continued. Parents took child to family Dr. at this time where he was diagnosed with cellulitis and out on clindamycin, and a steroid antihistamine. Childs arm is healing at this time. Blisters are scabbed over and redness and swelling are decreasing.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Dizziness
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- None
- Andere Medikamente
- None
- Allergien
- NKDA
- Vorherige Impfungen
- -
- Staat
- KY
- Alter
- 4,0
- Geschlecht
- F
- Eingang
- 26.04.2023
- Impfdatum
- 26.04.2023
- Beginn
- 01.04.2023
- Tage bis Beginn
- -
- Dosis
- 2
- Route/Site
- SC / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Rash
Rash macular
Symptomtext
- Macular rash appeared to face and torso after Proquad and quadracel vaccines today in office. Rash was not puritic, no hives, no vomiting, no facial swelling, no difficulty breathing. Benadryl given in office, observed without resp distress. Will list under allergies although more likey adverse reaction, reaction was low. VAERS report made.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Rash
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- no
- Vorgeschichte
- asthma
- Andere Medikamente
- no
- Allergien
- no
- Vorherige Impfungen
- -
- Staat
- CA
- Alter
- 4,0
- Geschlecht
- F
- Eingang
- 31.03.2023
- Impfdatum
- 29.03.2023
- Beginn
- 31.03.2023
- Tage bis Beginn
- 2,0
- Dosis
- 1
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Rash
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Rash
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- FL
- Alter
- -
- Geschlecht
- U
- Eingang
- 18.03.2023
- Impfdatum
- -
- Beginn
- 01.01.2023
- Tage bis Beginn
- -
- Dosis
- UNK
- Route/Site
- OT / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Injection site rash
Symptomtext
developed a rash at the injection site after receiving quadracel; Initial information was received on 03-Mar-2023 regarding an unsolicited valid non-serious case received from a consumer. This case involves an 5 patients with unknown demographics who developed rash at the injection site after receiving diphtheria-15/tetanus/5 hybrid AC pertussis/IPV (MRC5) Vaccine [Quadracel]. The patient's past medical history, medical treatment(s), vaccination(s) and family history were not provided. On an unknown date, the patient's had received a unknown dose of suspect diphtheria-15/tetanus/5 hybrid AC pertussis/IPV (MRC5) Vaccine suspension for injection (route and frequency: unknown) ( batch number: U7526AA and expiry date: 09-Jul-2024) in unknown administration site for prophylactic vaccination. It was reported that 5 patient's had received a vaccine with same lot number and had developed a rash at the injection site after receiving vaccine (vaccination site rash) (onset: Jan-2023 and latency: unknown) following the administration of diphtheria-15/tetanus/5 hybrid AC pertussis/IPV (MRC5). Further, the caller had requested to return 3 remaining doses of the vaccine as the physician does not feel comfortable using the remaining 3 doses from this same lot. Action taken: not applicable Corrective treatment: not reported Outcome: Recovered / Resolved in 2023
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Injection site rash
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- NV
- Alter
- 4,0
- Geschlecht
- F
- Eingang
- 15.03.2023
- Impfdatum
- 01.03.2023
- Beginn
- 03.03.2023
- Tage bis Beginn
- 2,0
- Dosis
- 1
- Route/Site
- IM / RL
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Injection site erythema
Injection site swelling
Symptomtext
Swelling and redness at injection site on 3/3. Child taken to local clinic dx'd cellulitis.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Injection site erythema
- Hospital-Tage
- -
- Labordaten
- None
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- None
- Andere Medikamente
- None
- Allergien
- NKA
- Vorherige Impfungen
- -
- Staat
- NC
- Alter
- 5,0
- Geschlecht
- M
- Eingang
- 07.03.2023
- Impfdatum
- 24.02.2023
- Beginn
- 25.02.2023
- Tage bis Beginn
- 1,0
- Dosis
- UNK
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Injection site erythema
Injection site pruritus
Injection site rash
Injection site warmth
Rash macular
Symptomtext
received vaccine 3-24-22, reaction occured 3-25-22, mom gave benadryl, by mpnday 3-27-23 reaction subsided and seen Dr. Arm itchy, redness down to elbow. Hot to touch and splochy rash.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Injection site erythema
- Hospital-Tage
- -
- Labordaten
- Benadryl
- Aktuelle Erkrankungen
- none
- Vorgeschichte
- none
- Andere Medikamente
- none
- Allergien
- none
- Vorherige Impfungen
- -
- Staat
- PA
- Alter
- 4,0
- Geschlecht
- F
- Eingang
- 24.02.2023
- Impfdatum
- 24.02.2023
- Beginn
- 24.02.2023
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Immunisation reaction
Pallor
Rash
Rash erythematous
Symptomtext
Immunization reaction - erythematous blanching rash started on left side of chest -patient was given MMRV and DTaP-IPV and flu shot. Within about 15 min she started to develop a faint red rash around her left side of neck and chest that seemed to be spreading and was on her left arm. No pain. No vomiting. No trouble breathing. Was well appearing at baseline behavior and energy. -benadryl 12.5 mg given in office, patient observed for about 5 min was very well appearing, mom was taking her home, discussed signs to watch out for and to call office with any changes -can give 12.5 mg of diphenhydramine every 6 hours for the next 24 hours if needed.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Rash
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- none
- Vorgeschichte
- none
- Andere Medikamente
- none
- Allergien
- no known allergies
- Vorherige Impfungen
- -
- Staat
- KS
- Alter
- 5,0
- Geschlecht
- M
- Eingang
- 24.02.2023
- Impfdatum
- 22.02.2023
- Beginn
- 23.02.2023
- Tage bis Beginn
- 1,0
- Dosis
- 4
- Route/Site
- IM / RL
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Pyrexia
Symptomtext
2/23/23- Guardian called to inform that she had received a call from the school nurse. Child was running a fever of 102. Guardian called me to see if a high fever could be the result of childs vaccines last evening. I told her it could. She stated the school nurse didn t' feel it could be the vaccines and attributed to illness. As the true cause of elevated fever is unknow, I will report it in case it is indeed an adverse reaction to one of the vaccines given. 2/24/23- to Guardian. Child's fever is down to 99. They feel he may have pinkeye as it is going around his classroom.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Pyrexia
- Hospital-Tage
- -
- Labordaten
- None
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- None
- Andere Medikamente
- None
- Allergien
- Peanut Butter
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 4,0
- Geschlecht
- F
- Eingang
- 16.02.2023
- Impfdatum
- -
- Beginn
- 10.02.2023
- Tage bis Beginn
- -
- Dosis
- UNK
- Route/Site
- OT / RL
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Injection site erythema
Injection site pain
Injection site pruritus
Injection site swelling
Injection site warmth
Pain
Symptomtext
a large red circle around the injection site,larger than a grapefruit. Itching, redness, swelling,warm to the touch, painful to walk.; a large red circle around the injection site,larger than a grapefruit. Itching, redness, swelling,warm to the touch, painful to walk.; a large red circle around the injection site,larger than a grapefruit. Itching, redness, swelling,warm to the touch, painful to walk.; a large red circle around the injection site,larger than a grapefruit. Itching, redness, swelling,warm to the touch, painful to walk.; a large red circle around the injection site,larger than a grapefruit. Itching, redness, swelling,warm to the touch, painful to walk.; a large red circle around the injection site,larger than a grapefruit. Itching, redness, swelling,warm to the touch, painful to walk.; Initial information received on 10-Feb-2023 regarding an unsolicited valid non-serious case received from a other health professional. This case involves a 4 years old female patient who had a large red circle around the injection site,larger than a grapefruit. itching, redness, swelling,warm to the touch, painful to walk after receiving vaccine DIPHTHERIA-15/TETANUS/5 HYBRID AC PERTUSSIS/IPV (MRC5) VACCINE [QUADRACEL]. The patient had no past medical history, concomitant medication. The patient medical treatment(s), vaccination(s) and family history were not provided. On an unknown date, the patient received an unknown dose of suspect DIPHTHERIA-15/TETANUS/5 HYBRID AC PERTUSSIS/IPV (MRC5) VACCINE Solution for injection in pre-filled syringe (strength was unknown, lot number: U7526AA and expiry date was unknown) via intramuscular route in the right thigh for prophylactic vaccination. On 10-Feb-2023 the patient developed a non-serious event of a large red circle around the injection site,larger than a grapefruit. itching, redness, swelling,warm to the touch, painful to walk. (pain, vaccination site pruritus, vaccination site erythema, vaccination site swelling, vaccination site warmth and vaccination site pain) (unknown latency) following the administration of DIPHTHERIA-15/TETANUS/5 HYBRID AC PERTUSSIS/IPV (MRC5) VACCINE. Action taken with DIPHTHERIA, TETANUS, AC PERTUSSIS AND IPV VACCINE (QUADRACEL) was not applicable. It was not reported if the patient received a corrective treatment for the events. Outcome: Not Recovered / Not Resolved for all events.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Injection site erythema
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- IN
- Alter
- 4,0
- Geschlecht
- F
- Eingang
- 15.02.2023
- Impfdatum
- 13.02.2023
- Beginn
- 14.02.2023
- Tage bis Beginn
- 1,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Injection site erythema
Injection site induration
Injection site swelling
Pallor
Urticaria
Symptomtext
Vaccine given 8am 2/13/23, redness and swelling at site of Dtap/IPV at 8am 2/14/23 and lingering by 2/15/23 - no pain, no itch - hive like at times. no overlying blistering. eval on 2/15/23 with a 7.5cm diameter area of redness and swelling with induration at site of injection 2.5cmx3.5cm and slight blanching.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Injection site erythema
- Hospital-Tage
- -
- Labordaten
- none
- Aktuelle Erkrankungen
- none
- Vorgeschichte
- allergic rhinitis
- Andere Medikamente
- claritin 5mg daily
- Allergien
- none
- Vorherige Impfungen
- -
- Staat
- CA
- Alter
- 4,0
- Geschlecht
- F
- Eingang
- 09.02.2023
- Impfdatum
- 07.02.2023
- Beginn
- 08.02.2023
- Tage bis Beginn
- 1,0
- Dosis
- 5
- Route/Site
- IM / RL
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Erythema
Gait disturbance
Injection site erythema
Pain
Swelling
Tenderness
Symptomtext
(Provider statement)Mother called last night around 7 pm complaining of pain, swelling, limping in right thigh. She stated it looked bad so to take her to ER. That would be a very expensive visit if they only say put ice on it. I called her back and she didn't pick up so I went to ER AND COULDN'T FIND HER IN THE WAITING ROOM. i CALLED HER FROM THERE AND SHE PICKED UP AND SAID SHE WAS IN THEIR urgent care. i WENT DOWN TO THE uRGENT cARE AND they let me look at her where there was a large, slightly tender red area anterior thigh. She was watching movies on mom's cell phone. Mom told me she had just given Tylenol and was doing better. I told her give Motrin at 10:30 pm and I would check on her this morning. Mother told to draw a circle with black marker so we can see if spreading. Mother text me right when I was about to call her this morning a picture of injection site where redness is spreading. I told her to come in this morning
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Injection site erythema
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- NONE
- Vorgeschichte
- NONE
- Andere Medikamente
- NONE
- Allergien
- NKDA
- Vorherige Impfungen
- -
- Staat
- KS
- Alter
- 4,0
- Geschlecht
- M
- Eingang
- 08.02.2023
- Impfdatum
- 06.02.2023
- Beginn
- 06.02.2023
- Tage bis Beginn
- 0,0
- Dosis
- 5
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Injection site erythema
Injection site inflammation
Injection site swelling
Injection site warmth
Symptomtext
Left deltoid below the injection is hot, red, and inflamed. The area has spread from a baseball size spot to covering approximately 80% of his upper left arm. Day two appears to be less red. Redness is lessening as it spreads.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Injection site erythema
- Hospital-Tage
- -
- Labordaten
- none
- Aktuelle Erkrankungen
- none
- Vorgeschichte
- none
- Andere Medikamente
- none
- Allergien
- none listed
- Vorherige Impfungen
- -
- Staat
- CA
- Alter
- 5,0
- Geschlecht
- M
- Eingang
- 20.01.2023
- Impfdatum
- 09.11.2022
- Beginn
- 09.11.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- SYR / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Allergy to vaccine
Burning sensation
Erythema
Hypersensitivity
Pain
Peripheral swelling
Pyrexia
Swelling
Urticaria
Symptomtext
High Fever, hives, swollen arm- 5 times the size of regular arm, pain, bright red swelling, burning. Needed and treated with Antibiotics due to autoimmune disorder and severe allergic adverse reaction to vaccine.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Pain
- Hospital-Tage
- -
- Labordaten
- 11/10/22, 11/11/22 documented by doctors office
- Aktuelle Erkrankungen
- Eoe Disease, Autoimmune Disorder, ASD, SPD, Asthma, severe allergies
- Vorgeschichte
- Eoe Disease, Autoimmune Disorder, ASD, SPD, Asthma, severe allergies, hiatal hernia
- Andere Medikamente
- Nexium, Clonidine, cyproheptadine.
- Allergien
- Nuts, Eggs, Dairy, Gluten, Fish, Soy, Mango, Omnicef medication
- Vorherige Impfungen
- -
- Staat
- -
- Alter
- 4,0
- Geschlecht
- M
- Eingang
- 11.01.2023
- Impfdatum
- 09.01.2023
- Beginn
- 10.01.2023
- Tage bis Beginn
- 1,0
- Dosis
- 5
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Injection site urticaria
Symptomtext
Mother explained patient developed an initial wheal about 8pm the following day after vaccination. Mother showed a picture that looked like it developed right on top of where the MMRV was given subcutaneously to the left posterior upper arm, and mother described it as starting out as the size of a quarter. Throughout the night, patient developed several other welts around left deltoid vaccination site where Quadracel was given. Mother had given patient Tylenol, Benadryl, and applied cold compresses. Mother denied fever and any other symptoms. No anaphylactic reaction or s/s occurred as of this time.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Injection site urticaria
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- AZ
- Alter
- 4,0
- Geschlecht
- M
- Eingang
- 19.12.2022
- Impfdatum
- 16.11.2022
- Beginn
- 17.11.2022
- Tage bis Beginn
- 1,0
- Dosis
- 5
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Erythema
Pain
Swelling
Symptomtext
erythema, swelling and pain
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Pain
- Hospital-Tage
- -
- Labordaten
- n/a
- Aktuelle Erkrankungen
- n/a
- Vorgeschichte
- n/a
- Andere Medikamente
- n/a
- Allergien
- n/a
- Vorherige Impfungen
- -
- Staat
- TN
- Alter
- 4,0
- Geschlecht
- M
- Eingang
- 22.11.2022
- Impfdatum
- 18.11.2022
- Beginn
- 19.11.2022
- Tage bis Beginn
- 1,0
- Dosis
- 5
- Route/Site
- IM / RL
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: ja
Erholt: nein
Peripheral swelling
Rash macular
Symptomtext
Right upper thigh swelling from hip to knee with splotch rash diffusely
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Rash macular
- Hospital-Tage
- -
- Labordaten
- None
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- AL
- Alter
- 4,0
- Geschlecht
- F
- Eingang
- 27.10.2022
- Impfdatum
- 20.10.2022
- Beginn
- 21.10.2022
- Tage bis Beginn
- 1,0
- Dosis
- 5
- Route/Site
- IM / LL
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Injection site erythema
Injection site induration
Injection site swelling
Injection site warmth
Symptomtext
Redness, warmth and swelling of left thigh where Quadracel was given on 10/20/22, began on 10/21/22 and worsened over 2 days then started to resolve. Large 6x6 cm oval slightly indurated fading erythema regressing according to marker outlines. At its worst, erythema nearly covered entire anterolateral left thigh. Reassured Mom that reaction appears to be resolving. May continue cool compress, Benadryl and Cortaid as needed
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Injection site erythema
- Hospital-Tage
- -
- Labordaten
- N/A
- Aktuelle Erkrankungen
- N/A
- Vorgeschichte
- N/A
- Andere Medikamente
- NONE
- Allergien
- NKA
- Vorherige Impfungen
- -
- Staat
- IL
- Alter
- 4,0
- Geschlecht
- M
- Eingang
- 25.10.2022
- Impfdatum
- 11.10.2022
- Beginn
- 20.10.2022
- Tage bis Beginn
- 9,0
- Dosis
- 5
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Erythema multiforme
Rash
Symptomtext
pt came in doctor office 10/20/22 with rash , DX with erythema multiforme
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Rash
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- CFTR mutation carrier status noted on newborn screen
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- OR
- Alter
- 4,0
- Geschlecht
- F
- Eingang
- 23.09.2022
- Impfdatum
- 13.09.2022
- Beginn
- 23.09.2022
- Tage bis Beginn
- 10,0
- Dosis
- N/A
- Route/Site
- IM / LL
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Injection site reaction
Skin reaction
Symptomtext
Large local cutaneous reaction to vaccinations on left thigh. No evidence of infection currently. Prescription for Keflex sent. Discussed heat and massage per Dr.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Injection site reaction
- Hospital-Tage
- -
- Labordaten
- N/A
- Aktuelle Erkrankungen
- N/A
- Vorgeschichte
- N/A
- Andere Medikamente
- N/A
- Allergien
- N/A
- Vorherige Impfungen
- -
- Staat
- CA
- Alter
- 4,0
- Geschlecht
- M
- Eingang
- 29.08.2022
- Impfdatum
- 15.08.2022
- Beginn
- 16.08.2022
- Tage bis Beginn
- 1,0
- Dosis
- N/A
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Vomiting
Symptomtext
Persistent vomiting
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Vomiting
- Hospital-Tage
- -
- Labordaten
- None
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- None
- Andere Medikamente
- None
- Allergien
- None
- Vorherige Impfungen
- -
- Staat
- OK
- Alter
- 5,0
- Geschlecht
- M
- Eingang
- 23.08.2022
- Impfdatum
- 16.08.2022
- Beginn
- 18.08.2022
- Tage bis Beginn
- 2,0
- Dosis
- 1
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Injection site reaction
Local reaction
Symptomtext
Localized reaction to MMRV SQ injection site. Treated with topical triamcinolone, ice, and PO benadryl.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Injection site reaction
- Hospital-Tage
- -
- Labordaten
- none
- Aktuelle Erkrankungen
- none
- Vorgeschichte
- none
- Andere Medikamente
- none
- Allergien
- NKDA
- Vorherige Impfungen
- -
- Staat
- FL
- Alter
- 4,0
- Geschlecht
- M
- Eingang
- 10.08.2022
- Impfdatum
- 08.08.2022
- Beginn
- 08.08.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / LL
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Injection site inflammation
Injection site oedema
Injection site warmth
Symptomtext
Left upper thigh inflammation, edematous and warm to the touch.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Injection site inflammation
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- AZ
- Alter
- 4,0
- Geschlecht
- F
- Eingang
- 05.08.2022
- Impfdatum
- 03.08.2022
- Beginn
- 04.08.2022
- Tage bis Beginn
- 1,0
- Dosis
- UNK
- Route/Site
- IM / LL
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Cellulitis
Injection site erythema
Injection site swelling
Injection site warmth
Symptomtext
8/4/22 the patient developed redness and swelling on patients left thigh around the injection site. The following day the redness around the injection site spread outward and the area became raised and with warmth to the touch. The patient did not have fevers, full body rash, face/mouth swelling, or difficulty breathing. Patient was seen in clinic 8/5/22 and was diagnosed with cellulitis and is being treated with Cephalexin 250mg/5ml (take 7ml by mouth TID for 5 days.)
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Injection site erythema
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- n/a
- Vorgeschichte
- n/a
- Andere Medikamente
- N/A
- Allergien
- none known
- Vorherige Impfungen
- -
- Staat
- MA
- Alter
- 4,0
- Geschlecht
- F
- Eingang
- 04.08.2022
- Impfdatum
- 02.08.2022
- Beginn
- 04.08.2022
- Tage bis Beginn
- 2,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Cellulitis
Erythema
Injection site swelling
Symptomtext
Patient presented with arm redness and red streak along with arm swelling at injection site, two days after administration of routine 4 year old vaccine. Patient is being treated for cellulitis of left arm with Clindamycin 225 mg orally 3 times a day.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Injection site swelling
- Hospital-Tage
- -
- Labordaten
- Examination of left arm by provider. No lab test performed.
- Aktuelle Erkrankungen
- Congenital hear Disease, Congestive Heart Failure, Tricuspid atresia, Pulmonary Hypertension
- Vorgeschichte
- Congenital hear Disease, Congestive Heart Failure, Tricuspid atresia, Pulmonary Hypertension
- Andere Medikamente
- None
- Allergien
- No known allergies
- Vorherige Impfungen
- -
- Staat
- FL
- Alter
- 4,0
- Geschlecht
- M
- Eingang
- 08.07.2022
- Impfdatum
- 07.07.2022
- Beginn
- 07.07.2022
- Tage bis Beginn
- 0,0
- Dosis
- 5
- Route/Site
- IM / LL
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Gait disturbance
Injection site erythema
Injection site rash
Injection site swelling
Symptomtext
Swelling of left thigh and skin around upper left knee. Mild pink rash on left medial thigh. Mild limping, resolved with ibuprofen
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Injection site erythema
- Hospital-Tage
- -
- Labordaten
- none
- Aktuelle Erkrankungen
- no
- Vorgeschichte
- no
- Andere Medikamente
- Multivitamin
- Allergien
- none
- Vorherige Impfungen
- -
- Staat
- MI
- Alter
- 4,0
- Geschlecht
- M
- Eingang
- 27.06.2022
- Impfdatum
- 06.06.2022
- Beginn
- 09.06.2022
- Tage bis Beginn
- 3,0
- Dosis
- 4
- Route/Site
- IM / RL
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Injection site erythema
Injection site induration
Injection site swelling
Symptomtext
red, raised and indurated skin surrounding the injection site x 7 days
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Injection site erythema
- Hospital-Tage
- -
- Labordaten
- none
- Aktuelle Erkrankungen
- none
- Vorgeschichte
- Pica, sensory integration disorder, expressive language delay
- Andere Medikamente
- chewable multivitamin
- Allergien
- none
- Vorherige Impfungen
- -
- Staat
- -
- Alter
- 5,0
- Geschlecht
- F
- Eingang
- 13.06.2022
- Impfdatum
- 09.06.2022
- Beginn
- 10.06.2022
- Tage bis Beginn
- 1,0
- Dosis
- 5
- Route/Site
- IM / RL
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Fatigue
Pyrexia
Rash erythematous
Rash macular
Symptomtext
Within 12 hours of vaccines, she started with splotchy red rash, fever to 101.7, feeling tired; lasted 2 days
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Fatigue
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- Amoxicillin, dairy
- Vorherige Impfungen
- -
- Staat
- ND
- Alter
- 0,3
- Geschlecht
- M
- Eingang
- 26.12.2023
- Impfdatum
- 21.09.2023
- Beginn
- 21.09.2023
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / RL
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
No adverse event
Product administered to patient of inappropriate age
Wrong product administered
Symptomtext
Wrong vaccine was given. Child too young to receive Quadracel. No reactions to vaccine that we are aware of. No treatment needed. Child to finish childhood vaccines per the recommended schedule
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Product administered to patient of inappropriate age
- Hospital-Tage
- -
- Labordaten
- NA
- Aktuelle Erkrankungen
- unknown
- Vorgeschichte
- none
- Andere Medikamente
- Vitamin D
- Allergien
- NKA
- Vorherige Impfungen
- -
- Staat
- ND
- Alter
- 0,3
- Geschlecht
- M
- Eingang
- 26.12.2023
- Impfdatum
- 21.09.2023
- Beginn
- 21.09.2023
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- IM / RL
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
No adverse event
Product administered to patient of inappropriate age
Wrong product administered
Symptomtext
Wrong vaccine was given. Child too young to receive Quadracel. No reactions to vaccine that we are aware of. No treatment needed. Child to finish childhood vaccines per the recommended schedule
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Product administered to patient of inappropriate age
- Hospital-Tage
- -
- Labordaten
- NA
- Aktuelle Erkrankungen
- unknown
- Vorgeschichte
- none
- Andere Medikamente
- Vitamin D
- Allergien
- NKA
- Vorherige Impfungen
- -
- Staat
- MI
- Alter
- 4,0
- Geschlecht
- F
- Eingang
- 15.12.2023
- Impfdatum
- 18.04.2023
- Beginn
- 18.04.2023
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Wrong product administered
Symptomtext
MMR given, MMRV ordered
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Wrong product administered
- Hospital-Tage
- -
- Labordaten
- none
- Aktuelle Erkrankungen
- none
- Vorgeschichte
- none
- Andere Medikamente
- none
- Allergien
- none
- Vorherige Impfungen
- -
- Staat
- MI
- Alter
- 4,0
- Geschlecht
- M
- Eingang
- 15.12.2023
- Impfdatum
- 17.08.2023
- Beginn
- 27.08.2023
- Tage bis Beginn
- 10,0
- Dosis
- 4
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Wrong product administered
Symptomtext
MMR given, MMRV ordered
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Wrong product administered
- Hospital-Tage
- -
- Labordaten
- none
- Aktuelle Erkrankungen
- none
- Vorgeschichte
- none
- Andere Medikamente
- none
- Allergien
- none
- Vorherige Impfungen
- -
- Staat
- MI
- Alter
- 3,0
- Geschlecht
- M
- Eingang
- 15.12.2023
- Impfdatum
- 27.03.2023
- Beginn
- 27.03.2023
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Wrong product administered
Symptomtext
MMR given, MMRV ordered
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Wrong product administered
- Hospital-Tage
- -
- Labordaten
- none
- Aktuelle Erkrankungen
- mild asthma eczema
- Vorgeschichte
- mild asthma eczema
- Andere Medikamente
- M-PAP 160 mg/5 mL liquid Take 5.1 mL (163.2 mg total) by mouth every 4 (four) hours if needed (Pain or fever). 120 mL 1 ? triamcinolone (KENALOG) 0.025 % ointment Apply 1 application topically 2 (two) times a day. APPLY TO AFFECTED AREA 60
- Allergien
- none
- Vorherige Impfungen
- -
- Staat
- NY
- Alter
- 69,0
- Geschlecht
- F
- Eingang
- 28.10.2023
- Impfdatum
- 20.10.2023
- Beginn
- 20.10.2023
- 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
QUADRACEL was administered to a patient who was supposed to be given a high dose influenza vaccine with no reported adverse event; Initial information received on 20-Oct-2023 regarding an unsolicited valid non-serious case received from other health professional. This case involves a 69 years old female patient who was administered Diphtheria-15/Tetanus/5 Hybrid AC Pertussis/IPV (MRC5) vaccine [Quadracel] was administered to a patient who was supposed to be given a high dose influenza vaccine with no reported adverse event. The patient's past medical history, medical treatment(s), vaccination(s) and family history were not provided. On 20-Oct-2023, the patient received 0.5 ml dose (frequency: once; strength: standard) of suspect Diphtheria-15/Tetanus/5 Hybrid AC Pertussis/IPV (MRC5) vaccine Suspension for injection of lot U7526AA and expiry: 07-Sep-2024 via intramuscular route in the left deltoid for immunization; who was supposed to be given a high dose influenza vaccine with no reported adverse event (wrong product administered) (latency: same day). No lab data was reported. This suspected adverse reaction report is submitted and classified as a medication error solely and exclusively to ensure the marketing authorization holder's compliance with the requirements set out in the Directive and Regulatory Authority 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
- Medication error
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- KS
- Alter
- 17,0
- Geschlecht
- F
- Eingang
- 10.10.2023
- Impfdatum
- 10.10.2023
- Beginn
- 10.10.2023
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Vaccination error
Symptomtext
Given in error
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Vaccination error
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- none
- Vorgeschichte
- none
- Andere Medikamente
- none
- Allergien
- cinnamon
- Vorherige Impfungen
- -
- Staat
- UT
- Alter
- 0,2
- Geschlecht
- F
- Eingang
- 09.10.2023
- Impfdatum
- 06.10.2023
- Beginn
- 06.10.2023
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- - / RL
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Decreased appetite
Infant irritability
Wrong product administered
Symptomtext
Quadracel inadvertently given rather than Vaxelis at 2 month old wellness visit. Follow up with parents today (10/9/2023) 72 hours after administration. No fever at any point. No redness or swelling around injection site. Infant has been a little more fussy and not eating as well.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Decreased appetite
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 2,0
- Geschlecht
- F
- Eingang
- 13.09.2023
- Impfdatum
- 08.09.2023
- Beginn
- 08.09.2023
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- OT / LL
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Accidental exposure to product
Medication error
No adverse event
Symptomtext
patient received a dose of QUADRACEL by mistake with no reported adverse event; Initial information received on 08-Sep-2023 regarding an unsolicited valid non-serious case received from a other health professional. This case involves a 2 years old female patient who received a dose of diphtheria-15/tetanus/5 hybrid AC pertussis/IPV (MRC5) vaccine [Quadracel] by mistake with no reported adverse event. The patient's past medical history, medical treatment(s), vaccination(s) and family history were not provided. On 08-Sep-2023, the patient received a dose 0.5 ml of suspect Diphtheria-15/Tetanus/5 Hybrid AC Pertussis/IPV (MRC5) Vaccine Suspension for injection expiry date: 07-sep-2024 lot U7526AA via unknown route in the left thigh for immunization and patient received a dose of quadracel by mistake with no reported adverse event (accidental exposure to product) on the same day following the administration of vaccine. Action taken was not applicable. At time of reporting, the outcome was Unknown for the event patient received a dose of quadracel by mistake with no reported adverse event. This suspected adverse reaction report is submitted and classified as a medication error solely and exclusively to ensure the marketing authorization holder's compliance with the requirements set out in the Directive 2001/83/EC and Module VI of the Good Pharmacovigilance Practices. The classification as a medical error is in no way intended, nor should it be interpreted or construed as an allegation or claim made by the marketing authorization holder that any third party has contributed to or is to be held liable for the occurrence of this medication error.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Accidental exposure to product
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- NY
- Alter
- 10,0
- Geschlecht
- F
- Eingang
- 11.09.2023
- Impfdatum
- 24.08.2023
- Beginn
- 24.08.2023
- Tage bis Beginn
- 0,0
- Dosis
- 5
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
No adverse event
Product administered to patient of inappropriate age
Symptomtext
Pt was given Quadracel which is only approved for children ages 4-6 years. No further treatment was given. No adverse reaction was noted.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- No adverse event
- Hospital-Tage
- -
- Labordaten
- N/A
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- Seasonal allergies only
- Vorherige Impfungen
- -
- Staat
- ME
- Alter
- 0,2
- Geschlecht
- F
- Eingang
- 17.07.2023
- Impfdatum
- 13.07.2023
- Beginn
- 17.07.2023
- Tage bis Beginn
- 4,0
- Dosis
- 1
- Route/Site
- IM / LL
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
No adverse event
Wrong product administered
Symptomtext
DTaP was ordered, Quadracel was given. Patient had no adverse reaction.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- No adverse event
- Hospital-Tage
- -
- Labordaten
- None
- Aktuelle Erkrankungen
- NONE
- Vorgeschichte
- NONE
- Andere Medikamente
- CHOLECALCIFEROL
- Allergien
- NONE REPORTED
- Vorherige Impfungen
- -
- Staat
- IN
- Alter
- 5,0
- Geschlecht
- M
- Eingang
- 15.06.2023
- Impfdatum
- 12.06.2023
- Beginn
- 13.06.2023
- Tage bis Beginn
- 1,0
- Dosis
- UNK
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Peripheral swelling
Skin warm
Symptomtext
Arm swelling , hand swelling, pain and warm to touch, came into office to be seen. Dr. saw patient same day appt. Dr. examined patient and gave dose of Benadryl. Patient's father advised what to watch for. Patient's father understood.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Peripheral swelling
- Hospital-Tage
- -
- Labordaten
- N/A
- Aktuelle Erkrankungen
- N/A
- Vorgeschichte
- N/A
- Andere Medikamente
- N/A
- Allergien
- N/A
- Vorherige Impfungen
- -
- Staat
- FL
- Alter
- 3,0
- Geschlecht
- M
- Eingang
- 15.06.2023
- Impfdatum
- 07.06.2023
- Beginn
- 07.06.2023
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- OT / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Medication error
No adverse event
Product administered to patient of inappropriate age
Symptomtext
3-year-old pediatric patient who received a dose of QUADRACEL intended for children aged 4-6 years with no reported adverse event; Initial information received on 13-Jun-2023 regarding an unsolicited valid non-serious case received from a other health professional. This case involves a 3 years old pediatric male patient who received a dose of Diphtheria-15/Tetanus/5 Hybrid AC Pertussis/IPV (MRC5) vaccine [Quadracel] intended for children aged 4-6 years with no reported adverse event. The patient's past medical history, medical treatment(s), vaccination(s), concomitant (s) and family history were not provided. On 07-Jun-2023, the patient of age 3 years received a dose of 0.5 ml (1x) dose 4 of suspect Diphtheria-15/Tetanus/5 Hybrid AC pertussis/IPV (MRC5) vaccine suspension for injection (lot: U7526AA, Expiry date: 07-Sep-2024) via intramuscular route in unknown administration site for immunization which was intended for children aged 4-6 years with no reported adverse event (product administered to patient of inappropriate age) (latency: same day). Action taken: not applicable. At time of reporting, the outcome was 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
- Medication error
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- IN
- Alter
- 12,0
- Geschlecht
- M
- Eingang
- 17.05.2023
- Impfdatum
- 11.05.2023
- Beginn
- 11.05.2023
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- IM / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Wrong product administered
Symptomtext
Not a reaction. Patient should have received Tdap, but received Quadracel instead. Patient has had no symptoms.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Wrong product administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- unknown
- Allergien
- none
- Vorherige Impfungen
- -
- Staat
- MI
- Alter
- 2,2
- Geschlecht
- F
- Eingang
- 04.05.2023
- Impfdatum
- 30.03.2023
- Beginn
- 30.03.2023
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- IM / RL
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
No adverse event
Product administered to patient of inappropriate age
Symptomtext
Patient given Quadracel and she is 2yo. Patient has not suffered any ill effects
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- No adverse event
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- OK
- Alter
- 10,0
- Geschlecht
- M
- Eingang
- 28.04.2023
- Impfdatum
- 06.03.2023
- Beginn
- 06.03.2023
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Circumstance or information capable of leading to medication error
Wrong product administered
Symptomtext
Patient has two charts in system with different names and dates of birth. After provider verified information with parents. Patient was given DTap instead of Tdap.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Circumstance or information capable of leading to medication error
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- n/a
- Allergien
- NKA
- Vorherige Impfungen
- -
- Staat
- OH
- Alter
- 6,0
- Geschlecht
- M
- Eingang
- 28.04.2023
- Impfdatum
- 21.09.2022
- Beginn
- 21.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- - / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Adverse event
Symptomtext
Adverse effect of other viral vaccines, subsequent encounter on 2022-09-21.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Adverse event
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- Encounter for routine child health examination NOS; Body mass index [BMI] pediatric, greater than or equal to 95th percentile for age; Allergy to eggs
- Vorgeschichte
- -
- Andere Medikamente
- None
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- HI
- Alter
- 4,0
- Geschlecht
- F
- Eingang
- 25.04.2023
- Impfdatum
- 10.04.2023
- Beginn
- -
- Tage bis Beginn
- -
- Dosis
- 5
- Route/Site
- IM / RL
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Expired product administered
Symptomtext
Covid19 Bivalent vaccine lot # GP4345 had a 10 week expiry of 04/07/2023 administered past the BUD on 04/0/2023. We contact Pfizer on 04/18/2023 for Stability Assessment: Stability data DOES SUPPORT
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Expired product administered
- Hospital-Tage
- -
- Labordaten
- NONE
- Aktuelle Erkrankungen
- MMR,VARICELLA, QUADRACEL(DTAP/IPV)
- Vorgeschichte
- NONE
- Andere Medikamente
- MULTIVITAMIN W/FLUORIDE 0.50MG 1 TAB DAILY
- Allergien
- NONE
- Vorherige Impfungen
- -
- Staat
- TN
- Alter
- 8,0
- Geschlecht
- M
- Eingang
- 24.04.2023
- Impfdatum
- 02.02.2023
- Beginn
- 02.02.2023
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Product administered to patient of inappropriate age
Symptomtext
Vaccine given out of age range.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Product administered to patient of inappropriate age
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- None
- Allergien
- NKA
- Vorherige Impfungen
- -
- Staat
- KY
- Alter
- 1,0
- Geschlecht
- F
- Eingang
- 13.04.2023
- Impfdatum
- 27.03.2023
- Beginn
- 27.03.2023
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- OT / LL
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
No adverse event
Product administered to patient of inappropriate age
Symptomtext
12-month-old was inadvertently administered a dose of QUADRACEL with no reported adverse event; Initial information received on 10-Apr-2023 regarding an unsolicited valid non-serious case received via practice manager. GMI number 01568765. This case involves a 12-month-old female patient who was inadvertently administered a dose of DIPHTHERIA-15/TETANUS/5 HYBRID AC PERTUSSIS/IPV (MRC5) VACCINE [QUADRACEL] 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 HEPATITIS A VACCINE (HEPATITIS A) for Immunization. On 27-Mar-2023, the 12-month-old was inadvertently administered suspect DIPHTHERIA-15/TETANUS/5 HYBRID AC PERTUSSIS/IPV (MRC5) VACCINE Suspension for injection at dose 0.5ml once (lot U7526AA, expiry date: 07-Sep-2024) via intramuscular route in the left vastus lateralis for Immunization with no reported adverse event (product administered to patient of inappropriate age) at same day latency. Action taken: Not applicable. At time of reporting, the outcome was Unknown for the event product administered to patient of inappropriate age. 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
- WA
- Alter
- 6,0
- Geschlecht
- M
- Eingang
- 30.03.2023
- Impfdatum
- 16.03.2023
- Beginn
- 16.03.2023
- Tage bis Beginn
- 0,0
- Dosis
- 6
- Route/Site
- IM / LL
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Extra dose administered
Symptomtext
Vaccine records not received before immunizations given. Patient was given extra quadracel and proquad.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Extra dose administered
- Hospital-Tage
- -
- Labordaten
- None
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- None
- Andere Medikamente
- None
- Allergien
- None
- Vorherige Impfungen
- -
- Staat
- CO
- Alter
- 3,0
- Geschlecht
- F
- Eingang
- 17.03.2023
- Impfdatum
- 17.03.2023
- Beginn
- 17.03.2023
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / RL
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
No adverse event
Wrong product administered
Symptomtext
Pt was given Quadracel instead of Dtap. Pt had no reactions and is aware to contact us if she does.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- No adverse event
- Hospital-Tage
- -
- Labordaten
- Pt was given Quadracel instead of Dtap. Pt had no reactions and is aware to contact us if she does.
- Aktuelle Erkrankungen
- N/A
- Vorgeschichte
- N/A
- Andere Medikamente
- N/A
- Allergien
- N/A
- Vorherige Impfungen
- -
- Staat
- AZ
- Alter
- 3,0
- Geschlecht
- F
- Eingang
- 11.03.2023
- Impfdatum
- 02.02.2023
- Beginn
- 02.02.2023
- 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
Product administered to patient of inappropriate age
Symptomtext
patient of 3 years age inadvertently received a dose of QUADRACEL with no reported adverse event; Initial information received on 06-Mar-2023 regarding an unsolicited valid non-serious case received via health professional. number: 01519769. This case involves 3 years old female patient who was inadvertently received a dose of DIPHTHERIA-15/TETANUS/5 HYBRID AC PERTUSSIS/IPV (MRC5) VACCINE [QUADRACEL] 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 HEPATITIS B VACCINE (HEPATITIS B VACCINE) for Prophylactic vaccination; and MEASLES VACCINE, MUMPS VACCINE, RUBELLA VACCINE (MMR) for Prophylactic vaccination. On 02-Feb-2023, the patient 3 years age inadvertently received suspect Diphtheria-15/Tetanus/5 Hybrid AC Pertussis/IPV (MRC5) Vaccine Suspension for injection at dose 0.5ml once lot U7526AA via intramuscular route in the right deltoid for Immunization with no reported adverse event (product administered to patient of inappropriate age) at same day latency. Action taken: Not applicable. At time of reporting, the outcome was Unknown for the event product administered to patient of inappropriate age. 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
- Medication error
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- HEPATITIS B VACCINE; MMR
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- UT
- Alter
- 4,0
- Geschlecht
- M
- Eingang
- 06.03.2023
- Impfdatum
- 06.03.2023
- Beginn
- 06.03.2023
- Tage bis Beginn
- 0,0
- Dosis
- 5
- Route/Site
- IM / LL
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
No adverse event
Symptomtext
talked to mom and at this time no adverse event has occurred
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- No adverse event
- Hospital-Tage
- -
- Labordaten
- none
- Aktuelle Erkrankungen
- none
- Vorgeschichte
- none
- Andere Medikamente
- multi-vitamin
- Allergien
- none
- Vorherige Impfungen
- -
- Staat
- OH
- Alter
- 5,0
- Geschlecht
- F
- Eingang
- 28.02.2023
- Impfdatum
- 25.02.2023
- Beginn
- 25.02.2023
- 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
Symptomtext
Vaccine was expired for the beyond use date. BUD was 2/17/23. Vaccine was still in vaccine fridge. Expired vaccine inadvertently pulled from stock and administered on 2/25/23.
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
- N/A
- Vorherige Impfungen
- -
- Staat
- IL
- Alter
- 7,0
- Geschlecht
- F
- Eingang
- 03.02.2023
- Impfdatum
- 30.09.2022
- Beginn
- 30.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 5
- Route/Site
- OT / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
No adverse event
Off label use
Product administered to patient of inappropriate age
Symptomtext
off label use due to--inappropriate age for the product as per local labelling (with no reported adverse event); Initial information received on 31-Jan-2023 regarding an unsolicited valid non-serious case received from a other health professional. This case involves a 7 years old female patient who received DIPHTHERIA-15/TETANUS/5 HYBRID AC PERTUSSIS/IPV (MRC5) VACCINE and this condition is off label use due to--inappropriate age for the product as per local labelling (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 MEASLES VACCINE LIVE (ENDERS-EDMONSTON), MUMPS VACCINE LIVE (JERYL LYNN), RUBELLA VACCINE LIVE (WISTAR RA 27/3), VARICELLA ZOSTER VACCINE LIVE (OKA/MERCK) (PROQUAD) and INFLUENZA VACCINE INACT SPLIT 4V (FLUZONE QUADRIVALENT) both for Immunisation. On 30-Sep-2022, the patient received 0.25 mL to 2 mL for vaccines or 0.1 mL for TB skin test--0.5ml dose 5 of suspect DIPHTHERIA-15/TETANUS/5 HYBRID AC PERTUSSIS/IPV (MRC5) VACCINE (Strength: standard) (Frequency: once) (lot number: U7526AA) (expiry date: 07-sep-2024) via intramuscular route in the left deltoid for Immunization or TB skin test. and this condition is off label use due to--inappropriate age for the product as per local labelling (with no reported adverse event) (product administered to patient of inappropriate age) (latency: same day). Action taken: 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
- No adverse event
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- KY
- Alter
- 4,0
- Geschlecht
- M
- Eingang
- 01.02.2023
- Impfdatum
- 24.01.2023
- Beginn
- 24.01.2023
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- OT / LL
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Extra dose administered
No adverse event
Wrong product administered
Symptomtext
received an extra dose DTap in error with no reported adverse event; twins were prescribed IPV but instead were given the combo vaccine QUADRACEL with no reported adverse event; Initial information received on 26-Jan-2023 regarding an unsolicited valid non-serious case received from a other health professional. This case involves a 4 years old male patient who received an extra dose dtap in error with no reported adverse event and twins were prescribed IPV but instead were given the combo diphtheria-15/tetanus/5 hybrid AC pertussis/IPV (MRC5) vaccine [Quadracel] 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 measles vaccine live (enders-edmonston), mumps vaccine live (jeryl lynn), rubella vaccine live (WISTAR RA 27/3), varicella zoster vaccine live (OKA/MERCK) (PROQUAD) for Immunisation. On 24-Jan-2023, the patient received 0.5 dose of suspect diphtheria-15/tetanus/5 hybrid AC pertussis/IPV (MRC5) vaccine, Suspension for injection, at 1X (once), (lot number: U7526AA: expiry date: 07-Sep-2024) via intramuscular route in the left thigh for immunisation. On 24-Jan-2023 the patient received an extra dose dtap in error with no reported adverse event (extra dose administered) and twins were prescribed ipv but instead were given the combo vaccine quadracel with no reported adverse event (wrong product administered) (latency: same day) following the administration of diphtheria-15/tetanus/5 hybrid AC pertussis/IPV (MRC5) vaccine. No lab data was reported. Action taken was not applicable. At time of reporting, the outcome was Unknown for all 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 Directive 2001/83/EC and Module VI of the Good Pharmacovigilance Practices. The classification as a medical error is in no way intended, nor should it be interpreted or construed as an allegation or claim made by the marketing authorization holder that any third party has contributed to or is to be held liable for the occurrence of this medication error.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Extra dose administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- PROQUAD
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- KY
- Alter
- 4,0
- Geschlecht
- F
- Eingang
- 01.02.2023
- Impfdatum
- 24.01.2023
- Beginn
- 24.01.2023
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- OT / LL
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Extra dose administered
Medication error
No adverse event
Wrong product administered
Symptomtext
received an extra dose DTap in error with no reported adverse event; prescribed IPV but instead were given the combo vaccine QUADRACEL with no reported adverse event; Initial information received on 26-Jan-2023 regarding an unsolicited valid non-serious case received from a other health professional. This case is linked to case US-SA-2023SA033514. This case involves a 4 years old female patient who received an extra dose DTAP in error with no reported adverse event and was prescribed IPV but instead were given the combo vaccine diphtheria-15/tetanus/5 hybrid AC pertussis/IPV (MRC5) vaccine [Quadracel] 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 measles vaccine live (enders-edmonston), mumps vaccine live (jeryl lynn), rubella vaccine live (wistar RA 27/3), varicella zoster vaccine live (oka/merck) (Proquad) for Immunisation. On 24-Jan-2023, the patient received a dose of 0.5 ml suspect diphtheria-15/tetanus/5 hybrid AC pertussis/IPV (MRC5) vaccine (Suspension for injection) (lot: U7526AA; expiry date: 07-Sep-2024; strength: standard) via intramuscular route in the left thigh for immunization. On 24-Jan-2023 the patient received an extra dose of DTAP in error with no reported adverse event (extra dose administered) and was prescribed IPV but instead were given the combo vaccine diphtheria-15/tetanus/5 hybrid AC pertussis/IPV (MRC5) vaccine (Quadracel) with no reported adverse event (wrong product administered) (latency: same day). Action taken was not applicable. At time of reporting, the outcome was Unknown for both the events. This suspected adverse reaction report is submitted and classified as a medication error solely and exclusively to ensure the marketing authorization holder's compliance with the requirements set out in the guidelines. The classification as a medical error is in no way intended, nor should it be interpreted or construed as an allegation or claim made by the marketing authorization holder that any third party has contributed to or is to be held liable for the occurrence of this medication error.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Extra dose administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- MI
- Alter
- 2,0
- Geschlecht
- M
- Eingang
- 30.01.2023
- Impfdatum
- 03.11.2022
- Beginn
- 03.11.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / RL
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Product administered to patient of inappropriate age
Symptomtext
Upon review, it has been determined that Dtap-IPV was given to a 2 year old when indicated for children ages 4-6. This was patient's first dose of IPV and second dose of Dtap. Both doses are being counted as valid doses. Patient has been into our Health Department since this occurrence. Mother did not mention any adverse events from the vaccine administered on 11/3/22. Telephone call to mother to discuss findings. Telephone forwarding directly to voicemail and mailbox is full. Records used to look up additional contact information.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Product administered to patient of inappropriate age
- Hospital-Tage
- -
- Labordaten
- None
- Aktuelle Erkrankungen
- None reported
- Vorgeschichte
- None reported
- Andere Medikamente
- None reported
- Allergien
- None reported
- Vorherige Impfungen
- -
- Staat
- KY
- Alter
- 4,0
- Geschlecht
- F
- Eingang
- 26.01.2023
- Impfdatum
- 24.01.2023
- Beginn
- 24.01.2023
- Tage bis Beginn
- 0,0
- Dosis
- 5
- Route/Site
- IM / LL
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Extra dose administered
Symptomtext
Patient was on a catch-up schedule for vaccine, and I was unaware as a result the child was given 4-year-old vaccines, this resulted in patient receiving and extra DTAP AND VARICELLA. Child was observed for 15 minutes after vaccines given per protocol, no adverse reaction noted.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Extra dose administered
- Hospital-Tage
- -
- Labordaten
- none
- Aktuelle Erkrankungen
- none
- Vorgeschichte
- none
- Andere Medikamente
- zyrtec
- Allergien
- none
- Vorherige Impfungen
- -
- Staat
- KY
- Alter
- 4,0
- Geschlecht
- M
- Eingang
- 26.01.2023
- Impfdatum
- 24.01.2023
- Beginn
- 24.01.2023
- Tage bis Beginn
- 0,0
- Dosis
- 5
- Route/Site
- SC / LL
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Extra dose administered
Symptomtext
The patient was on a catch up schedule for vaccines and I was unaware.. so patient was given so patient was given what was 4 year vaccines.. In doing so patient received an extra DTAP AND varicella vaccine.. No adverse reaction noted, patient was monitored 15 minutes after given , no signs of reaction noted
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Extra dose administered
- Hospital-Tage
- -
- Labordaten
- none
- Aktuelle Erkrankungen
- none
- Vorgeschichte
- none
- Andere Medikamente
- none
- Allergien
- none
- Vorherige Impfungen
- -
- Staat
- PA
- Alter
- 15,0
- Geschlecht
- F
- Eingang
- 12.12.2022
- Impfdatum
- 20.10.2022
- Beginn
- 20.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
No adverse event
Product administered to patient of inappropriate age
Symptomtext
No adverse outcome. Was given DTaP-IPV outside of age range 4-6yo.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- No adverse event
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- Asthma
- Andere Medikamente
- Flovent
- Allergien
- no known allergies
- Vorherige Impfungen
- -
- Staat
- PA
- Alter
- 0,7
- Geschlecht
- F
- Eingang
- 08.12.2022
- Impfdatum
- 16.11.2022
- Beginn
- 16.11.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- OT / LL
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Medication error
No adverse event
Product administered to patient of inappropriate age
Symptomtext
8 months old was given quadracel with no reported ae; Initial information received on 01-Dec-2022 regarding an unsolicited valid non-serious case received from a other health professional. This case involves 8 months old female patient who was given Quadracel (DIPHTHERIA-15/TETANUS/5 HYBRID AC PERTUSSIS/IPV (MRC5) VACCINE ) with no reported ae (adverse event) The patient's past medical history, medical treatment(s), vaccination(s) and family history were not provided. Concomitant medications included hepatitis b vaccine and pneumococcal vaccine CONJ 13V (CRM197) (Prevnar 13) for Prophylactic vaccination. On 16-Nov-2022, the patient received a dose of 0.5 ml of suspect DIPHTHERIA-15/TETANUS/5 HYBRID AC PERTUSSIS/IPV (MRC5) VACCINE lot U7526AA, expiration date:07-Sep-2024, via intramuscular route in the left thigh for prophylactic vaccination. On 16-Nov-2022 the 8 months old was given quadracel with no reported ae (product administered to patient of inappropriate age) same day following the administration of DIPHTHERIA-15/TETANUS/5 HYBRID AC PERTUSSIS/IPV (MRC5) VACCINE . The patient used the product for the first time. Action taken was not applicable. corrective treatment :None 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 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.At time of reporting, the outcome was Unknown for the event vaccination complication
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Medication error
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- HEPATITIS B VACCINE; PREVNAR 13
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- CT
- Alter
- 4,0
- Geschlecht
- F
- Eingang
- 07.12.2022
- Impfdatum
- 21.11.2022
- Beginn
- 21.11.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- OT / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Expired product administered
No adverse event
Product storage error
Symptomtext
Vaccine administered after 30-day Use By Date/vial exposed to room temperature for more than 24 hours; No Adverse event; Vaccine administered more than 12 hours post puncture and after 30-day Use By Date; This spontaneous case was reported by a nurse and describes the occurrence of EXPIRED PRODUCT ADMINISTERED (Vaccine administered more than 12 hours post puncture and after 30-day Use By Date), PRODUCT STORAGE ERROR (Vaccine administered after 30-day Use By Date/vial exposed to room temperature for more than 24 hours) and NO ADVERSE EVENT (No Adverse event) in a 4-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. AR9236B) for COVID-19 vaccination. Co-suspect product included non-company product QUADRACEL for an unknown indication. No Medical History information was reported. On 21-Nov-2022, the patient received dose of QUADRACEL (Intramuscular) .5 milliliter. On 21-Nov-2022 at 4:23 PM, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 21-Nov-2022 at 4:23 PM, the patient experienced EXPIRED PRODUCT ADMINISTERED (Vaccine administered more than 12 hours post puncture and after 30-day Use By Date). On an unknown date, the patient experienced PRODUCT STORAGE ERROR (Vaccine administered after 30-day Use By Date/vial exposed to room temperature for more than 24 hours) and NO ADVERSE EVENT (No Adverse event). At the time of the report, EXPIRED PRODUCT ADMINISTERED (Vaccine administered more than 12 hours post puncture and after 30-day Use By Date), PRODUCT STORAGE ERROR (Vaccine administered after 30-day Use By Date/vial exposed to room temperature for more than 24 hours) and NO ADVERSE EVENT (No Adverse event) outcome was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter considered NO ADVERSE EVENT (No Adverse event) to be not related. No further causality assessments were provided for EXPIRED PRODUCT ADMINISTERED (Vaccine administered more than 12 hours post puncture and after 30-day Use By Date) and PRODUCT STORAGE ERROR (Vaccine administered after 30-day Use By Date/vial exposed to room temperature for more than 24 hours). No concomitant products reported. Nurse reported that 1st primary dose of Moderna Monovalent was administered to a patient on 21 Nov 2022, more than 12 hours post puncture and after 30 day use by date. Vial size was 2.5 ml. The vial was initially stored in the refrigerator on 18 Oct 2022. The vial was first punctured on 18 Nov 2022 around 9 AM. The administration of vaccine was on 21 Nov 2022 at 4:23 pm. The vial stored post puncture returned to the fridge. The vial did not undergo any temperature excursions. The vial exposed to room temperature for more than 24 hours. The patient did not ever had COVID positive test or diagnosis. Patient received additional vaccines on 21 Nov 2022. 5th dose of QUADRACEL MMR Lot number: W024973. No treatment products reported.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Expired product administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- Comments: Patient had No known allergies. Patient had never had COVID + test or diagnosis.
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- IL
- Alter
- 12,0
- Geschlecht
- M
- Eingang
- 01.12.2022
- Impfdatum
- 15.11.2022
- Beginn
- 15.11.2022
- Tage bis Beginn
- 0,0
- Dosis
- 2
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Product administered to patient of inappropriate age
Symptomtext
The patient was missing a polio vaccine and I gave Quadracel as per Dr. order. Our office does not carry a vaccine with only polio. I prepared Quadracel along with Fluarix and Bivalent for 12+ patients. Once in the room, I went over the vaccines with the parent and handed the VIS to them. The patient's parents will be contacted and notified of the error.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Product administered to patient of inappropriate age
- Hospital-Tage
- -
- Labordaten
- None
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- None
- Andere Medikamente
- N/A
- Allergien
- None
- Vorherige Impfungen
- -
- Staat
- NJ
- Alter
- 5,0
- Geschlecht
- F
- Eingang
- 18.11.2022
- Impfdatum
- 19.10.2022
- Beginn
- 19.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- 2
- Route/Site
- IM / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Extra dose administered
Symptomtext
Patient received an extra dose of DTaP/IPV due to patient's vaccine record not being properly abstracted into the system. Patient had already received a dose on 02/10/2022, which was not needed.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Extra dose administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- KS
- Alter
- -
- Geschlecht
- F
- Eingang
- 08.11.2022
- Impfdatum
- 28.10.2022
- Beginn
- 28.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- OT / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Medication error
No adverse event
Wrong product administered
Symptomtext
should have given DTaP-IPV-HIB (Pentacel), but instead grabbed QUADRACEL/mistakenly gave a wrong injection with no reported adverse event; Initial information received on 28-Oct-2022 regarding an unsolicited valid non-serious case received from a other health professional. This case involves a 2 months old female patient and it was reported that patient should have given DTap-Ipv-Hib (Pentacel), but instead grabbed DIPHTHERIA-15/TETANUS/5 HYBRID AC PERTUSSIS/IPV (MRC5) VACCINE (Quadracel) /mistakenly gave a wrong injection 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 HEPATITIS B VACCINE (HEPATITIS B VACCINE); ROTAVIRUS VACCINE (ROTAVIRUS VACCINE); and PNEUMOCOCCAL VACCINE CONJ (PNEUMOCOCCAL CONJUGATE VACCINE). On 28-Oct-2022, the patient received a dose 1 of suspect DIPHTHERIA-15/TETANUS/5 HYBRID AC PERTUSSIS/IPV (MRC5) VACCINE , at dose of 0.5 ml , once, (lot: U7526AA ; expiry date: not reported) via unknown route in unknown administration site for immunization. It was reported that patient should have given Dtap-ipv-hib (Pentacel), but instead grabbed quadracel/mistakenly gave a wrong injection with no reported adverse event (wrong product administered) following the administration of DIPHTHERIA-15/TETANUS/5 HYBRID AC PERTUSSIS/IPV (MRC5) 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 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
- Medication error
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- HEPATITIS B VACCINE; ROTAVIRUS VACCINE; PNEUMOCOCCAL CONJUGATE VACCINE
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- CA
- Alter
- 2,0
- Geschlecht
- M
- Eingang
- 08.11.2022
- Impfdatum
- 25.10.2022
- Beginn
- 25.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- OT / LL
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Medication error
No adverse event
Product administered to patient of inappropriate age
Symptomtext
medication error due to a 2.5 year old male patient received Quadracel, with no reported adverse event; Initial information received on 26-Oct-2022 regarding an unsolicited valid non-serious case from other health professional. This case involves a 2 years old male patient who had medication error due to a 2.5 year old male patient received diphtheria-15/tetanus/5 hybrid AC pertussis/IPV (MRC5) Vaccine [Quadracel], with no reported adverse event. The patient's past medical history, medical treatment(s), vaccination(s), concomitant medication and family history were not provided. Concomitant medications included measles vaccine live (enders-edmonston), mumps vaccine live (jeryl lynn), rubella vaccine live (wistar RA 27/3), varicella zoster vaccine live (OKA/MERCK) (Proquad) for influenza vaccine both for Prophylactic vaccination. On 25-Oct-2022, the patient received suspect diphtheria-15/tetanus/5 hybrid AC pertussis/IPV (MRC5) Vaccine at a dose of 0.5 ml once(lot U7526AA, expiry date: 07-Sep-2024) via intramuscular route in the left thigh for immunisation. On 25-Oct-2022 there was medication error due to a 2.5 year old male patient received quadracel, with no reported adverse event (product administered to patient of inappropriate age, same day latency). 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 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
- Medication error
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- PROQUAD; INFLUENZA VACCINE
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- KS
- Alter
- 0,3
- Geschlecht
- M
- Eingang
- 04.11.2022
- Impfdatum
- 20.10.2022
- Beginn
- 20.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- OT / LL
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Medication error
No adverse event
Wrong product administered
Symptomtext
patient received an incorrect vaccine which was QUADRACEL instead of Pentacel with no adverse event; Initial information received on 24-Oct-2022 regarding an unsolicited valid non-serious case received from a nurse. This case involves a 4 months old male patient received an incorrect vaccine which was DIPHTHERIA-15/TETANUS/5 HYBRID AC PERTUSSIS/IPV (MRC5) VACCINE [QUADRACEL] instead of DIPHTHERIA/TETANUS/5 HYBRID AC PERTUSSIS/IPV(VERO)/HIB(PRP/T) VACCINE [PENTACEL (VERO)] with no adverse event. The patient's past medical history, medical treatment(s), vaccination(s), concomitant medication and family history were not provided. On 20-Oct-2022, the patient received suspect DIPHTHERIA-15/TETANUS/5 HYBRID AC PERTUSSIS/IPV (MRC5) VACCINE at a dose of 0.5 ml (lot U7526AA, expiry date: 07-Sep-2024) via intramuscular route in the left thigh for immunization. On 20-Oct-2022 the patient developed a non-serious patient received an incorrect vaccine which was QUADRACEL instead of Pentacel with no adverse event (wrong product administered). Caller reported the patient had not received any previous vaccinations. The patient came in to start his vaccinations, and one of the providers wrote orders for him to receive pentacel among other vaccinations to start the catch-up process. Another provider wrote orders for a different patient to receive quadracel, the orders were inadvertently mixed up and this patient received quadracel in error. 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 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
- Medication error
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- CA
- Alter
- 4,0
- Geschlecht
- M
- Eingang
- 18.10.2022
- Impfdatum
- 17.10.2022
- Beginn
- 18.10.2022
- Tage bis Beginn
- 1,0
- Dosis
- UNK
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Erythema
Immunisation reaction
Symptomtext
PT HAD A REACTION TO THE VACCINE. ARM WAS RED.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Erythema
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 2,0
- Geschlecht
- U
- Eingang
- 13.10.2022
- Impfdatum
- -
- Beginn
- -
- Tage bis Beginn
- -
- Dosis
- UNK
- Route/Site
- OT / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Interchange of vaccine products
No adverse event
Symptomtext
A 2 year old patient received a Quadracel vaccine instead of a Pentacel vaccine with no reported adverse event; Initial information was received on 07-Oct-2022 regarding an unsolicited valid non-serious case received from a other health professional. This case involves 2 years old and unknown gender patient who received a diphtheria-15/tetanus/5 hybrid AC pertussis/IPV (MRC5) vaccine [Quadracel] instead of a pentacel vaccine with no reported adverse event. The patient's past medical history, medical treatment(s), vaccination(s) and family history were not provided. On an unknown date, the patient received suspect diphtheria-15/tetanus/5 hybrid AC pertussis/IPV (MRC5) vaccine suspension for injection (lot U7526AA, expiry date - 07-Sep-2024) (dose, frequency and strength: unknown) via unknown route in unknown administration site for immunization. On an unknown date 2 year old patient received a diphtheria-15/tetanus/5 hybrid AC pertussis/IPV (MRC5) vaccine instead of a pentacel vaccine with no reported adverse event (interchange of vaccine products) (unknown latency) following the administration of vaccine. Action taken was not applicable. At time of reporting, the outcome was Unknown for the event
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Interchange of vaccine products
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- NC
- Alter
- 13,0
- Geschlecht
- F
- Eingang
- 20.09.2022
- Impfdatum
- 19.09.2022
- Beginn
- 19.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Wrong product administered
Symptomtext
no adverse events, patient inadvertently received Quadracel. I followed up, no harm to patient, mother made aware. Patient was here for Tdap requirement. He and his brother were in the same room and brother was receiving Quadrcel with his vaccines.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Wrong product administered
- Hospital-Tage
- -
- Labordaten
- n/a
- Aktuelle Erkrankungen
- n/a
- Vorgeschichte
- n/a
- Andere Medikamente
- n/a
- Allergien
- no
- Vorherige Impfungen
- -
- Staat
- NE
- Alter
- 5,0
- Geschlecht
- F
- Eingang
- 15.09.2022
- Impfdatum
- 13.09.2022
- Beginn
- 13.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- N/A
- Route/Site
- IM / LL
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Extra dose administered
Symptomtext
Patient was given an extra MMR-V and Dtap-IPV at 5 years old when she had already received both of these vaccines at 4 years old.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Extra dose administered
- Hospital-Tage
- -
- Labordaten
- none
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- None
- Andere Medikamente
- None
- Allergien
- None
- Vorherige Impfungen
- -
- Staat
- CT
- Alter
- 4,0
- Geschlecht
- F
- Eingang
- 12.09.2022
- Impfdatum
- 02.09.2022
- Beginn
- 02.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- OT / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Circumstance or information capable of leading to medication error
Underdose
Symptomtext
under dose administration of quadracel due to the child moving during administration with no reported adverse event; Initial information received on 06-Sep-2022 regarding an unsolicited valid non-serious case received from other health professional. This case involves a 4 years old female patient who had under dose administration of DIPHTHERIA-15/TETANUS/5 HYBRID AC PERTUSSIS/IPV (MRC5) VACCINE [QUADRACEL] due to the child moving during administration 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 MEASLES VACCINE LIVE (ENDERS-EDMONSTON), MUMPS VACCINE LIVE (JERYL LYNN), RUBELLA VACCINE LIVE (WISTAR RA 27/3), VARICELLA ZOSTER VACCINE LIVE (OKA/MERCK) (PROQUAD) for Prophylactic vaccination. On 02-Sep-2022, the patient received suspect DIPHTHERIA-15/TETANUS/5 HYBRID AC PERTUSSIS/IPV (MRC5) VACCINE at a dose of 0.5 ml lot U7526AA via intramuscular route in the left deltoid for immunisation. On 02-Sep-2022 the patient had under dose administration of quadracel due to the child moving during administration with no reported adverse event (underdose). Action taken: Not applicable. Outcome: Unknown.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Circumstance or information capable of leading to medication error
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- NJ
- Alter
- 11,0
- Geschlecht
- M
- Eingang
- 12.09.2022
- Impfdatum
- 30.08.2022
- Beginn
- 30.08.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- OT / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Product administered to patient of inappropriate age
Symptomtext
a dose of QUADRACEL was inadvertently administered to an 11 year old with no adverse event; Initial information received on 30-Aug-2022 regarding an unsolicited valid non-serious case received from a other health professional. This case involves a 11 years old male patient who was given a dose of quadracel was inadvertently with no adverse event , after receiving vaccine DIPHTHERIA-15/TETANUS/5 HYBRID AC PERTUSSIS/IPV (MRC5) VACCINE [QUADRACEL]. The patient's past medical history, medical treatment(s), vaccination(s) and family history were not provided. Concomitant medications included MEASLES VACCINE LIVE (ENDERS-EDMONSTON), MUMPS VACCINE LIVE (JERYL LYNN), RUBELLA VACCINE LIVE (WISTAR RA 27/3), VARICELLA ZOSTER VACCINE LIVE (OKA/MERCK) (PROQUAD) for Immunisation; and ALTHAEA OFFICINALIS ROOT, CINNAMOMUM CAMPHORA ESSENTIAL OIL, CITRUS AURANTIUM OIL, EUCALYPTUS GLOBULUS LEAF ESSENTIAL OIL, MENTHA X PIPERITA ESSENTIAL OIL (GARDISIL) for Immunisation. On 30-Aug-2022, the patient received a total dose of suspect DIPHTHERIA-15/TETANUS/5 HYBRID AC PERTUSSIS/IPV (MRC5) VACCINE l(Lot U7526AA and expiration date: 07-Sep-2024) at a dose of 0,.5ml via intramuscular route in the left deltoid for immunization. On 30-Aug-2022(latency: same day ) the patient developed a non-serious event of a dose of quadracel was inadvertently administered to an 11 year old with no adverse event (product administered to patient of inappropriate age) following the administration. Action taken :as not applicable It was not reported if the patient received a corrective treatment for the event. 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
- Product administered to patient of inappropriate age
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- MI
- Alter
- 4,0
- Geschlecht
- F
- Eingang
- 16.08.2022
- Impfdatum
- 16.08.2022
- Beginn
- 16.08.2022
- Tage bis Beginn
- 0,0
- Dosis
- 5
- Route/Site
- IM / RL
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Unevaluable event
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Unevaluable event
- Hospital-Tage
- -
- Labordaten
- None.
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- None
- Andere Medikamente
- None
- Allergien
- None
- Vorherige Impfungen
- -
- Staat
- MI
- Alter
- 4,0
- Geschlecht
- F
- Eingang
- 16.08.2022
- Impfdatum
- 16.08.2022
- Beginn
- 16.08.2022
- Tage bis Beginn
- 0,0
- Dosis
- 5
- Route/Site
- IM / RL
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Unevaluable event
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Unevaluable event
- Hospital-Tage
- -
- Labordaten
- None
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- None
- Andere Medikamente
- None
- Allergien
- None
- Vorherige Impfungen
- -
- Staat
- MA
- Alter
- 9,0
- Geschlecht
- F
- Eingang
- 12.08.2022
- Impfdatum
- 03.08.2022
- Beginn
- 03.08.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Product administered to patient of inappropriate age
Symptomtext
Patient needed a Dtap and IPV vaccine to catch up on their vaccine schedule. Nurse gave Quadracel. Patient is above the age limit for this vaccine. No reaction, patient it well. Parent contacted. I also spoke with Sanofi Pasteur.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Product administered to patient of inappropriate age
- Hospital-Tage
- -
- Labordaten
- none
- Aktuelle Erkrankungen
- none
- Vorgeschichte
- Autism, chromosomal microdeltion, congenital preauricular sinus or fistula, developmental delay, eczema, esophageal reflux, hypoglycemia, hyperhidrosis, intestinal malabsorbtion, oral phase dysphagia, celiac disease, cholesteatoma of right ear canal
- Andere Medikamente
- Clonidine
- Allergien
- Cephalexin
- Vorherige Impfungen
- -
- Staat
- OH
- Alter
- 9,0
- Geschlecht
- F
- Eingang
- 12.08.2022
- Impfdatum
- 28.07.2022
- Beginn
- 28.07.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- OT / LL
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Product administered to patient of inappropriate age
Symptomtext
9 year old patient was inadvertently administered a dose of QUADRACEL with no reported adverse event; Initial information received on 09-Aug-2022 regarding an unsolicited valid non-serious case via health professional. (GMI number: 01227747) This case involves a 9-year-old female patient who was inadvertently administered a dose of Diphtheria-15/Tetanus/5 Hybrid AC Pertussis/IPV (MRC5) Vaccine [Quadracel] 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 Varicella Zoster Vaccine (Varicella Vaccine) for Immunization. On 28-Jul-2022, the 9 years old patient received suspect Quadracel vaccine at dose 0.5 ml once via intramuscular route in the left thigh (lot U7526AA, expiry date: 07-Sep-2024) for prophylactic vaccination with no reported adverse event (product administered to patient of inappropriate age) same day latency". It was reported that "Caller reporting a 9-year-old patient was inadvertently administered a dose of QUADRACEL. Caller reporting the patient is now caught up on her vaccinations but had been behind. Caller with questions on whether QUADRACEL counts as a valid dose of DTAP. This situation is reported as a medication error due to patient receiving dose outside of approved age range on PI. No further information provided by the reporter. Action taken: Not applicable. At time of reporting, the outcome was 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
- Product administered to patient of inappropriate age
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- MA
- Alter
- 9,0
- Geschlecht
- F
- Eingang
- 11.08.2022
- Impfdatum
- 03.08.2022
- Beginn
- 03.08.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- OT / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Accidental exposure to product
No adverse event
Product administered to patient of inappropriate age
Wrong product administered
Symptomtext
inadvertently received a dose of quadracel, with no reported adverse event; 9 year old female patient inadvertently received a dose of QUADRACEL with no adverse event; Initial information received on 08-Aug-2022 regarding an unsolicited valid non-serious case received from other health professional. This case involves a 9 years old female patient who advertently received a dose of quadracel, with no reported adverse event(Product administered to patient of inappropriate age, Accidental exposure to product) while receiving vaccine DIPHTHERIA-15/TETANUS/5 HYBRID AC PERTUSSIS/IPV (MRC5) VACCINE [QUADRACEL]. The patient's past medical history, medical treatment(s), vaccination(s) and family history were not provided. Concomitant medications included varicella zoster vaccine (VARICELLA VACCINE) for Prophylactic vaccination. On 03-Aug-2022, the patient received suspect DIPHTHERIA-15/TETANUS/5 HYBRID AC PERTUSSIS/IPV (MRC5) VACCINE at dose of 0.5 ml total (lot U7526AA, expiry date: 07-Sep-2024) via intramuscular route in the right deltoid for immunisation. On 03-Aug-2022 the patient developed a non-serious 9 year old female patient inadvertently received a dose of quadracel with no adverse event (product administered to patient of inappropriate age), (accidental exposure to product) same day latency following the administration of DIPHTHERIA-15/TETANUS/5 HYBRID AC PERTUSSIS/IPV (MRC5) VACCINE. Action taken: Not applicable. Outcome: Unknown for both the events. This suspected adverse reaction report is submitted and classified as a medication error solely and exclusively to ensure the marketing authorization holder's compliance with the requirements set out in the 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
- Accidental exposure to product
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- VARICELLA VACCINE
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- CA
- Alter
- 5,0
- Geschlecht
- M
- Eingang
- 13.07.2022
- Impfdatum
- 12.07.2022
- Beginn
- 13.07.2022
- Tage bis Beginn
- 1,0
- Dosis
- 5
- Route/Site
- IM / LL
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Unevaluable event
Symptomtext
Doctor advise to take tylenol if pain/ discomfort, and benadryl
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Unevaluable event
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- N/A
- Vorgeschichte
- N/A
- Andere Medikamente
- N/A
- Allergien
- Amoxcillin
- Vorherige Impfungen
- -
- Staat
- VA
- Alter
- 0,2
- Geschlecht
- M
- Eingang
- 05.07.2022
- Impfdatum
- 22.06.2022
- Beginn
- 05.07.2022
- Tage bis Beginn
- 13,0
- Dosis
- 1
- Route/Site
- IM / RL
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
No adverse event
Product administered to patient of inappropriate age
Product administration error
Symptomtext
This was an administration error- Quadracel is not approved for children under the age of 4. No side effects were noticed. Parents were notified when the error was found.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- No adverse event
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- VA
- Alter
- 4,0
- Geschlecht
- F
- Eingang
- 29.06.2022
- Impfdatum
- 29.06.2022
- Beginn
- 29.06.2022
- Tage bis Beginn
- 0,0
- Dosis
- 5
- Route/Site
- IM / LL
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect dose administered
Product administered to patient of inappropriate age
Wrong product administered
Symptomtext
My daughter was given the wrong vaccine and the wrong dose. She should have received (according to the doctor we saw today) Moderna, 3mg and she was given Pfizer, 10mg.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect dose administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -