- Staat
- TX
- Alter
- 14,0
- Geschlecht
- F
- Eingang
- 10.08.2023
- Impfdatum
- 10.08.2023
- Beginn
- 10.08.2023
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Blood glucose normal
Fear
Hypotension
Loss of consciousness
Pallor
Syncope
Symptomtext
14 year old F who experienced a vasovagal syncopal event following administration of her vaccine. Patient was sitting in her exam room chair and slid to the ground when mother alerted staff that patient had passed out. Patient came regained consciousness in less than 1 minute. While unconscious patient was noted to be breathing at a normal rate and her pulse was palpable. As patient regained consciousness, she was alert but scared and was not altered. She was placed in her exam chair and patient had set of vitals which were concerning for hypotension and pallor on examination. EMS was called and dispatched. They were given an assessment of the patient by writing provider. The patient was evaluated by EMS and had normalized vitals. No additional concerns at this time. Mother was fully informed via translator that patient would not require additional treatment or transport to the hospital. Patient was given anticipatory guidance regarding vasovagal syncope and discharged home with mother.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Loss of consciousness
- Hospital-Tage
- -
- Labordaten
- Vitals, finger stick glucose test 107 08/10/2023 around 11:40am.
- Aktuelle Erkrankungen
- None reported.
- Vorgeschichte
- None reported.
- Andere Medikamente
- None at time of visit.
- Allergien
- Penicillin
- Vorherige Impfungen
- HPV 9 Gardasil- 07/31/2020
- Staat
- TX
- Alter
- 11,0
- Geschlecht
- F
- Eingang
- 25.07.2023
- Impfdatum
- 20.07.2023
- Beginn
- 20.07.2023
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Syncope
Symptomtext
Client was seen walking near the front waiting area by the window post vaccination while this nurse was clerking and making next appointment. Nurse heard a loud noise up at the front waiting area and rush to see what it was. Nurse saw client on floor; checked airway, breathing and pulse. Client was found to be breathing and consiouse. Had her lay down and RN began assessing her. Provided a popsicle and translated to client and parents. Had her continue laying down and did another check at about 10:28am. Her BP was 90/60 and was alert and oriented x4 to person, place, time and event. Denied any pain at this time as well as feeling lightheadedness, nauseated or confused. Asked parents when was the last time client had eaten, they stated around 9pm -10pm yesterday. Client was responding correctly to questions asked by both nurses. Continued to reported no pain, did not look emotionally stress. At this time, this nurse felt the back of clients head and did not feel any bumps/lumps nor saw any blood. Again, asked client if there was any pain felt and client stated, "no." Assisted client onto a chair and had her sit there for a few minutes. Educated the parents and client on the importance of recognizing warning sings like light-headedness, pallor and nausea. Instructed client to lay down at the first sign of dizziness to help prevent loss of consciousness; client verbalized understanding. Client was assessed once more by RN and then myself prior client leaving clinic. Cient was PERRLA; alert and oriented x4. Client denied to have any pain, dizziness, lightheadedness, confusion, nausea nor feeling sick. Assisted client to stand up and instructed her to walk a few steps forward; observed normal gait. Arm and leg movement is quick and has no issues following movement instructions such as raising one hand than the other or push off feet off my hand. Clients speech is clear. Again client was questioned if there was any pain specially on her head, to which she refused. Instructed parents to seek emergency help if they saws client declined or had concerns. Reviewed symptoms to look out for and seek immediate medical assistance; parents verbalized understanding. Nurse walked with client to parents vehicle outside alongside her parents and saw client get into her seat and put her seat vet on and drive away.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Syncope
- Hospital-Tage
- -
- Labordaten
- Client was seen walking near the front waiting area by the window post vaccination while this nurse was clerking and making next appointment. Nurse heard a loud noise up at the front waiting area and rush to see what it was. Nurse saw client on floor; checked airway, breathing and pulse. Client was found to be breathing and consiouse. Had her lay down and RN began assessing her. Provided a popsicle and translated to client and parents. Had her continue laying down and did another check at about 10:28am. Her BP was 90/60 and was alert and oriented x4 to person, place, time and event. Denied any pain at this time as well as feeling lightheadedness, nauseated or confused. Asked parents when was the last time client had eaten, they stated around 9pm -10pm yesterday. Client was responding correctly to questions asked by both nurses. Continued to reported no pain, did not look emotionally stress. At this time, this nurse felt the back of clients head and did not feel any bumps/lumps nor saw any blood. Again, asked client if there was any pain felt and client stated, "no." Assisted client onto a chair and had her sit there for a few minutes. Educated the parents and client on the importance of recognizing warning sings like light-headedness, pallor and nausea. Instructed client to lay down at the first sign of dizziness to help prevent loss of consciousness; client verbalized understanding. Client was assessed once more by RN and then myself prior client leaving clinic. Cient was PERRLA; alert and oriented x4. Client denied to have any pain, dizziness, lightheadedness, confusion, nausea nor feeling sick. Assisted client to stand up and instructed her to walk a few steps forward; observed normal gait. Arm and leg movement is quick and has no issues following movement instructions such as raising one hand than the other or push off feet off my hand. Clients speech is clear. Again client was questioned if there was any pain specially on her head, to which she refused. Instructed parents to seek emergency help if they saws client declined or had concerns. Reviewed symptoms to look out for and seek immediate medical assistance; parents verbalized understanding. Nurse walked with client to parents vehicle outside alongside her parents and saw client get into her seat and put her seat vet on and drive away.
- Aktuelle Erkrankungen
- NONE
- Vorgeschichte
- NONE
- Andere Medikamente
- NONE
- Allergien
- NONE
- Vorherige Impfungen
- -
- Staat
- CA
- Alter
- 11,0
- Geschlecht
- F
- Eingang
- 31.03.2023
- Impfdatum
- 31.03.2023
- Beginn
- 31.03.2023
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Dizziness
Fall
Loss of consciousness
Syncope
Symptomtext
MCV-4 (MenQuadfi) and Tdap were given at 11:30AM. About 5 minutes later she felt dizzy and then fainted and fell. She regained consciousness within one minute. BP checked at 11:36AM showed 77/57 and PR 65. She was awake and no cold sweat. Another BP taken at 11:40AM showed 90/72 and PR 69. She was comfortable then. Another check on 11:56AM showed BP 96/81 and PR 89. She was then discharged home in good condition.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Loss of consciousness
- Hospital-Tage
- -
- Labordaten
- none.
- Aktuelle Erkrankungen
- none.
- Vorgeschichte
- none.
- Andere Medikamente
- none.
- Allergien
- none.
- Vorherige Impfungen
- -
- Staat
- UT
- Alter
- 33,0
- Geschlecht
- F
- Eingang
- 17.02.2023
- Impfdatum
- 17.02.2023
- Beginn
- 17.02.2023
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: ja
Erholt: ja
Epistaxis
Fall
Loss of consciousness
Pallor
Speech disorder
Symptomtext
Patient received the sub-q vaccines first. The Adacel was administered and then the Twinrix. Patient was talking immediately prior to the Twinrix being given and during administration she began to make a strange sound. After administration was complete, patient then became unconscious and fell out of her chair. She was unconscious for at least 1 minute. She was moved to her back. She did have a bloody nose and was still not talking normal and had released her bladder. She was pale. Paramedics arrived and took her blood pressure and pulse. They put her back in the chair. They were going to perform her blood pressure again and were unable because the patient began to seize. The paramedics took her to the ER.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Loss of consciousness
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- unknow
- Allergien
- none
- Vorherige Impfungen
- -
- Staat
- PA
- Alter
- 12,0
- Geschlecht
- M
- Eingang
- 15.02.2023
- Impfdatum
- 15.02.2023
- Beginn
- 15.02.2023
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: ja
Erholt: nein
Generalised tonic-clonic seizure
Symptomtext
Pt had brief tonic clonic seizure approximately 30 mins after vaccines and visit. Of note, child had first afebrile seizure 1 week prior on 2/9 and had already been set up for neurology FU.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Generalised tonic-clonic seizure
- Hospital-Tage
- -
- Labordaten
- None- transferred to ED
- Aktuelle Erkrankungen
- First afebrile seizure on 2/9/23, mild epistaxis on 2/15
- Vorgeschichte
- Mild intermittent asthma, developmental delay , epistaxis (nosebleed)
- Andere Medikamente
- Albuterol Melatonin PRN
- Allergien
- No
- Vorherige Impfungen
- -
- Staat
- HI
- Alter
- 10,0
- Geschlecht
- M
- Eingang
- 29.04.2023
- Impfdatum
- 11.04.2023
- Beginn
- 28.04.2023
- Tage bis Beginn
- 17,0
- Dosis
- UNK
- Route/Site
- IM / UN
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: ja
Disable: unbekannt
ER: unbekannt
Erholt: ja
COVID-19
Condition aggravated
Eosinophil count increased
Eosinophil percentage increased
Eosinophilia
Full blood count abnormal
Haemoglobin normal
Hypotension
Immunoglobulin therapy
Leukocytosis
Lymphocyte percentage decreased
Multisystem inflammatory syndrome in children
Pain
Platelet count normal
Pyrexia
Rash
SARS-CoV-2 test positive
Weight bearing difficulty
Symptomtext
prolonged fever starting 1 day after vaccination. He has existed rash but rash got worsen. Complained of pain with weight bearing. On admission (10 days after admission), work up showed leukocytosis (42.6K) with elevated absolute eosinophil (256). Initial work up diagnosis was MIS-C (fever, rash, hypotensive episodes, positive COVID spike in a non COVID vaccinated patient), elevated . Patient received IVIG and high dose steroid. Fever and rash improved with the treatment. However, with the wean of steroid, his leukocytosis and eosinophilia were worsened (max eosinophilia of 1464), before downtrending with the increase dose of steroid. Giving fever, rash and the above workup, there is a concern for DRESS syndrome secondary to the vaccines.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Condition aggravated
- Hospital-Tage
- 7,0
- Labordaten
- CBC 4/27/23: WBC 35.7, Hgb 12.6 Platelet 339, L 12% Eo 41% with absolute eosinophil 1464.
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- eczema
- Andere Medikamente
- tacrolimus cream to eyelid
- Allergien
- none
- Vorherige Impfungen
- -
- Staat
- VA
- Alter
- 20,0
- Geschlecht
- M
- Eingang
- 05.10.2022
- Impfdatum
- 03.10.2022
- Beginn
- 03.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- SYR / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: ja
Erholt: nein
Chest discomfort
Dizziness
Erythema
Heart rate increased
Hyperhidrosis
Pallor
Throat tightness
Tremor
Vomiting
Symptomtext
throwing up tightness in chest tightness in throat elevated heart rate light headed(felt like he would pass out) uncontrollable shaking pale redness of neck dizziness sweating
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Tremor
- Hospital-Tage
- -
- Labordaten
- none
- Aktuelle Erkrankungen
- none
- Vorgeschichte
- sarcoidosis, presents through the eyes(under control)
- Andere Medikamente
- cetirizine
- Allergien
- penicillin
- Vorherige Impfungen
- -
- Staat
- CO
- Alter
- 48,0
- Geschlecht
- F
- Eingang
- 30.11.2023
- Impfdatum
- 05.10.2023
- Beginn
- 06.10.2023
- Tage bis Beginn
- 1,0
- Dosis
- UNK
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Asthenia
Decreased appetite
Headache
Menstruation irregular
Nausea
Symptomtext
Reports headache, nausea, no appetite, weakness, irregular menstruation. Symptoms started the day after vaccination and have been intermittent and recurring in the month since vaccination.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Headache
- Hospital-Tage
- -
- Labordaten
- Has not been evaluated by a medical professional since vaccination or onset of symptoms. Recommendation provided that she seek out medical care.
- Aktuelle Erkrankungen
- unkn
- Vorgeschichte
- unkn
- Andere Medikamente
- unkn
- Allergien
- unkn
- Vorherige Impfungen
- -
- Staat
- CA
- Alter
- 57,0
- Geschlecht
- F
- Eingang
- 20.09.2023
- Impfdatum
- 12.09.2023
- Beginn
- 12.09.2023
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Dizziness
Erythema
Headache
Nausea
Pruritus
Rash
Rash pruritic
Symptomtext
Pt reports that the day she received vaccines, left arm was red and itching on entire upper arm, and she became nauseated and had a headache when she got home. The day after, she started itching all over entire body and itchy rash developed on bilateral lower arms. Did not go to UC or ER, and did not take any medications. Stated that she thought it would go away on its own, so she didn't seek treatment. Currently, pt reports that itching and rash is worse and she feels dizzy. Provider advised pt to take Bendaryl at nights. Provider sent Prednisone to pharmacy for pt to start taking. ER precautions given for worsening symptoms.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Dizziness
- Hospital-Tage
- -
- Labordaten
- None
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- Hypertension
- Andere Medikamente
- None
- Allergien
- NKA
- Vorherige Impfungen
- -
- Staat
- IN
- Alter
- 13,0
- Geschlecht
- M
- Eingang
- 13.09.2023
- Impfdatum
- 06.09.2023
- Beginn
- 08.09.2023
- Tage bis Beginn
- 2,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Diarrhoea
Headache
Injection site rash
Pain in jaw
Symptomtext
HA, DIARRHEA, SITE RASH, JAW PAIN
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Diarrhoea
- Hospital-Tage
- -
- Labordaten
- N/A
- Aktuelle Erkrankungen
- no
- Vorgeschichte
- Mild to moderate white matter loss in both sides of brain
- Andere Medikamente
- none
- Allergien
- none
- Vorherige Impfungen
- -
- Staat
- IL
- Alter
- 11,0
- Geschlecht
- F
- Eingang
- 08.09.2023
- Impfdatum
- 07.09.2023
- Beginn
- 08.09.2023
- Tage bis Beginn
- 1,0
- Dosis
- UNK
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Rash
Symptomtext
localized rash to chest per mom
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Rash
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- hazelnuts, kewi
- Vorherige Impfungen
- -
- Staat
- RI
- Alter
- 81,0
- Geschlecht
- F
- Eingang
- 17.03.2023
- Impfdatum
- 10.03.2023
- Beginn
- 17.03.2023
- Tage bis Beginn
- 7,0
- Dosis
- N/A
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Discomfort
Injection site dryness
Injection site haemorrhage
Injection site rash
Injection site urticaria
Rash pruritic
Symptomtext
Patient complains of a rash (very itchy but not painful) inferior to vaccine site after TDap given 7 days ago. Patient's vital signs are WNL at time of office visit. Provider's general examination of skin: small, approximately nickel sized ecchymosis area of injection superior aspect of deltoid. Just inferior to this there is a rash - confluent wheals, lightly erythematous, dry, no vesicles. Provider prescribed and recommended hydroxyzine prn for itching and rash, as well as topical hydrocortisone and ice for discomfort.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Injection site dryness
- Hospital-Tage
- -
- Labordaten
- n/a
- Aktuelle Erkrankungen
- unknown
- Vorgeschichte
- essential HTN, Hx of Breast CA, Hypothyroidism, CKD Stage 3A, cardiomyopathy, vitamin D & B12 deficiency
- Andere Medikamente
- hydroxyzine; lorazepam; Claritin-D; Fish Oil; Konsyl; Probiotics; aspirin; Vitamin D3; Losartan; carvedilol; Vitamin B-12; Albuterol; Levothyroxine Sodium
- Allergien
- Percocet; Bactrim DS; Cipro; molnupiravir
- Vorherige Impfungen
- -
- Staat
- RI
- Alter
- 41,0
- Geschlecht
- F
- Eingang
- 01.03.2023
- Impfdatum
- 16.02.2023
- Beginn
- 18.02.2023
- Tage bis Beginn
- 2,0
- Dosis
- N/A
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Erythema
Injection site swelling
Symptomtext
Site: Swelling at Injection Site-Mild, Additional Details: Patient states she noticed redness in the interior area of her arm, close to her axilla area, not on her deltoid where the vaccine was administered. Patient was concerned since this occurred 2 days after her Tdap vaccine
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Injection site swelling
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 31,0
- Geschlecht
- F
- Eingang
- 10.02.2023
- Impfdatum
- 07.02.2023
- Beginn
- 09.02.2023
- Tage bis Beginn
- 2,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Fatigue
Injection site erythema
Pain in extremity
Vaccination site pain
Vaccination site warmth
Symptomtext
Donor reports waking up with a sore arm on 02/09/2023, Donor also states she was exhausted on 02/09/2023, donor also has redness and warmth around vaccination site. Donor reports pain when contact is made with vaccination site. Donor states she still has all of the above symptoms at this time.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Fatigue
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- N/A
- Vorgeschichte
- No
- Andere Medikamente
- N/A
- Allergien
- Banana, hydrocodine
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 54,0
- Geschlecht
- M
- Eingang
- 07.02.2023
- Impfdatum
- 12.01.2023
- Beginn
- 03.02.2023
- Tage bis Beginn
- 22,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Pain in extremity
Symptomtext
Pt reports bilateral arm pain that started 4 days ago around 2 and 1/2 weeks after vaccination, feels "like in the bone" rates 7/10, tried advil with only mild improvement, no redness, no swelling, no injury other other symptoms
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Pain in extremity
- Hospital-Tage
- -
- Labordaten
- Referred to PCP or urgent care for evaluation. ER precautions reviewed for severe symptoms.
- Aktuelle Erkrankungen
- none
- Vorgeschichte
- Type 2 Diabetes
- Andere Medikamente
- Medication for DM type II but did not know the name
- Allergien
- NKDA
- Vorherige Impfungen
- -
- Staat
- MN
- Alter
- 37,0
- Geschlecht
- F
- Eingang
- 26.01.2023
- Impfdatum
- 15.12.2022
- Beginn
- 16.12.2022
- Tage bis Beginn
- 1,0
- Dosis
- UNK
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: ja
Erholt: ja
Injection site cellulitis
Injection site discomfort
Injection site erythema
Injection site pain
Symptomtext
Reports that she noticed a red mark developing at the injection site approx 2 days later that began to increase in size. States also began to experience pain and discomfort to the site (8/10 in severity). Was seen in Urgent Care and started on cephalexin on 12/20/22. States that the MD reported that the redness/pain to her upper right arm could be a reaction to the vaccine but the MD felt it was likely cellulitis. MD reports that her symptoms were completely resolved by the time she completed the antibiotic treatment. Has complete use of her right arm.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Injection site cellulitis
- Hospital-Tage
- -
- Labordaten
- Denies
- Aktuelle Erkrankungen
- Denies
- Vorgeschichte
- Denies
- Andere Medikamente
- ibuprofen for chronic pain; escitalopram for PTSD/anxiety; birth control tablet for migraines
- Allergien
- Denies
- Vorherige Impfungen
- -
- Staat
- AZ
- Alter
- 22,0
- Geschlecht
- F
- Eingang
- 19.01.2023
- Impfdatum
- 13.01.2023
- Beginn
- 13.01.2023
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Headache
Injection site rash
Malaise
Nausea
Pyrexia
Rhinorrhoea
Symptomtext
Donor reported to center stating adverse symptoms of fever, runny nose, nauseous, headaches, not feeling well and a rash around injection site. Symptoms duration from 01/13/2023 to 01/18/2023
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Headache
- Hospital-Tage
- -
- Labordaten
- None
- Aktuelle Erkrankungen
- No
- Vorgeschichte
- No
- Andere Medikamente
- No
- Allergien
- No
- Vorherige Impfungen
- -
- Staat
- CA
- Alter
- 11,0
- Geschlecht
- F
- Eingang
- 15.01.2023
- Impfdatum
- 17.11.2022
- Beginn
- 06.12.2022
- Tage bis Beginn
- 19,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Abdominal pain
Activated partial thromboplastin time normal
Alanine aminotransferase increased
Aspartate aminotransferase increased
Blood albumin
Blood alkaline phosphatase increased
Blood phosphorus increased
Decreased appetite
Epstein-Barr virus test negative
Hepatitis A virus test
Hepatitis B test negative
Hepatitis C test negative
Nausea
Prothrombin time normal
Rash scarlatiniform
Streptococcus test negative
Transaminases increased
Symptomtext
Pt with scarletiniform rash on 12/6/22 and noted by mom to have injected sclera. Upon testing pt found to have elevated transaminases. Hepatitis A/B/C testing done and negative. EBV negative. strep and ASO negative. no other symptoms at onset or during course of illness. Pt had associated nausea and anorexia with r sided abdominal pain for about a week but responded well to rest, fluids, supportive care and antiemetics.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Abdominal pain
- Hospital-Tage
- -
- Labordaten
- 12/9/22 AST 71 ALT 281 ALK Phos 551 Tbili 2.5 12/12/22 AST 109 ALT 238 ALK Phos 527 Tbili 1.3 Dbili 1.0 Albumin 3.6 GGT 136 12/19/22 AST 69 ALT 201 ALK Phos 201 Tbili 0.8 Dbili 0.4 GGT 88 PT/PTT/ammonia: normal 12/29 GGT 51 ASO neg
- Aktuelle Erkrankungen
- none known
- Vorgeschichte
- eczema
- Andere Medikamente
- none known
- Allergien
- Amoxicillin
- Vorherige Impfungen
- -
- Staat
- CA
- Alter
- 1,8
- Geschlecht
- F
- Eingang
- 14.10.2023
- Impfdatum
- 03.10.2023
- Beginn
- 03.10.2023
- 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
Wrong product administered
Symptomtext
she was supposed to take Infanrix but instead gave ADACEL with no reported adverse event; Initial information received on 04-Oct-2023 regarding an unsolicited valid non-serious case received from an other health professional. This case involves a 22 months old female patient who was supposed to take infanrix but instead gave diphtheria-2/tetanus/5 ac pertussis vaccine [Adacel] 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 for Prophylactic vaccination. On 03-Oct-2023, the patient received 0.5 ml dose of suspect diphtheria-2/tetanus/5 ac pertussis vaccine Suspension for injection (lot- U7624AA and expiration date- 06-Dec-2024) via intramuscular route in the left thigh (strength: not provided) for Immunisation (wrong product administered) (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 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
- No adverse event
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- HEPATITIS A
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- CA
- Alter
- 1,8
- Geschlecht
- F
- Eingang
- 03.10.2023
- Impfdatum
- 03.10.2023
- Beginn
- 01.10.2023
- Tage bis Beginn
- -
- Dosis
- 1
- Route/Site
- IM / LL
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Unevaluable event
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Unevaluable event
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- none
- Vorgeschichte
- none
- Andere Medikamente
- none
- Allergien
- none
- Vorherige Impfungen
- -
- Staat
- NJ
- Alter
- 5,0
- Geschlecht
- F
- Eingang
- 21.09.2023
- Impfdatum
- 20.09.2023
- Beginn
- 20.09.2023
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Product administered to patient of inappropriate age
Wrong product administered
Symptomtext
Pt came in for 5yr wellness check. Pt needed vaccines (Proquad (MMR, Varicella) and Dtap) Proquad was given but instead of Dtap the MA gave an Adacel. The LPN pulled the vaccine, and the MA administered the vaccine.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Product administered to patient of inappropriate age
- Hospital-Tage
- -
- Labordaten
- N/A
- Aktuelle Erkrankungen
- N/A
- Vorgeschichte
- N/A
- Andere Medikamente
- N/A
- Allergien
- N/A
- Vorherige Impfungen
- -
- Staat
- GA
- Alter
- -
- Geschlecht
- U
- Eingang
- 19.09.2023
- Impfdatum
- 24.08.2023
- Beginn
- 24.08.2023
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Expired product administered
No adverse event
Symptomtext
Caller reporting that a dose of PNEUMOVAX 23 was given to patient after its expiration date. Date of expiration: 8/18/2023, date of administration: 8/24/2023. Confirmed that the vaccine had never undergone temperature excursion.; This spontaneous report was received from a registered nurse concerning an unknown age and gender patient. The patient's concurrent condition, medical history, and concomitant medications were not provided. On 24-AUG-2023, the patient was vaccinated with pneumococcal vaccine, polyvalent (23-valent) (PNEUMOVAX23) injection 0.5 mL as prophylaxis (lot#: U035117, expiry date: 18-AUG-2023, route of administration, and anatomical location not provided) (expired product administered). It was confirmed that vaccine had never undergone temperature excursion.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Expired product administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- OR
- Alter
- 2,0
- Geschlecht
- M
- Eingang
- 18.09.2023
- Impfdatum
- 18.09.2023
- Beginn
- 18.09.2023
- Tage bis Beginn
- 0,0
- Dosis
- N/A
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Product administered to patient of inappropriate age
Wrong product administered
Symptomtext
Patient received a Tdap for ages 7 and older instead of the Dtap recommended for ages 6 and under.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Product administered to patient of inappropriate age
- Hospital-Tage
- -
- Labordaten
- none
- Aktuelle Erkrankungen
- NONE
- Vorgeschichte
- NONE
- Andere Medikamente
- NONE
- Allergien
- NKDA
- Vorherige Impfungen
- -
- Staat
- WA
- Alter
- 15,0
- Geschlecht
- M
- Eingang
- 29.08.2023
- Impfdatum
- 23.08.2023
- Beginn
- 23.08.2023
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Product administered to patient of inappropriate age
Symptomtext
MMRV was given to a 15 year old patient. Family to be notified and doses repeated if needed.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Product administered to patient of inappropriate age
- Hospital-Tage
- -
- Labordaten
- None
- Aktuelle Erkrankungen
- Unknown
- Vorgeschichte
- Unknown
- Andere Medikamente
- Unknown
- Allergien
- Unknown
- Vorherige Impfungen
- -
- Staat
- OH
- Alter
- 10,0
- Geschlecht
- M
- Eingang
- 17.08.2023
- Impfdatum
- 08.08.2021
- Beginn
- 08.08.2021
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
No adverse event
Wrong product administered
Symptomtext
Provider ordered Menactra for administration . This is not in stock at this site and should have been ordered as Menveo. However the medical assistant administered Meningococcal B. No side effects while in office noted. No calls after patient left office were received reporting side effects.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- No adverse event
- Hospital-Tage
- -
- Labordaten
- None
- Aktuelle Erkrankungen
- None listed
- Vorgeschichte
- Anxiety ADHD
- Andere Medikamente
- Escitalopram 20mg daily
- Allergien
- None listed
- Vorherige Impfungen
- -
- Staat
- MI
- Alter
- 11,0
- Geschlecht
- M
- Eingang
- 15.08.2023
- Impfdatum
- 10.08.2023
- Beginn
- 10.08.2023
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Unevaluable event
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Unevaluable event
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- OR
- Alter
- 14,0
- Geschlecht
- F
- Eingang
- 04.08.2023
- Impfdatum
- 31.07.2023
- Beginn
- 31.07.2023
- Tage bis Beginn
- 0,0
- Dosis
- 2
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Product administered to patient of inappropriate age
Vaccination error
Symptomtext
Vaccine error. Pt was administered Dose 2 of Tdap when first Tdap vaccination had already been received on 11/30/2021. Medical assistant notified physician and parent right away. Documentation completed.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Product administered to patient of inappropriate age
- Hospital-Tage
- -
- Labordaten
- N/A
- Aktuelle Erkrankungen
- N/A
- Vorgeschichte
- N/A
- Andere Medikamente
- N/A
- Allergien
- N/A
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 11,0
- Geschlecht
- M
- Eingang
- 05.07.2023
- Impfdatum
- 27.06.2023
- Beginn
- 27.06.2023
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- OT / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Inappropriate schedule of product administration
No adverse event
Symptomtext
patient received ADACEL on 6/16/23 and then the same vaccines administered 6/27/23 with no reported adverse event; Initial information received on 28-Jun-2023 regarding an unsolicited valid non-serious case received from a consumer/non-hcp. This case is linked to case 2023SA201354. This case involves a 11 years old male patient who received diphtheria-2/tetanus/5 AC pertussis vaccine [Adacel] on 16-Jun-2023 and then the same vaccines were administered on 27-Jun-2023 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 meningococcal vaccine A/C/Y/W CONJ (TET TOX) (Menquadfi) for Prophylactic vaccination. On 27-Jun-2023, the patient received a dose of 0.5 ml (dose 1) once of suspect diphtheria-2/tetanus/5 AC pertussis vaccine (Suspension for injection) (lot: u7624aa; expiry date: 06-Feb-2024; strength: standard) via intramuscular route in the right arm for Immunisation. On 27-Jun-2023 the patient received adacel however the same vaccines were administered 16-Jun-2023 with no reported adverse event (inappropriate schedule of product administration) (latency: same day). It was reported, "Caller transferred from Medical assistant asking what further steps need to be taken after a patient received ADACEL AND MENQUADFI yesterday. The patient had received Menquadfi and another tdap vaccine 11 days prior at a different location. Caller states that they don't know if the patient received Adacel." Action taken was not applicable. At time of reporting, the outcome was Unknown for the event. This suspected adverse reaction report is submitted and classified as a medication error solely and exclusively to ensure the marketing authorization holder's compliance with the requirements set out in the Directive 2001/83/EC and Module VI of the Good Pharmacovigilance Practices. The classification as a medical error is in no way intended, nor should it be interpreted or construed as an allegation or claim made by the marketing authorization holder that any third party has contributed to or is to be held liable for the occurrence of this medication error.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Inappropriate schedule of product administration
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- MENQUADFI
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- MI
- Alter
- 12,0
- Geschlecht
- F
- Eingang
- 31.05.2023
- Impfdatum
- 01.05.2023
- Beginn
- 01.05.2023
- Tage bis Beginn
- 0,0
- Dosis
- 6
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
No adverse event
Product administration error
Vaccination error
Symptomtext
Vaccine administration error. No reaction. Invalid dose.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- No adverse event
- Hospital-Tage
- -
- Labordaten
- none
- Aktuelle Erkrankungen
- none
- Vorgeschichte
- none
- Andere Medikamente
- no
- Allergien
- No Known Drug Allergies
- Vorherige Impfungen
- -
- Staat
- PA
- Alter
- 5,0
- Geschlecht
- M
- Eingang
- 25.04.2023
- Impfdatum
- 25.04.2023
- Beginn
- 25.04.2023
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Wrong product administered
Symptomtext
TdaP was inadvertently ordered via a care package instead of DTaP. Nurse reviewed and gave TdaP instead of DtaP. Discussed with parent and per MMWR not redosing vaccine given it was 5th dose in the series.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Wrong product administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- NKDA
- Vorherige Impfungen
- -
- Staat
- MI
- Alter
- 69,0
- Geschlecht
- M
- Eingang
- 03.04.2023
- Impfdatum
- 28.03.2023
- Beginn
- 03.04.2023
- Tage bis Beginn
- 6,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Wrong product administered
Symptomtext
patient requested the PCV13 vaccine that was listed on the paperwork provided to him from his surgeon. Nurse administered this vaccine before realizing that they no longer recommends PCV13 for adults. The patient should have received PCV20. No adverse reactions or side effects occurred.
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
- 69,0
- Geschlecht
- F
- Eingang
- 03.04.2023
- Impfdatum
- 28.03.2023
- Beginn
- 28.03.2023
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
No adverse event
Wrong product administered
Symptomtext
patient requested the PCV13 vaccine that was listed on the paperwork provided to him from his surgeon. Nurse administered this vaccine before realizing that they no longer recommends PCV13 for adults. The patient should have received PCV20. No adverse reactions or side effects occurred.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- No adverse event
- Hospital-Tage
- -
- Labordaten
- none
- Aktuelle Erkrankungen
- none
- Vorgeschichte
- none
- Andere Medikamente
- none
- Allergien
- none
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 41,0
- Geschlecht
- M
- Eingang
- 11.03.2023
- Impfdatum
- 16.02.2023
- Beginn
- 23.02.2023
- Tage bis Beginn
- 7,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Erythema
Joint swelling
Peripheral swelling
Symptomtext
DONOR REPORTS THAT HIS RIGHT AND LEFT HAND/WRISTS BECAME RED AND SWOLLEN 7 DAYS POST VACCINATION. DONOR HAD BILATERAL HAND SUGERY IN 2017. HX OF OSTEOARTHRITIS. DONOR BELIEVES HE MAY HAVE UNDIAGNOSED RA. DONOR WAS SEEN AT CLINIC ON 2/23/23 AND TREATED WITH ORAL STERIODS FOR 5 DAYS; COMPLETED. SYMPTOMS RESOLVED AND NO OTHER COMPLAINTS.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Erythema
- Hospital-Tage
- -
- Labordaten
- NA
- Aktuelle Erkrankungen
- ARTHRITIS IN BILATERAL HANDS DUE TO HX OF BILATERAL HAND SURGERY IN 2017.
- Vorgeschichte
- NONE
- Andere Medikamente
- NONE
- Allergien
- NONE
- Vorherige Impfungen
- -
- Staat
- IN
- Alter
- 3,0
- Geschlecht
- F
- Eingang
- 01.03.2023
- Impfdatum
- 21.02.2023
- Beginn
- 21.02.2023
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- OT / LL
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Inappropriate schedule of product administration
Medication error
No adverse event
Product administered to patient of inappropriate age
Symptomtext
assistant gave ADACEL to a 3 year old with no reported adverse event; already received the 4 doses of DTaP and was mistakenly administered ADACEL with no reported adverse event; Initial information received on 23-Feb-2023 regarding an unsolicited valid non-serious case received from a other health professional. This case involves a 3 years old female patient and it was reported that assistant gave diphtheria-2/tetanus/5 AC pertussis vaccine [Adacel] to a 3 year old and already received the 4 doses of diphtheria, tetanus and acellular pertussis vaccine [Dtap] and was mistakenly administered Adacel with no reported adverse event. The patient's past medical history, medical treatment(s), vaccination(s), concomitants and family history were not provided. On an unknown date, the patient received an unknown dose of suspect diphtheria, tetanus and acellular pertussis vaccine produced by unknown manufacturer (batch/lot number, expiry date, strength, formulation, route: not reported) in unknown administration site for prophylactic vaccination (immunization). 3 other doses of the same vaccine were administered on unknown dates. On 21-Feb-2023, assistant gave 0.5 mL of suspect diphtheria-2/tetanus/5 AC pertussis vaccine suspension for injection (1X; batch/lot number: U7624AA and expiry date: 06-Dec-2024; strength: unknown) via intramuscular route in the left thigh for prophylactic vaccination (immunization) to a 3 year old (product administered to patient of inappropriate age) and the patient had already received the 4 doses of dtap and was mistakenly administered adacel with no reported adverse event (inappropriate schedule of product administration) (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
- Inappropriate schedule of product administration
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- GA
- Alter
- 1,5
- Geschlecht
- F
- Eingang
- 01.03.2023
- Impfdatum
- 23.02.2023
- Beginn
- 23.02.2023
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- OT / RL
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
18-month-old female patient received the ADACEL with no reported adverse event; Initial information received on 23-Feb-2023 regarding an unsolicited valid non-serious case received from a healthcare professional. This case involves an 18-month-old female patient who received the DIPHTHERIA-2/TETANUS/5 AC PERTUSSIS VACCINE [ADACEL] 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 HIB VACCINE CONJ (OMPC) (PEDIAVAX) for Prophylactic vaccination. On 23-Feb-2023, the patient received dose 1 at 0.5ml total of suspect DIPHTHERIA-2/TETANUS/5 AC PERTUSSIS VACCINE Suspension for injection (Strength: standard) (lot number: U7624AA and expiry date: 06-Dec-2024) via intramuscular route in the right thigh for Immunization and an 18-month-old female patient received the adacel with no reported adverse event (product administered to patient of inappropriate age) (latency: same day). It was reported, caller is wanting to know what to do. This situation is reported as a medication error due to giving to a child younger than 10 years old. First time product used: Yes. Still using product: No. Action taken with DIPHTHERIA, TETANUS AND ACELLULAR PERTUSSIS VACCINE (ADACEL) was 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
- MI
- Alter
- 35,0
- Geschlecht
- M
- Eingang
- 09.02.2023
- Impfdatum
- 09.02.2023
- Beginn
- 09.02.2023
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Extra dose administered
No adverse event
Symptomtext
No adverse events or reaction.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Extra dose administered
- Hospital-Tage
- -
- Labordaten
- Hep B titers and prior Hep vaccines given
- Aktuelle Erkrankungen
- none
- Vorgeschichte
- none
- Andere Medikamente
- none
- Allergien
- none
- Vorherige Impfungen
- -
- Staat
- CA
- Alter
- 32,0
- Geschlecht
- F
- Eingang
- 28.12.2022
- Impfdatum
- 15.12.2022
- Beginn
- 01.12.2022
- Tage bis Beginn
- -
- Dosis
- N/A
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Extra dose administered
Symptomtext
Gave ob patient Tdap per OBGYN, ordering provider, instruction, then realized patient received Tdap the day before already from PCP. Consulted Dr. stated no risk to receive an additional Tdap. Informed patient regarding error and Dr. consultation. Patient's EDC is 02/28/2023.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Extra dose administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- -
- Alter
- 5,0
- Geschlecht
- M
- Eingang
- 02.12.2022
- Impfdatum
- 11.11.2022
- Beginn
- 11.11.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- OT / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Medication error
No adverse event
Wrong product administered
Symptomtext
5 year old receiving an ADACEL vaccine on 11Nov2022 instead of DAPTACEL with no reported adverse event; Initial information received on 28-Nov-2022 regarding an unsolicited valid non-serious case received from a consumer/non-hcp. This case involves a 5 years old male patient who had an DIPHTHERIA-2/TETANUS/5 AC PERTUSSIS VACCINE [ADACEL] vaccine on 11nov2022 instead of DIPHTHERIA-15/TETANUS/5 AC PERTUSSIS VACCINE [DAPTACEL] with no reported adverse event. The patient's past medical history, medical treatment(s), concomitant medication, vaccination(s) and family history were not provided. On 11-NOV-2022 the patient developed a non-serious event of 5 year old receiving an DIPHTHERIA-2/TETANUS/5 AC PERTUSSIS VACCINE [ADACEL] vaccine (batch number: U7624AA and expiry date: unknown, route, administration site, formulation was unknown for Immunization) on 11nov2022 instead of DIPHTHERIA-15/TETANUS/5 AC PERTUSSIS VACCINE [DAPTACEL]with no reported adverse event (wrong product administered) (latency: same day). Action taken with DIPHTHERIA, TETANUS AND ACELLULAR PERTUSSIS VACCINE (ADACEL) and DIPHTHERIA, TETANUS AND ACELLULAR PERTUSSIS VACCINE (DAPTACEL) was 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
- 35,0
- Geschlecht
- F
- Eingang
- 17.11.2022
- Impfdatum
- 07.11.2022
- Beginn
- 07.11.2022
- Tage bis Beginn
- 0,0
- Dosis
- 5
- Route/Site
- OT / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Accidental exposure to product
No adverse event
Symptomtext
has administered adacel to a patient that leaked out and spilled on the patient's arm, with no reported adverse event; Initial information was received on 09-Nov-2022 regarding an unsolicited valid non-serious case received from a other health professional. This case involves 35 years old female patient who Was administered diphtheria-2/tetanus/5 ac pertussis vaccine [Adacel] that leaked out and spilled on the patient's arm, 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 influenza vaccine RHA 3V (BACULOVIRUS) (Flublok) for Prophylactic vaccination. On 07-Nov-2022, the patient received dose 5 of suspect standard diphtheria-2/tetanus/5 ac pertussis vaccine Suspension for injection at a dosage of 0.5 ml once (lot U7624AA, Expiry date - 06-Dec-2024) via intramuscular route in the left deltoid for Immunization. On 07-Nov-2022 the patient developed a non-serious event of Was administered diphtheria-2/tetanus/5 ac pertussis vaccine that leaked out and spilled on the patient's arm, with no reported adverse event (accidental exposure to product) (latency: same day) following the administration of vaccine. Action taken was not applicable. At time of reporting, the outcome was Unknown for the event. This suspected adverse reaction report is submitted and classified as a medication error solely and exclusively to ensure the marketing authorization holder's compliance with the requirements set out in the 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
- FLUBLOK
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- NY
- Alter
- 5,0
- Geschlecht
- M
- Eingang
- 28.10.2022
- Impfdatum
- 21.10.2022
- Beginn
- 21.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / AR
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Incorrect dose administered
Product administered to patient of inappropriate age
Symptomtext
given adolescent dose.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect dose administered
- Hospital-Tage
- -
- Labordaten
- N/A
- Aktuelle Erkrankungen
- N/A
- Vorgeschichte
- N/A
- Andere Medikamente
- N/A
- Allergien
- N/A
- Vorherige Impfungen
- -
- Staat
- MN
- Alter
- 43,0
- Geschlecht
- F
- Eingang
- 27.10.2022
- Impfdatum
- 23.10.2022
- Beginn
- 25.10.2022
- Tage bis Beginn
- 2,0
- Dosis
- 4
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Erythema
Skin warm
Swelling
Symptomtext
Patient developed a large red, warm bump that was increasing with swelling and redness over the course of 4 days. Tried cold compress, tylenol
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Erythema
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- CO
- Alter
- 63,0
- Geschlecht
- M
- Eingang
- 18.10.2022
- Impfdatum
- 12.10.2022
- Beginn
- 12.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Underdose
Symptomtext
6-11 year old covid iz given to adult.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Underdose
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- dm2,htn,cholesterol,H/A,insomnia
- Andere Medikamente
- hctz,amlodipine,metformin,humulin,lasoartan,aspirin,atorvastat
- Allergien
- nkda
- Vorherige Impfungen
- -
- Staat
- NJ
- Alter
- 44,0
- Geschlecht
- M
- Eingang
- 11.10.2022
- Impfdatum
- 07.10.2022
- Beginn
- 07.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- N/A
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Incorrect dose administered
Symptomtext
Patient was administered 0.5ml of pediatric Hepatitis A vaccine in a single dose vial then was administered 1.0ml of adult Hepatitis A vaccine in prefilled syringe.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect dose administered
- Hospital-Tage
- -
- Labordaten
- none
- Aktuelle Erkrankungen
- none
- Vorgeschichte
- none
- Andere Medikamente
- none
- Allergien
- NKA
- Vorherige Impfungen
- -