VAERS 2719340
SANOFI PASTEUR · DTAP + IPV (QUADRACEL) · Charge U7675DB
- Staat
- FL
- Alter
- 16,0
- Geschlecht
- M
- Eingang
- 30.11.2023
- Impfdatum
- 21.11.2023
- Beginn
- 21.11.2023
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- OT / RA
Symptomtext
16 year old patient was accidentally administered with quadracel with no reported adverse event; Initial information received on 21-Nov-2023 regarding an unsolicited valid non-serious case received from a other health professional. This case involves a 16 years old male patient who was accidentally administered with 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 Influenza vaccine (FLU VACCINE VII) and Meningococcal vaccine A/C/Y/W CONJ (TET TOX) (Menquadfi) for Prophylactic vaccination. On 21-Nov-2023, the patient received 0.5 ml dose of suspect Diphtheria-15/Tetanus/5 Hybrid AC Pertussis/IPV (MRC5) vaccine Suspension for injection of lot U7675DB and Expiry: 30-Sep-2025 via intramuscular route in the right arm as prophylactic vaccination (immunization). On 21-Nov-2023, the patient was accidentally administered with Diphtheria-15/Tetanus/5 Hybrid AC Pertussis/IPV (MRC5) vaccine with no reported adverse event (product administered to patient of inappropriate age) (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 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
- FLU VACCINE VII; MENQUADFI
- Allergien
- -
- Vorherige Impfungen
- -