- Staat
- IN
- Alter
- 14,0
- Geschlecht
- F
- Eingang
- 12.09.2023
- Impfdatum
- 11.09.2023
- Beginn
- 11.09.2023
- Tage bis Beginn
- 0,0
- Dosis
- N/A
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Dizziness
Head injury
Syncope
Symptomtext
After vaccination, patient waited in the lobby with dad and brother for about 5 minutes. When they got on the elevator, patient states she started to feel dizzy and fainted, hitting her head on the way down. Dad quickly hit the button to open the elevator since it had not started to go down yet. They came to one of the clinic rooms and patient was told to lay down. Patients BP was 87/51, Pulse 70, R 18, Temp 98.7, and was pale. We gave her a granola bar and water. After about 5 minutes, patient stated feeling better and color started returning to face. Denies nausea or any additional symptoms. At 3:15pm her BP was 108/77. At 3:25pm, her BP was 113/64. Patient remained feeling well after sitting up on the cot. Explained to dad it is his choice to go to FMD or ER to have treatment from fall. Discussed symptoms to be aware of in regards to head injury. Dad states understanding. Denies additional questions/concerns. Patient ambulates to car with no issues.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Syncope
- Hospital-Tage
- -
- Labordaten
- None at this time.
- Aktuelle Erkrankungen
- None.
- Vorgeschichte
- None.
- Andere Medikamente
- None.
- Allergien
- None.
- Vorherige Impfungen
- -
- Staat
- DE
- Alter
- 11,0
- Geschlecht
- F
- Eingang
- 30.08.2023
- Impfdatum
- 29.08.2023
- Beginn
- 29.08.2023
- Tage bis Beginn
- 0,0
- Dosis
- 5
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Blood glucose
Dizziness
Fall
Presyncope
Symptomtext
approximately around 11:40 am patient had a vasovagal episode a few moments after recieving the vaccine. She stated she felt very dizzy, then fell to the floor
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Presyncope
- Hospital-Tage
- -
- Labordaten
- 8/29/23 - 11:50am BP, pulse, HR, and blood sugar was checked. Vitals were WNL
- Aktuelle Erkrankungen
- denies
- Vorgeschichte
- none
- Andere Medikamente
- no
- Allergien
- No known allergies
- Vorherige Impfungen
- -
- Staat
- TN
- Alter
- 12,0
- Geschlecht
- M
- Eingang
- 23.08.2023
- Impfdatum
- 23.08.2023
- Beginn
- 23.08.2023
- Tage bis Beginn
- 0,0
- Dosis
- N/A
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Pallor
Syncope
Unresponsive to stimuli
Symptomtext
PATIENT NOTED TO HAVE SYNCOPAL EPISODE AFTER WALKING OUT OF EXAM ROOM AFTER VACCINES, PALE IN COLOR, UNRESPONSIVE FOR APPROXIMATELY 5-10 SECONDS,NURSE THEN ELEVATED LEGS , THEN REACTED TO HIS NAME AND TALKING COHERNTLY.B/P 99/63 HR 96 RETOOK BP APPROX 5 MINS LATER WIT HBP 101/64 HR 102. PATIENT ABLE TO ANSWER QUESTION CORRECTLY, ABLE TO DRINK WATER ,DENIES PAIN, STATES FEELING BETTER, AFTER APPROXIMATELY 20 MINS PATIENT ABLE TO WALK OUT OF CLINIC WITHOUT ANY DIFFICULTY. MOTHER AT SIDE, INSTRUCTED MOM IF PT HAS ANYMORE PROBLEMS CHILD SHOULD BE SEEN IN ER. DR CALLED AND MADE AWARE OF SITUATION WITH NO FURTHER ORDERS.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Syncope
- Hospital-Tage
- -
- Labordaten
- BP 99/63 HR 96 APPROXIMATELY 5 MINS LATER B/P 101/64 HR 102
- Aktuelle Erkrankungen
- NONE
- Vorgeschichte
- NONE
- Andere Medikamente
- NONE
- Allergien
- NO KNOWN ALLERGIES
- Vorherige Impfungen
- -
- Staat
- CA
- Alter
- 11,0
- Geschlecht
- F
- Eingang
- 13.06.2023
- Impfdatum
- 06.06.2023
- Beginn
- 06.06.2023
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Presyncope
Syncope
Symptomtext
Vasovagal episode, syncope. No harm to patient.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Presyncope
- Hospital-Tage
- -
- Labordaten
- none
- Aktuelle Erkrankungen
- none
- Vorgeschichte
- allergic rhinitis
- Andere Medikamente
- none
- Allergien
- NKA
- Vorherige Impfungen
- -
- Staat
- ID
- Alter
- 41,0
- Geschlecht
- F
- Eingang
- 19.12.2023
- Impfdatum
- 07.12.2023
- Beginn
- 19.12.2023
- Tage bis Beginn
- 12,0
- Dosis
- UNK
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Paraesthesia
Rash
Symptomtext
rash on arm, tingling feeling in head
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Paraesthesia
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- Diabetes
- Vorgeschichte
- -
- Andere Medikamente
- Cefdinir, Cephalexin, Fluocinolone Acetonide oil, Humalog U-100 Insulin, Insulin Lispro 100 unit/mL
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 13,0
- Geschlecht
- M
- Eingang
- 20.10.2023
- Impfdatum
- 20.10.2023
- Beginn
- 20.10.2023
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Anxiety
Dizziness
Dyspnoea
Symptomtext
Patient complained that he felt dizzy and difficulty breathing after 10 minutes in post vac. Patient instructed to deep breath, cold compress and ambulance called, as patient anxiety increased. EMS took over. VS WNL. Patient was not transported to hospital. Parents declined.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Dyspnoea
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- NKDA
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 15,0
- Geschlecht
- M
- Eingang
- 11.10.2023
- Impfdatum
- 11.10.2023
- Beginn
- 11.10.2023
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Dizziness
Headache
Symptomtext
PT RECIEVED 8 VACCINES IN TOTAL. PT STATED HE EXPIERENCE H/A AND DIZZINESS AFTER VACCINE ADMINISTRATION. PT WAS GIVEN CRACKERS, APPLIED COLD PACK. PATIENT WAS PLACED IN A SUPRINE POSITION AND WAS OBSERVED FOR 30 MINS. PATIENT FELT GOOD BEFORE DISCHARGE.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Dizziness
- Hospital-Tage
- -
- Labordaten
- N/A
- Aktuelle Erkrankungen
- none
- Vorgeschichte
- none
- Andere Medikamente
- none
- Allergien
- none
- Vorherige Impfungen
- -
- Staat
- SC
- Alter
- 61,0
- Geschlecht
- F
- Eingang
- 19.08.2023
- Impfdatum
- 19.08.2023
- Beginn
- 19.08.2023
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Dizziness
Dysarthria
Swollen tongue
Throat irritation
Throat tightness
Vision blurred
Vomiting
Symptomtext
Patient reported slurred speech, swollen tongue, blurry vision, dizziness at about 10:30am. Patient finally agreed to benadryl and swallowed one 25mg tablet about 10:47am. Patient's throat was getting itchy and tight and agreed to epinephrine 0.3mg injection in the right anterior thigh at 10:58am. Patient refused wanting us to call 911. Patient threw up at 11:06am, and refused 2nd epip shot. She did report she felt better by 11:09AM. At 11:12am, she reported less tongue swelling and throat tightening.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Dizziness
- Hospital-Tage
- -
- Labordaten
- NA
- Aktuelle Erkrankungen
- NONE
- Vorgeschichte
- HYPERTENSION
- Andere Medikamente
- PATIENT TOOK ONE 25MG BENADRYL FOLLOWING REPORT OF SWOLLEN TONGUE
- Allergien
- PENCILLINS, CONTRAST DYES.
- Vorherige Impfungen
- -
- Staat
- FL
- Alter
- 47,0
- Geschlecht
- F
- Eingang
- 15.08.2023
- Impfdatum
- 11.08.2023
- Beginn
- 12.08.2023
- Tage bis Beginn
- 1,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Axillary pain
Lymphadenopathy
Symptomtext
Swollen lymph area, under arm pain as of 8/15/23 for 5 days
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Axillary pain
- Hospital-Tage
- -
- Labordaten
- None
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- None
- Andere Medikamente
- None
- Allergien
- None
- Vorherige Impfungen
- Covid vaccine
- Staat
- NV
- Alter
- 58,0
- Geschlecht
- M
- Eingang
- 23.07.2023
- Impfdatum
- 21.07.2023
- Beginn
- 23.07.2023
- Tage bis Beginn
- 2,0
- Dosis
- UNK
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Erythema
Pain in extremity
Peripheral swelling
Tenderness
Symptomtext
Patient reported that his left leg started to swell on 7/22/23, the whole calf, tender to touch, painful, little redness. He applied cold compress for an hour but no help. He took ibuprofen today in the morning before calling pharmacy.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Pain in extremity
- Hospital-Tage
- -
- Labordaten
- n/a
- Aktuelle Erkrankungen
- N/A
- Vorgeschichte
- N/A
- Andere Medikamente
- TRAZODONE, IBUPROFEN, NALTREXONE
- Allergien
- NKDA
- Vorherige Impfungen
- -
- Staat
- CA
- Alter
- 18,0
- Geschlecht
- M
- Eingang
- 19.05.2023
- Impfdatum
- 18.05.2023
- Beginn
- 19.05.2023
- Tage bis Beginn
- 1,0
- Dosis
- N/A
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Injection site pruritus
Injection site swelling
Injection site urticaria
Symptomtext
Shortly after receiving the post laceration TdaP booster, the patient notice itching at the site of injection. I noted wheals localized to the deltoid area of the left UE. We applied ice and ordered antihistamines. The following day, he returned for a recheck. This morning (05/19/2023) he had fading wheals, but new swelling without redness, warmth, tenderness and painful UE ROM above expected post vaccine.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Injection site pruritus
- Hospital-Tage
- -
- Labordaten
- I ordered a soft tissue ultrasound of the affected area, which is being scheduled.
- Aktuelle Erkrankungen
- Finger laceration on the date of injury.
- Vorgeschichte
- None
- Andere Medikamente
- None
- Allergien
- None
- Vorherige Impfungen
- -
- Staat
- AK
- Alter
- 74,0
- Geschlecht
- M
- Eingang
- 05.12.2023
- Impfdatum
- 28.11.2023
- Beginn
- 28.11.2023
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- OT / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Extra dose administered
No adverse event
Symptomtext
patient who received Adacel last week was given another dose today with no reported adverse event; Initial information received on 28-Nov-2023 regarding an unsolicited valid non-serious case received from a pharmacist. This case involves a 74-year-old male patient who received diphtheria-2/tetanus/5 AC pertussis vaccine [Adacel] last week was given another dose today with no reported adverse event. The patient's past medical history, medical treatment(s), vaccination(s), concomitant(s) and family history were not provided. Concomitant medications included RSV Vaccine (RESPIRATORY SYNCYTIAL VIRUS VACCINE) for Prophylactic vaccination. On 28-Nov-2023, the patient received a 0.5 ml dose of suspect diphtheria-2/tetanus/5 AC pertussis vaccine, Suspension for injection (strength: unknown) (lot: U7837AA, expiry date: 25-Jul-2025) via intramuscular route in the right deltoid for immunization and patient who received adacel last week was given another dose today with no reported adverse event (extra dose administered) (latency: same day) 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
- RESPIRATORY SYNCYTIAL VIRUS VACCINE
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 14,0
- Geschlecht
- M
- Eingang
- 12.10.2023
- Impfdatum
- 11.10.2023
- Beginn
- 11.10.2023
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
No adverse event
Wrong product administered
Symptomtext
CMA mistakenly administered a MMRV instead of MMR to patient. Patient also received varicella on this visit. No adverse reacion noted during post vaccination period.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- No adverse event
- Hospital-Tage
- -
- Labordaten
- N/A
- Aktuelle Erkrankungen
- n/a
- Vorgeschichte
- n/a
- Andere Medikamente
- n/a
- Allergien
- NKDA
- Vorherige Impfungen
- -
- Staat
- NC
- Alter
- 12,0
- Geschlecht
- M
- Eingang
- 15.09.2023
- Impfdatum
- 15.09.2023
- Beginn
- 15.09.2023
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / LL
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Extra dose administered
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Extra dose administered
- Hospital-Tage
- -
- Labordaten
- none
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- None
- Andere Medikamente
- Zyrtec
- Allergien
- NKA,
- Vorherige Impfungen
- -
- Staat
- WA
- Alter
- 53,0
- Geschlecht
- F
- Eingang
- 08.09.2023
- Impfdatum
- 25.08.2023
- Beginn
- 25.08.2023
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: ja
Erholt: ja
Cellulitis
Erythema
Induration
Skin warm
Symptomtext
Redness, warmth, hardening. Went to urgent care and was placed on anti-biotic and topical cream. Doctor called it cellulitis
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Cellulitis
- Hospital-Tage
- -
- Labordaten
- Unknown
- Aktuelle Erkrankungen
- Unknown
- Vorgeschichte
- Unknown
- Andere Medikamente
- Ozempic, Atorastatin, Duloxetine, Ziiprasidone, Trazadone
- Allergien
- Latex
- Vorherige Impfungen
- -
- Staat
- AL
- Alter
- 14,0
- Geschlecht
- M
- Eingang
- 05.09.2023
- Impfdatum
- 01.09.2023
- Beginn
- 01.09.2023
- Tage bis Beginn
- 0,0
- Dosis
- 5
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
No adverse event
Product administered to patient of inappropriate age
Symptomtext
Proquad administered to patient which was above recommended age. No adverse effects. No recommendations to revaccinate.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- No adverse event
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- N/A
- Vorgeschichte
- N/A
- Andere Medikamente
- N/A
- Allergien
- N/A
- Vorherige Impfungen
- -
- Staat
- CA
- Alter
- 59,0
- Geschlecht
- M
- Eingang
- 16.08.2023
- Impfdatum
- 16.06.2023
- Beginn
- 16.06.2023
- Tage bis Beginn
- 0,0
- Dosis
- N/A
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Extra dose administered
No adverse event
Vaccination error
Symptomtext
Vaccine error / third Shingrix administered. Patient came back 2 months later for "second" dose. Patient doing well, no adverse effect to report after 2 months.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Extra dose administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- Diabetes, Cholesterol, Hypertension
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- WV
- Alter
- 4,0
- Geschlecht
- F
- Eingang
- 08.08.2023
- Impfdatum
- 04.08.2023
- Beginn
- 04.08.2023
- Tage bis Beginn
- 0,0
- Dosis
- 5
- Route/Site
- OT / RL
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: ja
Erholt: nein
Medication error
No adverse event
Wrong product administered
Symptomtext
patient was given adacel instead of daptacel with no reported adverse event; Initial information received on 04-Aug-2023 regarding an unsolicited valid non-serious case received via other health professional. This case involves a 4-year-old female patient was given adacel instead of daptacel with no reported adverse event while receiving vaccine DIPHTHERIA-2/TETANUS/5 AC PERTUSSIS VACCINE [ADACEL]. The patient's past medical history, medical treatment(s), vaccination(s), concomitant(s) and family history were not provided. On 04-Aug-2023, the patient received a dose 5 of 0.5 ml total dose of suspect DIPHTHERIA-2/TETANUS/5 AC PERTUSSIS VACCINE Suspension for injection (strength: unknown) (lot: U7837AA, expiry date: 07-Jul-2025) via intramuscular route in the right thigh for Immunization. On 04-Aug-2023 the patient was given adacel instead of daptacel with no reported adverse event (wrong product administered) (latency: same day) following the administration of DIPHTHERIA-2/TETANUS/5 AC PERTUSSIS VACCINE. It was unknown if any lab data/test results available. Action taken with DIPHTHERIA, TETANUS AND ACELLULAR PERTUSSIS VACCINE (ADACEL) 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 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
- 12,0
- Geschlecht
- M
- Eingang
- 04.08.2023
- Impfdatum
- 03.08.2023
- Beginn
- 01.08.2023
- Tage bis Beginn
- -
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Wrong product administered
Symptomtext
Patient was given Trumemba vaccine instead of the needed Gardasil. Patient's parents have been notified and will bring patient in to have the needed Gardasil vaccine administered.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Wrong product administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- None
- Andere Medikamente
- No medications
- Allergien
- Morphine
- Vorherige Impfungen
- -