- Staat
- GA
- Alter
- 28,0
- Geschlecht
- M
- Eingang
- 06.10.2023
- Impfdatum
- 06.10.2023
- Beginn
- 06.10.2023
- Tage bis Beginn
- 0,0
- Dosis
- N/A
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: ja
Erholt: nein
Contusion
Fall
Hypotension
Loss of consciousness
Tooth fracture
Symptomtext
After administration of tetanus shot, donor fell to the floor after standing up from the donor bed. Less than 3 seconds loss of consciousness. Vitals assessed. Low BP noted. Oral fluids administered. Contusion to right forehead, left knee area , two chipped lower front teeth.Donor transported to hospital.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Loss of consciousness
- Hospital-Tage
- -
- Labordaten
- Donor transported to hospital.
- Aktuelle Erkrankungen
- No illnesses reported.
- Vorgeschichte
- No health conditions.
- Andere Medikamente
- UNKNOWN
- Allergien
- No allergies reported.
- Vorherige Impfungen
- -
- Staat
- WI
- Alter
- 52,0
- Geschlecht
- F
- Eingang
- 20.12.2023
- Impfdatum
- 20.12.2023
- Beginn
- 20.12.2023
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Back pain
Erythema
Flushing
Hot flush
Symptomtext
CLIENT C/O BACK PAIN, AND WARM BODY FLASHES WITHIN 10 MIN. OF RECEIVING THE VACCINES. CLIENT APPEARED FLUSHED WITH REDNESS ON BOTH UPPER ARMS AND STERNAL AREA. ADMINISTERED 50MG BENADRYL PO AND MONITORED CLIENT'S CONDITION. VITALS: T=97.8 F; BP=120/84; P=64. CLIENT'S SYMPTOMS RESOLVED WITHIN 30 MIN. AND SHE WAS RELEASED TO HOME IN CUSTODY OF HER ADULT SON.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Back pain
- Hospital-Tage
- -
- Labordaten
- NONE
- Aktuelle Erkrankungen
- None reported.
- Vorgeschichte
- None reported.
- Andere Medikamente
- Unknown
- Allergien
- Allergy to contrast dye reported.
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 9,0
- Geschlecht
- M
- Eingang
- 11.11.2023
- Impfdatum
- 11.11.2023
- Beginn
- 11.11.2023
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Dizziness
Symptomtext
PATIENT FELT LIGHTHEADED. PLACED ON SUPINE POSITION ON THE FLOOR WITH ELEVATED LEGS. BLOOD PRESSURE WAS TAKEN WITH A NORMAL OUTCOME OF 110/70. PATIENT WAS OBSERVED FOR 30 MINUTES. SNACKS AND WATER WAS PROVIDED. ADVISED PARENT TO OBSERVE PATIENT THROUGHOUT THE DAY, CALL 911 OR VISIT THE NEAREST EMERGENCY ROOM IF ANT ADVERSE EFFECTS ARE PRESENTED.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Dizziness
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- N/A
- Vorgeschichte
- N/A
- Andere Medikamente
- N/A
- Allergien
- KNA
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 9,0
- Geschlecht
- M
- Eingang
- 11.11.2023
- Impfdatum
- 11.11.2023
- Beginn
- 11.11.2023
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Dizziness
Symptomtext
Patient experience dizzy, light headed. patient was oriented3x. Patient was placed in supine position with elevated legs. Nurse took Vital signs were within normal range. EMS was called, pt left with ambulance.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Dizziness
- 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
- F
- Eingang
- 11.11.2023
- Impfdatum
- 11.11.2023
- Beginn
- 11.11.2023
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Dizziness
Symptomtext
Patient felt light headed after vaccinated. Pateint laid supine and ambulance called. She left with the ambulance
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Dizziness
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- ID
- Alter
- 11,0
- Geschlecht
- M
- Eingang
- 01.11.2023
- Impfdatum
- 25.10.2023
- Beginn
- 28.10.2023
- Tage bis Beginn
- 3,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Injection site bruising
Injection site erythema
Injection site plaque
Injection site rash
Injection site warmth
Lymph node pain
Lymphadenopathy
Pain in extremity
Symptomtext
Patient developed warm red plaque on left upper arm around injection sites. One site also had a small 0.75 x 0.75 in bruise. The red plaque is irregular and 3.5" x 4.5" at its maximum. There was also a small tender enlarged lymph node in his left axilla. The initial arm pain had been decreasing and on the day of visit he had developed increased arm pain. He was treated for possible infection with Cephalexin 825 mg BID x 7-10 days. 12 hours later the arm was less tender but rash slightly larger at proximal side but less red at distal part. By 5 days, his arm was nearly back to normal in appearance, just bruising persisited. Never had fevers.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Injection site bruising
- Hospital-Tage
- -
- Labordaten
- None
- Aktuelle Erkrankungen
- none
- Vorgeschichte
- Hx of cleft palate, speech articulation delay
- Andere Medikamente
- Loratidine 10mg daily, melatonin 2.5 mg QHS prn, multivitamin
- Allergien
- amoxiciliin, penicillin
- Vorherige Impfungen
- -
- Staat
- VA
- Alter
- 52,0
- Geschlecht
- M
- Eingang
- 25.10.2023
- Impfdatum
- 28.09.2023
- Beginn
- 29.09.2023
- Tage bis Beginn
- 1,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Erythema
Injection site pain
Joint noise
Loss of personal independence in daily activities
Pain
Sleep disorder
Swelling
Symptomtext
Pain at injection site increased after 24 hours. Swelling and redness present for 7 days after the administration. Raising arm laterally is impossible without excruciating pain. Pain radiates from shoulder into the bicep. Cannot lift any weight or raise arm except for raising directly in front of body. Daily activities are limited and quality of life decreased. Pain has increased in recent days and there is "clicking" in the shoulder when moved in certain positions. Sleep has been disrupted due to pain.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Injection site pain
- Hospital-Tage
- -
- Labordaten
- 12 October 2023 received follow up for pain by clinic. I was given a referral for physical therapy which will take place on the first available day, Monday 30 Oct 2023
- Aktuelle Erkrankungen
- Pre-diabetes
- Vorgeschichte
- N/A
- Andere Medikamente
- fluticasone propionate 50 mcg/actuation nasal spray, suspension, omeprazole, lisdexamfetamine 50 mg capsule, Wegovy 1.7 mg/0.75 mL subcutaneous pen injector
- Allergien
- N/A
- Vorherige Impfungen
- -
- Staat
- OK
- Alter
- 50,0
- Geschlecht
- F
- Eingang
- 05.10.2023
- Impfdatum
- 24.09.2023
- Beginn
- 24.09.2023
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Erythema
Myalgia
Symptomtext
Donor described reaction onset approximately 30min post immunization erythema up the arm and across the face. Muscle soreness onset "a couple days" after immunization
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Myalgia
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- none
- Vorgeschichte
- -
- Andere Medikamente
- iron supplement, omeprazole, womens one-a-day, hair/skin/nails vitamin, IBU, naproxen, "airborn" immune booster
- Allergien
- metoprolol-red blotches, hx reaction to TDAP w/ muscle pain at injection site
- Vorherige Impfungen
- -
- Staat
- -
- Alter
- 58,0
- Geschlecht
- F
- Eingang
- 21.09.2023
- Impfdatum
- 18.09.2023
- Beginn
- 21.09.2023
- Tage bis Beginn
- 3,0
- Dosis
- 1
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Erythema
Pruritus
Urticaria
Symptomtext
Patient called the pharmacy stating she had hives on her stomach and buttocks and redness and itching on her face.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Pruritus
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- OH
- Alter
- 44,0
- Geschlecht
- F
- Eingang
- 19.09.2023
- Impfdatum
- 15.09.2023
- Beginn
- 16.09.2023
- 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 swelling
Injection site warmth
Malaise
Nausea
Pyrexia
Symptomtext
Rednss warmth and swelling at injection site. Low grade fever, malaise and nausea
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Injection site erythema
- Hospital-Tage
- -
- Labordaten
- CBC ordered
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- Leukocytoclastic Vasculitis
- Andere Medikamente
- Tylneol
- Allergien
- NKA
- Vorherige Impfungen
- -
- Staat
- MN
- Alter
- -
- Geschlecht
- F
- Eingang
- 28.12.2023
- Impfdatum
- 21.08.2023
- Beginn
- 21.08.2023
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Product use issue
Unevaluable event
Symptomtext
Attempt to reach arent with assistance of interpreter to check on patient.Left message to call the office; product use in unapproved population; This case was retrieved during the Vaccines Adverse Event Reporting System (VAERS) monitoring on 12-OCT-2023 with the following VAERS primary ID 2674478-1. The original narrative from the sender is as follows. "Attempt to reach parent with assistance of interpreter to check on patient. Left a message to call the office." The case was classified as non-valid given that the reported event was "Unevaluable event". Due to the nature of the event, the causal relationship between Vaxelis and "Unevaluable event" was not applicable. No further information is expected.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Unevaluable event
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- Prophylaxis
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- MN
- Alter
- -
- Geschlecht
- F
- Eingang
- 28.12.2023
- Impfdatum
- 21.08.2023
- Beginn
- 21.08.2023
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Product use issue
Unevaluable event
Symptomtext
Attempt to reach arent with assistance of interpreter to check on patient.Left message to call the office; product use in unapproved population; This case was retrieved during the Vaccines Adverse Event Reporting System (VAERS) monitoring on 12-OCT-2023 with the following VAERS primary ID 2674478-1. The original narrative from the sender is as follows. "Attempt to reach parent with assistance of interpreter to check on patient. Left a message to call the office." The case was classified as non-valid given that the reported event was "Unevaluable event". Due to the nature of the event, the causal relationship between Vaxelis and "Unevaluable event" was not applicable. No further information is expected.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Unevaluable event
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- Prophylaxis
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- CA
- Alter
- 11,0
- Geschlecht
- F
- Eingang
- 12.12.2023
- Impfdatum
- 16.10.2023
- Beginn
- 16.10.2023
- Tage bis Beginn
- 0,0
- Dosis
- N/A
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
No adverse event
Wrong product administered
Symptomtext
The patient received Pfizer 30mcg/0.3ml on 10/16/23. Per the schedule and the patients age, they should have received Pfizer 10 MCG/0.3 ML or Moderna 25 MCG/0.25 ML for patient age 5 - 11 yo with history of covid vaccination. No known adverse events from the vaccine.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- No adverse event
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- NKA
- Vorherige Impfungen
- -
- Staat
- CA
- Alter
- 4,0
- Geschlecht
- M
- Eingang
- 29.11.2023
- Impfdatum
- 06.11.2023
- Beginn
- 06.11.2023
- 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
Wrong product administered
Symptomtext
administered a wrong vaccine to an outpatient. They have given a dose of ADACEL instead of DAPTACEL with no reported adverse event; Initial information was received on 22-Nov-2023 regarding an unsolicited valid non-serious case received from a other health professional. This case involves 4 years old male patient who reported that administered a wrong vaccine to an outpatient. they have given a dose of diphtheria-2/tetanus/5 ac pertussis vaccine [Adacel] instead of vaccines diphtheria-15/tetanus/5 ac pertussis vaccine [Daptacel] 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, MUMPS VACCINE, rubella vaccine (MMR) for Immunisation; and hepatitis a vaccine (HEPATITIS A) for Immunisation. On 06-Nov-2023, the patient received a dose of 0.5 ml of suspect diphtheria-2/tetanus/5 ac pertussis vaccine (Suspension for injection) (lot U7905AA, Expiry date:30-Oct-2025, strength was unknown) via intramuscular route in the right deltoid for prophylactic vaccination(Immunization). On an unknown date, the patient received a dose 5 of suspect diphtheria-15/tetanus/5 ac pertussis vaccine (Suspension for injection) (strength, expiry date lot number not reported) via unknown route in unknown administration site for prophylactic vaccination (Immunization). The information on batch number was requested. On 06-Nov-2023 the patient had administered a wrong vaccine to an outpatient. they have given a dose of adacel instead of daptacel 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 the event administered a wrong vaccine to an outpatient. they have given a dose of adacel instead of daptacel 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
- Extra dose administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- MMR; HEPATITIS A
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 7,0
- Geschlecht
- F
- Eingang
- 27.11.2023
- Impfdatum
- 04.11.2023
- Beginn
- 04.11.2023
- 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
On November 4 2023 approximately 4:30 pm at Mass Vaccine held at High School this child received inappropriate age vaccines. The 7 year old child was administered a DTaP and a HIB and should have received a Tdap. No problems noted child stayed in post vax for 15 minutes without any complaints or adverse reactions noted.
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
- 13,0
- Geschlecht
- M
- Eingang
- 27.11.2023
- Impfdatum
- 04.11.2023
- Beginn
- 04.11.2023
- 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
Wrong product administered
Symptomtext
11/04/2023 approximately 13:00 13 year old child was administered Bexsero (Men B) vaccine. Patient should have received Meningococcal Vaccine. Client reported to postvax where he was monitored for 15 minutes. No complaints voiced or adverse reaction noted.
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
- 6,0
- Geschlecht
- M
- Eingang
- 11.11.2023
- Impfdatum
- 11.11.2023
- Beginn
- 11.11.2023
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect dose administered
No adverse event
Symptomtext
PATIENT RECIEVED WRONG DOSIS DUE TO ERROR VACCINE ADMINISTRATION. HE WAS ONLY DUE FOR MMR, VARICELLA AND FLU. PATIENT WAS PLACED ON OBSERVATION FOR 15 MINUTES, ADVISED PARENT TO OBSERVE PATIENT AND IF ANY REACTION PLEASE TAKE PATIENT TO EMERGENCY ROOM. PATIENT TOLERATED VACCINE WELL NO REACTIONS ON THE TIME OF OBSERVATION.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect dose administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- N/A
- Vorgeschichte
- N/A
- Andere Medikamente
- N/A
- Allergien
- NKA
- Vorherige Impfungen
- -
- Staat
- MI
- Alter
- 6,0
- Geschlecht
- F
- Eingang
- 08.11.2023
- Impfdatum
- 08.11.2023
- Beginn
- 08.11.2023
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- IM / LL
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Wrong product administered
Symptomtext
Client was 6 years old and received TDaP instead of Dtap. Client was with mother. Waited 15 minutes after injection and then left. Error discovered after departure
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Wrong product administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- None
- Andere Medikamente
- unknown
- Allergien
- NKA
- Vorherige Impfungen
- -
- Staat
- KS
- Alter
- 78,0
- Geschlecht
- F
- Eingang
- 10.10.2023
- Impfdatum
- 25.09.2023
- Beginn
- 25.09.2023
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- OT / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
No adverse event
Product administered to patient of inappropriate age
Symptomtext
adacel was administered to the 78 years old female patient with no reported adverse event; Initial information received on 28-Sep-2023 regarding an unsolicited valid non-serious case received from a pharmacist. This case is cluster with cases 2023SA300771 and 2023SA300988. This case involves a 78 years old female patient who was administered vaccine 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 INFLUENZA VACCINE INACT SAG 3V (FLUAD); VARICELLA ZOSTER VACCINE RGE (CHO) (SHINGRIX); and PNEUMOCOCCAL VACCINE CONJ 20V (CRM197) (PREVNAR 20) for prophylactic vaccination (Immunization). On 25-Sep-2023, the 78 years old female patient received 0.5 mL dose of suspect DIPHTHERIA-2/TETANUS/5 AC PERTUSSIS VACCINE with no reported adverse event (product administered to patient of inappropriate age) (Latency: same day) (Suspension for injection) (lot U7905AA) (expiry date unknown) (Frequency = once) (Strength = standard) via intramuscular route in the deltoid nos (not otherwise specified) for Immunization. It was reported that "Pharmacist states that ADACEL was administered to three 65 year old and higher patients." 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
- No adverse event
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- FLUAD; SHINGRIX; PREVNAR 20
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- KS
- Alter
- 67,0
- Geschlecht
- F
- Eingang
- 06.10.2023
- Impfdatum
- 25.09.2023
- Beginn
- 25.09.2023
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- OT / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Product administered to patient of inappropriate age
Symptomtext
Adacel administered to a 67 years old patient with no reported adverse event; Initial information received on 28-Sep-2023 regarding an unsolicited valid non-serious case received from a pharmacist. This case is linked to cases 2023SA300988 and 2023SA300995. This case involves a 67 years old female patient to whom diphtheria-2/tetanus/5 AC pertussis vaccine [Adacel] was administered 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 INACT SAG 3V (FLUAD), varicella zoster vaccine RGE (CHO) (SHINGRIX) and pneumococcal vaccine CONJ 20V (CRM197) (PREVNAR 20) for Prophylactic vaccination. On 25-Sep-2023, the patient received a 0.5 ml dose (once) of suspect diphtheria-2/tetanus/5 AC pertussis vaccine (Suspension for injection) (lot U7905AA, expiry date: 03-Oct-2025, Strength; standard) via intramuscular route in the deltoid nos (not otherwise specified) for Immunization (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 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
- Product administered to patient of inappropriate age
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- FLUAD; SHINGRIX; PREVNAR 20
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- KS
- Alter
- 69,0
- Geschlecht
- M
- Eingang
- 06.10.2023
- Impfdatum
- 25.09.2023
- Beginn
- 25.09.2023
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- OT / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
No adverse event
Product administered to patient of inappropriate age
Symptomtext
adacel was administered to three 65 year old and higher patients with no adverse event; Initial information received on 28-Sep-2023 regarding an unsolicited valid non-serious case received from a pharmacist. This case involves a 69 years old male patient to whom Diphtheria-2/Tetanus/5 AC Pertussis Vaccine [Adacel] was administered with no adverse event. The patient's past medical history, medical treatment(s), vaccination(s) and family history were not provided. Concomitant medications included INFLUENZA VACCINE INACT SAG 3V (FLUAD) for Prophylactic vaccination; VARICELLA ZOSTER VACCINE RGE (CHO) (SHINGRIX) for Prophylactic vaccination; and PNEUMOCOCCAL VACCINE CONJ 20V (CRM197) (PREVNAR 20) for Prophylactic vaccination. On 25-Sep-2023, the patient of 69 years old received a 0.5 ml dose of suspect Diphtheria-2/Tetanus/5 AC Pertussis Vaccine Suspension for injection (lot U7905AA, Expiry date: 30-Oct-2025 with unknown strength) via intramuscular route in the deltoid nos (not otherwise specified) as immunization with no adverse event (product administered to patient of inappropriate age) (Latency: same day). Action taken: not applicable. At time of reporting, the outcome was Not Recovered / Not Resolved 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
- FLUAD; SHINGRIX; PREVNAR 20
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- NY
- Alter
- -
- Geschlecht
- F
- Eingang
- 02.10.2023
- Impfdatum
- 06.02.1982
- Beginn
- 02.10.2023
- Tage bis Beginn
- 15.213,0
- Dosis
- N/A
- Route/Site
- IM / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
No adverse event
Wrong product administered
Symptomtext
Medication error: ordered for TDAP, was administered Flucelvax in error. Patient DID desire seasonal flu vaccine and had not yet received it. This was accepted by both patient and provider. TDAP also administered as ordered. No adverse reaction.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- No adverse event
- Hospital-Tage
- -
- Labordaten
- n/a
- Aktuelle Erkrankungen
- none
- Vorgeschichte
- none
- Andere Medikamente
- n/a
- Allergien
- none
- Vorherige Impfungen
- -
- Staat
- IN
- Alter
- 1,3
- Geschlecht
- M
- Eingang
- 25.09.2023
- Impfdatum
- 14.09.2023
- Beginn
- 14.09.2023
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- OT / LL
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
No adverse event
Product administered to patient of inappropriate age
Wrong product administered
Symptomtext
staff was attempting to administer the boostrix to a 15-month old patient, but gave the adacel instead with no reported adverse event; Initial information received on 14-Sep-2023 regarding an unsolicited valid non-serious case received from a other health professional. This case involves a 16 months old male patient and reporter reported that the staff was attempting to administer the Boostrix to a patient, but gave the Diphtheria-2/Tetanus/5 Ac Pertussis Vaccine [Adacel] instead 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 (Tet Tox) (Acthib) for Prophylactic vaccination. On 14-Sep-2023, the patient received a dose of 0.5 ml of suspect Diphtheria-2/Tetanus/5 Ac Pertussis Vaccine Suspension for injection (Strength: standard, Frequency: once, expiry date: 03-Oct-2025 and lot U7905AA) instead of Boostrix (lot number unknown) (strength: not reported) via intramuscular route in the left thigh as immunization (wrong product administered) (same day latency). 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
- ACTHIB
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- NJ
- Alter
- 11,0
- Geschlecht
- M
- Eingang
- 14.09.2023
- Impfdatum
- 14.09.2023
- Beginn
- 01.09.2023
- Tage bis Beginn
- -
- Dosis
- 2
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Product administered to patient of inappropriate age
Symptomtext
Pt was given the Tdap in error at the age of 11. Pt received the Tdap at his appropriate age last year at age 10.
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
- NKFDA
- Vorherige Impfungen
- -
- Staat
- NJ
- Alter
- 4,0
- Geschlecht
- M
- Eingang
- 08.08.2023
- Impfdatum
- 01.08.2023
- Beginn
- 01.08.2023
- Tage bis Beginn
- 0,0
- Dosis
- N/A
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
No adverse event
Wrong product administered
Symptomtext
Patient was given Tdap in error. No known adverse event
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- No adverse event
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -