VAERS 2020335
SANOFI PASTEUR · DTAP + IPV + HIB (PENTACEL) · Charge UJ382AA
- Staat
- OR
- Alter
- 4,0
- Geschlecht
- F
- Eingang
- 10.01.2022
- Impfdatum
- 08.04.2021
- Beginn
- 08.04.2021
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- OT / -
Symptomtext
This case involves a 4 years old female patient who received the pentacel vaccine on 08apr2021 but did not use the proper diluent for the act-hib while receiving vaccine DIPHTHERIA/TETANUS/5 HYBRID AC PERTUSSIS/IPV (MRC5)/HIB(PRP/T) VACCINE [PENTACEL]. 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 (DIP TOX) (MENACTRA) for Prophylactic vaccination; and VARICELLA ZOSTER VACCINE (VARICELLA VACCINE) for Prophylactic vaccination. On 08-Apr-2021, the patient received a dose of suspect DIPHTHERIA/TETANUS/5 HYBRID AC PERTUSSIS/IPV(MRC5)/HIB(PRP/T) VACCINE lot UJ382AA via intramuscular route in unknown administration site. On 08-APR-2021 the patient developed a non-serious received the pentacel vaccine on 08apr2021 but did not use the proper diluent for the act-hib (product preparation error) following the administration of DIPHTHERIA/TETANUS/ 5 HYBRID AC PERTUSSIS/IPV(MRC5)/HIB(PRP/T) VACCINE. Action taken was not applicable. It was not reported if the patient received a corrective treatment for the event (received the PENTACEL vaccine on 08Apr2021 but did not use the proper diluent for the ACT-HIB). At time of reporting, the outcome was Unknown for the event received the pentacel vaccine on 08apr2021 but did not use the proper diluent for the act-hib. 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
- MENACTRA; VARICELLA VACCINE
- Allergien
- -
- Vorherige Impfungen
- -