VAERS 2356745
UNKNOWN MANUFACTURER · VACCINE NOT SPECIFIED (NO BRAND NAME) · Charge UJ633AAB
- Staat
- CA
- Alter
- 0,5
- Geschlecht
- F
- Eingang
- 03.07.2022
- Impfdatum
- -
- Beginn
- -
- Tage bis Beginn
- -
- Dosis
- UNK
- Route/Site
- OT / -
Symptomtext
patient was administered HIB portion with 0.4% saline solution instead of using the DTaP/IPV, which was not given; HIB portion was administered without the DTaP/IPV portion; She reports patient had a knot on leg at injection site; Initial information received on 16-Jun-2022 regarding an unsolicited valid non-serious case received from a other health professional. This case involves a 6 months old female patient who was administered hib portion with 0.4% saline solution instead of using the dtap/ipv, which was not given, hib portion was administered without the dtap/ipv portion and she reports patient had a knot on leg at injection site after receiving vaccine DIPHTHERIA/TETANUS/5 HYBRID AC PERTUSSIS/IPV(VERO)/HIB(PRP/T) VACCINE [PENTACEL (VERO)]. 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 Immunisation; PNEUMOCOCCAL VACCINE CONJ 13V (CRM197) (PREVNAR 13) for Immunisation; HEPATITIS B VACCINE (HEPATITIS B VACCIN) for Immunisation; ROTAVIRUS VACCINE (ROTAVIRUS VACCINE) for Immunisation; and PNEUMOCOCCAL VACCINE CONJ (PNEUMOCOCCAL CONJUGATE VACCINE) for Immunisation. On an unknown date, the patient received a dose of suspect DIPHTHERIA/TETANUS/5 HYBRID AC PERTUSSIS/IPV(VERO)/HIB(PRP/T) VACCINE (UJ633AAB and expiry date 30-Jan-2023 ) via intramuscular route in the thigh nos for Immunization. On an unknown date the reportedly patient was administered hib portion with 0.4% saline solution instead of using the dtap/ipv, which was not given (product preparation error) and hib portion was administered without the dtap/ipv portion (incorrect dose administered) (unknown latency). On an unknown date the patient had a knot on leg at injection site (vaccination site mass) (unknown latency). Action taken : Not applicable. It was not reported if the patient received a corrective treatment for the event. (She reports patient had a knot on leg at injection site). At time of reporting, the outcome was Unknown for all the events. 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
- Injection site nodule
- Hospital-Tage
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- Labordaten
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- Aktuelle Erkrankungen
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- Vorgeschichte
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- Andere Medikamente
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- Allergien
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- Vorherige Impfungen
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