- Staat
- AK
- Alter
- 55,0
- Geschlecht
- M
- Eingang
- 08.12.2021
- Impfdatum
- 29.10.2021
- Beginn
- 01.11.2021
- Tage bis Beginn
- 3,0
- Dosis
- N/A
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Bell's palsy
Ear discomfort
Ear pain
Facial paralysis
Headache
Otitis media
Symptomtext
around 11/01/2021 in the evening I began ear pain/pressure and sever headache. Saw PA on 11/03/2021 and I believe dx was otitis media. I was afebrile at that time. Pseudofed and OTC nasal spray recommended and started. During the onset and up to 11/06/2021 the ear pain/pressure, stabbing headache persisted. On 11/06/2021 in the a.m. Bell's Palsy started with facial paralysis. The ear ache/pain, headache, and most of the classic s/s of Bell's Palsy still persist. On 11/06/2021 reported to PA, steroids and antiviral added to medications. Gabapentin 300mg added at hs for sever headache. Flonase nasal added and OTC stopped . The 60 mg x5 , 40mg x 2 , 20mg x 2 prednisone completed, the 1 gm antiviral daily completed.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Bell's palsy
- Hospital-Tage
- -
- Labordaten
- Dr. also seen in December
- Aktuelle Erkrankungen
- none
- Vorgeschichte
- paroxysmal Atrial fibrillation , heartburn
- Andere Medikamente
- Metoprolol 50 mg bid; famotidine 20 mg bid
- Allergien
- no known allergies
- Vorherige Impfungen
- -
- Staat
- IN
- Alter
- 33,0
- Geschlecht
- M
- Eingang
- 11.11.2021
- Impfdatum
- 10.11.2021
- Beginn
- 10.11.2021
- Tage bis Beginn
- 0,0
- Dosis
- N/A
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Cold sweat
Dyskinesia
Gaze palsy
Hypoaesthesia
Limb discomfort
Nausea
Paraesthesia
Retching
Seizure like phenomena
Unresponsive to stimuli
Urinary incontinence
Symptomtext
Within minutes of receiving Flublok, the patient became clammy, felt nauseous, and started dry heaving, Cool compresses were applied to back and neck, fan was turned on, cool water was given to drink. The patient requested to lie back so the chair was then put in a recline position. Soon after, his eyes rolled back in his head and he became unresponsive, slight jerking (seizure like) movements were observed for approximately 30 seconds. When he came to, he e said his arms felt heavy, and numb and tingly. He also experience slight bladder incontinence. After 15 minutes or so, the feeling in arms returned to normal. It's worth noting that the patient experienced a similar reaction following the COVID (J&J) vaccine.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Seizure like phenomena
- Hospital-Tage
- -
- Labordaten
- None
- Aktuelle Erkrankungen
- Uknown
- Vorgeschichte
- Anxiety, Depression, Asthma
- Andere Medikamente
- Unknown
- Allergien
- eggs, nuts, penicillin, ibuprofen, gluten, COVID (J&J) vaccine
- Vorherige Impfungen
- -
- Staat
- IN
- Alter
- 28,0
- Geschlecht
- F
- Eingang
- 18.03.2022
- Impfdatum
- 19.10.2021
- Beginn
- 19.11.2021
- Tage bis Beginn
- 31,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Injection site pain
Injection site paraesthesia
Injection site reaction
Pain
Symptomtext
I am having intermittent throbbing and tingling at injection site and it is sore to touch
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Injection site paraesthesia
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- NA
- Vorgeschichte
- NA
- Andere Medikamente
- NA
- Allergien
- NA
- Vorherige Impfungen
- -
- Staat
- PA
- Alter
- 51,0
- Geschlecht
- F
- Eingang
- 02.12.2021
- Impfdatum
- 30.11.2021
- Beginn
- 30.11.2021
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Dyspnoea
Oedema
Pruritus
Urticaria
Symptomtext
Pruritus, hives, edema, shortness of breath, difficulty breathing Treatment: Benadryl, albuterol inhaler, singulair
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Dyspnoea
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- Iodine, egg, latex, sulfa
- Vorherige Impfungen
- -
- Staat
- ID
- Alter
- 65,0
- Geschlecht
- F
- Eingang
- 10.11.2021
- Impfdatum
- 03.11.2021
- Beginn
- 04.11.2021
- Tage bis Beginn
- 1,0
- Dosis
- N/A
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Feeling abnormal
Sleep disorder
Tremor
Symptomtext
Patient states she woke up in the middle of the night and she was shaking like she was having a convulsion. Her legs were straight and she was shaking very hard. It happened 4 times that night. She thinks she may have had a low grade fever, but she didn't take her temperature. It has not happened since, but she feels like she has had brain fog since that time.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Tremor
- Hospital-Tage
- -
- Labordaten
- None
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- NY
- Alter
- 45,0
- Geschlecht
- F
- Eingang
- 25.10.2021
- Impfdatum
- 21.10.2021
- Beginn
- 21.10.2021
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: ja
Disable: unbekannt
ER: ja
Erholt: nein
Blood test
Computerised tomogram head
Condition aggravated
Echocardiogram
Gait disturbance
Hypersensitivity
Hypoaesthesia
Magnetic resonance imaging head normal
Muscle spasms
Paraesthesia
Paraesthesia oral
Pharyngeal paraesthesia
Sensory loss
Tricuspid valve incompetence
Ultrasound Doppler
Symptomtext
Influenza Vaccine >/=18 Years, Quadrivalent, Preservative Free administered at work on 10/21/21 at around 3:15pm prior to going home for the day. At around 5:30pm on 10/21/21, felt left side of face, tongue and throat begin to tingle, left arm began to tingle as well as the left side of my body. Went to sleep that night and woke up around 4am on 10/22/21 to get ready for work, Got up from bed and stumbled unable to feel left side of my body especially legs and foot. Went to emergency room on 10/22/21. It was determined possible reaction to flu shot, however due to hospital policy a stroke needed to be ruled out and a code was called. Blood work and testing of limbs ensued. It was determined that they needed to observe me and run further tests to ensure a stroke or Transient ischemic attack (TIA) did not occur. Tingling of left side of face, tongue and throat have subsided, As of today 10/25/21, some sensation has returned to arm but spasms are occurring. Spasm of leg and foot are also occurring and there is still no sensation to the left leg and foot.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Condition aggravated
- Hospital-Tage
- 1,0
- Labordaten
- Tests done: Multiplanar multisequential MR images of the brain, DX Chest Port Clinical History, ultrasound imaging of the bilateral carotid circulation, CT head scan without contrast, transthoracic echocardiography. Only findings were cardiac related including tricuspid valve regurgitation. Findings/Determination: Patient had allergic reaction from influenza vaccine.
- Aktuelle Erkrankungen
- Cardiac, murmur, tachycardia, tricuspid valve regurgitaion
- Vorgeschichte
- Cardiac, murmur, tachycardia, tricuspid valve regurgitaion
- Andere Medikamente
- Metroprolol
- Allergien
- Pears, Penicillins, Shellfish Containing Products, Sodium Phosphates, Peg-Electrolyte Soln, Polysorbate, Stevia
- Vorherige Impfungen
- Flu Vaccine,GlaxoSmithKline, Sep 11, 2020, Lot #:QFAA2021, Intramuscular: Left Deltoid
- Staat
- VA
- Alter
- 55,0
- Geschlecht
- F
- Eingang
- 28.01.2022
- Impfdatum
- 13.10.2021
- Beginn
- 14.10.2021
- Tage bis Beginn
- 1,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Arthralgia
Burning sensation
Pain in extremity
Symptomtext
Patient complained of a sore arm, burning, and some shoulder pain.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Arthralgia
- Hospital-Tage
- -
- Labordaten
- N/A
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- Acquired Hypothyroidism, benign essential hypertension, environmental allergy, Raynaud's phenomenon, tinea pedis
- Andere Medikamente
- adapalene 0.1 %-benzoyl peroxide 2.5 % topical gel with pump, Aleve 220 mg tablet, Allegra Allergy, amLODIPine 10 mg tablet, B Complex, biotin, clobetasoL 0.05 % topical cream, dapsone 5 % topical gel, ketoconazole 2 % topical cream, Probi
- Allergien
- NKDA
- Vorherige Impfungen
- -
- Staat
- TN
- Alter
- 53,0
- Geschlecht
- F
- Eingang
- 04.01.2022
- Impfdatum
- 16.12.2021
- Beginn
- 16.12.2021
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- - / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Injection site erythema
Injection site swelling
Symptomtext
Pt presented to clinic requesting seasonal influenza vaccine. Patient give Sanofi Pasteur Flu Quad Recomb Lot # UJ724AA per public health nurse. Pt returned to clinic approx 2 hours later and c/o redness and swelling to injection site on right deltoid.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Injection site erythema
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- NA
- Vorgeschichte
- NA
- Andere Medikamente
- -
- Allergien
- NKDA
- Vorherige Impfungen
- -
- Staat
- CA
- Alter
- 52,0
- Geschlecht
- M
- Eingang
- 13.12.2021
- Impfdatum
- 13.12.2021
- Beginn
- 13.12.2021
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Eye swelling
Urticaria
Symptomtext
post 24 hrs after administration , severe urticaria in head, face and neck and eyes with mild swelling to bilat eyes. took benadryl x 2 tabs during day and Claritin 1 tab. symptoms resolved later that night. no SOB
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Urticaria
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- HTN x 2 yrs
- Andere Medikamente
- HTN meds Unknown name
- Allergien
- -
- Vorherige Impfungen
- Flu vaccine caused Asthma post 1 week, and J&J covid vaccine caused severe swelling to yes and face.
- Staat
- FL
- Alter
- 45,0
- Geschlecht
- F
- Eingang
- 01.11.2021
- Impfdatum
- 14.10.2021
- Beginn
- 15.10.2021
- Tage bis Beginn
- 1,0
- Dosis
- UNK
- Route/Site
- SYR / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Headache
Nausea
Pain
Skin warm
Symptomtext
Shoulder to elbow very warm to touch, headache, nausea, body aches x4 days
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Headache
- Hospital-Tage
- -
- Labordaten
- none
- Aktuelle Erkrankungen
- none
- Vorgeschichte
- diabetes, arthritis
- Andere Medikamente
- pantoprozale, cyclobenzaprine, diclofenac, ravustatin, losarten, neurontin, aspirin, lexapro
- Allergien
- sulfa, latex, gadolinium/mri contrast, eggs, some pain meds
- Vorherige Impfungen
- flu off and on for years
- Staat
- IN
- Alter
- 40,0
- Geschlecht
- F
- Eingang
- 26.10.2021
- Impfdatum
- 26.10.2021
- Beginn
- 26.10.2021
- Tage bis Beginn
- 0,0
- Dosis
- N/A
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: ja
Erholt: nein
Dizziness
Injection site erythema
Injection site swelling
Throat irritation
Throat tightness
Urticaria
Symptomtext
Within 10-15 minutes of receiving the injection, the patient developed significant swelling and redness at the site (described as baseball size), hives, tightening and irritation of throat though airway remained patent, dizziness.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Dizziness
- Hospital-Tage
- -
- Labordaten
- none
- Aktuelle Erkrankungen
- rash, environmental allergies
- Vorgeschichte
- hypothyroidism
- Andere Medikamente
- multivitamin
- Allergien
- indomethacin, Bactrim
- Vorherige Impfungen
- -
- Staat
- FL
- Alter
- 57,0
- Geschlecht
- F
- Eingang
- 21.10.2021
- Impfdatum
- 19.10.2021
- Beginn
- 20.10.2021
- Tage bis Beginn
- 1,0
- Dosis
- 1
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Axillary pain
Body temperature increased
Discomfort
Fatigue
Impaired work ability
Lymphadenopathy
Mammogram
Pain
Symptomtext
The day after the vaccine onset swelling right axilla to half the size of an orange with moderate to severe pain, followed by a temperature of 100.4 degrees that night and generalized pain and fatigue the next day requiring time off work. Last year I took the same vaccine with no side effects. Earlier this year I ad these same side effects with 3 days of incapacitation after the second covid vaccine in March 2021. I then had swelling and discomfort in my left axilla intermittently for several months and my mammogram had to be repeated. I did not report it as no one said it was abnormal and I didn't know where to report it to. I believe that the vaccines are related or something has changed my system to react to the flu vaccine this way. I am using ibuprofen for pain and i'm not sure how long this will last this time.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Axillary pain
- Hospital-Tage
- -
- Labordaten
- none
- Aktuelle Erkrankungen
- none
- Vorgeschichte
- hypertension, increased triglyceride levels, diabetes
- Andere Medikamente
- quinapril, rosuvastatin, fenofibrate, metformin, januvia; multivitamin with minerals, omega 3/6/9, vitamin C, docusate sodium, vitamin D3
- Allergien
- sulfa, adhesive tape, eggs, demerol
- Vorherige Impfungen
- COVID on 03/19/21 Mfg PFR Lot EN6200
- Staat
- PA
- Alter
- 71,0
- Geschlecht
- F
- Eingang
- 17.09.2021
- Impfdatum
- 14.09.2021
- Beginn
- 14.09.2021
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Arthralgia
Chills
Fatigue
Injection site pain
Pyrexia
Symptomtext
Mild pain at injection site Mild fever Moderate Chills Severe joint pain Mild fatigue
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Arthralgia
- Hospital-Tage
- -
- Labordaten
- None
- Aktuelle Erkrankungen
- Diabetes, long lasting side effects from Moderna Covid 19 vaccine, hypothyroidism, sinus issues,
- Vorgeschichte
- See above
- Andere Medikamente
- Jardiance, levothyroxine, omeprazole, rosuvastatin, gabapentin, vitamin D, alpha lipoic acid, vitamin B complex, probiotics
- Allergien
- Penicillin
- Vorherige Impfungen
- Moderna Covid vaccine Jan/ Feb 2021 Same adverse effects as described above Severe for 48-72 hours but persisted to a milder d
- Staat
- TX
- Alter
- 39,0
- Geschlecht
- M
- Eingang
- 13.09.2021
- Impfdatum
- 13.09.2021
- Beginn
- 13.09.2021
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- - / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Injection site erythema
Injection site pruritus
Refusal of treatment by patient
Symptomtext
TIENT REQUESTED A FLUBLOK QUADRIVALENT IMMUNIZATION(INFLUENZA VACCINE). PATIENT WAS COUNSELLED ON POSSIBLE ADVERSE EVENTS AND GIVEN IMMUNIZATION AROUND 2:35PM THEN SAT FOR 15 MINUTES ON MONITORING. ONCE THE 15 MINUTES WERE COMPLETE THE PATIENT LEFT SATISFIED. PATIENT RETURNED WITH MOTHER TO THE PHARMACY AROUND 3:55PM STATING THAT HIS ARM WAS RED. THE PATIENT RAISED HIS SLEEVE TO SHOW A REDNESS UNDER THE IMMUNIZATION SITE. I ASKED THE PATIENT IF THEY HAD ANY TROUBLE BREATHING OR ITCHING AROUND THE AROUND OR INTERNALLY. PATIENT STATED THEY ONLY HAD THE REDNESS. THE PATIENT NOTICEABLY SCRATCHING WITH HIS NAILS I ASKED IF HE WOULD PLEASE HAVE A SIT AND LET ME ADMINISTER BENADRYL. PATIENT REFUSED STATE HE JUST WANT TO INFORM ME.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Injection site erythema
- Hospital-Tage
- -
- Labordaten
- NONE
- Aktuelle Erkrankungen
- PATIENT NEEDED OXYGEN MACHINE
- Vorgeschichte
- PATIENT REQUIRED OXYGEN MACHINE
- Andere Medikamente
- NONE
- Allergien
- NONE
- Vorherige Impfungen
- -
- Staat
- NJ
- Alter
- -
- Geschlecht
- U
- Eingang
- 03.01.2022
- Impfdatum
- -
- Beginn
- -
- Tage bis Beginn
- -
- Dosis
- UNK
- Route/Site
- OT / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Product storage error
Symptomtext
temperature excursion occurred for a total of 86 hours and 30 minutes because the refrigerator was unplugged with no reported adverse event; Initial information received on 27-Dec-2021 regarding an unsolicited valid non-serious case received from a patient. This case involves an unknown demographics patient who experienced (product temperature excursion issue), temperature excursion occurred for a total of 86 hours and 30 minutes because the refrigerator was unplugged with no reported adverse event while receiving vaccines INFLUENZA QUADRIVAL A-B HIGH DOSE HV VACCINE [FLUZONE HIGH-DOSE QUADRIVALENT] and INFLUENZA QUADRIVALENT RECOMBINANT VACCINE [FLUBLOK QIV] and while treated with TUBERCULIN TEST [TUBERSOL]. The patient's past medical history, medical treatment(s), vaccination(s) and family history were not provided. On an unknown date, the patient started taking TUBERSOL (TUBERCULIN TEST) (dose, formulation and strength not reported via unknown route in unknown administration site; lot - C5804AA, expiry: 03-Feb-2023, 17-Mar-2023) for Tuberculin test. On an unknown date, the patient received a dose of suspect INFLUENZA QUADRIVALENT RECOMBINANT VACCINE lot UJ724AA, expiry: 30-Jun-2022 and INFLUENZA QUADRIVAL A-B HIGH DOSE HV VACCINE lot UJ759AD, expiry: 30-Jun-2022 via unknown route in unknown administration site (dose, formulation and strength not reported) as prophylactic vaccination. On an unknown date the patient developed a non-serious event "temperature excursion occurred for a total of 86 hours and 30 minutes because the refrigerator was unplugged with no reported adverse event" (product temperature excursion issue) (unknown latency) following the first dose intake of TUBERCULIN TEST, INFLUENZA QUADRIVALENT RECOMBINANT VACCINE and INFLUENZA QUADRIVAL A-B HIGH DOSE HV VACCINE. It was reported "Caller states that a temperature excursion occurred for a total of 86 hours and 30 minutes because the refrigerator was unplugged. The highest temperature reached was 70.0F(Fahrenheit). The products involved were unopened: FLUBLOK QUADRIVALENT, TUBERSOL, and FLUZONE HIGH-DOSE QUADRIVALENT. Caller asked for stability information for these products." Action taken with QUADRIVALENT RECOMBINANT INFLUENZA VACCINE (FLUBLOK QIV), TUBERCULIN TEST (TUBERSOL) and QUADRIVALENT INFLUENZA VACCINE (FLUZONE HIGH-DOSE QUADRIVALENT) was not applicable. It was not reported if the patient received a corrective treatment for the event (temperature excursion occurred for a total of 86 hours and 30 minutes because the refrigerator was unplugged with no reported adverse event). At time of reporting, the outcome was Unknown for the event temperature excursion occurred for a total of 86 hours and 30 minutes because the refrigerator was unplugged with no reported adverse event.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Product storage error
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- TUBERSOL
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- KY
- Alter
- 17,0
- Geschlecht
- F
- Eingang
- 22.12.2021
- Impfdatum
- 26.09.2021
- Beginn
- 26.09.2021
- Tage bis Beginn
- 0,0
- Dosis
- N/A
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect dose administered
Product administered to patient of inappropriate age
Symptomtext
Pt was given a Flublok vaccine at 17 years old. This vaccine is only indicated for 18 years and older. No known reactions occurred.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect dose administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- IL
- Alter
- 10,0
- Geschlecht
- F
- Eingang
- 22.12.2021
- Impfdatum
- 08.12.2021
- Beginn
- 08.12.2021
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- OT / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
No adverse event
Product administered to patient of inappropriate age
Symptomtext
This case involves a 10-year-old female patient who was by mistakenly given dose of suspect INFLUENZA QUADRIVALENT RECOMBINANT VACCINE [FLUBLOK QIV] (product administered to patient of inappropriate age). The patient past medical history, medical treatment, vaccination and family history were not provided. Concomitant medications included NA (SODIUM). On 08-Dec-2021, the patient received a 0.5 ml dose of suspect INFLUENZA QUADRIVALENT RECOMBINANT VACCINE (lot UJ724AA and expiry date: 30-Jun-2022) (Oral solution) (0.25 mL to 2 mL for vaccines or 0.1 mL for TB skin test--0.5ml) (Frequency once) via intramuscular route in the right deltoid for prophylactic vaccination. It was an actual medication error case due to product administered to patient of inappropriate age (latency: same day). It was reported "FLUBLOK vaccine was given to a 10 year old and wants to know what would happen or do they need to give another age appropriate flu shot?". At the time of reporting, no adverse event 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
- No adverse event
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- NA
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- IL
- Alter
- 10,0
- Geschlecht
- F
- Eingang
- 10.12.2021
- Impfdatum
- 08.12.2021
- Beginn
- -
- Tage bis Beginn
- -
- 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
incorrect influenza vaccine administered to pediatric patient, no adverse event noted.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- No adverse event
- Hospital-Tage
- -
- Labordaten
- n/a
- Aktuelle Erkrankungen
- 11/16/21 - lactose intolerance causing diarrhea
- Vorgeschichte
- allergic rhinitis, asthma, food allergy, eczema, atopic dermatitis
- Andere Medikamente
- albuterol inhaler 90 mcg/inh; albuterol 2.5 nebulization; fexofenadine 30 MG PO BID; flonase 30mg/5ml 1 spray BID; montelukast 5 mg PO HS; nasal spray PRN; triamcinolone 0.1% topical
- Allergien
- egg; fish; peanut; sesame seed; shellfish; tree nut; wheat
- Vorherige Impfungen
- -
- Staat
- FL
- Alter
- 17,0
- Geschlecht
- M
- Eingang
- 09.12.2021
- Impfdatum
- 23.11.2021
- Beginn
- 23.11.2021
- Tage bis Beginn
- 0,0
- Dosis
- 1
- 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
Patient was given the Flublok that is for 18 and older rather than the fluzone for pediatrics. No adverse reactions ARNP notified
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- No adverse event
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- Na
- Vorgeschichte
- NA
- Andere Medikamente
- NA
- Allergien
- Na
- Vorherige Impfungen
- -
- Staat
- NC
- Alter
- 36,0
- Geschlecht
- F
- Eingang
- 23.11.2021
- Impfdatum
- 25.10.2021
- Beginn
- 25.10.2021
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Bursitis
Symptomtext
Patient returned to pharmacy 28 days post vaccination, expressed concerns about bursitis.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Bursitis
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- TN
- Alter
- 17,0
- Geschlecht
- M
- Eingang
- 28.10.2021
- Impfdatum
- 28.10.2021
- Beginn
- 28.10.2021
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
No adverse event
Wrong product administered
Symptomtext
Wrong vaccine given; no symptoms post injection
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- No adverse event
- Hospital-Tage
- -
- Labordaten
- na
- Aktuelle Erkrankungen
- n/a
- Vorgeschichte
- n/a
- Andere Medikamente
- Zyrtec
- Allergien
- no known allergies
- Vorherige Impfungen
- -
- Staat
- -
- Alter
- 0,6
- Geschlecht
- M
- Eingang
- 28.10.2021
- Impfdatum
- 19.10.2021
- Beginn
- 19.10.2021
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- OT / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Medication error
No adverse event
Product administered to patient of inappropriate age
Symptomtext
A 8 months old patient received FLUBLOCK with no reported adverse event.; Initial information regarding an unsolicited valid non-serious case was received from Other Health Care Professional via a consumer/non-health care professional via regulatory authority (Reference number- 00822512) and transmitted to Sanofi on 21-Oct-2021. This case involves an 8-month-old male patient who was received INFLUENZA QUADRIVALENT RECOMBINANT VACCINE [FLUBLOK QIV] (product administered to patient of inappropriate age). The patient's medical history, medical treatment(s), vaccination(s) and family history were not provided. The patient had no other vaccine. On 19-Oct-2021, the patient received a 0.5 mL dose of suspect INFLUENZA QUADRIVALENT RECOMBINANT VACCINE (lot UJ724AA, expiry: 30-Jun-2022, formulation: pre-filled syringe) via intramuscular route in unknown administration site for prophylactic vaccination. It was a case of an actual medication error due to inappropriate age at vaccine administration (latency same day). It was reported "The caller is asking recommendations for a patient given FLUBLOCK at 8 months old?" No other adverse event 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
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- MT
- Alter
- 54,0
- Geschlecht
- F
- Eingang
- 27.10.2021
- Impfdatum
- 20.10.2021
- Beginn
- 20.10.2021
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- IM / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Hypoaesthesia oral
Symptomtext
Due to reported adverse COIV vaccine, had pt. sit on site 15: pt vistied with staff member additional 15 min, left, returned~ 10 min later c/o"numb lips and tongue" Pt had Bendadryl & took 50 mg po. Vitals stable o2 98% pulse 70, 150/80. Provided gatorade, no problem swallowing noted.Pt remained stable; sx resolved. Returned to work on site at her request.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Hypoaesthesia oral
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- Ibuprofen
- Allergien
- NKA Except bee stings
- Vorherige Impfungen
- Covid Vaccine, Unk date/type- lips numb/throat
- Staat
- GA
- Alter
- 14,0
- Geschlecht
- M
- Eingang
- 23.10.2021
- Impfdatum
- 12.10.2021
- Beginn
- 12.10.2021
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- OT / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Product administered to patient of inappropriate age
Symptomtext
administered FLUBLOK to a 14 year old patient/ no AE; Initial information was received on 13-Oct-2021 regarding an unsolicited valid non-serious case from consumer/non-healthcare professional and physician via call center via Medical Information (Reference number- 00811402). This case involves a 14-year-old male patient who received INFLUENZA QUADRIVALENT RECOMBINANT VACCINE [FLUBLOK QIV] (product administered to patient of inappropriate age). The patient's medical history, past medical treatments, vaccinations, concomitant medication and family history were not provided. On 12-Oct-2021, the patient received a 0.5 mL dose of suspect INFLUENZA QUADRIVALENT RECOMBINANT VACCINE (lot number: UJ724AA and expiry date: 30-Jun-2022) via an intramuscular route in the left deltoid for prophylactic vaccination. It was an actual medication error case due to inappropriate age at vaccine administration (latency: same day). It was reported "Clinical supervisor reports that one of their staff administered FLUBLOK to a 14 year old patient." At the time of reporting, no adverse event 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 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
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- NM
- Alter
- 46,0
- Geschlecht
- F
- Eingang
- 14.10.2021
- Impfdatum
- 11.10.2021
- Beginn
- 11.10.2021
- Tage bis Beginn
- 0,0
- Dosis
- N/A
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Product storage error
Symptomtext
The vaccine, Flublock Quadrivalent, was stored outside of the expected temperature range (36-46F) for 96 hours with a maximum temperature reaching 51.8F. The manufacturer, has reported that the product becomes invalid when stored in temperatures above 46F up to 72 hours or more. CDC recommendations are to have the employee re-vaccinate and may do so immediately, no need to wait. Employee notified of event. Unable to reschedule at this time, as our clinic is out of stock. To notify employee when restocked.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Product storage error
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- PA
- Alter
- 17,0
- Geschlecht
- F
- Eingang
- 06.10.2021
- Impfdatum
- 29.09.2021
- Beginn
- 29.09.2021
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
No adverse event
Product administered to patient of inappropriate age
Symptomtext
Flublok given to a 17 year old, patient feels okay, no side effects
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- No adverse event
- Hospital-Tage
- -
- Labordaten
- none
- Aktuelle Erkrankungen
- none
- Vorgeschichte
- none
- Andere Medikamente
- Aviane birth control
- Allergien
- KNDA
- Vorherige Impfungen
- -
- Staat
- NC
- Alter
- 12,0
- Geschlecht
- F
- Eingang
- 04.10.2021
- Impfdatum
- 28.09.2021
- Beginn
- 28.09.2021
- 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
Product administered to patient of inappropriate age
Symptomtext
A Flublok was given to a 12 year old. The appropriate age for Flublok is 18 years and up. The client did not have an adverse event.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- No adverse event
- Hospital-Tage
- -
- Labordaten
- None
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- None
- Andere Medikamente
- -
- Allergien
- Latex, Tropical Fruit, Tree nuts, Peanuts, Eggs, bananas, and Avacados
- Vorherige Impfungen
- -
- Staat
- GA
- Alter
- 56,0
- Geschlecht
- F
- Eingang
- 01.10.2021
- Impfdatum
- 28.09.2021
- Beginn
- 29.09.2021
- Tage bis Beginn
- 1,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: ja
Erholt: nein
Erythema
Peripheral swelling
Symptomtext
Extreme erythema and swelling of lower arm area
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Erythema
- Hospital-Tage
- -
- Labordaten
- Unknown
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- Hypercholesterolemia Hypertension
- Andere Medikamente
- Meloxicam, Atorvastatin, Valsartan, Vitamin D
- Allergien
- Doxycycline
- Vorherige Impfungen
- -
- Staat
- KY
- Alter
- 17,0
- Geschlecht
- M
- Eingang
- 20.09.2021
- Impfdatum
- 11.09.2021
- Beginn
- 11.09.2021
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Product administered to patient of inappropriate age
Symptomtext
FLUBLOK GIVEN- PT IS NOT OVER THE AGE OF 18, NO ADVERSE REACTIONS, MOTHER NOTIFIED
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Product administered to patient of inappropriate age
- Hospital-Tage
- -
- Labordaten
- NONE
- Aktuelle Erkrankungen
- NONE
- Vorgeschichte
- NONE
- Andere Medikamente
- FLONASE
- Allergien
- PCN
- Vorherige Impfungen
- -
- Staat
- KY
- Alter
- 15,0
- Geschlecht
- F
- Eingang
- 20.09.2021
- Impfdatum
- 11.09.2021
- Beginn
- 11.09.2021
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Product administered to patient of inappropriate age
Symptomtext
FLUBLOK ADMINISTERED , PT IS UNDER AGE OF 18, NO ADVERSE REACTIONS, MOTHER NOTIFIED
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Product administered to patient of inappropriate age
- Hospital-Tage
- -
- Labordaten
- NONE
- Aktuelle Erkrankungen
- NONE
- Vorgeschichte
- NONE
- Andere Medikamente
- FLONASE
- Allergien
- PCN
- Vorherige Impfungen
- -