- Staat
- -
- Alter
- 87,0
- Geschlecht
- F
- Eingang
- 17.01.2022
- Impfdatum
- 12.10.2021
- Beginn
- 23.11.2021
- Tage bis Beginn
- 42,0
- Dosis
- 1
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: ja
Disable: unbekannt
ER: ja
Erholt: ja
Cardiac failure congestive
Condition aggravated
Symptomtext
Acute exacerbation of CHF (congestive heart failure). ED visit and hospital admission. This visit was within 6 weeks of receiving the COVID vaccine.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Condition aggravated
- Hospital-Tage
- 3,0
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- CA
- Alter
- 66,0
- Geschlecht
- F
- Eingang
- 03.12.2021
- Impfdatum
- 24.10.2021
- Beginn
- 24.10.2021
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Pain in extremity
Symptomtext
Patient has been experienced sore arm since vacination date until now. It has been more than 1 month, and patient still has the sore arm. She was advised to take Tylenol and encouraged to see her primary care doctors.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Pain in extremity
- Hospital-Tage
- -
- Labordaten
- Patient has not gone to the the doctor office yet. But she said she would go after talking to pharmacist.
- Aktuelle Erkrankungen
- unknown
- Vorgeschichte
- high blood pressure, glaucoma. Patient took tenofovir on 9/17/21.
- Andere Medikamente
- Unknown
- Allergien
- pseudofed pe
- Vorherige Impfungen
- -
- Staat
- WI
- Alter
- 69,0
- Geschlecht
- F
- Eingang
- 18.10.2021
- Impfdatum
- 06.10.2021
- Beginn
- 07.10.2021
- Tage bis Beginn
- 1,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: ja
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Chills
Culture throat negative
Oropharyngeal pain
Streptococcus test negative
Vaccination complication
Symptomtext
Pt started with chills and sore throat approximately 12 hours after receiving the vaccines. She presented to urgent care on 10/7/21 and was seen. The urgent care did a rapid strep which was negative and advised to due symptomatic treatment. They felt she was experiencing an immune response the vaccines.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Chills
- Hospital-Tage
- -
- Labordaten
- Rapid Step-negative Step Culture- negative
- Aktuelle Erkrankungen
- IgG Kappa multiple myeloma, HTN, GERD w/ esophageal stricture, COVID Infection 10/2020,
- Vorgeschichte
- HTN, GERD w/ esophageal stricture, COVID Infection 10/2020, Hx of left lung pneumonia w/ empyema s/p decortication 2015, TAH/BSO in 2000, Left TKA 6/2021, Hand surgery 8/2021 complicated by MRSA infection which required subsequent debridement
- Andere Medikamente
- Tylenol PRN, Acylcovir, PRN, Allopurinol daily, ASA daily, Dexamethasone daily, lorazepam prn, losartan daily, omeprazole daily, ondansetron prn, potassium, daily, sodium fluoride paste daily, bactrim 3x per week
- Allergien
- NKDA
- Vorherige Impfungen
- -
- Staat
- CA
- Alter
- 69,0
- Geschlecht
- F
- Eingang
- 29.09.2021
- Impfdatum
- 14.09.2021
- Beginn
- 14.09.2021
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- OT / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Chills
Headache
Lip swelling
Pain
Pain in jaw
Pyrexia
Symptomtext
right side of the top lip was swollen; cheek sore when she pushed on it and radiates to jaw; cheek sore when she pushed on it and radiates to jaw; chills; headache; 102 fever; Initial information received on 17-Sep-2021 regarding an unsolicited valid non-serious case from a consumer/non-health care professional via Agency (under the reference 00775106). This case involved a 69 years old female patient who had right side of the top lip was swollen (lip swelling), cheek sore when she pushed on it and radiates to jaw (oral pain), cheek sore when she pushed on it and radiates to jaw (pain), chills, headache and 102 fever (pyrexia) after receiving INFLUENZA QUADRIVAL A-B HIGH DOSE HV VACCINE [FLUZONE HIGH-DOSE QUADRIVALENT]. The patient's past medical history included Nasopharyngitis. The patient's past medical treatment(s), vaccination(s), concomitant medication(s) and family history were not provided. On 14-Sep-2021, the patient received a dose of suspect INFLUENZA QUADRIVAL A-B HIGH DOSE HV VACCINE (0.7 ml, lot UJ730AA and expiration date not provided) via intramuscular route in the left arm for prophylactic vaccination. On 14-SEP-2021, the patient developed a non-serious chills, headache, 102 fever (pyrexia) on the same day following the administration of vaccines. On an unknown date, the patient developed a non-serious right side of the top lip was swollen (lip swelling), cheek sore when she pushed on it and radiates to jaw (oral pain), cheek sore when she pushed on it and radiates to jaw (pain) [unknown latency] following the administration of vaccine. Relevant laboratory test results included: Body temperature : 102 On an unknown date The patient was treated with LORATADINE (CLARITINE) and PARACETAMOL (TYLENOL). At time of reporting, the outcome was unknown for the reported events.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Chills
- Hospital-Tage
- -
- Labordaten
- Test Name: body temperature; Test Result: 102 {DF}; Result Unstructured Data: 102
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- Medical History/Concurrent Conditions: Cold
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- MN
- Alter
- 80,0
- Geschlecht
- F
- Eingang
- 23.09.2021
- Impfdatum
- 20.09.2021
- Beginn
- 20.09.2021
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Burning sensation
Fatigue
Pain
Peripheral swelling
Pruritus
Skin reaction
Symptomtext
Arm felt burning sensation in arm later that evening. Next day 9/21, left upper arm swollen, red, itching, feeling tired & achy. Applied cool washcloth to arm, redness is fading 9/23, still some swelling & itching/burning, applying cool washcloth for relief, some achiness & fatigue continue, seems a bit less.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Fatigue
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- multiple allergies to medications & foods, including sulfa
- Vorherige Impfungen
- -
- Staat
- CA
- Alter
- 73,0
- Geschlecht
- M
- Eingang
- 22.09.2021
- Impfdatum
- 07.09.2021
- Beginn
- 22.09.2021
- Tage bis Beginn
- 15,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Injection site pain
Pain
Pain in extremity
Symptomtext
Patient came to pharmacy 09/22/2021 saying he is still experiencing pain on his left arm following his flu shot on 09/07/2021. Claims that on night of 09/07/2021 and day after he experienced pain on injected site and arm. Pharmacist explained pain on arm and injection site may be expected following vaccine administration but patient claims the pain he experienced was more severe than what he has experienced following any other vaccinations. Says that he has tried OTC pain relief meds to address pain, also cold compresses, and mobilizing arm. Pain has subsided but is still present (although significantly less than when initially experienced) but claims has issues when he raises arm. Patient is retired paramedic and suspects injury to shoulder or nerve.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Injection site pain
- Hospital-Tage
- -
- Labordaten
- Patient has not gone to MD as of date of reporting but says he MAY if pain does not subside after a few weeks/days.
- Aktuelle Erkrankungen
- COVID, Fungal infection
- Vorgeschichte
- DM Hypercholesterolemia Hypertension
- Andere Medikamente
- Losartan-HCTZ 50-12.5mg Metformin ER 750mg Atorvastatin 40mg Terbinafine 250mg
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- CA
- Alter
- 69,0
- Geschlecht
- F
- Eingang
- 22.09.2021
- Impfdatum
- 14.09.2021
- Beginn
- 15.09.2021
- Tage bis Beginn
- 1,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Chills
Facial pain
Lip swelling
Pain
Pyrexia
Symptomtext
102 fever, chills, aches. But most important, swelling of lips a day later. Soreness when touching cheeks. Took antihistamine.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Chills
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- Had a cold like symptoms, no fever, not covid
- Vorgeschichte
- IBS
- Andere Medikamente
- Vitamin d3 2000iu Miralax powder
- Allergien
- None
- Vorherige Impfungen
- -
- Staat
- CA
- Alter
- 84,0
- Geschlecht
- F
- Eingang
- 08.09.2021
- Impfdatum
- 05.09.2021
- Beginn
- 05.09.2021
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Contusion
Erythema
Injection site discolouration
Injection site pruritus
Nodule
Pruritus
Rash
Symptomtext
Pt called to report that she has been experiencing adverse reactions starting Sunday night (around 7pm) after receiving her high dose flu vaccine Sunday morning (around 10am). The reaction started off with redness and itch, progressed to a big "bulge" that looked like a huge cyst halfway between her wrist and elbow, and she now has a black/blue mark + itch at the site of injection as if someone punched her arm. This was the first time the pt ever reacted to the flu shot. Pt was not able to identify any other causes of the rash/bruise other than the flu shot the same morning. She has been using calamine lotion and taking Benadryl to help with the rash, but has not seen resolution of symptoms. Pt made an appointment to see her dermatologist this afternoon. Advised pt to continue w treatment at home until further advised by her doctor at the appointment and to seek urgent care if her symptoms suddenly worsen before then. Gave information regarding the vaccine (manufacturer, lot number) over the phone and mailed her the package insert per request. Pt already called the manufacturer SANOFI and did not seek any further information from us.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Injection site discolouration
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- Type 2 Diabetes, neuropathy (reported by pt)
- Andere Medikamente
- Pt does not pick up her prescriptions from Pharmacy
- Allergien
- System reports allergies to: codeine, opioids (morphine) and Keflex with reaction unknown
- Vorherige Impfungen
- -
- Staat
- WI
- Alter
- 72,0
- Geschlecht
- M
- Eingang
- 18.11.2021
- Impfdatum
- 08.11.2021
- Beginn
- 08.11.2021
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- OT / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
No adverse event
Underdose
Symptomtext
Flinched during the injection and did not get the full injection/no AE; Initial information was received on 09-Nov-2021 regarding an unsolicited valid non-serious case received from a other health professional via (Agency - 00849823). This case involves a 72 year-old male patient who flinched during the injection and did not get the full injection of INFLUENZA QUADRIVAL A-B HIGH DOSE HV VACCINE [FLUZONE HIGH-DOSE QUADRIVALENT] (Under dose). The patient's medical history, past medical treatment(s), vaccination(s) and family history were not provided. No concomitant therapy was given. On 08-Nov-2021, the patient received a dose of suspect INFLUENZA QUADRIVAL A-B HIGH DOSE HV VACCINE (lot UJ730AA and 30-Jun-2022) via an intramuscular route at the left arm for prophylactic vaccination. It was reported "Pharmacy student is calling to ask if a patient who was getting the FLUZONE HD QUAD, flinched during the injection and she knows he didn't get the full injection, what are the recommendation regarding this". It was a case of an actual medication error due to vaccine under dose (latency was on same day). At the time of report, no adverse event reported. Outcome of event was 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
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- SC
- Alter
- 38,0
- Geschlecht
- F
- Eingang
- 15.11.2021
- Impfdatum
- 27.09.2021
- Beginn
- 27.09.2021
- Tage bis Beginn
- 0,0
- Dosis
- N/A
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Product administered to patient of inappropriate age
Symptomtext
High Dose flu vaccine given to employee at 38 years old
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Product administered to patient of inappropriate age
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- -
- Alter
- 24,0
- Geschlecht
- U
- Eingang
- 15.11.2021
- Impfdatum
- 14.10.2021
- Beginn
- 14.10.2021
- Tage bis Beginn
- 0,0
- Dosis
- N/A
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Product administered to patient of inappropriate age
Symptomtext
High Dose Flu vaccine given to employee at age 24
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Product administered to patient of inappropriate age
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- SC
- Alter
- 28,0
- Geschlecht
- F
- Eingang
- 15.11.2021
- Impfdatum
- 27.09.2021
- Beginn
- 27.09.2021
- Tage bis Beginn
- 0,0
- Dosis
- N/A
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Product administered to patient of inappropriate age
Symptomtext
Employee given high dose flu vaccine at 28 years old
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Product administered to patient of inappropriate age
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- -
- Alter
- 47,0
- Geschlecht
- F
- Eingang
- 15.11.2021
- Impfdatum
- 05.10.2021
- Beginn
- 05.10.2021
- 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 administered to patient of inappropriate age
Symptomtext
Employee given high dose flu vaccine at 47 years old
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Product administered to patient of inappropriate age
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- -
- Alter
- 58,0
- Geschlecht
- F
- Eingang
- 15.11.2021
- Impfdatum
- 27.09.2021
- Beginn
- 27.09.2021
- Tage bis Beginn
- 0,0
- Dosis
- N/A
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Product administered to patient of inappropriate age
Symptomtext
Employee given high dose Flu vaccine but under 65 years old
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Product administered to patient of inappropriate age
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- SC
- Alter
- 46,0
- Geschlecht
- F
- Eingang
- 15.11.2021
- Impfdatum
- 14.10.2021
- Beginn
- 14.10.2021
- Tage bis Beginn
- 0,0
- Dosis
- N/A
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Product administered to patient of inappropriate age
Symptomtext
High dose was given to employee who is under 65 years old
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Product administered to patient of inappropriate age
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- -
- Alter
- 64,0
- Geschlecht
- M
- Eingang
- 18.10.2021
- Impfdatum
- 05.10.2021
- Beginn
- 05.10.2021
- Tage bis Beginn
- 0,0
- Dosis
- N/A
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Product administered to patient of inappropriate age
Symptomtext
High dose was given and he is under 65.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Product administered to patient of inappropriate age
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- SC
- Alter
- 57,0
- Geschlecht
- F
- Eingang
- 06.10.2021
- Impfdatum
- 24.09.2021
- Beginn
- 24.09.2021
- 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
High dose was given to this employee who is under 65 years old.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Product administered to patient of inappropriate age
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- SC
- Alter
- 63,0
- Geschlecht
- M
- Eingang
- 06.10.2021
- Impfdatum
- 27.09.2021
- Beginn
- 27.09.2021
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Product administered to patient of inappropriate age
Symptomtext
High dose was given to this employee who is under 65 years old.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Product administered to patient of inappropriate age
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- GA
- Alter
- 51,0
- Geschlecht
- F
- Eingang
- 14.09.2021
- 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
Wrong product administered
Symptomtext
Accidentally administered the wrong flu vaccine to the patient. No adverse reactions have been reported so far.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Wrong product administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -