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Reporte zur Charge UJ875AD

Verknuepft ueber VAERS_ID mit VAERSDATA, Vax und Symptoms

33Reporte angezeigt
0Todesfaelle
3Hospitalisiert
1Lebensbedrohlich
1Bleibende Schaeden
HI 8 TX 3 WI 2 MN 2 CO 2 KY 2 SD 1 KS 1 MO 1 NC 1 NV 1 VA 1

VAERS 2561559

SANOFI PASTEUR · INFLUENZA (SEASONAL) (FLUZONE HIGH-DOSE QUADRIVALENT) · Charge UJ875AD

kritisch
Staat
WI
Alter
79,0
Geschlecht
F
Eingang
17.01.2023
Impfdatum
30.10.2022
Beginn
01.11.2022
Tage bis Beginn
2,0
Dosis
N/A
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: ja Erholt: nein
Cerebrovascular accident

Symptomtext

Patient caregiver called on 1/16/23 to let pharmacy know that patient suffered a stroke approximately 34 hours after receiving vaccines. Stated patient went to the hospital for 3 days and then to rehab. No other information was provided.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Cerebrovascular accident
Hospital-Tage
3,0
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
Hypertension, hyperlipidemia, diabetes,
Andere Medikamente
Carvedilol, Rosuvastatin, Diltiazem ER, Jardiance, Lisinopril,
Allergien
cephalosporins/penicillins, macrolides, sulfa
Vorherige Impfungen
-

VAERS 2546458

UNKNOWN MANUFACTURER · INFLUENZA (SEASONAL) (NO BRAND NAME) · Charge UJ875AD

schwer
Staat
TX
Alter
74,0
Geschlecht
F
Eingang
30.12.2022
Impfdatum
28.10.2022
Beginn
28.10.2022
Tage bis Beginn
0,0
Dosis
UNK
Route/Site
- / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Blood test Fibrin D dimer Fibrin D dimer increased N-terminal prohormone brain natriuretic peptide Off label use Product use issue Thrombosis Ultrasound scan X-ray

Symptomtext

high D-dimer; blood clots/has 4 blood clots in 1 leg and 2 blood cots in the other leg; Comirnaty and Flu vaccine administered on same day; Comirnaty and Flu vaccine administered on same day; This is a spontaneous report received from contactable reporter(s) (Consumer or other non HCP). The reporter is the patient. A 74-year-old female patient received BNT162b2, BNT162b2 omi ba.4-5 (BNT162B2, BNT162B2 OMI BA.4-5), on 28Oct2022 as dose 5 (booster), single (Lot number: GJ6665) at the age of 74 years, in right arm for covid-19 immunisation; influenza vaccine (FLU VACCINE VII), on 28Oct2022 as dose number unknown, single (Lot number: UJ875AD), in right arm for immunisation. The patient's relevant medical history included: "blood vessel injuries" (unspecified if ongoing), notes: Had 2 blood vessel injuries.; "factor 2 Thrombophilia mutation" (unspecified if ongoing), notes: had a Boston Heart Test run by cardiologist. The patient's family history included: "Scleroderma", start date: 1977 (unspecified if ongoing), notes: Scleroderma. Obviously an autoimmune issue; "Pulmonary arterial hypertension" (unspecified if ongoing), notes: Pulmonary arterial hypertension. The patient's concomitant medications were not reported. Vaccination history included: BNT162b2 (First Dose: Sars Cov2, Covid-19 Mrna LMP-S PF30mcg/0.3ml Pfizer Covid-19 vaccine, Date: 22Feb2021, LOT: EN6202, NDC/EXP: Unknown), administration date: 22Feb2021, when the patient was 72-year-old, for Covid-19 Immunization; BNT162b2 (Second Dose: Sars Cov2, Covid-19 Mrna LMP-S PF30mcg/0.3ml Pfizer Covid-19 vaccine, Date: 15Mar2021, LOT: EN6204, NDC/EXP: Unknown), administration date: 15Mar2021, when the patient was 72-year-old, for COVID-19 Immunization; BNT162b2 (Third Dose: First Booster: Covid-19 vaccine, Date: 18Oct2021, LOT: 301558A, NDC/EXP: Unknown), administration date: 18Oct2021, when the patient was 73-year-old, for COVID-19 Immunization; BNT162b2 (Fourth Dose: 18May2022, Covid-19 Mrna LNPSPF 30mcg/0.3ml TS Comirnaty, TS30mcg/0.3ml, LOT: FJ9943, NDC/EXP: Unknown), administration date: 18May2022, when the patient was 73-year-old, for Covid-19 immunization; tetanus shot (Vaccine Name: Tetanus shot, TDap (Adacel), Manufacturer: PMC Sanofi Pasteur Inc., LOT: 2CA18C1, EXP: Unknown, Route, Anatomical Location: think left arm), administration date: 21Oct2022, when the patient was 74-year-old. The following information was reported: OFF LABEL USE (non-serious), PRODUCT USE ISSUE (non-serious) all with onset 28Oct2022, outcome "unknown" and all described as "Comirnaty and Flu vaccine administered on same day"; THROMBOSIS (medically significant) with onset 15Dec2022, outcome "unknown", described as "blood clots/has 4 blood clots in 1 leg and 2 blood cots in the other leg"; FIBRIN D DIMER INCREASED (non-serious), outcome "unknown", described as "high D-dimer". The events "blood clots/has 4 blood clots in 1 leg and 2 blood cots in the other leg", "high d-dimer" and "comirnaty and flu vaccine administered on same day" required physician office visit. The patient underwent the following laboratory tests and procedures: Blood test: (unspecified date) 16.74 mg/l, notes: Blood test came up on computer as 16.74 mg/l; Fibrin D dimer: (May2022) 1.12, notes: it was 1.12 ugr/ml; (06Dec2022) 16.74, notes: Result: 16.74; Unit: Not Provided; N-terminal prohormone brain natriuretic peptide: (May2022) 182, notes: Result: 182; Unit: Not Provided; (06Dec2022) 2026, notes: Result: 2026; Unit: pg/ml; Ultrasound scan: (unspecified date) she has 4 blood clots in 1 leg and 2 blood cots, notes: show that she has 4 blood clots in 1 leg and 2 blood cots in the other leg; X-ray: (unspecified date) she has 4 blood clots in 1 leg and 2 blood cots, notes: show that she has 4 blood clots in 1 leg and 2 blood cots in the other leg. Therapeutic measures were taken as a result of thrombosis. Clinical course: Clinical course: Scleroderma and was not an antivaxxer. Other Conditions: Yes. Investigations: Yes. Had 2 blood vessel injuries. One after trashed IV after surgery. Second one was after getting treatment for Lyme Disease.These were both a long time ago. Test results: 2 of these tests have names that are so similar but, reference ranges are so different. Family Medical History Relevant to Adverse Events (AEs): Mother had scleroderma, was on oxygen 24/7 and probably had pulmonary arterial hypertension. Other than that, no. Everybody had their issues. Caller and her mother are the only ones who had autoimmune problems. Caller has had multiple D-dimer tests in the past, since 2020. The fifth one she had on 06Dec2022 showed that she had 16.74, or something like that, in whatever the little scientific measurement is, the value, which generated a lot of activity. Does not have any blood clots in arms or in any emboli. When she talked to her pharmacist about D-dimer being so high, they told her that this was still experimental and that she needs to report this to Pfizer. Was last week when the D-dimer came back. Blood clots: Treatment: was now on Eliquis. The monkey wrench that she thought may be of interest, is that she had a Boston Heart Test run by cardiologist. That showed that she has factor 2 Thrombophilia mutation, which is also run by 23 and me. Concerning that it was the same position as being on gene mutation. Also on Lab core, and one from Baylor college that also run the Factor 2 gene.These are all related to Thrombophilia, which was blood clots. NT-ProBNP went really high.Previous reading in May2022 was 182 and sky rocketed on 06Dec2022 to 2026pg/ml. When she actually saw the report, she thought, not going to panic, refuses not to panic on this. Thought what she might have done to cause this. Then remembered she got the other booster shot. At that point, the only manufacturer that she knew to be implicated with blood clots was Moderna. Vaccination Facility Type: Pharmacy or Drug Store. On same day, 28Oct2022, had flu vaccine. Influenza high dose quadrivalent Fluzone high dose high dose quadrivalent. After getting through the ultrasound on both legs, they called radiologist to read results and caller was going to be brought to Emergency room but, her cardiologist told nurse that caller was prescribed Eliquis and she went home and did not end up going to emergency room. Thinking that the factor 2 genetic thing could play a part in this. For some other people who have gotten blood clots and also have a thrombophilia problem genetic in nature and may not know about it. Does not go around with little sign that says she has factor 2 but, maybe she should. Wondering if that should be something that is a suggestion to people that are researching. If this person has a genetic problem with thrombophilia. Should be asking someone if having genetic testing done, if having the factor 2 was on 23 and me or that they just happened to have other genetic studies that back it up.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Thrombosis
Hospital-Tage
-
Labordaten
Test Name: Blood test; Result Unstructured Data: Test Result:16.74 mg/l; Comments: Blood test came up on computer as 16.74 mg/l.; Test Date: 202205; Test Name: D-dimer; Result Unstructured Data: Test Result:1.12; Comments: it was 1.12 ugr/ml; Test Date: 20221206; Test Name: D-dimer; Result Unstructured Data: Test Result:16.74; Comments: Result: 16.74; Unit: Not Provided; Test Date: 202205; Test Name: NT-proBNP; Result Unstructured Data: Test Result:182; Comments: Result: 182; Unit: Not Provided; Test Date: 20221206; Test Name: NT-proBNP; Result Unstructured Data: Test Result:2026; Comments: Result: 2026; Unit: pg/ml; Test Name: ultrasounds; Result Unstructured Data: Test Result:she has 4 blood clots in 1 leg and 2 blood cots; Comments: show that she has 4 blood clots in 1 leg and 2 blood cots in the other leg.; Test Name: X-rays; Result Unstructured Data: Test Result:she has 4 blood clots in 1 leg and 2 blood cots; Comments: show that she has 4 blood clots in 1 leg and 2 blood cots in the other leg.
Aktuelle Erkrankungen
-
Vorgeschichte
Medical History/Concurrent Conditions: Injury (Had 2 blood vessel injuries.); Pulmonary arterial hypertension; Scleroderma (Scleroderma. Obviously an autoimmune issue); Thrombophilia (had a Boston Heart Test run by cardiologist.)
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 2489274

SANOFI PASTEUR · INFLUENZA (SEASONAL) (FLUZONE HIGH-DOSE QUADRIVALENT) · Charge UJ875AD

schwer
Staat
SD
Alter
65,0
Geschlecht
F
Eingang
26.10.2022
Impfdatum
30.09.2022
Beginn
08.10.2022
Tage bis Beginn
8,0
Dosis
1
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: ja Hospital: ja Disable: ja ER: unbekannt Erholt: nein
Acute kidney injury Agitation Alanine aminotransferase normal Aspartate aminotransferase increased Blood albumin decreased Blood alkaline phosphatase increased Blood bilirubin increased Blood creatinine increased Blood magnesium Blood phosphorus normal Blood potassium increased Blood sodium decreased Blood urea increased CSF protein increased Carbon dioxide decreased Cardiomegaly Cholelithiasis Computerised tomogram abdomen abnormal

Symptomtext

The patient developed delirium, worsening falls with fever. She was admitted and underwent LP with elevated protein. She was discharged and returned on October 25, 2022 and admitted to ICU with worsening agitated delirium, acute renal injury, and lactic acidosis. ICU service consulted this evening to assist with her complexity and agitated delirium.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Intensive care
Hospital-Tage
2,0
Labordaten
CT abdomen: 1. Cardiomegaly with pleural thickening or trace fluid. 2. Cirrhotic appearing liver with changes of portal venous hypertension. 3. Splenomegaly. 4. Cholelithiasis with mildly distended gallbladder. 5. Moderate to large quantity of colonic stool. 6. 3 cm cystic lesion within the right adnexa. Consider follow-up ultrasound imaging. Lab Results Component Value Date WBC 9.2 10/25/2022 BANDPCT 6.0 05/19/2022 HEMOGLOBIN 10.1 (L) 10/25/2022 PLTCOUNT 200 10/25/2022 MAGNESIUM 1.9 10/25/2022 PHOSPHORUS 4.1 07/05/2022. Lab Results Component Value Date; NA 135 (L) 10/25/2022; POTASSIUM 5.9 (H) 10/25/2022; POTASSIUM 5.9 (H) 10/25/2022; CO2 20 (L) 10/25/2022; BUN 35 (H) 10/25/2022; CREATSERUM 1.72 (H) 10/25/2022; Lab Results; Component Value Date; ALBUMIN 3.4 10/25/2022; BILITOTAL 1.9 (H) 10/25/2022; ALKPHOS 195 (H) 10/25/2022; AST 72 (H) 10/25/2022; ALT 24 10/25/2022; INR 1.67 (H) 10/09/2022
Aktuelle Erkrankungen
Cirrhosis. Fall. Jaw fracture.
Vorgeschichte
12/22/2021-Closed nondisplaced fracture of middle third of scaphoid bone of left wrist; 09/2021; COVID-19; 5/20/2015; Gall stone; Date Unknown; Alcoholic cirrhosis (HCC) Date Unknown; Anemia; Date Unknown; Arthritis; Date Unknown; Bowel obstruction (HCC) Date Unknown; Cataracts, bilateral; Date Unknown; DDD (degenerative disc disease); Date Unknown; Hernia, ventral; Date Unknown; History of ETOH abuse; Date Unknown; Myasthenia gravis (HCC); Date Unknown; Neuropathy; Date Unknown; Osteoporosis; Date Unknown; Thyroid disease.
Andere Medikamente
Tapentadol; Chlorhexidine (PERIDEX); Acetaminophen (TYLENOL); Lactulose; Rifaximin (XIFAXAN); Rosuvastatin (CRESTOR); Spironolactone (ALDACTONE); Furosemide (LASIX); Metoprolol succinate (TOPROL XL); Cyclobenzaprine (FLEXERIL); Levothyroxin
Allergien
Ativan [lorazepam]-High Confusion, Other (Specify in Comments) Severe agitation, combative. Opposite reaction of intended. Avoid use. Environmental Allergens- High Shortness of breath; AEROSOL SPRAYS; Macrodantin [nitrofurantoin]- High Other (Specify in Comments), Anaphylaxis (High) "I don't know what happened"; Metoclopramide High Other (Specify in Comments); dyskenisia; Other: See Comments High Anaphylaxis (High), Shortness of breath, Angioedema (High); Insecticides Penicillin Allergy Skin Test performed on 4/29/2018. Test was NEGATIVE for a penicillin allergy.
Vorherige Impfungen
-

VAERS 2478427

SANOFI PASTEUR · INFLUENZA (SEASONAL) (FLUZONE HIGH-DOSE QUADRIVALENT) · Charge UJ875AD

moderat
Staat
KS
Alter
81,0
Geschlecht
F
Eingang
14.10.2022
Impfdatum
13.10.2022
Beginn
13.10.2022
Tage bis Beginn
0,0
Dosis
UNK
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Injected limb mobility decreased Pain

Symptomtext

Patient called and said she can hardly raise her left arm today after getting a flu shot the day before. She said she has many shots before but this one hurts a lot.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Injected limb mobility decreased
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
sulfa antibiotics
Vorherige Impfungen
-

VAERS 2466711

SANOFI PASTEUR · INFLUENZA (SEASONAL) (FLUZONE HIGH-DOSE QUADRIVALENT) · Charge UJ875AD

moderat
Staat
-
Alter
71,0
Geschlecht
M
Eingang
01.10.2022
Impfdatum
01.10.2022
Beginn
01.10.2022
Tage bis Beginn
0,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Chest pain Flank pain Flatulence

Symptomtext

Pt reported chest and side pain to the pharmacist following immunizations. Pain started within the hour of receiving the immunizations and resolved within 10 minutes after it started. Pharmacist followed up with patient about an hour after the pain and he said he was still feeling all right. He believed the pain to be gas pain.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Chest pain
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 2442532

SANOFI PASTEUR · INFLUENZA (SEASONAL) (FLUZONE HIGH-DOSE QUADRIVALENT) · Charge UJ875AD

moderat
Staat
MO
Alter
85,0
Geschlecht
F
Eingang
13.09.2022
Impfdatum
06.09.2022
Beginn
06.09.2022
Tage bis Beginn
0,0
Dosis
N/A
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Asthenia Chills Headache Nausea Tremor

Symptomtext

Systemic: Chills-Severe, Systemic: Shaking, contracted fingers bil-Severe, Systemic: Headache-Medium, Systemic: Nausea-Medium, Systemic: Weakness-Medium, Additional Details: Returned call to pt. Pt reports chills, shaking, headache, weakness, nausea, and contracted (fingers spread out and could not bend them) fingers bil hands for about 2.5 hours about 8 hours after injection. Symptoms resolved quickly and have not returned.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Tremor
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 2475364

SANOFI PASTEUR · INFLUENZA (SEASONAL) (FLUZONE HIGH-DOSE QUADRIVALENT) · Charge uj875ad

mild
Staat
NC
Alter
73,0
Geschlecht
F
Eingang
11.10.2022
Impfdatum
06.10.2022
Beginn
07.10.2022
Tage bis Beginn
1,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Cellulitis Injection site erythema Injection site pain Injection site swelling Injection site warmth

Symptomtext

Patient states on Saturday that she had swelling in the arm she received her flu shot (on Thursday) that spread down to her elbow. She said her skin was red and hot to the touch and reported a burning sensation. She removed her Bandaid from the vaccine that morning. The pharmacist on duty recommended she go to urgent care for potential cellulitis or delayed reaction. Pharmacist instructed her to take Benadryl and ice pack for swelling since she did not want to go to urgent care Saturday night. On Sunday, patient came to pharmacy to pick up antibiotic from urgent care. Provider diagnosed cellulitis. Patient was instructed to go to hospital if condition worsened. Patient stated that the provider did not think the vaccine was the cause but was instructed to follow up with PCP on Wednesday.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Injection site erythema
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 2470318

SANOFI PASTEUR · INFLUENZA (SEASONAL) (FLUZONE HIGH-DOSE QUADRIVALENT) · Charge UJ875AD

mild
Staat
HI
Alter
81,0
Geschlecht
M
Eingang
05.10.2022
Impfdatum
21.09.2022
Beginn
25.09.2022
Tage bis Beginn
4,0
Dosis
1
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: ja
Asthenia Dizziness Nausea

Symptomtext

C/O dizziness, weakness, nausea

Weitere VAERSDATA-Felder
Praegender Schweregrund
Dizziness
Hospital-Tage
-
Labordaten
Resident was sent to ER
Aktuelle Erkrankungen
None
Vorgeschichte
-
Andere Medikamente
Unknown
Allergien
-
Vorherige Impfungen
-

VAERS 2467791

SANOFI PASTEUR · INFLUENZA (SEASONAL) (FLUZONE HIGH-DOSE QUADRIVALENT) · Charge uj875ad

mild
Staat
NV
Alter
76,0
Geschlecht
F
Eingang
03.10.2022
Impfdatum
18.09.2022
Beginn
18.09.2022
Tage bis Beginn
0,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Chills Feeling cold

Symptomtext

Patient states that she starting experiencing extreme chills and was very cold in the middle of the night, the day she received the shot that lasted into the next day.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Chills
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 2466938

SANOFI PASTEUR · INFLUENZA (SEASONAL) (FLUZONE HIGH-DOSE QUADRIVALENT) · Charge uj875ad

mild
Staat
TX
Alter
88,0
Geschlecht
F
Eingang
02.10.2022
Impfdatum
27.09.2022
Beginn
28.09.2022
Tage bis Beginn
1,0
Dosis
UNK
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Chills Decreased appetite Feeling hot Nausea Vomiting

Symptomtext

pt husband called on 10-02-22 that pt experienced adverse effects like chills , feeling warm, vomited once and started feeling nausea, lack of appetite. I advised pt through her husband to take her to ER if situation is deteriorating. I later called pt husband and he told me he was able to contact dr who was on call and she sent a rx for ondansetron 4mg for nausea to fill and gave pt additional recommendations to commence immediately. I dispensed the med and gave to pt husband.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Chills
Hospital-Tage
-
Labordaten
Not aware of tests conducted. Dr advised pt to stay hydrated and take Tylenol as needed per pt husband
Aktuelle Erkrankungen
not known
Vorgeschichte
not known
Andere Medikamente
none per pt husband
Allergien
no known allergies
Vorherige Impfungen
-

VAERS 2454827

SANOFI PASTEUR · INFLUENZA (SEASONAL) (FLUZONE HIGH-DOSE QUADRIVALENT) · Charge UJ875AD

mild
Staat
MN
Alter
68,0
Geschlecht
M
Eingang
22.09.2022
Impfdatum
14.09.2022
Beginn
15.09.2022
Tage bis Beginn
1,0
Dosis
N/A
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Injection site rash Injection site vesicles

Symptomtext

Patient developed blistery rash on right arm at injection site day after injection. Patient monitored and denied other additional redness, fever, or other symptoms. Rash resolved after 2 days and skin continued to heal with no adverse reactions continuing. Patient contacted clinic on day 6 to notify of rash.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Injection site rash
Hospital-Tage
-
Labordaten
None
Aktuelle Erkrankungen
none
Vorgeschichte
Gout Unknown Sleep apnea Unknown PE (pulmonary embolism) Unknown DVT (deep venous thrombosis) (HCC) Unknown Pneumonia Unknown Bleeding nose Unknown Kidney stone Unknown HTN (hypertension) Unknown Hip pain 3/20/2017 Sepsis 3/20/2017 Atrial fibrillation with rapid ventricular response (HCC) 3/20/2017 Long term current use of anticoagulant therapy 4/3/2017 S/P panniculectomy 4/6/2017 BRAO (branch retinal artery occlusion) 5/28/2018 Diabetes mellitus (HCC) Unknown Cellulitis 9/12/2018 Obesity, morbid, BMI 50 or higher (HCC)
Andere Medikamente
ciprofloxacin (CIPRO) 500 mg tablet Take 1 tablet (500 mg) by mouth 2 times a day spironolactone (ALDACTONE) 25 mg tablet Take 1 tablet (25 mg) by mouth 1 time a day in the morning allopurinol (ZYLOPRIM) 300 mg tablet Take 1 tablet (300 mg)
Allergien
Bactrim Ds [Sulfamethoxazole W-trimethoprim] Not Specified: Dust Mites [Dust Mite Extract]; Nsaids; Ragweed
Vorherige Impfungen
-

VAERS 2440847

SANOFI PASTEUR · INFLUENZA (SEASONAL) (FLUZONE HIGH-DOSE QUADRIVALENT) · Charge UJ875AD

mild
Staat
VA
Alter
76,0
Geschlecht
M
Eingang
12.09.2022
Impfdatum
09.09.2022
Beginn
09.09.2022
Tage bis Beginn
0,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Anal incontinence Dizziness Fall Feeling abnormal Influenza like illness Urinary incontinence

Symptomtext

Patient called stating he had a very severe reaction after receiving his flu vaccine. He experienced flu like symptoms, lost control of bowels and bladder and was extremely dizzy. He fell to the floor, needed help getting up. This was a Friday and had these symptoms until Sunday. By Sunday, he had control of his bowels and bladder but still felt bad. He called us Monday and states he is almost back to normal.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Dizziness
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 2433883

SANOFI PASTEUR · INFLUENZA (SEASONAL) (FLUZONE HIGH-DOSE QUADRIVALENT) · Charge UJ875AD

mild
Staat
CO
Alter
80,0
Geschlecht
F
Eingang
08.09.2022
Impfdatum
05.09.2022
Beginn
05.09.2022
Tage bis Beginn
0,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: ja
Dizziness Vision blurred

Symptomtext

ABOUT 15 MINUTES AFTER THE PATIENT RECEIVED A HIGH DOSE FLU SHOT (FLUZONE HD QUAD) SHE WAS FEELING DIZZY AND HAD BLURRED VISION. SHE WAS GIVEN ORANGE JUICE BUT DID NOT SEEM TO GET BETTER. PARAMEDICS WERE CALLED AND SHE WAS TRANSPORTED TO THE HOSPITAL TO BE CHECKED. AFTER SHE WAS RELEASED FROM THE HOSPITAL SHE CAME BY THE STORE THE SAME DAY TO THANK EVERYONE FOR ACTING QUICKLY AND NOTHING BAD HAPPENED TO HER.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Dizziness
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
CANCER SURVIVOR
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 2429349

SANOFI PASTEUR · INFLUENZA (SEASONAL) (FLUZONE HIGH-DOSE QUADRIVALENT) · Charge UJ875AD

mild
Staat
TX
Alter
79,0
Geschlecht
M
Eingang
06.09.2022
Impfdatum
26.08.2022
Beginn
26.08.2022
Tage bis Beginn
0,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Injection site erythema Injection site pain Injection site swelling

Symptomtext

Site: Pain at Injection Site-Medium, Site: Redness at Injection Site-Medium, Site: Swelling at Injection Site-Medium

Weitere VAERSDATA-Felder
Praegender Schweregrund
Injection site erythema
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 2543135

SANOFI PASTEUR · INFLUENZA (SEASONAL) (FLUZONE HIGH-DOSE QUADRIVALENT) · Charge UJ875AD

gering
Staat
KY
Alter
64,0
Geschlecht
M
Eingang
26.12.2022
Impfdatum
10.10.2022
Beginn
10.10.2022
Tage bis Beginn
0,0
Dosis
1
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Incorrect dose administered Product administered to patient of inappropriate age

Symptomtext

64 yo male given Fluzone HD indicated for 65 years old and older

Weitere VAERSDATA-Felder
Praegender Schweregrund
Incorrect dose administered
Hospital-Tage
-
Labordaten
none
Aktuelle Erkrankungen
Unknown
Vorgeschichte
Unknown
Andere Medikamente
Unknown
Allergien
Unknown
Vorherige Impfungen
-

VAERS 2542685

SANOFI PASTEUR · INFLUENZA (SEASONAL) (FLUZONE HIGH-DOSE QUADRIVALENT) · Charge UJ875AD

gering
Staat
KY
Alter
80,0
Geschlecht
F
Eingang
24.12.2022
Impfdatum
28.10.2022
Beginn
16.12.2022
Tage bis Beginn
49,0
Dosis
2
Route/Site
OT / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Extra dose administered Medication error No adverse event

Symptomtext

they have administered 2 doses FLUZONE HIGH DOSE QUADRIVALENT to a patient with no adverse event; Initial information was received on 16-Dec-2022 regarding an unsolicited valid non-serious case received from a pharmacist. This case involves a 80 years old female patient who received 2 doses INFLUENZA QUADRIVAL A-B HIGH DOSE HV VACCINE [FLUZONE HIGH-DOSE QUADRIVALENT] with no adverse event. The patient's past medical history, medical treatment(s), vaccination(s) and family history were not provided. On 28-Oct-2022 patient received a 0.7 ml dose 1 of the INFLUENZA QUADRIVAL A-B HIGH DOSE HV VACCINE (lot number: UJ875AD, expiration date: 30-Jun-2023) via intramuscular route in the left arm. On 16-Dec-2022, the patient again received 0.7 ml dose 2 of suspect same vaccine (lot number: UJ935AC, Expiration date: 23-Jun-2023) via intramuscular route in the left arm with no adverse event (extra dose administered) (unknown latency). No lab data reported. Action taken: not applicable. Outcome: Unknown for the event they have administered 2 doses fluzone high dose quadrivalent to a patient with no 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
-
Allergien
-
Vorherige Impfungen
-

VAERS 2504468

SANOFI PASTEUR · INFLUENZA (SEASONAL) (FLUZONE HIGH-DOSE QUADRIVALENT) · Charge UJ875AD

gering
Staat
-
Alter
67,0
Geschlecht
M
Eingang
10.11.2022
Impfdatum
07.11.2022
Beginn
07.11.2022
Tage bis Beginn
0,0
Dosis
N/A
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Incorrect product formulation administered No adverse event

Symptomtext

Patient was given a monovalent pfizer vaccine as a booster. Patient should have been given the bivalent pfizer vaccine as a booster. No adverse outcomes. PCP consulted. Patient advised per CDC that repeat dose needed in at least two months.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Incorrect product formulation administered
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 2504464

SANOFI PASTEUR · INFLUENZA (SEASONAL) (FLUZONE HIGH-DOSE QUADRIVALENT) · Charge UJ875AD

gering
Staat
-
Alter
68,0
Geschlecht
F
Eingang
10.11.2022
Impfdatum
07.11.2022
Beginn
07.11.2022
Tage bis Beginn
0,0
Dosis
N/A
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Incorrect product formulation administered No adverse event

Symptomtext

Patient was given a monovalent pfizer vaccine as a booster. Patient should have been given the bivalent pfizer vaccine as a booster. No adverse outcomes. PCP consulted. Patient advised per CDC that repeat dose needed in at least two months.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Incorrect product formulation administered
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 2504453

SANOFI PASTEUR · INFLUENZA (SEASONAL) (FLUZONE HIGH-DOSE QUADRIVALENT) · Charge UJ875AD

gering
Staat
-
Alter
65,0
Geschlecht
F
Eingang
10.11.2022
Impfdatum
07.11.2022
Beginn
07.11.2022
Tage bis Beginn
0,0
Dosis
N/A
Route/Site
IM / RA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Incorrect product formulation administered No adverse event

Symptomtext

Patient was given a monovalent pfizer vaccine as a booster. Patient should have been given the bivalent pfizer vaccine. No adverse outcomes. PCP consulted. Patient advised per CDC that repeat dose needed in at least two months.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Incorrect product formulation administered
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 2503938

SANOFI PASTEUR · INFLUENZA (SEASONAL) (FLUZONE HIGH-DOSE QUADRIVALENT) · Charge UJ875AD

gering
Staat
WI
Alter
61,0
Geschlecht
F
Eingang
10.11.2022
Impfdatum
27.10.2022
Beginn
27.10.2022
Tage bis Beginn
0,0
Dosis
UNK
Route/Site
OT / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Medication error No adverse event Product administered to patient of inappropriate age Wrong product administered

Symptomtext

a patient under 65 years of age received HIGH DOSE QUADRIVALENT was given not Fluzone QIV vaccine with no reported AE; a patient under 65 years of age received HIGH DOSE QUADRIVALENT was given not Fluzone QIV vaccine with no reported AE; Initial information received on 28-Oct-2022 regarding an unsolicited valid non-serious case received from a pharmacist. This case involves a 61 years old female patient who was under the age of 65 were administered influenza quadrival A-B high dose HV vaccine [fluzone high-dose quadrivalent] instead of the fluzone QIV with no adverse event. The patient's past medical history, medical treatment(s), vaccination(s), concomitant medication and family history were not provided. On 27-Oct-2022, the patient received a once total dose of suspect influenza quadrival A-B high dose HV vaccine (lot UJ875AD , expiry date: 30-Jun-2023) at an unknown dose via an unknown route route in the left arm for immunisation. On 27-Oct-2022, the patient who was under the age of 65 were administered fluzone hd qiv instead of the fluzone qiv with no adverse event (wrong product administered, product administered to patient of inappropriate age, latency: same day). Action taken: Not applicable. Outcome: Unknown for both 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
Medication error
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 2490149

SANOFI PASTEUR · INFLUENZA (SEASONAL) (FLUZONE HIGH-DOSE QUADRIVALENT) · Charge UJ875AD

gering
Staat
MN
Alter
76,0
Geschlecht
M
Eingang
26.10.2022
Impfdatum
26.10.2022
Beginn
26.10.2022
Tage bis Beginn
0,0
Dosis
N/A
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Incorrect product formulation administered No adverse event

Symptomtext

Patient was given Moderna vaccine ndc 80777-975-05 instead of the updated booster. No adverse effects reported at this time.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Incorrect product formulation administered
Hospital-Tage
-
Labordaten
na
Aktuelle Erkrankungen
unknown
Vorgeschichte
hypertension
Andere Medikamente
Metoprolol ER 50mg, diltiazem CD 180mg
Allergien
morphine derivatives
Vorherige Impfungen
-

VAERS 2478856

SANOFI PASTEUR · INFLUENZA (SEASONAL) (FLUZONE HIGH-DOSE QUADRIVALENT) · Charge UJ875AD

gering
Staat
FL
Alter
76,0
Geschlecht
F
Eingang
14.10.2022
Impfdatum
03.10.2022
Beginn
03.10.2022
Tage bis Beginn
0,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: ja
Incorrect product formulation administered

Symptomtext

Patient was administered the COVID19 (Pfizer-BioNTech Bivalent) vaccine as the first dose of her primary series.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Incorrect product formulation administered
Hospital-Tage
-
Labordaten
n/a
Aktuelle Erkrankungen
N/A
Vorgeschichte
N/A
Andere Medikamente
N/A
Allergien
N/A
Vorherige Impfungen
-

VAERS 2470319

SANOFI PASTEUR · INFLUENZA (SEASONAL) (FLUZONE HIGH-DOSE QUADRIVALENT) · Charge UJ875AD

gering
Staat
HI
Alter
92,0
Geschlecht
M
Eingang
05.10.2022
Impfdatum
20.09.2022
Beginn
25.09.2022
Tage bis Beginn
5,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: ja Disable: unbekannt ER: unbekannt Erholt: nein
Subdural haematoma Unresponsive to stimuli

Symptomtext

Found on the floor, unresponsive. sent to ER, Dx: subdural hematoma

Weitere VAERSDATA-Felder
Praegender Schweregrund
Subdural haematoma
Hospital-Tage
-
Labordaten
None. Sent to ER
Aktuelle Erkrankungen
none
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 2468153

SANOFI PASTEUR · INFLUENZA (SEASONAL) (FLUZONE HIGH-DOSE QUADRIVALENT) · Charge UJ875AD

gering
Staat
CO
Alter
-
Geschlecht
F
Eingang
04.10.2022
Impfdatum
26.09.2022
Beginn
26.09.2022
Tage bis Beginn
0,0
Dosis
UNK
Route/Site
OT / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Accidental exposure to product No adverse event Syringe issue

Symptomtext

leaking occurred when she was administering the vaccine/the leak was more than a few drops and felt to be about half of the vaccine with no reported adverse event; Initial information received on 26-Sep-2022 regarding an unsolicited valid non-serious case received from a pharmacist. This case involves a 72 years old female patient and it was reported leaking occurred when she was administering the vaccine/the leak was more than a few drops and felt to be about half of the vaccine with no reported adverse event , while receiving vaccine INFLUENZA QUADRIVAL A-B HIGH DOSE HV VACCINE [FLUZONE HIGH-DOSE QUADRIVALENT]. The patient's past medical history, medical treatment(s), vaccination(s) and family history were not provided. On 26-Sep-2022, the patient received a dose of 0.7 ml , once of suspect INFLUENZA QUADRIVAL A-B HIGH DOSE HV VACCINE , with an unknown formulation and strength, (lot: UJ875AD ; expiry date: not reported) via intramuscular route in the left arm for immunization. No concomitant vaccination taken The reporter stated that on 26-Sep-2022 the leaking occurred when she was administering the vaccine and the leak was more than a few drops and felt to be about half of the vaccine with no reported adverse event (accidental exposure to product) (latency: same day). There was no crack or visible problem with the prefilled vaccine. The caller stated that she tightened the needle but possibly not enough. Some leaked out where the needle attaches to the syringe. Some of the vaccine was administered to the patient, but some leaked out. The vaccine started to leak after the pharmacist began to administer the vaccine to the patient. Part of the vaccine went into the patient's arm and part of the vaccine leaked out 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
Accidental exposure to product
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 2466598

SANOFI PASTEUR · INFLUENZA (SEASONAL) (FLUZONE HIGH-DOSE QUADRIVALENT) · Charge UJ875AD

gering
Staat
MI
Alter
84,0
Geschlecht
F
Eingang
01.10.2022
Impfdatum
21.09.2022
Beginn
21.09.2022
Tage bis Beginn
0,0
Dosis
N/A
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: ja Erholt: ja
Circumstance or information capable of leading to medication error Ecchymosis Erythema Skin warm

Symptomtext

Date of injection put in to system was 9/22/22 but vaccine actually given 9/21/22. She received it at apartment complex. Records show that she also received covid booster in right arm but she had refused covid booster and only had injection in left arm. The same evening of injection, her left arm became hot, edematous and very red with an area of ecchymosis extending mid upper arm to elbow. She went to urgent care and they instructed her to go to ER. She was given Deltasone 60 mg in ER and given a prescription for prednisone 50 mg orally x 5 days. She was instructed to rest and elevate the arm. The edema and redness did subside within the 5 days that prednisone was given. The area of ecchymosis is still fading.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Circumstance or information capable of leading to medication error
Hospital-Tage
-
Labordaten
none
Aktuelle Erkrankungen
-
Vorgeschichte
brachial plexopathy, aortic stenosis, essential hypertension, paroxysmal atrial fibrillation, chronic kidney disease, mixed hyperlipidemia, history of lacunar cerebral vascular accident
Andere Medikamente
eliquis, lipitor, calcium, vitamin D3, lisinopril, metoprolol,timoptic,alendronate
Allergien
No known allergies
Vorherige Impfungen
-

VAERS 2455733

SANOFI PASTEUR · INFLUENZA (SEASONAL) (FLUZONE HIGH-DOSE QUADRIVALENT) · Charge UJ875AD

gering
Staat
HI
Alter
47,0
Geschlecht
M
Eingang
23.09.2022
Impfdatum
07.09.2022
Beginn
07.09.2022
Tage bis Beginn
0,0
Dosis
UNK
Route/Site
OT / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Medication error No adverse event Poor quality product administered Product storage error

Symptomtext

vaccine was involved in a temperature excursion reached 28.2 degrees Fahrenheit for 2 hours and 29 minutes. and 30 degrees Fahrenheit for 6 hours and 11 minutes and administered to patient with no reported adverse event; Initial information received on 09-Sep-2022 regarding an unsolicited valid non-serious case received from a pharmacist. This case is linked to cases 2022SA377287(CLUSTER) and 2022SA377293(CLUSTER). This case involves a 47 years old male patient who was administered Influenza quadrival A-B high dose HV vaccine [Fluzone high-dose quadrivalent] vaccine after temperature excursion reached 28.2 degrees Fahrenheit for 2 hours and 29 minutes. and 30 degrees Fahrenheit for 6 hours and 11 minutes. The patient's past medical history, medical treatment(s), vaccination(s) and family history were not provided. On 07-Sep-2022, the patient received 0.7 ml, once dose of suspect Influenza quadrival A-B high dose HV vaccine unknown formulation (lot UJ875AD, Exp date: 30-Jun-23) via intramuscular route in the left deltoid for immunization. On 07-Sep-2022 (latency: same day), the patient developed a non-serious "vaccine was involved in a temperature excursion reached 28.2 degrees Fahrenheit for 2 hours and 29 minutes. and 30 degrees Fahrenheit for 6 hours and 11 minutes and administered to patient with no reported adverse event (poor quality product administered). 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
Medication error
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 2454613

SANOFI PASTEUR · INFLUENZA (SEASONAL) (FLUZONE HIGH-DOSE QUADRIVALENT) · Charge uj875ad

gering
Staat
NY
Alter
75,0
Geschlecht
F
Eingang
22.09.2022
Impfdatum
21.09.2022
Beginn
21.09.2022
Tage bis Beginn
0,0
Dosis
UNK
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Extra dose administered Wrong product administered

Symptomtext

Patient came in with her husband to get both the Moderna bivalent booster and the 65+ flu shot. Both patients were to receive a different flu shot. The husband the Fluad and the wife (this patient) the Fluzone as we just ran out of the Fluzone and had to switch over. Both patients sets of vaccines were in the same bin as they came in together and because the Fluzone and Fluad look different, the pharmacist didn't realize that she administered both flu shots to the patient until after. Patient received both Fluad and Fluzone in the same arm and the Covid bivalent booster in the right arm. Doctor has been notified, will be checking in on the patient to ensure no side effects from the mistake.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Extra dose administered
Hospital-Tage
-
Labordaten
N/A
Aktuelle Erkrankungen
None
Vorgeschichte
None
Andere Medikamente
N/A
Allergien
None
Vorherige Impfungen
-

VAERS 2450461

SANOFI PASTEUR · INFLUENZA (SEASONAL) (FLUZONE HIGH-DOSE QUADRIVALENT) · Charge UJ875AD

gering
Staat
HI
Alter
65,0
Geschlecht
M
Eingang
17.09.2022
Impfdatum
07.09.2022
Beginn
07.09.2022
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 Product storage error

Symptomtext

vaccine was involved in a temperature excursion reached 28.2 degrees Fahrenheit for 2 hours and 29 minutes. and 30 degrees Fahrenheit for 6 hours and 11 minutes and administered to patient with no reported adverse event; Initial information received from on 09-Sep-2022 regarding an unsolicited valid non-serious case received from a pharmacist. This case is linked to cases 2022SA377287(CLUSTER) and 2022SA379737(CLUSTER). This case involves a 65 years old male patient who was administered Influenza quadrival A-B high dose HV vaccine [Fluzone high-dose quadrivalent] vaccine after temperature excursion reached 28.2 degrees fahrenheit for 2 hours and 29 minutes. and 30 degrees fahrenheit for 6 hours and 11 minutes. The patient's past medical history, medical treatment(s), vaccination(s) and family history were not provided. On 07-Sep-2022, the patient received 0.7 ml, once dose of suspect Influenza quadrival A-B high dose HV vaccine unknown formulation (lot UJ875AD, Exp date: 30-Jun-23) via intramuscular route in the left deltoid for intramuscular. On 07-Sep-2022 the patient developed a non-serious "vaccine was involved in a temperature excursion reached 28.2 degrees fahrenheit for 2 hours and 29 minutes. and 30 degrees fahrenheit for 6 hours and 11 minutes and administered to patient with no reported adverse event (poor quality product administered). 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
-
Allergien
-
Vorherige Impfungen
-

VAERS 2450459

SANOFI PASTEUR · INFLUENZA (SEASONAL) (FLUZONE HIGH-DOSE QUADRIVALENT) · Charge UJ875AD

gering
Staat
HI
Alter
68,0
Geschlecht
F
Eingang
17.09.2022
Impfdatum
07.09.2022
Beginn
07.09.2022
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 Product storage error

Symptomtext

temperature excursion of 28.2 degrees Fahrenheit for 2 hours and 29 minutes and 30 degrees Fahrenheit for 6 hours and 11 minutes with no reported adverse event; The vaccine was administered to patient post temperature excursion of 28.2 degrees Fahrenheit for 2 hours and 29 minutes and 30 degrees Fahrenheit for 6 hours and 11 minutes with no reported adverse event; Initial information received on 09-Sep-2022 regarding an unsolicited valid non-serious case received from a pharmacist. This case is linked to cases 2022SA377293 and 2022SA379737. This case involves a 68 years old female patient who was administered vaccine post temperature excursion of 28.2 degrees Fahrenheit for 2 hours and 29 minutes and 30 degrees Fahrenheit for 6 hours and 11 minutes with no reported adverse event while receiving vaccine INFLUENZA QUADRIVAL A-B HIGH DOSE HV VACCINE [FLUZONE HIGH-DOSE QUADRIVALENT]. The patient's past medical history, medical treatment(s), vaccination(s) and family history were not provided. On an unknown date, the of INFLUENZA QUADRIVAL A-B HIGH DOSE HV VACCINE was exposed to a temperature excursion of 28.2 degrees Fahrenheit for 2 hours and 29 minutes and 30 degrees Fahrenheit for 6 hours and 11 minutes with no reported adverse event (product storage error). On 07-Sep-2022, the patient received 0.7 mL dose of suspect INFLUENZA QUADRIVAL A-B HIGH DOSE HV VACCINE (lot UJ875AD, expiry date: 30-Jun-2023; formulation not reported) via intramuscular route in the left deltoid for immunization. On 07-Sep-2022, (latency: same day) the patient was administered INFLUENZA QUADRIVAL A-B HIGH DOSE HV VACCINE post temperature excursion of 28.2 degrees Fahrenheit for 2 hours and 29 minutes and 30 degrees Fahrenheit for 6 hours and 11 minutes with no reported adverse event (poor quality product administered). Action taken was not applicable. At time of reporting, the outcome was Unknown for both 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
No adverse event
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 2446429

SANOFI PASTEUR · INFLUENZA (SEASONAL) (FLUZONE HIGH-DOSE QUADRIVALENT) · Charge uj875ad

gering
Staat
ND
Alter
73,0
Geschlecht
F
Eingang
15.09.2022
Impfdatum
14.09.2022
Beginn
15.09.2022
Tage bis Beginn
1,0
Dosis
UNK
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: nein
Erythema Induration

Symptomtext

localized reaction with redness and firmness

Weitere VAERSDATA-Felder
Praegender Schweregrund
Erythema
Hospital-Tage
-
Labordaten
none
Aktuelle Erkrankungen
none
Vorgeschichte
Hyperlipidemia, Hypothyroidism, Chronic Kidney Disease, Osteopenia
Andere Medikamente
none
Allergien
none
Vorherige Impfungen
-

VAERS 2444966

SANOFI PASTEUR · INFLUENZA (SEASONAL) (FLUZONE HIGH-DOSE QUADRIVALENT) · Charge UJ875AD

gering
Staat
HI
Alter
68,0
Geschlecht
F
Eingang
14.09.2022
Impfdatum
07.09.2022
Beginn
07.09.2022
Tage bis Beginn
0,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Product storage error

Symptomtext

After vaccination, a temperature excursion was discovered in the fridge where the vaccine was kept. Per manufacturer, the vaccine was no longer viable. Spoke with patient who reports no side effects. Advised to repeat the dose based on CDC recommendations.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Product storage error
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 2444962

SANOFI PASTEUR · INFLUENZA (SEASONAL) (FLUZONE HIGH-DOSE QUADRIVALENT) · Charge UJ875AD

gering
Staat
HI
Alter
65,0
Geschlecht
M
Eingang
14.09.2022
Impfdatum
07.09.2022
Beginn
07.09.2022
Tage bis Beginn
0,0
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
Product storage error

Symptomtext

After vaccination, a temperature excursion was discovered in the fridge where the vaccine was kept. Per manufacturer, the vaccine was no longer viable. Spoke with patient who reports no side effects. Advised to repeat the dose based on CDC recommendations.

Weitere VAERSDATA-Felder
Praegender Schweregrund
Product storage error
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-

VAERS 2444960

SANOFI PASTEUR · INFLUENZA (SEASONAL) (FLUZONE HIGH-DOSE QUADRIVALENT) · Charge UJ875AD

gering
Staat
HI
Alter
74,0
Geschlecht
M
Eingang
14.09.2022
Impfdatum
07.09.2022
Beginn
01.09.2022
Tage bis Beginn
-
Dosis
1
Route/Site
IM / LA
Tod: unbekannt Lebensbedrohlich: unbekannt Hospital: unbekannt Disable: unbekannt ER: unbekannt Erholt: unbekannt
No adverse event Product storage error

Symptomtext

After vaccination, a temperature excursion was discovered in the fridge where the vaccine was kept. Per manufacturer, the vaccine was no longer viable. Spoke with patient who reports no side effects. Advised to repeat the dose based on CDC recommendations.

Weitere VAERSDATA-Felder
Praegender Schweregrund
No adverse event
Hospital-Tage
-
Labordaten
-
Aktuelle Erkrankungen
-
Vorgeschichte
-
Andere Medikamente
-
Allergien
-
Vorherige Impfungen
-