- Staat
- PA
- Alter
- 2,0
- Geschlecht
- M
- Eingang
- 20.12.2022
- Impfdatum
- 04.10.2022
- Beginn
- 17.11.2022
- Tage bis Beginn
- 44,0
- Dosis
- N/A
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: ja
Disable: unbekannt
ER: ja
Erholt: nein
Asthenia
Cough
Fall
Fluid intake reduced
General physical health deterioration
Guillain-Barre syndrome
Hypophagia
Immunoglobulin therapy
Laboratory test
Symptomtext
COUGH AND DECREASED INTAKE STARTED 11/17/2022 GRADUALLY DECOMPENSATED TO FALLING, WEAK, NOT EATING/DRINKING. ER 11/30/22 ADMITTED AND DIAGNOSED WITH GUILLIAN-BARRE SYNDROME IVIG, THERAPIES, GABEPENTIN, PT, OT, PM AND R
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Guillain-Barre syndrome
- Hospital-Tage
- 16,0
- Labordaten
- NOT AVAILABLE- DONE INPATIENT
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- SPEECH/DEVELOPMENTAL DELAY
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 10,0
- Geschlecht
- M
- Eingang
- 15.11.2022
- Impfdatum
- 08.11.2022
- Beginn
- 08.11.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- IM / LL
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Loss of consciousness
Syncope
Symptomtext
Pt passed out when leaving facility. Was assisted back to exam room, given water and sugar source. MD discussed with mom vasovagal syncope process. Pt left facility walking with mom and sibling.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Loss of consciousness
- Hospital-Tage
- -
- Labordaten
- n/a
- Aktuelle Erkrankungen
- DX Pharyngitis thought to be caused by seasonal allergies 10/28/22
- Vorgeschichte
- unknown
- Andere Medikamente
- unknown
- Allergien
- NKDA
- Vorherige Impfungen
- -
- Staat
- PA
- Alter
- 15,0
- Geschlecht
- F
- Eingang
- 09.11.2022
- Impfdatum
- 09.11.2022
- Beginn
- 09.11.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: ja
Erholt: ja
Hypotension
Loss of consciousness
Symptomtext
Administered 3 vaccine around 11:20am on 11/9/22. At around 11:24am patient passed out while sitting in the chair. Did not fall or hit her head. Per one of the sisters, the patient did not eat today. The patient frequesntly refuses to eat or drink. Called an ambulance due to low BP and oxygenation. Vital signs have been taking every 2-3 minutes. Stable, A&O x3. When the ambulance arrived- stable vital signs. The family chose to have the patinet evaluated at the ED.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Loss of consciousness
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- WY
- Alter
- 23,0
- Geschlecht
- F
- Eingang
- 06.11.2022
- Impfdatum
- 06.11.2022
- Beginn
- 06.11.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Abdominal pain
Blood pressure increased
Exposure during pregnancy
Feeling hot
Tremor
Symptomtext
Patient reported cramping on the left side of her abdomen and is pregnant (around 20 weeks gestation). She had a bowel movement but was still having cramping. Blood pressure was slightly elevated 140's/90's. Patient stated that she "felt hot and shakey." She also had not eaten since early in the morning. The patient was brought to the medic room for further evaluation and was released with no further treatment.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Tremor
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- WA
- Alter
- 6,0
- Geschlecht
- F
- Eingang
- 18.01.2023
- Impfdatum
- 10.01.2023
- Beginn
- 10.01.2023
- Tage bis Beginn
- 0,0
- Dosis
- 5
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Heart rate increased
Malaise
Nausea
Pyrexia
Respiratory rate increased
Symptomtext
presents with mom's concern about vaccine reaction. Child was vaccinated at 10:30 this morning and at 11:30 she started to have fever and feel ill. She has had rapid heart rate, breathing fast and now nausea. Mom gave 3/4 tab of tylenol but child does not want to take it. Mother reported patient slept and woke the next morning with no symptoms
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Malaise
- Hospital-Tage
- -
- Labordaten
- none
- Aktuelle Erkrankungen
- none
- Vorgeschichte
- none
- Andere Medikamente
- none
- Allergien
- none
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 16,0
- Geschlecht
- M
- Eingang
- 18.11.2022
- Impfdatum
- 17.11.2022
- Beginn
- 17.11.2022
- Tage bis Beginn
- 0,0
- Dosis
- 7+
- Route/Site
- - / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Chills
Cough
Diarrhoea
Influenza virus test negative
Pain
Pyrexia
Respiratory tract congestion
Viral test negative
Symptomtext
Fever, chills, body aches, congestion, mild cough, diarrhea
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Chills
- Hospital-Tage
- -
- Labordaten
- viral panel and rapid flu, all negative
- Aktuelle Erkrankungen
- none
- Vorgeschichte
- none
- Andere Medikamente
- none
- Allergien
- none
- Vorherige Impfungen
- -
- Staat
- CO
- Alter
- 11,0
- Geschlecht
- M
- Eingang
- 04.11.2022
- Impfdatum
- 03.11.2022
- Beginn
- 03.11.2022
- Tage bis Beginn
- 0,0
- Dosis
- N/A
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect dose administered
Pain in extremity
Product administered to patient of inappropriate age
Symptomtext
RN administered COVID-19 Pfizer Bivalent 12+ 0.3mL to patient, RN referencing the database for immunization record at the time of vaccine preparation and administration. The database record lists 2 previous Pfizer 12+ PURPLE doses on 3/09/2022 and 3/30/2022 administered by a health care provider. As patient is currently 11 years old, he should have received Pfizer Bivalent 5-11 year 0.2mL dose instead. Upon realizing medication administration error, RN discussed with caregiver possible side effects from incorrect age product. RN followed up with caregiver on 11/04/2022 at 8:55 am to inquire about patient's condition. Parent states "everything is normal", reports arm soreness as the only side effect experienced by patient. Denies need for pain reliever/fever reducing medications or medical attention.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Pain in extremity
- Hospital-Tage
- -
- Labordaten
- none
- Aktuelle Erkrankungen
- none
- Vorgeschichte
- none
- Andere Medikamente
- none
- Allergien
- none
- Vorherige Impfungen
- -
- Staat
- CA
- Alter
- 28,0
- Geschlecht
- F
- Eingang
- 17.10.2022
- Impfdatum
- 14.10.2022
- Beginn
- 14.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Injection site erythema
Vaccination site induration
Symptomtext
Presented to clinic a few hours post vaccination with induration at vaccination site/redness. Patient concerned of a more serious reaction may develop so wanted to have event documented. No history of prior reactions to vaccines.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Injection site erythema
- Hospital-Tage
- -
- Labordaten
- none
- Aktuelle Erkrankungen
- no
- Vorgeschichte
- no
- Andere Medikamente
- none
- Allergien
- no
- Vorherige Impfungen
- -
- Staat
- HI
- Alter
- 0,6
- Geschlecht
- F
- Eingang
- 23.02.2023
- Impfdatum
- 10.12.2022
- Beginn
- 10.12.2022
- Tage bis Beginn
- 0,0
- Dosis
- 2
- Route/Site
- IM / LL
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
No adverse event
Symptomtext
No adverse effects.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- No adverse event
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- HI
- Alter
- 1,0
- Geschlecht
- M
- Eingang
- 30.12.2022
- Impfdatum
- 29.12.2022
- Beginn
- 29.12.2022
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- IM / RL
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Extra dose administered
No adverse event
Symptomtext
Influenza vaccine dose #3 in same 2022-2023 season erroneously administered. This was done without an MD order, though was ordered in electronic medical record for co-sign. Staff member who administered it reported it was given accidentally. Previous flu dose#1 administered 9/30/22 and flu#2 on 11/11/22. Spoke with mother via phone today 12/30/22 who reported pt had no fever or increase in fussiness. Appeared normal today
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Extra dose administered
- Hospital-Tage
- -
- Labordaten
- None, N/A
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- CO
- Alter
- 12,0
- Geschlecht
- F
- Eingang
- 19.12.2022
- Impfdatum
- 16.12.2022
- Beginn
- -
- Tage bis Beginn
- -
- Dosis
- 1
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Unevaluable event
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Unevaluable event
- Hospital-Tage
- -
- Labordaten
- N/A
- Aktuelle Erkrankungen
- Seasonal allergies
- Vorgeschichte
- Seasonal allergies
- Andere Medikamente
- Zyrtec 10mg tab 1 tab by mouth daily Albuterol Sulfate HFA 90 mcg/ Actuation aerosol inhaler 2 puffs before exercise and every 4-6 hours as needed Flonase Allery Relief 50mcg/actuation nasal spray 1-2 spray each nostril everyday as needed I
- Allergien
- NKA
- Vorherige Impfungen
- -
- Staat
- MA
- Alter
- 6,0
- Geschlecht
- F
- Eingang
- 05.12.2022
- Impfdatum
- 01.12.2022
- Beginn
- 01.12.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Cough
Medication error
Product preparation error
Sneezing
Vaccination error
Symptomtext
Patient arrived to community vaccination clinic with Mom and annual flu shot given without incident. Pfizer Bivalent 5 -11 year old booster was administered without being diluted. Patient received 0.2 cc of undiluted Pfizer Bivalent booster @ about 3:30 pm. Vaccination error noted around 5:30 pm on 12/1/22. This RN called mom - on 12/2/22 @ 11:15 am. Mom was informed re: medication error and aware that this RN would call and follow up with pediatrician. Mom reports that Patient has slight cough and some sneezing over night (12/1) but woke up and went to school as scheduled. Mom instructed to encourage water for the rest of 12/2 with patient. Nurse from Dr.'s office made return call to this RN @ 2 pm on 12/2 and instructed RN to have Mom continue to monitor patient closely today and over the weekend. No prn medications ordered, Mom to call MD if patient develops any unusual symptoms.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Cough
- Hospital-Tage
- -
- Labordaten
- none ordered
- Aktuelle Erkrankungen
- No
- Vorgeschichte
- No
- Andere Medikamente
- None reported by Mom
- Allergien
- None reported by Mom
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 4,0
- Geschlecht
- M
- Eingang
- 27.10.2022
- Impfdatum
- 26.10.2022
- Beginn
- 26.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- 2
- Route/Site
- IM / RL
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Extra dose administered
Symptomtext
During charting of above administered vaccines, noted patient had received 4 year well vaccines two days prior on 10/24 (mom had marked "no" to vaccines in prior 4 weeks on screening form, and printed vaccine records available at time of visit did not list vaccines from 10/24. Vaccines received in duplicate: Fluzone, Lot UJ879AB, given in Left thigh on 10/24/22 MMRV, Lot W020548, given in Right thigh on 10/24/22 Kinrix, Lot 2kl4k, given in Left thigh on 10/24/22
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Extra dose administered
- Hospital-Tage
- -
- Labordaten
- n/a
- Aktuelle Erkrankungen
- n/a
- Vorgeschichte
- n/a
- Andere Medikamente
- zyrtec
- Allergien
- n/a
- Vorherige Impfungen
- -
- Staat
- -
- Alter
- 46,0
- Geschlecht
- M
- Eingang
- 27.10.2022
- Impfdatum
- 18.10.2022
- Beginn
- 18.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: ja
Erholt: nein
Muscular weakness
Symptomtext
Left upper extremity weakness.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Muscular weakness
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- HI
- Alter
- 18,0
- Geschlecht
- F
- Eingang
- 17.09.2022
- Impfdatum
- 02.09.2022
- Beginn
- 02.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- OT / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
No adverse event
Poor quality product administered
Product storage error
Symptomtext
Max/low temperature reached: 1.3C Duration out of labelled range: 38 minutes with no reported adverse event; FLUZONE QUAD MDV had been administered to a patient post excursion with no reported adverse event; Initial information received on 06-Sep-2022 regarding an unsolicited valid non-serious case received from a other health professional. This case involves a 18 years old female patient who has been administered vaccine Influenza quadrival A-B multidose vaccine preserved [Fluzone quadrivalent multidose] post excursion with no reported adverse event. The patient's past medical history, medical treatment(s), vaccination(s) and family history were not provided. Temperature excursion occurred on 01-Sep-2022 for Fluzone Quad MDV (punctured and unopened) and cause is unknown. Max/low temperature reached 1.3C Duration out of labelled range: 38 minutes with no reported adverse Event (product storage error). Other vaccines involve in temperature excursion were Daptacel, Acthib, Menquadfi, Fluzone Quad PFS (all unopened). On 02-Sep-2022, the patient received a dose of suspect Influenza quadrival A-B multidose vaccine preserved (formulation, dose: unknown) (lot UJ879AB, Exp date: 30-Jun-2023) via unknown route in unknown administration site as Prophylactic vaccination post excursion with no reported adverse event (poor quality product administered). Action taken: not applicable. At time of reporting, the outcome was Unknown for 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 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
- HI
- Alter
- 3,0
- Geschlecht
- M
- Eingang
- 12.09.2022
- Impfdatum
- 26.08.2022
- Beginn
- 26.08.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- OT / LL
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Incorrect dose administered
Medication error
No adverse event
Symptomtext
inadvertently given 0.25mL dose of FLUZONE QUADRIVALENT instead of the intended 0.5mL dose with no reported adverse event.; Initial information received on 29-Aug-2022 regarding an unsolicited valid non-serious case received from a other health professional. This case is linked to case 2022SA360543. This case involves a 3 years old male patient who was inadvertently given 0.25ml dose of Influenza quadrival A-B vaccine [Fluzone Quadrivalent] instead of the intended 0.5ml dose with no reported adverse event. The patient's past medical history, medical treatment(s), vaccination(s) and family history were not provided. Concomitant medications included COVID-19 VACCINE (COVID-19 VACCINE) for Prophylactic vaccination. On 26-Aug-2022, the patient was inadvertently given 0.25ml dose of suspect Influenza quadrival A-B vaccine, suspension for injection, (strength: unknown) (lot UJ879AB; expiration date: 30-Jun-2023) via intramuscular route in the left vastus lateralis for immunization instead of the intended 0.5ml dose with no reported adverse event (incorrect dose administered) (latency: same day). 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 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
- Incorrect dose administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- HI
- Alter
- 3,0
- Geschlecht
- M
- Eingang
- 12.09.2022
- Impfdatum
- 26.08.2022
- Beginn
- 26.08.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- OT / LL
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Incorrect dose administered
No adverse event
Symptomtext
inadvertently given 0.25mL dose of FLUZONE QUADRIVALENT instead of the intended 0.5mL dose with no reported adverse event; Initial information received on 29-Aug-2022 regarding an unsolicited valid non-serious case received from a other health professional. This case involves a 3 years old male patient who was inadvertently given 0.25ml dose of fluzone quadrivalent (INFLUENZA QUADRIVAL A-B VACCINE) instead of the intended 0.5ml dose with no reported adverse event. The patient's past medical history, medical treatment(s), vaccination(s) and family history were not provided. On 26-Aug-2022, the patient received a dose of 0.25 ml of suspect INFLUENZA QUADRIVAL A-B VACCINE (formulation, strength: unknown) lot number:UJ879AB, expiration date: 30-Jun-2023, via intramuscular route in the left vastus lateralis as Immunization On 26-AUG-2022 the patient was inadvertently given 0.25ml dose of fluzone quadrivalent instead of the intended 0.5ml dose with no reported adverse event (incorrect dose administered by product) same day following the administration of INFLUENZA QUADRIVAL A-B VACCINE. Action taken was not applicable. It was not reported if the patient received a corrective treatment for the event (inadvertently given 0.25mL dose of FLUZONE QUADRIVALENT instead of the intended 0.5mL dose with no reported adverse event). 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
- Incorrect dose administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -