- Staat
- MI
- Alter
- 77,0
- Geschlecht
- F
- Eingang
- 03.03.2023
- Impfdatum
- 03.10.2022
- Beginn
- 23.02.2023
- Tage bis Beginn
- 143,0
- Dosis
- N/A
- Route/Site
- - / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: ja
Disable: unbekannt
ER: unbekannt
Erholt: ja
Acute kidney injury
Antineutrophil cytoplasmic antibody increased
Antineutrophil cytoplasmic antibody positive
Biopsy kidney abnormal
Bronchoalveolar lavage abnormal
Bronchoscopy abnormal
COVID-19
Condition aggravated
Haematuria
Haemoptysis
Hypoxia
Mycobacterium tuberculosis complex test
Pathology test
Pneumonia
Positive airway pressure therapy
Productive cough
SARS-CoV-2 test positive
Sputum culture positive
Symptomtext
Discharge Provider: Primary Care Provider: DO Admission Date: 2/23/2023 Discharge Date: Mar 2, 2023 PRESENTING PROBLEM: Vasculitis (HCC) [I77.6] AKI (acute kidney injury) (HCC) [N17.9] HOSPITAL COURSE: 77 y.o. who has a past medical history significant for mitral regurgitation, PSVT, HTN, DOE, OSA, and positive ANCA/ RF. She had undergone work-up outpatient in the setting of blood tinged sputum for one week with productive cough for over a month and AKI with hematuria. She was transferred to the ED with concerns for vasculitis. Patient had positive p-ANCA, elevated MPO (8.0), mildly elevated PR3 (0.4) antibiody. Bronchoscopy performed with BAL on 2/24 with bloody secretions throughout. No ongoing hemorrhage was appreciated. Culture notable for 50-100k normal upper respiratory flora. Incidentally positive for COVID -19. Patient was treated with 5 day course of abx for CAP. Hypoxemia worsened and required BIPAP. Pulmonology consulted. Due to impending respiratory distress pulse dose steroids had to be started prior to a renal biopsy on 2/23 and 2/25 with marked improvement in her hypoxia and respiratory status, and patient was weaned to nasal cannula and eventually RA. IR performed renal biopsy on 2/27/23 with prelim pathology showing RBC bases, but no crescents- appears to be pauci immune vasculitis. Nephrology consulted and following for AKI and vasculitis. She was started on prednisone 60mg on 2/28, with plans to continue this for likely a few months. TB test obtained at time of discharge, with plans to follow-up in nephrology clinic in a week for TB test results and likely consideration of starting rituxan. Pulm following and to arrange outpatient follow-up and pentamidine treatments for PCP ppx. Pulm rehab evaluated patient and patient without any oxygen needs at rest or ambulation. Patient medically stable for discharge home on 3/2, with close nephrology follow-up and outpatient pulmonology follow-up.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Condition aggravated
- Hospital-Tage
- 7,0
- Labordaten
- -
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- Hypothyroidism; Pulmonary hypertension (HCC); Post-menopause; Family history of coronary artery disease; MR (mitral regurgitation); DDD (degenerative disc disease), lumbar Lumbar spondylosis; Scoliosis; History of hyperkalemia - ACE induced; Diverticulosis Hypercholesterolemia Goal LDL <130 - ; PSVT (paroxysmal supraventricular tachycardia) (HCC); Hypertension; Osteopenia; OSA (obstructive sleep apnea); Vasculitis (HCC); COVID-19
- Andere Medikamente
- Amlodipine (NORVASC) 5 MG tablet; Atenolol (TENORMIN) 50 MG tablet; Calcium-Vitamin D-Vitamin K 500-100-40 MG-UNT-MCG CHEW; CRANBERRY PO; Glycerin-Hypromellose-PEG 400 (ARTIFICIAL TEARS) 0.2-0.2-1 % SOLN; Levothyroxine (SYNTHROID) 112 MCG t
- Allergien
- Ace Inhibitors; BactrimHives; Pyridium [Phenazopyridine Hcl]Hives; Sulfa Drugs
- Vorherige Impfungen
- -
- Staat
- NY
- Alter
- 68,0
- Geschlecht
- F
- Eingang
- 24.09.2022
- Impfdatum
- 22.09.2022
- Beginn
- 22.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- N/A
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Mobility decreased
Pyrexia
Symptomtext
PATIENT REPORTED HIGH FEVER FOR A COUPLE DAYS, UNABLE TO GET OUT OF BED, CAN NOT MOVE ARMS OR SHOULDERS FEELING BETTER AFTER 48 HOURS BUT STILL HAS FEVER; MD TOLD HER TO DRINK FLUID AND TAKE TYLENOL; AREMS AND SHOULDERS ARE STARTING TO FEEL BETTER AT 48 HOURS
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Mobility decreased
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- CLARITHROMYCIN, SULFA, TRIMETHOPRIM, NITROFURANTOIN, QUINOLONES, PENICILLIN,CLINDAMYCIN, OSTELTAMIVIR
- Vorherige Impfungen
- -
- Staat
- -
- Alter
- 75,0
- Geschlecht
- F
- Eingang
- 30.11.2022
- Impfdatum
- 28.11.2022
- Beginn
- 29.11.2022
- Tage bis Beginn
- 1,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Injection site rash
Symptomtext
A day after flu vaccine pt noticed a rash at injection site. She is doing ok and I instructed her to call md if symptoms gets any worse today or tomorrow.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Injection site rash
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- NJ
- Alter
- 73,0
- Geschlecht
- F
- Eingang
- 30.10.2022
- Impfdatum
- 24.10.2022
- Beginn
- 27.10.2022
- Tage bis Beginn
- 3,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Vaccination site erythema
Vaccination site pruritus
Vaccination site rash
Symptomtext
patient began to experience red rash and itching from below the vaccine site down to elbow area. worst symptoms last night (10/29/22) and feeling much better with rash resolution today
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Vaccination site pruritus
- Hospital-Tage
- -
- Labordaten
- none
- Aktuelle Erkrankungen
- no
- Vorgeschichte
- high blood pressure
- Andere Medikamente
- ramipril, coreg
- Allergien
- nkda
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 82,0
- Geschlecht
- M
- Eingang
- 28.10.2022
- Impfdatum
- 01.10.2022
- Beginn
- 02.10.2022
- Tage bis Beginn
- 1,0
- Dosis
- UNK
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Generalised oedema
Pruritus
Symptomtext
patient received flu vaccine and the next day his full body was itchy with swelling. after 4 weeks patients itching or swelling has not gotten better
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Pruritus
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 65,0
- Geschlecht
- M
- Eingang
- 20.10.2022
- Impfdatum
- 15.10.2022
- Beginn
- 19.10.2022
- Tage bis Beginn
- 4,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Erythema
Pruritus
Symptomtext
the upper right arm was red and itching , he also received the shingrix lot # z34g7 first dose on the right arm but no side effect on that arm. was advised to use diphenhydramine 25 mg and if got worse then see medical help by the dr
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Pruritus
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- not any
- Vorgeschichte
- -
- Andere Medikamente
- n/a
- Allergien
- nkad
- Vorherige Impfungen
- -
- Staat
- IL
- Alter
- 81,0
- Geschlecht
- F
- Eingang
- 16.10.2022
- Impfdatum
- 13.10.2022
- Beginn
- 16.10.2022
- Tage bis Beginn
- 3,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: ja
Erholt: unbekannt
Erythema
Infection
Peripheral swelling
Pruritus
Symptomtext
arm is red, swollen and itching..dr said she has an infection
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Pruritus
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- MI
- Alter
- 77,0
- Geschlecht
- M
- Eingang
- 11.10.2022
- Impfdatum
- 09.10.2022
- Beginn
- 10.10.2022
- Tage bis Beginn
- 1,0
- Dosis
- N/A
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Erythema
Infection
Pruritus
Symptomtext
redness and itching developed the day after vaccination. patient was prescribed antibiotics for the redness and, per patient report, was told that the dr suspected infection.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Pruritus
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- NJ
- Alter
- 72,0
- Geschlecht
- F
- Eingang
- 11.10.2022
- Impfdatum
- 10.10.2022
- Beginn
- 10.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Chills
Dysstasia
Headache
Muscular weakness
Nausea
Symptomtext
Patient came back to pharmacy complaining of weak legs, chills, bad headache and some nausea. Said at one point she felt she could not stand up.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Chills
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- Diabetes , and high blood pressure
- Andere Medikamente
- -
- Allergien
- Codeine, makes her itch
- Vorherige Impfungen
- -
- Staat
- WI
- Alter
- 74,0
- Geschlecht
- M
- Eingang
- 04.10.2022
- Impfdatum
- 22.09.2022
- Beginn
- -
- Tage bis Beginn
- -
- Dosis
- UNK
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Glossodynia
Oral pain
Pyrexia
Symptomtext
HAD A MILD FEVER AND SORE TONGUE AND MOUTH SHORTLY AFTER THE VACCINATION. WENT TO THE DOCTOR TODAY AND WAS PRESCRIBED CHLORHEXIDINE MOUTHWASH.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Oral pain
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- PRINIVIL, TOPIRAMATE, PROPRANOLOL, METFORMIN, ATORVASTATIN, PRIMIDONE
- Allergien
- NONE
- Vorherige Impfungen
- -
- Staat
- WI
- Alter
- 70,0
- Geschlecht
- M
- Eingang
- 22.09.2022
- Impfdatum
- 22.09.2022
- Beginn
- 22.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- N/A
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Injection site swelling
Symptomtext
PT reports significant swelling of the right arm, where he got his flu shot. he reports swelling like this has not occurred before.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Injection site swelling
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- parkinsons disease, hypertension, depression, psychosis
- Andere Medikamente
- none on file
- Allergien
- sulfa antibiotics
- Vorherige Impfungen
- -
- Staat
- CA
- Alter
- -
- Geschlecht
- U
- Eingang
- 07.12.2022
- Impfdatum
- 01.12.2022
- Beginn
- 01.12.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- OT / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Inappropriate schedule of product administration
Symptomtext
2nd shot of FLUZONE HIGH DOSE QIV was given today, the last one being in September with no reported AE; Initial information received on 01-Dec-2022 regarding an unsolicited valid non-serious case received from a pharmacist. This case involves an unknown age and unknown gender patient who had 2nd shot of fluzone high dose qiv was given today, the last one being in september with no reported ae 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 01-Dec-2022, the patient received a dose of suspect influenza quadrival a-b high dose hv vaccine (Lot number: UJ917AD and Expiration Date : Expiration Date)(strength, dose, formulation, frequency: not reported) via unknown route in unknown administration site for Immunization (Immunisation). On 01-Dec-2022 the patient developed a non-serious event of 2nd shot of fluzone high dose qiv was given today, the last one being in september with no reported ae (inappropriate schedule of product administration) 1 day following the administration of influenza quadrival a-b high dose hv vaccine. 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
- Inappropriate schedule of product administration
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- NY
- Alter
- 52,0
- Geschlecht
- F
- Eingang
- 06.12.2022
- Impfdatum
- 06.12.2022
- Beginn
- 06.12.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Product administered to patient of inappropriate age
Symptomtext
Pt given high dose flu vaccine instead of regular dose. asymptomatic at time of discharge
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Product administered to patient of inappropriate age
- Hospital-Tage
- -
- Labordaten
- n/a
- Aktuelle Erkrankungen
- n/a
- Vorgeschichte
- developmental delay, hypothyroidism, hypocalcemia, R breast abnormal mammogram, anxiety
- Andere Medikamente
- Fish oil, levothyroxine, olanzapine
- Allergien
- NKDA
- Vorherige Impfungen
- -
- Staat
- NY
- Alter
- 65,0
- Geschlecht
- F
- Eingang
- 05.12.2022
- Impfdatum
- 05.12.2022
- Beginn
- 05.12.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Wrong product administered
Symptomtext
pt administered flu shot instead of covid booster - could have been avoided had I asked an open ended question as to which vaccine pt was receiving. what happened is pt states she approached the tech at drop off requesting a covid booster - rx tech states she didn't hear her clearly and asked did you say flu shot, pt said yes. when I walked out to greet the patient I said in part of my spiel "I have a fluzone hd shot here for you today, do you have any questions?". Pt said no. I administered the fluzone hd then patient handed me her covid card asking me to fill it in. I told her I gave her a flu shot. She was understanding and said that mistakes do happen and was more upset that it was going to make her sick. she states previously the flu shot gave her pneumonia and another time it resulted in her being hospitalized and she states her doctor doesn't want her getting flu shots or pneumonia shots because the flu shots make her so sick. I apologized profusely and said that I as well as the company take errors like this very seriously and that we would be filing a report and looking in to how to prevent an error like this from happening again in the future. I told her I should have asked her what shot she was expecting that way we could have prevented this altogether. I told her I'd add a comment to her file stating no flu shots and no pneumonia shots. I told her from then on I would use open-ended questions. She told me to not feel too bad about it and I said but I do, I went into pharmacy to help people and now I did the exact opposite of helping you. She assured me that she wasn't upset and not too worried about it. I told her I would follow up with her on friday to see how she is feeling. I left a message with her doctor's office with the receptionist as to what happened and she said she would inform the doctor. submitting a vaers report as well
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Wrong product administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- pain, high cholesterol, copd
- Andere Medikamente
- hydrocodone 10/325 1tid prn pain trelegy ellipta 100/32.5/25 1qd atorvastatin 40mg 1qd at night
- Allergien
- ASPIRIN
- Vorherige Impfungen
- flu shot, pt states has given her pneumonia and in another incidence it caused her to be hospitalized
- Staat
- MD
- Alter
- 69,0
- Geschlecht
- M
- Eingang
- 01.11.2022
- Impfdatum
- 07.09.2022
- Beginn
- 25.10.2022
- Tage bis Beginn
- 48,0
- Dosis
- 2
- Route/Site
- OT / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Inappropriate schedule of product administration
Symptomtext
received a dose of the vaccine on 7sep2022 and received another dose of the vaccine on 25oct2022 with no reported adverse event; Initial information received on 25-Oct-2022 regarding an unsolicited valid non-serious case received from a other health professional. This case involves a 69 years old male patient who received a dose of the vaccine on 07-Sep-2022 and received another dose of the vaccine on 25-Oct-2022 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 07-Sep-2022, the patient received 0.7 mL total dose of suspect INFLUENZA QUADRIVAL A-B HIGH DOSE HV VACCINE once (formulation and strength not reported; lot UJ917AD) via intramuscular route in unknown administration site for prophylactic vaccination. On 25-Oct-2022, he also received 0.7 mL total dose of the same vaccine once (formulation and strength not reported; lot UJ917AD) via intramuscular route in the left arm for prophylactic vaccination. On 25-Oct-2022, the patient received a dose of the vaccine on 7sep2022 and received another dose of the vaccine on 25oct2022 with no reported adverse event (inappropriate schedule of product administration) (latency: same day of dose 2) following the administration of INFLUENZA QUADRIVAL A-B HIGH DOSE HV VACCINE. It was reported, a patient received a dose of the vaccine on 7SEP2022 and received another dose of the vaccine today 25OCT2022. Action taken was 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
- Inappropriate schedule of product administration
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- IL
- Alter
- 67,0
- Geschlecht
- F
- Eingang
- 21.10.2022
- Impfdatum
- 21.10.2022
- Beginn
- 21.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Syringe issue
Symptomtext
vaccinated pt with flu shot. upon withdrawal of syringe, vaccine squirted out of pt's arm
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Syringe issue
- Hospital-Tage
- -
- Labordaten
- none
- Aktuelle Erkrankungen
- none
- Vorgeschichte
- none
- Andere Medikamente
- escitalopram
- Allergien
- vancomycin, morphine, codeine
- Vorherige Impfungen
- -
- Staat
- -
- Alter
- 79,0
- Geschlecht
- M
- Eingang
- 17.10.2022
- Impfdatum
- 17.10.2022
- Beginn
- 17.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Extra dose administered
Symptomtext
There were no adverse events, patient received two doses of the flu vaccine in the same season. He received the standard dose of 9/6/22 and the high dose on 10/17/22. The patient requested a flu vaccine from the pharmacy and the pharmacist verified that they were here to get the flu vaccine and reviewed imz history before administration. Afterwards, the patient's wife stated that he was wanting a different vaccine. The wife then told us that the patient has dementia and probably could not remember getting the first dose. When reviewing vaccine history the flu shots were separated on report and it was missed that patient had already received a dose. Patient waiting in pharmacy for 20 minutes afterwards and did not have any adverse reactions.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Extra dose administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- Dementia
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- CA
- Alter
- 20,0
- Geschlecht
- F
- Eingang
- 12.10.2022
- Impfdatum
- 05.10.2022
- Beginn
- 05.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- OT / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
No adverse event
Product administered to patient of inappropriate age
Symptomtext
FLUZONE QIV HIGH DOSE was administered to a 20 year old patient today with no reported adverse event; Initial information received on 05-Oct-2022 regarding an unsolicited valid non-serious case received from a other health professional. This case involves a 20 years old female patient to whom INFLUENZA QUADRIVAL A-B HIGH DOSE HV VACCINE [FLUZONE HIGH-DOSE QUADRIVALENT] was administered with no reported adverse event. The patient's past medical history, medical treatment(s), vaccination(s) and family history were not provided. On 05-Oct-2022, the patient received 0.7 ml dose, once (1x) of suspect INFLUENZA QUADRIVAL A-B HIGH DOSE HV VACCINE ( lot UJ917AD, exp date: 30-Jun-2023) via intramuscular route in the left deltoid for immunization with no reported adverse event (product administered to patient of inappropriate age) (latency: same day). 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 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
- -
- Staat
- WI
- Alter
- 83,0
- Geschlecht
- M
- Eingang
- 09.10.2022
- Impfdatum
- 03.10.2022
- Beginn
- 03.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Unevaluable event
Symptomtext
Administration error: Pt had history of Guillain-Barre syndrome and received Fluzone HD. No symptoms that we are aware of so far.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Unevaluable event
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- History of Guillain-Barre Syndrome
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- PA
- Alter
- 75,0
- Geschlecht
- F
- Eingang
- 28.09.2022
- Impfdatum
- 28.09.2022
- Beginn
- 28.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Extra dose administered
Symptomtext
Patient had received her high dose flu shot at the PCP 4 days prior, and was administered the High dose flu again. will be calling patient to follow up on symptom, pt stated they feel fine at this time. MD is aware
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Extra dose administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- N/A
- Vorgeschichte
- N/A
- Andere Medikamente
- N/A - pt does not normally get rx at pharmacy - previous rx are antibiotic for short durations
- Allergien
- NKDA
- Vorherige Impfungen
- -