- Staat
- MD
- Alter
- 66,0
- Geschlecht
- F
- Eingang
- 06.12.2022
- Impfdatum
- 03.12.2022
- Beginn
- 05.12.2022
- Tage bis Beginn
- 2,0
- Dosis
- UNK
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Anaphylactic reaction
Anaphylactic shock
Erythema
Eye disorder
Lip swelling
Pruritus
Rash
Urticaria
Symptomtext
Anaphylaxis or anaphylactic shock (7 days). Skin rash invaded my back, front, upper tights between legs. Later went to arms, neck, hands and feet. Now it radiates thru the body, sometimes is all upper, sometimes is all lower body areas. Lips are engorded. Left eye is affected. Pelvic area is also very red and itches. The hives are big.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Anaphylactic shock
- Hospital-Tage
- -
- Labordaten
- None. A Teladoc doctor prescribed Prednisone 20mg 1 tablet by mouth twice a day for 5 days.
- Aktuelle Erkrankungen
- None.
- Vorgeschichte
- None.
- Andere Medikamente
- None.
- Allergien
- Penycilin, aspirin, iodine.
- Vorherige Impfungen
- -
- Staat
- -
- Alter
- 68,0
- Geschlecht
- F
- Eingang
- 05.11.2022
- Impfdatum
- 05.11.2022
- Beginn
- 05.11.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Paraesthesia
Symptomtext
shortly after getting vaccine patient experienced tingling down arm which happened over multiple hours, suggested patient take nsaid and apply ice and to contact a dr if it gets worse or doesn't get better within a day, patient understands, will follow up with patient
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Paraesthesia
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- MI
- Alter
- 76,0
- Geschlecht
- F
- Eingang
- 25.10.2022
- Impfdatum
- 24.10.2022
- Beginn
- 24.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Chills
Headache
Hypopnoea
Pain
Tremor
Symptomtext
Patient complained of Headache, Chills, Shallow Breathing, Body shakes, Body aches.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Tremor
- Hospital-Tage
- -
- Labordaten
- None
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- CT
- Alter
- 77,0
- Geschlecht
- F
- Eingang
- 04.10.2022
- Impfdatum
- 04.10.2022
- Beginn
- 04.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: ja
Erholt: nein
Asthenia
Diarrhoea
Dizziness
Mobility decreased
Nausea
Vomiting
Symptomtext
Nausea, vomiting, dizziness, weakness, light headedness, diarrhea. Patient unable to get out of chair and requested ambulance. EMTs came to administer care and transport to hospital for further evaluation and care.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Mobility decreased
- Hospital-Tage
- -
- Labordaten
- N/A
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- None
- Andere Medikamente
- None
- Allergien
- None
- Vorherige Impfungen
- -
- Staat
- NY
- Alter
- 63,0
- Geschlecht
- F
- Eingang
- 21.09.2023
- Impfdatum
- 06.03.2021
- Beginn
- 07.10.2022
- Tage bis Beginn
- 580,0
- Dosis
- 1
- Route/Site
- - / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: ja
Erholt: ja
Cystitis
Immunisation reaction
Injection site erythema
Injection site swelling
Injection site warmth
Symptomtext
Swelling and redness and heat on the site location. Went to urgent care and they said cystitis , however, Pharmacy said Covid arm. Took few days to calm it down
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Injection site erythema
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- MS Enlarged aorta
- Andere Medikamente
- Atenolol, Losartan, Vitamin D, Pepcid A/C, Claritin
- Allergien
- seasonal allergies, adhesive tape
- Vorherige Impfungen
- -
- Staat
- OH
- Alter
- 34,0
- Geschlecht
- F
- Eingang
- 25.10.2022
- Impfdatum
- 24.10.2022
- Beginn
- 24.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- N/A
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Dizziness
Exposure during pregnancy
Fatigue
Injection site pain
Myalgia
Symptomtext
Instead of regular Fluzone Quadrivalent, patient was administered Fluzone high dose quadrivalent dose 0.7mL. Patient is currently pregnant. Did feel light-headed after administration but patient reported she usually feels that way with vaccines. Manager was called to report medication error and educated patient that because received higher dose, would have more potential symptoms from receiving the high dose vaccine such as muscle aches, fatigue, soreness at site. Also educated patient would call Sanofi to determine if there was any other safety concerns.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Dizziness
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- NKDA
- Vorherige Impfungen
- -
- Staat
- WI
- Alter
- 75,0
- Geschlecht
- F
- Eingang
- 25.10.2023
- Impfdatum
- 17.10.2023
- Beginn
- 17.10.2023
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- OT / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Expired product administered
No adverse event
Symptomtext
a patient had been administered with an expired FLUZONE HIGH DOSE with no reported adverse event; Initial information was received on 17-Oct-2023 regarding an unsolicited valid non-serious case received from a other health professional. This case involves 75 years old female patient who had been administered with an expired influenza quadrival a-b high dose hv vaccine [Fluzone HIGH-DOSE QUADRIVALENT] with no reported adverse event. The patient's past medical history, medical treatment(s), vaccination(s) and family history were not provided. On 17-Oct-2023, the patient received a dose of 0.7 ml of suspect influenza quadrival a-b high dose hv vaccine (lot UJ928AA, Expiry date : 30-Jun-2023, Frequency : Total, formulation, strength was unknown) via intramuscular route in the arm not otherwise specified for Immunization and had been administered with an expired fluzone high dose with no reported adverse event (expired product administered) (latency : same day) following the administration of influenza quadrival a-b high dose hv vaccine. Action taken was not applicable. At time of reporting, the outcome was Unknown for the event a patient had been administered with an expired fluzone high dose with no reported 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
- Expired product administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- OH
- Alter
- 63,0
- Geschlecht
- F
- Eingang
- 20.12.2022
- Impfdatum
- 02.11.2022
- Beginn
- 02.11.2022
- Tage bis Beginn
- 0,0
- Dosis
- N/A
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
No adverse event
Product administered to patient of inappropriate age
Symptomtext
No adverse event. Patient under age 65 but received HD fluzone.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- No adverse event
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- PA
- Alter
- 82,0
- Geschlecht
- F
- Eingang
- 20.11.2022
- Impfdatum
- 20.11.2022
- Beginn
- 20.11.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Blood pressure diastolic increased
Feeling abnormal
Heart rate increased
Symptomtext
Patient called pharmacy and indicated that she was "feeling off" after vaccination, Stated that her Diastolic BP was up about 7 points from normal and that her pulse was elevated to around 90
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Blood pressure diastolic increased
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- MN
- Alter
- 79,0
- Geschlecht
- M
- Eingang
- 20.11.2022
- Impfdatum
- 01.11.2022
- Beginn
- 01.11.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Extra dose administered
Product administration error
Symptomtext
Pt. had already received an influenza vaccine at a different location in September. Because the vaccinations were billed after a vaccine clinic at the facility, this error was not discovered until after administration.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Extra dose administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- OH
- Alter
- 34,0
- Geschlecht
- F
- Eingang
- 01.11.2022
- Impfdatum
- 24.10.2022
- Beginn
- 24.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- OT / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Exposure during pregnancy
No adverse event
Symptomtext
dose of fluzone high dose quadrivalent was inadvertently administered to a pregnant patient 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 34 years old female patient who was exposed to vaccine INFLUENZA QUADRIVAL A-B HIGH DOSE HV VACCINE [FLUZONE HIGH-DOSE QUADRIVALENT] in context of dose of fluzone high dose quadrivalent was inadvertently administered to a pregnant patient with no reported adverse event. Data regarding this pregnancy were received prospectively, i.e. before pregnancy outcome was known. The reported dose of fluzone high dose quadrivalent was inadvertently administered to a pregnant patient with no reported adverse event occurred at unknown gestation period. The date of last menstrual period was not reported. The estimated due date was not reported. The patient's past medical history, medical treatment(s), vaccination(s) and family history were not provided. The patient had unknown previous pregnancy/ies. On 24-Oct-2022, the patient received 0.7 mL total dose of suspect INFLUENZA QUADRIVAL A-B HIGH DOSE HV VACCINE (formulation and strength not reported; lot UJ928AA and expiry date: 30-Jun-2023) via intramuscular route in the left deltoid for prophylactic vaccination. On 24-Oct-2022, (latency: same day) a dose of fluzone high dose quadrivalent was inadvertently administered to a pregnant patient with no reported adverse event (exposure during pregnancy) following the administration of INFLUENZA QUADRIVAL A-B HIGH DOSE HV VACCINE. It was reported, a dose of FLUZONE HIGH DOSE QUADRIVALENT was inadvertently administered to a pregnant patient. Action taken was not applicable. At time of reporting, the outcome was Unknown for the event. Additionally, at time of reporting, the outcome of the pregnancy is unknown.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Exposure during pregnancy
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- NY
- Alter
- 65,0
- Geschlecht
- M
- Eingang
- 26.10.2022
- Impfdatum
- 20.10.2022
- Beginn
- 21.10.2022
- Tage bis Beginn
- 1,0
- Dosis
- UNK
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Gait disturbance
Speech disorder
Symptomtext
PATIENT RECEIVED INFLUENZA, BIVALENT COVID AND SHINGRIX VACCINE ON SAME DATE, STATED THAT WHEN HE WENT TO ROUTINE MD VISIT NEXT DAY HE HAD DIFFICULTY WALKING AND SPEAKING, MD SENT PATIENT TO HOSPITAL TO BE EVALUATED. ACCORDING TO PATIENT THEY TOLD HIM HIS SYSTEM WAS "OVERWHELMED" BY RECEIVING 3 VACCINES AT ONCE. RELEASED SAME DAY NO TREATMENT. PT BACK TO NORMAL NEXT DAY.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Gait disturbance
- Hospital-Tage
- -
- Labordaten
- N/A
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- PA
- Alter
- 64,0
- Geschlecht
- F
- Eingang
- 19.10.2022
- Impfdatum
- 19.10.2022
- Beginn
- 19.10.2022
- 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
Patient is 64 years old and received Fluzone HD in error (formula recommended for age 65 and over)
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Product administered to patient of inappropriate age
- Hospital-Tage
- -
- Labordaten
- none
- Aktuelle Erkrankungen
- not known
- Vorgeschichte
- not known
- Andere Medikamente
- not known
- Allergien
- no known allergies
- Vorherige Impfungen
- -
- Staat
- OH
- Alter
- 68,0
- Geschlecht
- M
- Eingang
- 16.10.2022
- Impfdatum
- 16.10.2022
- Beginn
- 01.10.2022
- Tage bis Beginn
- -
- Dosis
- UNK
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Extra dose administered
Symptomtext
Pt came in for a visit due to back pain and asked if he could get his flu shot. He filled out vaccine consent form and injection was given. Pt came back a little over an hour later and states that he forgot he already received his flu shot 2 weeks ago.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Extra dose administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- denies
- Andere Medikamente
- prednisone 10 mg tapered dose given meloxicam
- Allergien
- NKDA
- Vorherige Impfungen
- -
- Staat
- OH
- Alter
- 67,0
- Geschlecht
- M
- Eingang
- 12.10.2022
- Impfdatum
- 06.10.2022
- Beginn
- -
- Tage bis Beginn
- -
- Dosis
- UNK
- Route/Site
- OT / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Accidental exposure to product
Exposure via skin contact
Symptomtext
it dripped down patient's arm, not sure how much came out with no reported adverse event; Initial information received on 06-Oct-2022 regarding an unsolicited valid non-serious case received from a pharmacist. This case involves a 67 years old male patient who while receiving vaccine INFLUENZA QUADRIVAL A-B HIGH DOSE HV VACCINE [FLUZONE HIGH-DOSE QUADRIVALENT] and the vaccine dripped down patient's arm, not sure how much came out with no reported adverse event The patient's past medical history, medical treatment(s), vaccination(s) and family history were not provided. On 06-Oct-2022, the patient received a dose of 0.7 ml of suspect INFLUENZA QUADRIVAL A-B HIGH DOSE HV VACCINE (formulation, strength: unknown) lot number UJ928AA and expiration date: 30-Jun-2023 via intramuscular route in the left deltoid as Immunization On an unknown date in 2022 the vaccine dripped down patient's arm, not sure how much came out with no reported adverse event (accidental exposure to product). (latency: unknown). Would like to know if they need to revaccinate or what they should do. This situation was reported as an accidental exposure. Action taken was not applicable. It was not reported if the patient received a corrective treatment for the 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
- Accidental exposure to product
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- MA
- Alter
- 71,0
- Geschlecht
- F
- Eingang
- 09.10.2022
- Impfdatum
- 09.10.2022
- Beginn
- 09.10.2022
- 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
Patient was supposed to receive her flu and pneumococcal vaccine. She was in-advertantly given two flu shots
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Extra dose administered
- Hospital-Tage
- -
- Labordaten
- NA
- Aktuelle Erkrankungen
- Asthma
- Vorgeschichte
- Asthma
- Andere Medikamente
- NA
- Allergien
- Raw Peaches
- Vorherige Impfungen
- -