- Staat
- TX
- Alter
- 0,6
- Geschlecht
- F
- Eingang
- 18.11.2022
- Impfdatum
- 15.11.2022
- Beginn
- 15.11.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / RL
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Injection site erythema
Symptomtext
Parent noticed a red spot near injection site the night the vaccine was given. Was also given Prevnar vaccine same day and same leg, however has tolerated prevnar well in the past with no reaction.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Injection site erythema
- Hospital-Tage
- -
- Labordaten
- N/A
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- None
- Andere Medikamente
- None
- Allergien
- No known allergies
- Vorherige Impfungen
- -
- Staat
- MI
- Alter
- 9,0
- Geschlecht
- M
- Eingang
- 09.11.2022
- Impfdatum
- 07.11.2022
- Beginn
- 08.11.2022
- Tage bis Beginn
- 1,0
- Dosis
- 2
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Pyrexia
Somnolence
Symptomtext
Patient's mom called our office on 11/8/22 stating the patient was falling asleep in gym class and had a 101 fever. Advised mom to give tylenol and motrin if needed for comfort and assured her that this is a common reaction that should only last a day or two.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Pyrexia
- Hospital-Tage
- -
- Labordaten
- N/A
- Aktuelle Erkrankungen
- N/A
- Vorgeschichte
- ADHD, Autism
- Andere Medikamente
- Concerta
- Allergien
- NKA
- Vorherige Impfungen
- -
- Staat
- LA
- Alter
- 6,0
- Geschlecht
- M
- Eingang
- 01.11.2022
- Impfdatum
- 27.10.2022
- Beginn
- 28.10.2022
- Tage bis Beginn
- 1,0
- Dosis
- UNK
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Abnormal behaviour
Hypersomnia
Hypophagia
Injection site erythema
Injection site reaction
Injection site streaking
Purulent discharge
Respiratory tract congestion
Scab
Skin warm
Symptomtext
Mom states after patient got his flu vaccine it looked like he had a red line at injection site. Says it looked like needle went in sideways-mom says she was watching and it didn't. She says it then started to look like a line of pus and then it got bigger. Went to urgent care Sunday-was prescibed mupirocen and bactrim- started both last night. States it is now crusted over this morning. Pt has some slight congestion. No cough or NVD. Pt felt warm last night-unsure about fever. Pt has not been eating much and has not been acting like himself. Sleeping more.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Injection site erythema
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- 10/20/22: 1)VIRAL URI (ICD10-J06.9) - New - 2)Acute serous otitis media, bilateral (ICD10-H65.03) - New - 3)Acute cough (ICD10-R05.1) - New - 4)Leukocytes in urine (ICD10-R82.79) - New - 9/16/22: 1)VIRAL URI (ICD10-J06.9) - New - 2)Acute serous otitis media, bilateral (ICD10-H65.03) - New - 3)Acute cough (ICD10-R05.1) - New - 4)Leukocytes in urine (ICD10-R82.79) - New -
- Vorgeschichte
- -
- Andere Medikamente
- Loratadine 5mg/5mL 5mL PO q day Cyproheptadine 4mg tabs 2mg PO bid Multivitamin with fluoride 1 tab PO q day
- Allergien
- PCN
- Vorherige Impfungen
- -
- Staat
- MA
- Alter
- 4,0
- Geschlecht
- M
- Eingang
- 27.10.2022
- Impfdatum
- 25.10.2022
- Beginn
- -
- Tage bis Beginn
- -
- Dosis
- 6
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Inappropriate schedule of product administration
Injection site pain
No adverse event
Symptomtext
There has been no adverse reaction to date. This dose was given too soon. Instead of 8 weeks between the 2nd and 3rd dose there was only 4 weeks. Only symptom experienced was soreness at the site.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Injection site pain
- Hospital-Tage
- -
- Labordaten
- None
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- None
- Andere Medikamente
- Sodium Fluoride 0. 5 mg Daily
- Allergien
- None
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 11,0
- Geschlecht
- M
- Eingang
- 22.09.2023
- Impfdatum
- 05.12.2022
- Beginn
- -
- Tage bis Beginn
- -
- Dosis
- 1
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
No adverse event
Wrong product administered
Symptomtext
Nurse administered meningococcal B vaccine instead of meningococcal conjugate. No adverse reaction reported by parent or patient
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- No adverse event
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- NO
- Vorgeschichte
- NO
- Andere Medikamente
- NO
- Allergien
- NO
- Vorherige Impfungen
- -
- Staat
- OH
- Alter
- 16,0
- Geschlecht
- F
- Eingang
- 20.05.2023
- Impfdatum
- 19.12.2022
- Beginn
- 19.12.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- OT / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Exposure during pregnancy
No adverse event
Pregnancy test positive
Symptomtext
another pregnancy test was done and it was positive with no reported adverse event; Initial information received on 15-May-2023 regarding an unsolicited valid non-serious case received from a physician. This case involves a 16 years old female patient who was had to vaccine influenza quadrival a-b vaccine [fluzone qiv] in context of another pregnancy test was done and it was positive with no reported adverse event. Data regarding this pregnancy were received prospectively, i.e. before pregnancy outcome was known. The reported another pregnancy test was done and it was positive 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. Concomitant medications included meningococcal vaccine a/c/y/w conj (tet tox) (menquadfi) for prophylactic vaccination; and meningococcal vaccine b (meningococcal vaccine b) for Immunisation. On 19-Dec-2022, the patient received 0.5 ml once of suspect influenza quadrival a-b vaccine Suspension for injection lot UT7695LA via unknown route, strength, expiration date in unknown administration site for immunisation. On 19-Dec-2022 the patient developed a non-serious another pregnancy test was done and it was positive with no reported adverse event (exposure during pregnancy)(latency: same day). Relevant prenatal testing after exposure included was unknown. Relevant laboratory test results included: Pregnancy test - On 19-Dec-2022: Negative; on an unknown date: Positive Action taken was not applicable. Outcome: Unknown for the event another pregnancy test was done and it was positive with no reported adverse event. Additionally, at time of reporting, the outcome of the pregnancy is unknown.; Sender's Comments: US-SA-2023SA151221:
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Exposure during pregnancy
- Hospital-Tage
- -
- Labordaten
- Test Date: 20221219; Test Name: pregnancy Test; Test Result: Negative ; Test Name: Pregnancy test; Test Result: Positive
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- MENQUADFI; MENINGOCOCCAL VACCINE B
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- MI
- Alter
- 1,0
- Geschlecht
- F
- Eingang
- 27.01.2023
- Impfdatum
- 16.12.2022
- Beginn
- 27.01.2023
- Tage bis Beginn
- 42,0
- Dosis
- 2
- Route/Site
- IM / RL
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
No adverse event
Product administered to patient of inappropriate age
Symptomtext
NO ADVERS EVENT HAPPENED
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- No adverse event
- Hospital-Tage
- -
- Labordaten
- N/A
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- None
- Andere Medikamente
- None
- Allergien
- NKDA
- Vorherige Impfungen
- -
- Staat
- MI
- Alter
- 27,0
- Geschlecht
- M
- Eingang
- 18.01.2023
- Impfdatum
- 16.01.2023
- Beginn
- 16.01.2023
- Tage bis Beginn
- 0,0
- Dosis
- N/A
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Underdose
Symptomtext
A pediatric dose of HepB was accidentally administered to client instead of an adult dose. Client was contacted and informed of the incident. Staff also explained that because it was a pediatric dose, it would be considered invalid and he would need to receive an adult dose of HepB to complete the series. Staff scheduled client an appointment on 1/18/23 and an adult dose of HepB was administered. Second, the HPV9 was pulled from the inventory and it should have been taken from the private vaccine inventory. Due to client's age, he does not qualify for program. This dose will be replaced with private pay and private vaccine loss report will be completed by my supervisor.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Underdose
- Hospital-Tage
- -
- Labordaten
- N/A
- Aktuelle Erkrankungen
- None reported.
- Vorgeschichte
- None reported.
- Andere Medikamente
- None reported.
- Allergien
- None reported.
- Vorherige Impfungen
- -
- Staat
- MI
- Alter
- 7,0
- Geschlecht
- F
- Eingang
- 10.01.2023
- Impfdatum
- 10.01.2023
- Beginn
- 10.01.2023
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / LL
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect product formulation administered
No adverse event
Symptomtext
There was no adverse reaction at time of reporting. Pfizer Bivalent was given in error. Monovalent should have been administered.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- No
- Aktuelle Erkrankungen
- No
- Vorgeschichte
- NO
- Andere Medikamente
- No
- Allergien
- No
- Vorherige Impfungen
- -
- Staat
- MI
- Alter
- 9,0
- Geschlecht
- M
- Eingang
- 10.01.2023
- Impfdatum
- 06.01.2023
- Beginn
- 06.01.2023
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
No adverse event
Product use issue
Symptomtext
There was no adverse reaction. Pfizer Bivalent was administered in error after beyond use date. Client will come back for a bivalent dose that is not beyond use date.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- No adverse event
- Hospital-Tage
- -
- Labordaten
- None
- Aktuelle Erkrankungen
- No
- Vorgeschichte
- No
- Andere Medikamente
- No
- Allergien
- No
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 13,0
- Geschlecht
- M
- Eingang
- 17.11.2022
- 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
Incorrect route of product administration
No adverse event
Symptomtext
vaccine was administered subcutaneously instead of intramuscularly with no reported adverse event; Initial information received on 09-Nov-2022 regarding an unsolicited valid non-serious case from other health professional. This case involves a 13 years old male patient to whom INFLUENZA QUADRIVAL A-B VACCINE [FLUZONE QIV] was administered subcutaneously instead of intramuscularly 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 HEPATITIS A VACCINE (HEPATITIS A), HPV VACCINE, HEPATITIS B VACCINE (HEPATITIS B [HEPATITIS B VACCINE]) and MENINGOCOCCAL VACCINE for Immunisation. On 24-Oct-2022, the patient received a dose of suspect INFLUENZA QUADRIVAL A-B VACCINE at a dose of 0.5 ml once (lot UT7695LA, expiry date: 30-Jun-2023) via subcutaneous route in the left arm for prophylactic vaccination. On 24-Oct-2022 the patient developed a non-serious vaccine was administered subcutaneously instead of intramuscularly with no reported adverse event (incorrect route of product administration, latency: same day). It was reported that a patient was administered the vaccine with a 5/8 inch needle instead of the recommended needle and the vaccine was administered subcutaneously instead of intramuscularly. Wanting to know if the dose needs to be repeated. 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
- Incorrect route of product administration
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- HEPATITIS A; HPV VACCINE; HEPATITIS B [HEPATITIS B VACCINE]; MENINGOCOCCAL VACCINE
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- SC
- Alter
- 0,2
- Geschlecht
- F
- Eingang
- 08.11.2022
- Impfdatum
- 08.11.2022
- Beginn
- 08.11.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- IM / RL
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
No adverse event
Product administered to patient of inappropriate age
Symptomtext
inadvertent administration of Flu vaccine. No adverse effects noted.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- No adverse event
- Hospital-Tage
- -
- Labordaten
- None
- Aktuelle Erkrankungen
- none
- Vorgeschichte
- none
- Andere Medikamente
- Infant mylicon gas drops as needed
- Allergien
- None
- Vorherige Impfungen
- -
- Staat
- OH
- Alter
- 12,0
- Geschlecht
- F
- Eingang
- 03.11.2022
- Impfdatum
- 24.10.2022
- Beginn
- 24.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
No adverse event
Wrong product administered
Symptomtext
Patient was given COVID Bivalent instead of COVID monovalent. Patient had previously only received one COVID vaccine. Patient has not had any adverse reactions to vaccine.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- No adverse event
- Hospital-Tage
- -
- Labordaten
- N/A
- Aktuelle Erkrankungen
- N/A
- Vorgeschichte
- Anxiety
- Andere Medikamente
- Fluoxetine
- Allergien
- N/A
- Vorherige Impfungen
- -
- Staat
- VA
- Alter
- 11,0
- Geschlecht
- F
- Eingang
- 26.10.2022
- Impfdatum
- 24.10.2022
- Beginn
- 24.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- 2
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
Symptomtext
Nurse gave 5-1 BIV as primary series as current recommendation states 5-11 BIV for booster dose only. Patient observed for 15 min post exposure. Discharged WNL.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- None
- Andere Medikamente
- -
- Allergien
- None
- Vorherige Impfungen
- -
- Staat
- VA
- Alter
- 6,0
- Geschlecht
- M
- Eingang
- 26.10.2022
- Impfdatum
- 24.10.2022
- Beginn
- 24.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- 2
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
No adverse event
Symptomtext
Nurse gave 5-11 BIV as primary series as current recommendation state 5-11 BIV for booster dose only. Patient observed for 15 min post exposure. Discharged WNL.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- Cough
- Vorgeschichte
- none
- Andere Medikamente
- -
- Allergien
- None
- Vorherige Impfungen
- -
- Staat
- AR
- Alter
- 0,3
- Geschlecht
- M
- Eingang
- 14.10.2022
- Impfdatum
- 13.10.2022
- Beginn
- 13.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / LL
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Infant irritability
Product administered to patient of inappropriate age
Symptomtext
influenza vaccine given at 4 months of age along with routine vaccines. child did run fever of 100 and was very fussy.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Infant irritability
- Hospital-Tage
- -
- Labordaten
- none
- Aktuelle Erkrankungen
- none
- Vorgeschichte
- none
- Andere Medikamente
- none
- Allergien
- none
- Vorherige Impfungen
- -