- Staat
- OR
- Alter
- 65,0
- Geschlecht
- F
- Eingang
- 30.11.2022
- Impfdatum
- 09.11.2022
- Beginn
- 10.11.2022
- Tage bis Beginn
- 1,0
- Dosis
- N/A
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Asthenia
Hypoaesthesia
Injected limb mobility decreased
Injection site pain
Injection site reaction
Pain
Symptomtext
Pain in Left shoulder, radiating down arm toward elbow. Decreased range of motion in Left shoulder, decreased strength in Left shoulder, numbness in fingers.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Injected limb mobility decreased
- Hospital-Tage
- -
- Labordaten
- N/A
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- Psoriasis, Hypertension, smoker, anxiety
- Andere Medikamente
- Aspirin 81mg, Atorvastatin 20mg, Losartan 100mg
- Allergien
- Lactose Intolerance
- Vorherige Impfungen
- -
- Staat
- AZ
- Alter
- 90,0
- Geschlecht
- F
- Eingang
- 02.11.2022
- Impfdatum
- 13.10.2022
- Beginn
- 13.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Injection site pain
Injection site pruritus
Musculoskeletal stiffness
Symptomtext
Site: Itching at Injection Site-Mild, Site: Pain at Injection Site-Mild, Systemic: Stiff Neck-Medium
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Injection site pain
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- ID
- Alter
- 64,0
- Geschlecht
- F
- Eingang
- 13.10.2022
- Impfdatum
- 30.09.2022
- Beginn
- 30.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- IM / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Injection site pain
Injection site reaction
Injection site warmth
Rash erythematous
Wrong product administered
Symptomtext
Was administered flu vaccine indicated for 65 years and older when should've been given flu vaccine for <65. A hot red confluent rash developed below injection site 24 hours later. It wasn?t itchy and did lessen with a dose of OTC Claritin. Otherwise no other complaint other than mild soreness of my deltoid.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Injection site pain
- Hospital-Tage
- -
- Labordaten
- None
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- None
- Andere Medikamente
- -
- Allergien
- NKDA
- Vorherige Impfungen
- -
- Staat
- AZ
- Alter
- 100,0
- Geschlecht
- M
- Eingang
- 05.10.2023
- Impfdatum
- 25.09.2023
- Beginn
- 25.09.2023
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- OT / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Expired product administered
Medication error
No adverse event
Symptomtext
administration of an expired vaccination with no reported adverse event; Initial information received on 26-Sep-2023 regarding an unsolicited valid non-serious case received from a other health professional. This case is linked to case 2023SA295989(CLUSTER). This case involves a 100 years old male patient where reporter reported administration of an expired influenza quadrival a-b high dose hv vaccine [Fluzone high-dose quadrivalent] vaccine with no reported adverse event. The patient's past medical history, medical treatment(s), concomitant medication(s), vaccination(s) and family history were not provided. On 25-Sep-2023, the patient received 0.7 ml TOTAL dose of suspect influenza quadrival a-b high dose hv vaccine (lot- UT7733CA and expiration date- 30-Jun-2023) via intramuscular route in the left arm (formulation, strength: not provided) for Immunisation (expired product administered) (latency- same day). Reporting expired doses of FLUZONE HIGH DOSE QIV were administered to 2 patients, husband and wife. Caller reporting she didn't think they even had any doses left from last year in stock but a new MA administered the doses. 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
- Expired product administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- AZ
- Alter
- 81,0
- Geschlecht
- F
- Eingang
- 04.10.2023
- Impfdatum
- 25.09.2023
- Beginn
- 25.09.2023
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- OT / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Expired product administered
No adverse event
Symptomtext
expired doses of fluzone high dose qiv were administered with no reported adverse event; Initial information was received on 26-Sep-2023 regarding an unsolicited valid non-serious case received from a other health professional. This case is linked to case 2023SA297201(CLUSTER). This case involves a 81 years old female patient who was administered expired doses of 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 25-Sep-2023, the patient received a 0.7 ml, once dose of suspect influenza quadrival A-B high dose HV vaccine (unknown formulation) (lot UT7733CA, expiry date: 30-Jun-2023, unknown strength) via intramuscular route in the left arm for Immunization and expired doses of fluzone high dose qiv were administered with no reported adverse event (expired product administered) (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 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
- HI
- Alter
- 79,0
- Geschlecht
- M
- Eingang
- 12.12.2022
- Impfdatum
- 12.12.2022
- Beginn
- 12.12.2022
- Tage bis Beginn
- 0,0
- Dosis
- 2
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Extra dose administered
Symptomtext
Patient indicated in the vaccination room that he would like his flu shot in addition to his Covid vaccine that he was scheduled for. I verified his age and that he had not received his flu shot yet this season with him and administered the 65+ flu vaccine. After administration we entered the vaccine into our pharmacy system and a data utilization review indicated that he had already receive one flu vaccine for 2022.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Extra dose administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- MT
- Alter
- 64,0
- Geschlecht
- M
- Eingang
- 21.11.2022
- Impfdatum
- 29.09.2022
- Beginn
- 29.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect dose administered
Product administered to patient of inappropriate age
Product administration error
Symptomtext
ADMINISTRATION ERROR We had our drive through influenza clinic at our hall. We utilize volunteers throughout, including volunteer nurses. We administered a High Dose influenza meant for 65 and older to this 64 year old.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect dose administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- MT
- Alter
- 58,0
- Geschlecht
- F
- Eingang
- 21.11.2022
- Impfdatum
- 29.09.2022
- Beginn
- 29.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect dose administered
Product administered to patient of inappropriate age
Product administration error
Symptomtext
ADMINISTRATION ERROR We had our drive through influenza clinic at our hall. We utilize volunteers throughout, including volunteer nurses. We administered the High Dose influenza meant for 65 and older to this 58 year old.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect dose administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- MT
- Alter
- 58,0
- Geschlecht
- F
- Eingang
- 21.11.2022
- Impfdatum
- 29.09.2022
- Beginn
- 29.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect dose administered
Product administered to patient of inappropriate age
Product administration error
Symptomtext
ADMINISTRATION ERROR We had our drive through influenza clinic at our hall. We utilize volunteers throughout, including volunteer nurses. We administered a High Dose influenza meant for 65 and over to this 58 year old. 10-03-2022 Client reports on adverse effects.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect dose administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- MT
- Alter
- 61,0
- Geschlecht
- F
- Eingang
- 21.11.2022
- Impfdatum
- 29.09.2022
- Beginn
- 29.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect dose administered
Product administered to patient of inappropriate age
Product administration error
Symptomtext
ADMINISTRATION ERROR We had our drive through influenza clinic at our hall. We utilize volunteers throughout, including volunteer nurses. We administered the High Dose influenza vaccine meant for 65 and older to this 61 year old.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect dose administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- MT
- Alter
- 57,0
- Geschlecht
- F
- Eingang
- 21.11.2022
- Impfdatum
- 29.09.2022
- Beginn
- 29.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect dose administered
No adverse event
Product administered to patient of inappropriate age
Product administration error
Symptomtext
ADMINISTRATION ERROR We had our drive through influenza clinic. We had volunteers helping in many spots. We administered a High Dose influenza vaccine to this 57 year old. On 10-03-2022, she denied any adverse events or reactions.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect dose administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- MT
- Alter
- 62,0
- Geschlecht
- M
- Eingang
- 21.11.2022
- Impfdatum
- 29.09.2022
- Beginn
- 29.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect dose administered
Product administered to patient of inappropriate age
Product administration error
Symptomtext
ADMINISTRATION ERROR We had a drive through influenza clinic. We had volunteers helping. This 62 year old was given the High Dose Influenza vaccine meant for 65 and older.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect dose administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- MT
- Alter
- 62,0
- Geschlecht
- F
- Eingang
- 21.11.2022
- Impfdatum
- 01.11.2022
- Beginn
- 01.11.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Product administered to patient of inappropriate age
Product administration error
Symptomtext
ADMINISTRATION ERROR: Gave High Dose Influenza vaccine to a client under 65 years of age.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Product administered to patient of inappropriate age
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- CO
- Alter
- 84,0
- Geschlecht
- M
- Eingang
- 21.10.2022
- Impfdatum
- 12.10.2022
- Beginn
- 12.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- 2
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
No adverse event
Symptomtext
Unable to reach the patient. Phone was disconnected. Pt was contacted 4 days later by his PCP's medical assistant. Seemed like there were no adverse reactions.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- No adverse event
- Hospital-Tage
- -
- Labordaten
- None
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- None
- Andere Medikamente
- Trulicity, Lisinopril, per med list
- Allergien
- Penicillin
- Vorherige Impfungen
- -
- Staat
- CA
- Alter
- 82,0
- Geschlecht
- F
- Eingang
- 19.10.2022
- Impfdatum
- 11.10.2022
- Beginn
- 11.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- IM / OT
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
Symptomtext
Patient was given Pfizer monovalent vaccine dose.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- CA
- Alter
- 75,0
- Geschlecht
- M
- Eingang
- 19.10.2022
- Impfdatum
- 11.10.2022
- Beginn
- 11.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- IM / OT
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
Symptomtext
Patient was given Pfizer monovalent vaccine dose.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- ID
- Alter
- 51,0
- Geschlecht
- F
- Eingang
- 13.10.2022
- Impfdatum
- 30.09.2022
- Beginn
- 30.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- N/A
- Route/Site
- IM / -
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
- N/A
- Vorgeschichte
- None
- Andere Medikamente
- Levothyroxine and lipitor
- Allergien
- NKDA
- Vorherige Impfungen
- -
- Staat
- ID
- Alter
- 54,0
- Geschlecht
- M
- Eingang
- 11.10.2022
- Impfdatum
- 30.09.2022
- Beginn
- 30.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
No adverse event
Product administered to patient of inappropriate age
Symptomtext
no adverse event. To young to receive high dose flu vaccine.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- No adverse event
- Hospital-Tage
- -
- Labordaten
- NA
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -