- Staat
- MI
- Alter
- 72,0
- Geschlecht
- F
- Eingang
- 06.02.2023
- Impfdatum
- 24.10.2022
- Beginn
- 24.01.2023
- Tage bis Beginn
- 92,0
- Dosis
- N/A
- Route/Site
- - / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: ja
Disable: unbekannt
ER: unbekannt
Erholt: ja
COVID-19
COVID-19 pneumonia
Dyspnoea exertional
Hypovolaemic shock
Magnetic resonance imaging heart
Physical deconditioning
Septic shock
Tachycardia
Symptomtext
Admission Date: 1/24/2023 Discharge Date: 2/3/23 PRESENTING PROBLEM: Septic shock (HCC) [A41.9, R65.21] COVID-19 [U07.1] HOSPITAL COURSE: Patient is a 73 y.o. woman s/p right lung transplant 8/3/2015 for RA related pulmonary fibrosis, admitted 1/24/23 due to COVID-19 pneumonia and shock related to hypovolemia. Receiving decadrone and remdesivir. Now with persistent dyspnea, tachycardia on exertion. Cardiac MRI repeated while here, structural heart stated stable and no intervention at this time. O2 was able to be weaned to room air at rest and 2 liters with activity, She continues to have DOE and tachycardia with exertion (had for past year +) - suspect this is due to multifactorial etiology: deconditioning, underlying heart disease (valvular), single lung, recent COVID. PT recommended acute rehab, palliative had goals of care discussion - hospice vs rehab - they wanted to try a week of rehab then go home and re-assess hospice vs continued palliative care. Her insurance denied rehab - family and patient wanted to go home.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Septic shock
- Hospital-Tage
- 10,0
- Labordaten
- -
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- Right Lung Transplant (HCC) Immune suppressed state, need for antimicrobial prophylaxis (HCC) Bronchiolitis obliterans syndrome, grade 0P (HCC) Frequent UTI Depression Anxiety Osteoporosis Hypothyroidism Rheumatoid arthritis (HCC) Shortness of breath Compression fx, thoracic spine, chronic back pain Transverse myelitis (HCC) Gastroparesis Encounter for long-term (current) drug use CMV (cytomegalovirus) infection (HCC) Sensorineural hearing loss of left ear Long term current use of systemic steroids Hypercholesterolemia Acute rejection of lung transplant (HCC) Antibody mediated rejection of lung transplant (HCC) Lumbar stenosis Cervical spondylosis with myelopathy Venous stasis Calcification of abdominal aorta - without AAA - (HCC) Steroid-induced adrenal suppression (HCC) Hoarseness of voice Squamous cell skin cancer Tracheobronchitis Acute renal failure superimposed on stage 3 chronic kidney disease (HCC) Nonrheumatic tricuspid valve regurgitation Nonrheumatic mitral valve regurgitation Other constipation Counseling regarding goals of care Need for assistance with personal care Osteonecrosis of jaw due to drug (HCC) Opioid contract exists Chronic left shoulder pain Iron deficiency anemia COVID-19 Shock (HCC) Acute respiratory failure with hypoxia (HCC) Noninfected skin tear of left leg
- Andere Medikamente
- acetaminophen (TYLENOL) 500 MG tablet acyclovir (ZOVIRAX) 200 MG capsule azithromycin (ZITHROMAX) 250 MG tablet budesonide/formoterol (SYMBICORT) 160-4.5 MCG/ACT inhaler calcium citrate-vitamin D (CITRACAL) 315-250 MG-UNIT tablet escitalopr
- Allergien
- LeflunomideHallucinations, Hives, Confusion, Rash NsaidsOther Adhesive Tape Albuterol Alvesco [Ciclesonide]Hallucinations Arava [Leflunomide]Rash Arformoterol AtenololOther Brovana [Arformoterol Tartrate] BupivacaineConfusion Hydroxychloroquine Macrodantin [Nitrofurantoin] NaproxenHives, Diarrhea Nitrofurantoin OmnicefRash Omnicef [Cefdinir] ParoxetineDiarrhea, Rash Plaquenil [Hydroxychloroquine Sulfate]Hives, Rash Pyridium [Barbiturates] Pyridium [Phenazopyridine]Difficulty concentrating Sulfadiazine
- Vorherige Impfungen
- -
- Staat
- IL
- Alter
- 77,0
- Geschlecht
- F
- Eingang
- 26.10.2022
- Impfdatum
- 21.10.2022
- Beginn
- 26.10.2022
- Tage bis Beginn
- 5,0
- Dosis
- N/A
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: ja
Disable: unbekannt
ER: ja
Erholt: nein
Angiogram pulmonary abnormal
Chest discomfort
Cough
Dizziness
Dyspnoea
Electrocardiogram ST-T segment abnormal
Feeling abnormal
Pulmonary embolism
Vomiting
Symptomtext
Received both vaccines on Friday 10/21/22, felt bad on Saturday shortness of breath and cough with worsening symptoms with exertion and felt dizzy. O2 saturations 84% and improved to 88% after 2L of nasal cannula at urgent care. In the ER, patient's O2 saturations was 84% on room air there, placed on 3L O2 nasal cannula and improved to 95%. Denies headache or focal neurological symptoms but stated that she sees halos. No chest pain but a little tightness. No palpitation. No abdominal pain little nausea. Yesterday she vomited after coughing fits. No history of heart problems. Former smoker but no history of asthma or COPD.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Pulmonary embolism
- Hospital-Tage
- -
- Labordaten
- CTA- positive for large saddle pulmonary embolism with extension into bilateral lobar and segmental branches of pulmonary arteries with evidence of right ventricular strain.
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- Colon polyps and runny nose listed as past medical history
- Andere Medikamente
- Fluticasone propionate 50 mcg/act nasal spray 2 sprays by nasal route daily.
- Allergien
- Penicillin- rash; sulfa antibiotics- rash
- Vorherige Impfungen
- -
- Staat
- MI
- Alter
- 74,0
- Geschlecht
- M
- Eingang
- 06.03.2023
- Impfdatum
- 27.10.2022
- Beginn
- 23.02.2023
- Tage bis Beginn
- 119,0
- Dosis
- N/A
- Route/Site
- - / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: ja
Disable: unbekannt
ER: unbekannt
Erholt: ja
Acute kidney injury
Asthenia
Blood creatinine increased
COVID-19
Chronic kidney disease
Condition aggravated
Constipation
Cough
Fall
Laboratory test normal
Malaise
Pain
Pyrexia
Renal impairment
SARS-CoV-2 test positive
Ultrasound kidney abnormal
Symptomtext
Discharge Provider: MD Primary Care Provider: MD Admission Date: 2/21/2023 Discharge Date: 2/27/23 PRESENTING PROBLEM: Weakness Fall, initial encounter Chronic kidney disease, unspecified CKD stage COVID COVID-19 HOSPITAL COURSE: Patient is a 74-year-old male with a past medical history of ankylosing spondylitis, chronic pain, hypertension, prostate cancer, decubitus ulcer stage IV, diabetes mellitus type 2 and dyslipidemia who presented with a chief complaint of fever, recent falls with a positive COVID test at home. Patient was feeling ill 2 days prior to admission with a temperature up to 103?. He recently had been weaning off of gabapentin and on to Lyrica per his nephrologist an outpatient PCP. His pain had increased with these adjustments. He had been started on Norco. He also had been noting constipation. He already was taking tramadol and p.r.n. morphine, but had significant side effects of nausea from his morphine and only took it for breakthrough pain. He had fallen multiple times prior to admission. His daughter noted he was 88% on room air on a home monitor. He was afebrile. His creatinine was elevated from baseline with AKI on CKD stage IV. Labs were otherwise stable. He was admitted to the hospitalist service for COVID-19 infection and generalized weakness with AKI. He was initially treated with gentle fluids without improvement of his kidney function. Renal ultrasound showed no obstruction, but showed bilateral medical renal disease. He was continued on fluids with eventual improvement of his kidney function towards his baseline. Nephrology was consulted and recommended continuing fluids and adding sodium bicarb. In regards to COVID-19, he required up to 3 L nasal cannul and received 5 days of Decadron therapy while inpatient, discharged on room air with mild dry cough. Palliative care was consulted to help with adjustments in his pain medication, His gabapentin was weaned down with plans to completely replace with Lyrica by March 3rd with prescription given on discharge. Final pain plan includes intermittent norco with low dose oxycodone for severe pain available, due to kidney dysfunction morphine was discontinued along with tramadol. PT/OT recommended subacute rehab but patient improved enough during stay to qualify for HHC for PT/OT, and RN for wound care. DC in stable condition on 2/27.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Condition aggravated
- Hospital-Tage
- 6,0
- Labordaten
- -
- Aktuelle Erkrankungen
- 09/30/20122- Pressure injury of sacral region, stage 4 - Primary
- Vorgeschichte
- AS (ankylosing spondylitis) Encounter for long-term (current) use of other medications Pressure injury of sacral region, stage 4 Osteomyelitis CKD III Wound infection Constipation Multifocal pneumonia
- Andere Medikamente
- acetaminophen (TYLENOL) 500 MG tablet allopurinol (ZYLOPRIM) 300 MG tablet amLODIPine (NORVASC) 5 MG tablet aspirin 81 MG enteric coated tablet azithromycin (ZITHROMAX) 500 MG tablet benzonatate (TESSALON) 100 MG capsule cefuroxime (CEFTIN)
- Allergien
- DemerolNausea Only
- Vorherige Impfungen
- -
- Staat
- WI
- Alter
- 65,0
- Geschlecht
- F
- Eingang
- 21.10.2022
- Impfdatum
- 10.10.2022
- Beginn
- 10.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- N/A
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Injected limb mobility decreased
Pain
Pain in extremity
Periarthritis
X-ray limb
Symptomtext
Patient reported having pain in arm starting the night of receiving the vaccinations. She reports pain 7/10 with limited range of motion. Pain is dull at rest and sharp with any kind of movement. Unable to lift arm above head. She tried Tylenol with minimal relief. She also tried home exercises with minimal increase of range of motion. She returned to clinic 10 days post injections for evaluation. She was diagnosed with frozen shoulder related to vaccine injection. She was order a medrol dose pak and a shoulder xray. She will call our office next week with an update on her symptoms.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Injected limb mobility decreased
- Hospital-Tage
- -
- Labordaten
- Shoulder xray performed on 10/21/22.
- Aktuelle Erkrankungen
- none
- Vorgeschichte
- Pre-diabetes, GERD
- Andere Medikamente
- Vitamin D: 2,000 iu daily, probiotic daily
- Allergien
- Aspirin
- Vorherige Impfungen
- -
- Staat
- IL
- Alter
- 68,0
- Geschlecht
- F
- Eingang
- 14.11.2022
- Impfdatum
- 08.11.2022
- Beginn
- 09.11.2022
- Tage bis Beginn
- 1,0
- Dosis
- UNK
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Rash erythematous
Symptomtext
RED RASH ALONG BICEPT MEASURING ~8"X4"
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Rash erythematous
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- IL
- Alter
- 35,0
- Geschlecht
- F
- Eingang
- 02.11.2022
- Impfdatum
- 06.10.2022
- Beginn
- 06.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / AR
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: ja
Erholt: unbekannt
Immediate post-injection reaction
Injection site erythema
Injection site pruritus
Injection site reaction
Injection site swelling
Symptomtext
Colleague states that immediately after the injection she felt a little reaction as the needle was pulled out and it immediately started itching. Area was swollen next day like a "turtle shell" in the area. Colleague marked arm to observe for redness growth, but area did not get bigger. States she has received the flu vaccine annually since 2004 with no history of reaction. Was seen in Emergency Room. Took Benadryl and Pepcid for a few days and site reaction eventually resolved.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Injection site erythema
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- VA
- Alter
- 66,0
- Geschlecht
- F
- Eingang
- 16.10.2023
- Impfdatum
- 02.10.2023
- Beginn
- 02.10.2023
- 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
expired FLUZONE HIGH DOSE was accidentally administered to a patient (with no adverse event); Initial information received on 04-Oct-2023 regarding an unsolicited valid non-serious case received from a other health professional. This case involves a 66 years old female patient who received expired Influenza Quadrival A-B High Dose Hv Vaccine [Fluzone High-Dose Quadrivalent] accidentally (with no adverse event). The patient's past medical history, medical treatment(s), vaccination(s) and family history were not provided. On 02-Oct-2023, the patient received expired dose of 0.7 ml suspect Influenza Quadrival A-B High Dose Hv Vaccine (strength, formulation and expiry date : unknown, lot UT7743CA) via intramuscular route in the left deltoid as immunization (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
- WI
- Alter
- 72,0
- Geschlecht
- F
- Eingang
- 12.06.2023
- Impfdatum
- 17.10.2022
- Beginn
- 17.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- N/A
- Route/Site
- IM / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Extra dose administered
No adverse event
Symptomtext
No adverse events noted. Documentation of COVID vaccine given in error. Per Immunization Registry, patient received a dose of Pfizer Bivalent on 10/12/22 at Pharmacy, was then give a dose of Pfizer bivalent on 10/17/22 at 9:11AM at facility. 10/12/22 Pfizer was reconciled into patient's EMR on 10/17/22 at 3;09pm. This was identified by report.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Extra dose administered
- Hospital-Tage
- -
- Labordaten
- N/A
- Aktuelle Erkrankungen
- NONE
- Vorgeschichte
- hypertension, HYPTHYROIDISM, DIALATED PANCREATIC DUCT, ARTHRITIS, SCIATICA, CHRONIC BACK PAIN, DEPRESSION
- Andere Medikamente
- clonazePAM (KlonoPIN) 1 MG tablet Take 1 tablet by mouth 2 times daily as needed. losartan-hydrochlorothiazide (HYZAAR) 100-12.5 MG per tablet Take 1 tablet by mouth daily. levothyroxine 88 MCG tablet Take 1 tablet by mouth daily. amLO
- Allergien
- TRAZODONE
- Vorherige Impfungen
- -
- Staat
- NY
- Alter
- 64,0
- Geschlecht
- F
- Eingang
- 07.12.2022
- Impfdatum
- 30.11.2022
- Beginn
- 30.11.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Extra dose administered
Incorrect dose administered
No adverse event
Wrong product administered
Symptomtext
A flu vaccine, and Td vaccine were ordered to be performed. In error, two flu vaccines were administered. One high dose, and one normal dose. The Td vaccine was not administered. The patient did not have any adverse reactions.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Extra dose administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- Acute URI, 11/16/22
- Vorgeschichte
- Osteoporosis, Diabetes Type II, Hypertension, Hyperlipidemia
- Andere Medikamente
- Alendronate, Anastrozole, Metformin, Fluoxetine, Amlodipine, Atorvastatin
- Allergien
- Clindamycin, Penicillin, Sulfamethoxazole, Trimethoprim
- Vorherige Impfungen
- -
- Staat
- -
- Alter
- 78,0
- Geschlecht
- M
- Eingang
- 01.12.2022
- Impfdatum
- 29.11.2022
- Beginn
- 29.11.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- - / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Extra dose administered
Symptomtext
Patient received a high dose flu vaccine in error as he had already received a flu vaccine on 10/13/2022.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Extra dose administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- WI
- Alter
- 72,0
- Geschlecht
- M
- Eingang
- 28.11.2022
- Impfdatum
- 18.11.2022
- Beginn
- 18.11.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- - / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Extra dose administered
Symptomtext
Patient was given a high dose flu vaccine today at appointment. Records updated in patient's chart after the vaccine was given and showed that patient received a flu vaccine in October 2022. Writer asked patient and he has no memory of getting a flu vaccine in 2022;
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Extra dose administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- -
- Alter
- 60,0
- Geschlecht
- F
- Eingang
- 28.11.2022
- Impfdatum
- 28.10.2022
- Beginn
- 01.11.2022
- Tage bis Beginn
- 4,0
- Dosis
- UNK
- Route/Site
- - / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Product administered to patient of inappropriate age
Symptomtext
Patient is 60 years old and received a Fluzone Quad High Dose vaccine. According to CDC: Fluzone High-Dose Quadrivalent vaccine is approved only for people 65 years and older. Fluzone High-Dose Quadrivalent is not approved for people younger than 65 years or for people of any age with a history of severe allergic reaction to any influenza vaccine or to vaccine components other than eggs. I
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Product administered to patient of inappropriate age
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- CT
- Alter
- 72,0
- Geschlecht
- F
- Eingang
- 27.11.2022
- Impfdatum
- 21.11.2022
- Beginn
- 21.11.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Product storage error
Symptomtext
Vaccine vial was punctured on Friday 11/18/22 at approximately 10am and 6 doses drawn up into syringes. These syringes were stored at room temperature. Dose administered to the patient on 11/21/22 was from a syringe that had been drawn up on Friday 11/18 and stored at room temp. Pfizer contacted for stability information, which they did not have for these storage conditions. Patient is being contacted for re-vaccination.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Product storage error
- Hospital-Tage
- -
- Labordaten
- N/A
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- pre-diabetes osteopenia osteoarthritis hyperlipidemia
- Andere Medikamente
- Fosamax Ascorbic Acid Atorvastatin calcium vitamin d docusate escitalopram fexofenadine MVI Psyllium
- Allergien
- NKA
- Vorherige Impfungen
- -
- Staat
- CT
- Alter
- 80,0
- Geschlecht
- M
- Eingang
- 27.11.2022
- Impfdatum
- 21.11.2022
- Beginn
- 21.11.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Expired product administered
Product storage error
Symptomtext
Vaccine vial was punctured on Friday 11/18/22 at approximately 10am and 6 doses drawn up into syringes. These syringes were stored at room temperature. Dose administered to the patient on 11/21/22 was from a syringe that had been drawn up on Friday 11/18 and stored at room temp. Pfizer contacted for stability information, which they did not have for these storage conditions. Patient is being contacted for re-vaccination.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Expired product administered
- Hospital-Tage
- -
- Labordaten
- N/A
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- Hypertension Diabetes Gout CKD CHF CAD
- Andere Medikamente
- Aspirin Carvedilol Colchicine Furosemide Humalog Levemir Losartan Toprol XL Nitrostat Rosuvastatin
- Allergien
- NKA
- Vorherige Impfungen
- -
- Staat
- NY
- Alter
- 84,0
- Geschlecht
- F
- Eingang
- 21.11.2022
- 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: unbekannt
Erholt: unbekannt
Product storage error
Symptomtext
Vaccine had a low temp excusion. Was revaccinated.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Product storage error
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- OH
- Alter
- 64,0
- Geschlecht
- M
- Eingang
- 18.11.2022
- Impfdatum
- 18.11.2022
- Beginn
- 18.11.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Incorrect dose administered
No adverse event
Product administered to patient of inappropriate age
Symptomtext
Client's power of attorney (brother) stated he was 65 years old and high dose influenza was given, but client's date of birth is incorrect which would make him 64 years old. No adverse effect.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect dose administered
- Hospital-Tage
- -
- Labordaten
- None
- Aktuelle Erkrankungen
- Unknown
- Vorgeschichte
- Downs Syndrome
- Andere Medikamente
- Unknown
- Allergien
- Unknown
- Vorherige Impfungen
- -
- Staat
- MA
- Alter
- 64,0
- Geschlecht
- F
- Eingang
- 16.11.2022
- Impfdatum
- 15.11.2022
- Beginn
- 15.11.2022
- 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
Symptomtext
Patient was given a high dose prior to eligibility. Patient was contacted the following morning to be made aware of the error and as of 11/16/22 @ 10:45 AM she did not have any adverse effects.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect dose administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- CT
- Alter
- 87,0
- Geschlecht
- F
- Eingang
- 15.11.2022
- Impfdatum
- 10.11.2022
- Beginn
- 10.11.2022
- Tage bis Beginn
- 0,0
- Dosis
- N/A
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Extra dose administered
No adverse event
Vaccination error
Symptomtext
Patient Asked to receive her Flu Vaccine, since her Husband was getting one at same visit. I had checked the system quickly and had not noted Flu Vaccine had been administered 9/9/2022. I administered the Vaccine. Then noted that provider had ordered a BiValent COVID Booster to be given. I administered COVID Booster as ordered. When I went to Barcode the immunizations, I found that patient had had High Dose Flu Vaccine 9/9/2022. Patient tolerated Both Vaccines well and waited in Waiting room 15 minutes before going home. I informed APRN and Dr. of vaccine error. I was instructed by both providers to notify the patient. I called patient at her home and notified her. She stated that she felt fine and experienced no adverse effects. Patient instructed to notify our office with any problems or concerns.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Extra dose administered
- Hospital-Tage
- -
- Labordaten
- None
- Aktuelle Erkrankungen
- None noted
- Vorgeschichte
- -
- Andere Medikamente
- None
- Allergien
- Penicillin
- Vorherige Impfungen
- -
- Staat
- NY
- Alter
- 76,0
- Geschlecht
- M
- Eingang
- 14.11.2022
- 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: unbekannt
Erholt: unbekannt
Product storage error
Symptomtext
VACCINE HAD LOW TEMPERATURE EXCURSION
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Product storage error
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- NY
- Alter
- 68,0
- Geschlecht
- F
- Eingang
- 14.11.2022
- 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: unbekannt
Erholt: unbekannt
Product storage error
Symptomtext
VACCINE HAD LOW TEMPERATURE EXCURSION
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Product storage error
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- ND
- Alter
- 64,0
- Geschlecht
- M
- Eingang
- 08.11.2022
- 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: nein
Product administered to patient of inappropriate age
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Product administered to patient of inappropriate age
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- on O2
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- DE
- Alter
- 59,0
- Geschlecht
- F
- Eingang
- 21.10.2022
- Impfdatum
- -
- Beginn
- -
- Tage bis Beginn
- -
- Dosis
- UNK
- Route/Site
- OT / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Medication error
No adverse event
Product administered to patient of inappropriate age
Symptomtext
received a FLUZONE HD QIV in error, due to patients age with no reported adverse event; Initial information received on 13-Oct-2022 regarding an unsolicited valid non-serious case received from a other health professional. This case involves a 59 years old female patient who received an influenza quadrival A-B high dose HV vaccine [Fluzone High-Dose Quadrivalent] in error, due to patient with no reported adverse event. The patient's past medical history, medical treatment(s), vaccination(s) and family history were not provided. On an unknown date, the patient received a dose of suspect influenza quadrival A-B high dose HV vaccine (Lot Number:UT7743CA,Expiration Date :30-06-2023) reported via unknown route in unknown administration site for prophylactic vaccination in error, due to patient age with no reported adverse event (product administered to patient of inappropriate age) (unknown latency). 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.; Sender's Comments: 01320915:
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Medication error
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- DE
- Alter
- 59,0
- Geschlecht
- F
- Eingang
- 20.10.2022
- Impfdatum
- 13.10.2022
- Beginn
- 13.10.2022
- 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
Wrong product administered
Symptomtext
59 years old patient who was accidentally administered a high dose flu shot instead of a normal flu shot, with no reported adverse event; 59 years old patient who was accidentally administered a high dose flu shot instead of a normal flu shot, with no reported adverse event; Initial information received on 13-Oct-2022 regarding an unsolicited valid non-serious case from a consumer/non-hcp. This case involves a 59 years old female patient who was accidentally administered influenza quadrival A-B high dose HV vaccine [Fluzone High-Dose Quadrivalent] instead of a normal flu shot (INFLUENZA VACCINE), with no reported adverse event. The patient's past medical history, medical treatment(s), vaccination(s), concomitant medication and family history were not provided. On 13-Oct-2022, the patient received suspect INFLUENZA QUADRIVAL A-B HIGH DOSE HV VACCINE at a dose of 0.5 ml (lot UT7743CA, expiry date: 30-Jun-2023) via intramuscular route in the left arm for immunisation. On 13-Oct-2022, 59 years old patient administered high dose flu shot instead of a normal flu shot, with no reported adverse event (product administered to patient of inappropriate age, wrong product administered, latency: same day). Action taken: Not applicable. Outcome: Unknown for both 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
- -