- Staat
- CA
- Alter
- 11,0
- Geschlecht
- F
- Eingang
- 21.11.2023
- Impfdatum
- 21.11.2023
- Beginn
- 21.11.2023
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Dizziness
Pallor
Symptomtext
patient felt faint after immunizations and very pale at 3:50pm
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Dizziness
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- NKA
- Vorherige Impfungen
- -
- Staat
- CO
- Alter
- 16,0
- Geschlecht
- F
- Eingang
- 25.10.2023
- Impfdatum
- 24.10.2023
- Beginn
- 24.10.2023
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Blood pressure decreased
Cold sweat
Dizziness
Fatigue
Feeling cold
Pallor
Symptomtext
Patient was updating vaccines since moving to the country. After vaccines were administered, she felt dizzy, clammy, cold and tired. Her BP was checked and was 68/40 at that time. Water offered and watched patient and rechecked BP after about 10 minutes and was 92/58. After another 10 minutes BP was 107/71. Patient was pale in color and clammy and cold, but all symptoms resolved within about 20-30 minutes after vaccines. Patient stated after that this BP drop has happened with each covid vaccine, but she didn't report prior to administration. Oxygen and Heart rate were stable throughout. Patient didn't faint.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Dizziness
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- none
- Vorgeschichte
- none
- Andere Medikamente
- none
- Allergien
- none
- Vorherige Impfungen
- Unknown information regarding previous vaccines or if other vaccines were also prescribed at that time.
- Staat
- OR
- Alter
- 4,0
- Geschlecht
- M
- Eingang
- 24.10.2023
- Impfdatum
- 18.10.2023
- Beginn
- 19.10.2023
- Tage bis Beginn
- 1,0
- Dosis
- 4
- Route/Site
- IM / RL
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Injection site erythema
Injection site induration
Injection site swelling
Injection site warmth
Pain
Tenderness
Vaccination site reaction
Symptomtext
CCMA 10/19/2023 06:12:27 PM > spoke to mom who reports the top of his L thigh is red, slightly swollen, some mild hardness. Kinrix was given IM on L thigh. No previous reactions. Pt admits to some soreness but has been running around and playing as normal but admits to some soreness with touch. Encouraged mom to circle swelling with marker, frequent cold compress and IBU/Tylenol if needed. Reviewed signs of anaphylaxis or allergic reaction. Mom will f/u in 24 hours to see if sx have improved. She was reassured and appreciative. Staff 10/20/2023 8:16:14 AM > Mom called this morning stating reaction has worsened. CCMA 10/20/2023 08:36:01 AM > spoke to mom who reports redness has spread outside of marked circle from last night. Swelling has stayed isolated. She also reports site seems harder and continues to be warm to touch. Pt also presented with low grade fever of 99.7. She has provided him with Tylenol for soreness. Has tried using cold compress but reports it is difficult to keep on because pt is so busy. Explained that temp of 99.7 is not considered a fever and sx are still consistent with vaccine site reaction. Explained I would review further with staff and call mom back if any further recommendations are indicated. CCMA10/20/2023 08:45:54 AM > reviewed with staff who agrees sx are consistent with vaccine site reaction. No concerns. Will offer to review picture for further reassurance. Relayed to mom who agrees to email picture for review. CCMA 10/20/2023 09:21:00 AM > review images with staff, mom reassured once more. Encouraged her to call back or go to UC if anything persists or worsens. Mom was appreciative.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Injection site erythema
- Hospital-Tage
- -
- Labordaten
- NA
- Aktuelle Erkrankungen
- N/A
- Vorgeschichte
- N/A
- Andere Medikamente
- N/A
- Allergien
- OXYCODONE
- Vorherige Impfungen
- -
- Staat
- CO
- Alter
- 6,0
- Geschlecht
- F
- Eingang
- 29.09.2023
- Impfdatum
- 28.09.2023
- Beginn
- 28.09.2023
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Injection site erythema
Injection site swelling
Pruritus
Tenderness
Symptomtext
Patient received Flu shot at 10:45am and started reaction at about 12:00pm. First reaction was quarter size within 1 hour of shot. Patient at that time took Benadryl, Ibuprofen, and hydrocortisone cream. 8 hours later reaction got larger about hand size. Patient is having itching, and pain at touch. Site looks red and swollen. Medical Doctor recommended ice and prescribed steroid.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Injection site erythema
- Hospital-Tage
- -
- Labordaten
- NA
- Aktuelle Erkrankungen
- none
- Vorgeschichte
- None
- Andere Medikamente
- None
- Allergien
- None
- Vorherige Impfungen
- -
- Staat
- AZ
- Alter
- 1,0
- Geschlecht
- F
- Eingang
- 25.09.2023
- Impfdatum
- 19.09.2023
- Beginn
- 24.09.2023
- Tage bis Beginn
- 5,0
- Dosis
- 1
- Route/Site
- IM / LL
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Feeding intolerance
Irritability
Pyrexia
Rash
Symptomtext
Rash started on 9/24/2023. Rash covering entire body including palms. Baby had increased fussiness and feeding intolerance. Had expected fever for 3 days after vaccination. Fever had resolved as of 9/23/2023. Mom noted that sibling who is now 5 had similar reaction to 1 year old vaccines
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Pyrexia
- Hospital-Tage
- -
- Labordaten
- none
- Aktuelle Erkrankungen
- none
- Vorgeschichte
- Congenital glycosylation disorder Type 2H
- Andere Medikamente
- Oxcarbazepine, Keppra, albuterol, poly vi sol
- Allergien
- no known drug or environmental allergies
- Vorherige Impfungen
- -
- Staat
- WA
- Alter
- 5,0
- Geschlecht
- M
- Eingang
- 22.09.2023
- Impfdatum
- 20.09.2023
- Beginn
- 21.09.2023
- Tage bis Beginn
- 1,0
- Dosis
- N/A
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Injection site erythema
Injection site pruritus
Symptomtext
Patient presented to Urgent Care clinic for evaluation of injected arm with entire bicep circumferentially red and itching, 24 hours post-vaccine. Affected area extends from shoulder to elbow.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Injection site erythema
- Hospital-Tage
- -
- Labordaten
- n/a
- Aktuelle Erkrankungen
- COVID end of August 2023
- Vorgeschichte
- none
- Andere Medikamente
- Unknown
- Allergien
- none
- Vorherige Impfungen
- -
- Staat
- CA
- Alter
- 1,3
- Geschlecht
- F
- Eingang
- 15.09.2023
- Impfdatum
- 14.09.2023
- Beginn
- 15.09.2023
- Tage bis Beginn
- 1,0
- Dosis
- 3
- Route/Site
- IM / RL
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Injection site erythema
Injection site swelling
Injection site warmth
Symptomtext
Right thigh, around injection site it is red and swollen and it is hot to the touch.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Injection site erythema
- Hospital-Tage
- -
- Labordaten
- N/A
- Aktuelle Erkrankungen
- N/A
- Vorgeschichte
- N/A
- Andere Medikamente
- N/A
- Allergien
- N/A
- Vorherige Impfungen
- -
- Staat
- WA
- Alter
- 9,0
- Geschlecht
- F
- Eingang
- 08.09.2023
- Impfdatum
- 07.09.2023
- Beginn
- 07.09.2023
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Dizziness
Pain in extremity
Peripheral swelling
Tinnitus
Symptomtext
Parent spoke to after hours provider 9/8/23, c/o severe arm pain, dizziness, ringing in the ears. Was advised to continue icing the arm, use tylenol or ibuprofen for pain, rest, fluids, preferably with electrolytes. Patient will be seen in clinic this afternoon for recheck. Mom reportd this morning that the dizziness and ringing in her ears stopped. Patient was still having a sore arm and a little swelling.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Dizziness
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- None Reported
- Vorgeschichte
- None
- Andere Medikamente
- None Reported
- Allergien
- KNA
- Vorherige Impfungen
- -
- Staat
- MT
- Alter
- 7,0
- Geschlecht
- M
- Eingang
- 07.09.2023
- Impfdatum
- 06.09.2023
- Beginn
- 06.09.2023
- Tage bis Beginn
- 0,0
- Dosis
- N/A
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect dose administered
Pain in extremity
Symptomtext
09/06/2023: RN administered 0.5 ML Moderna Bivalent COVID-19 Vaccine to patient during scheduled Nurse Visit today @ 2:05 PM. Patient is 7Y 10M old and per CDC Guidelines should have received 0.25 ML dose of Moderna Bivalent COVID-19. Dr. notified of error. Medical Manager notified of error. Attempted to contact patient's Mother to inform her of administration dosage error. No answer. Unable to leave message as voicemail not set up. Will attempt to contact Mother again at later time. 09/07/2023 09:21:13 AM MDT > Spoke to patient's mother. Informed her of COVID-19 Bivalent dosage error. Asked mother if patient experiencing any side effects from vaccination. Mother reports that the only thing patient complained of was that his arm was sore where he received his vaccination. Mother denies patient having any redness, swelling, or rash to injection sites. Mother denies patient having any other side effects from vaccination. Mother states that patient went to school today. Reviewed with Mother that patient could experience increased general side effects of COVID vaccination as a result of higher dose administered including: soreness, redness & swelling at injection site, muscle/joint pain, headache, fever, nausea, vomiting, rash, loss of appetite. Reviewed signs & symptoms of severe allergic reaction with Mother. Advised Mother to contact Clinic if patient experiences any concerning side effects. Reviewed emergency precautions with Mother and advised if patient experiences any emergent symptoms or severe allergic response to go to ER immediately for evaluation. No further questions or concerns.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Pain in extremity
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- MT
- Alter
- 5,0
- Geschlecht
- M
- Eingang
- 07.09.2023
- Impfdatum
- 06.09.2023
- Beginn
- 06.09.2023
- Tage bis Beginn
- 0,0
- Dosis
- N/A
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect dose administered
Product administration error
Vaccination site pain
Symptomtext
09/06/2023: RN administered 0.5 ML Moderna Bivalent COVID-19 Vaccine to patient during scheduled Nurse Visit today @ 2:08 PM. Patient is 5Y 9M old and per CDC Guidelines should have received 0.25 ML dose of Moderna Bivalent COVID-19. Dr. notified of error. Medical Manager notified of error. Attempted to contact patient's Mother to inform her of administration dosage error. No answer. Unable to leave message as voicemail not set up. Will attempt to contact Mother again at later time. 09/07/2023 09:21:13 AM > Spoke to patient's mother. Informed her of COVID-19 Bivalent dosage error. Asked mother if patient experiencing any side effects from vaccination. Mother reports that the only thing patient complained of was that his arm was sore where he received his vaccination. Mother denies patient having any redness, swelling, or rash to injection sites. Mother denies patient having any other side effects from vaccination. Mother states that patient went to school today. Reviewed with mother that patient could experience increased general side effects of COVID vaccination as a result of higher dose administered including: soreness, redness & swelling at injection site, muscle/joint pain, headache, fever, nausea, vomiting, rash, loss of appetite. Reviewed signs & symptoms of severe allergic reaction with mother. Advised mother to contact Clinic if patient experiences any concerning side effects. Reviewed emergency precautions with mother and advised if patient experiences any emergent symptoms or severe allergic response to go to ER immediately for evaluation. No further questions or concerns.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Vaccination site pain
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- SD
- Alter
- -
- Geschlecht
- F
- Eingang
- 28.12.2023
- Impfdatum
- 12.09.2023
- Beginn
- 12.09.2023
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / RL
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Product administered to patient of inappropriate age
Product storage error
Product use issue
Symptomtext
Patient was administered a 5-11yr old bivalent vaccination. Patient should have been given the 6mo-4yr dosage.; product storage error; Patient was administered a 5-11yr old bivalent vaccination. Patient should have been given the 6mo-4yr dosage.; This case was retrieved during the Vaccines Adverse Event Reporting System (VAERS) monitoring on 12-OCT-2023 with the following VAERS Primary ID 2681331-1. The original narrative from the sender is as follows: "Patient was administered a 5-11yr old bivalent vaccination. Patient should have been given the 6mo-4yr dosage. Nursing states that the vial of 5-11 vaccine was in the incorrect bin and was then drawn up and labeled as 6mo-4yr. Nursing then administered this dose and it was not caught through medication scanning as it was labeled incorrectly. Patient family to be notified to monitor for any reactions". Due to the nature of the events, the causal relationship between Vaxelis and "Patient was administered a 5-11yr old bivalent vaccination. Patient should have been given the 6mo-4yr dosage. Nursing states that the vial of 5-11 vaccine was in the incorrect bin and was then drawn up and labeled as 6mo-4yr. Nursing then administered this dose and it was not caught through medication scanning as it was labeled incorrectly. Patient family to be notified to monitor for any reactions" was not applicable. No further information is expected.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Product administered to patient of inappropriate age
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- Prophylaxis
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- SD
- Alter
- -
- Geschlecht
- F
- Eingang
- 28.12.2023
- Impfdatum
- 12.09.2023
- Beginn
- 12.09.2023
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- - / RL
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Product administered to patient of inappropriate age
Product storage error
Product use issue
Symptomtext
Patient was administered a 5-11yr old bivalent vaccination. Patient should have been given the 6mo-4yr dosage.; product storage error; Patient was administered a 5-11yr old bivalent vaccination. Patient should have been given the 6mo-4yr dosage.; This case was retrieved during the Vaccines Adverse Event Reporting System (VAERS) monitoring on 12-OCT-2023 with the following VAERS Primary ID 2681331-1. The original narrative from the sender is as follows: "Patient was administered a 5-11yr old bivalent vaccination. Patient should have been given the 6mo-4yr dosage. Nursing states that the vial of 5-11 vaccine was in the incorrect bin and was then drawn up and labeled as 6mo-4yr. Nursing then administered this dose and it was not caught through medication scanning as it was labeled incorrectly. Patient family to be notified to monitor for any reactions". Due to the nature of the events, the causal relationship between Vaxelis and "Patient was administered a 5-11yr old bivalent vaccination. Patient should have been given the 6mo-4yr dosage. Nursing states that the vial of 5-11 vaccine was in the incorrect bin and was then drawn up and labeled as 6mo-4yr. Nursing then administered this dose and it was not caught through medication scanning as it was labeled incorrectly. Patient family to be notified to monitor for any reactions" was not applicable. No further information is expected.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Product administered to patient of inappropriate age
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- Prophylaxis
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- CA
- Alter
- 11,0
- Geschlecht
- F
- Eingang
- 12.12.2023
- Impfdatum
- 16.10.2023
- Beginn
- 16.10.2023
- Tage bis Beginn
- 0,0
- Dosis
- N/A
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
No adverse event
Wrong product administered
Symptomtext
The patient received Pfizer 30mcg/0.3ml on 10/16/23. Per the schedule and the patients age, they should have received Pfizer 10 MCG/0.3 ML or Moderna 25 MCG/0.25 ML for patient age 5 - 11 yo with history of covid vaccination. No known adverse events from the vaccine.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- No adverse event
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- NKA
- Vorherige Impfungen
- -
- Staat
- CO
- Alter
- 1,2
- Geschlecht
- F
- Eingang
- 12.10.2023
- Impfdatum
- 10.10.2023
- Beginn
- 10.10.2023
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / RL
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
No adverse event
Wrong product administered
Symptomtext
No reaction. Pt was supposed to get Pfizer vaccine due to age and new 23-24 requirements.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- No adverse event
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- none
- Vorgeschichte
- none
- Andere Medikamente
- none
- Allergien
- none
- Vorherige Impfungen
- -
- Staat
- WA
- Alter
- 0,3
- Geschlecht
- F
- Eingang
- 27.09.2023
- Impfdatum
- 22.09.2023
- Beginn
- 22.09.2023
- Tage bis Beginn
- 0,0
- Dosis
- 1
- 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
Parent/s did not report that patient had an adverse reaction to the vaccine given. Parent/s have been notified of this error and all protocols have been followed. This is simply an error report to reflect that the error was made and corrected.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- No adverse event
- Hospital-Tage
- -
- Labordaten
- No medical tests have been performed and no adverse reactions have occurred. Parent was informed to watch out for signs and symptoms of and adverse reaction and proper action to take in case of an event.
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- None
- Andere Medikamente
- None
- Allergien
- None
- Vorherige Impfungen
- -