- Staat
- TN
- Alter
- 76,0
- Geschlecht
- F
- Eingang
- 21.10.2023
- Impfdatum
- 14.10.2023
- Beginn
- 19.10.2023
- Tage bis Beginn
- 5,0
- Dosis
- UNK
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Chills
Myalgia
Nausea
Pyrexia
Syncope
Symptomtext
Myalgia, shivering, nausea, low grade fever and one instance of syncope starting the night of vaccination and continuing 16 hours after
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Syncope
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- -
- Alter
- 91,0
- Geschlecht
- F
- Eingang
- 29.09.2023
- Impfdatum
- 29.09.2023
- Beginn
- 29.09.2023
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Syncope
Symptomtext
syncope 30 minutes after Fluzone HD. guided to the ground. 911 called
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Syncope
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- GA
- Alter
- 65,0
- Geschlecht
- M
- Eingang
- 13.12.2023
- Impfdatum
- 25.09.2023
- Beginn
- 26.09.2023
- Tage bis Beginn
- 1,0
- Dosis
- 1
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Mobility decreased
Pain in extremity
Symptomtext
patient is having arm soreness and difficulty lifting arm
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Mobility decreased
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- clinoril, lisinopril, metronidazole, primidone, sulindac
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 79,0
- Geschlecht
- F
- Eingang
- 11.11.2023
- Impfdatum
- 07.11.2023
- Beginn
- 07.11.2023
- Tage bis Beginn
- 0,0
- Dosis
- N/A
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Injection site paraesthesia
Injection site swelling
Symptomtext
Patient received Fluzone PF HD on 11/07/2023 and came in to the pharmacy 11/11/2023. Patient reported a tingling sensation from the injection site down her muscle which stopped at her elbow, and the next day the area around her elbow was swollen, and did not go away for a few days.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Injection site paraesthesia
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- MS
- Alter
- 76,0
- Geschlecht
- M
- Eingang
- 11.11.2023
- Impfdatum
- 17.10.2023
- Beginn
- 17.10.2023
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Arthralgia
Inflammation
Mobility decreased
Symptomtext
PATIENT IS COMPLAINING OF RANGE OF MOTION ISSUES, INFLAMMATION, AND PAIN IN LEFT ARM FROM VACCINE ADMINISTRATION
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Mobility decreased
- Hospital-Tage
- -
- Labordaten
- PATIENT IS SEEKING MD VISIT IN COMING DAYS
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- atorvastatin 20mg, clopidogrel 75mg
- Allergien
- nkda
- Vorherige Impfungen
- -
- Staat
- AR
- Alter
- 68,0
- Geschlecht
- F
- Eingang
- 13.11.2023
- Impfdatum
- 23.10.2023
- Beginn
- 24.10.2023
- Tage bis Beginn
- 1,0
- Dosis
- UNK
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Rash
Rash pruritic
Symptomtext
pt said almost immediately after getting the vaccines she broke out in a rash on her lower back. It spread from side to side and higher on her lower back. It itches severely. she went to a dermatologist and they did now know what the cause was but gave her a steroid shot and "medication" that did not seem to help.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Rash
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- MO
- Alter
- 66,0
- Geschlecht
- M
- Eingang
- 04.11.2023
- Impfdatum
- 19.10.2023
- Beginn
- 19.10.2023
- Tage bis Beginn
- 0,0
- Dosis
- 2
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Abdominal pain upper
Dry skin
Extra dose administered
Symptomtext
Patient came to pharmacy requesting High Dose flu shot. Prescription was entered into computer and checked by pharmacist, with no DUR alerts. Patient was then administered the flu shot. Upon loading the immunization record into database, we discovered he had previously received Fluzone High-Dose also on 09/20/2023. We called patient's primary care physician and patient. Patient has experienced no adverse effects to their knowledge, except stomach pain one week later and dry skin.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Abdominal pain upper
- Hospital-Tage
- -
- Labordaten
- none
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- MO
- Alter
- 86,0
- Geschlecht
- F
- Eingang
- 02.11.2023
- Impfdatum
- 27.09.2023
- Beginn
- 27.09.2023
- Tage bis Beginn
- 0,0
- Dosis
- N/A
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Contusion
Injection site pain
Pain
Product administered at inappropriate site
Shoulder injury related to vaccine administration
Symptomtext
Pt received Fluzone HD and Comirnaty 12+ from store (both in the left arm) on 9/27/2023. Pt states that she had pain during the vaccinations and believed that the vaccines were given "too high" and "in the shoulder". She stated that she has had pain radiating in the left arm ever since the vaccinations. The administering technician and the pharmacist on duty was the same person. I examined the patient's arm after she came to this pharmacy on 11/02/2023. She has a red bruise-like area along the acromion process of the left scapula. SIRVA suspected.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Injection site pain
- Hospital-Tage
- -
- Labordaten
- No medical tests related to this event have been performed yet.
- Aktuelle Erkrankungen
- Hypertension, A fib
- Vorgeschichte
- Hypertension, A fib
- Andere Medikamente
- Meloxicam 15mg
- Allergien
- cephalosporins, codeine and related, iodinated diagnostic agents, metronidazole and related, penicillins, quinolones, salicylates, sulfa antibiotics, sulfonamide derivatives
- Vorherige Impfungen
- -
- Staat
- WI
- Alter
- 84,0
- Geschlecht
- F
- Eingang
- 20.10.2023
- Impfdatum
- 17.10.2023
- Beginn
- 18.10.2023
- Tage bis Beginn
- 1,0
- Dosis
- N/A
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: ja
Erholt: nein
Blood glucose increased
Cellulitis
Rash
Rash erythematous
Swelling
Symptomtext
Per employee at Assisted Living, patient woke up the day after her influenza and COVID vaccination with elevated blood sugars. Employee stated that it happens usually when patient has an infection. Highest blood sugar was 350. The next day she woke up with a rash on her right arm. It was red and swollen. She was taken to Urgent Care and diagnosed with Cellulitis. She was prescribed Cefalexin 500mg for 10 days as well as Floragen for 10 days.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Rash
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- KY
- Alter
- 66,0
- Geschlecht
- F
- Eingang
- 20.10.2023
- Impfdatum
- 03.10.2023
- Beginn
- 11.10.2023
- Tage bis Beginn
- 8,0
- Dosis
- 1
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Injection site erythema
Injection site indentation
Injection site pruritus
Injection site scab
Injection site swelling
Symptomtext
Patient says she developed a small hole at the site that was itchy- she says she scratched it and then it started to become red. She says a small bump appeared and she tried not to scratch it anymore but she did in her sleep scratching the bump off and making a scab, she saw NP about it and she said it was not a vaccine reaction but rather from the scratching. However, patient believes it is possibly caused by the vaccine. She was advised to use Neosporin on it which she is doing and she said it is healing up but is worried because it is taking so long. We talked about the signs and symptoms of infection- to watch for worsening or spreading redness, any puss or discharge, any swelling, any fever, any warmth at site. She said she is not having any of those. Advised her to see a doctor/ NP again if if she has any of those symptoms or remains concerned.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Injection site erythema
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- GA
- Alter
- 62,0
- Geschlecht
- M
- Eingang
- 23.12.2023
- Impfdatum
- 23.12.2023
- Beginn
- 23.12.2023
- 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 administered to patient of inappropriate age
Symptomtext
Patient received Fluzone High Dose incidentally rather than receiving Fluzone Quad. No adverse reaction at time of injection.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- No adverse event
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 78,0
- Geschlecht
- F
- Eingang
- 15.12.2023
- Impfdatum
- 14.12.2023
- Beginn
- 15.12.2023
- Tage bis Beginn
- 1,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
No adverse event
Symptomtext
patient is ok, no adverse effects yet, counseled to take tylenol if symptoms occur
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- No adverse event
- Hospital-Tage
- -
- Labordaten
- none
- Aktuelle Erkrankungen
- none
- Vorgeschichte
- none
- Andere Medikamente
- none
- Allergien
- none
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 70,0
- Geschlecht
- F
- Eingang
- 22.11.2023
- Impfdatum
- 15.11.2023
- Beginn
- 15.11.2023
- Tage bis Beginn
- 0,0
- Dosis
- 2
- Route/Site
- OT / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Extra dose administered
No adverse event
Symptomtext
accidentally received two doses of the fluzone high-dose quadrivalent vaccine two weeks apart with no reported adverse event; Initial information received on 16-Nov-2023 regarding an unsolicited valid non-serious case received from a pharmacist. This case is linked to case 2023SA361826. This case involves a 70 years old female patient who accidentally received two doses of the Influenza Quadrival A-B High Dose HV Vaccine [Fluzone High-Dose Quadrivalent] two weeks apart 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 PNEUMOCOCCAL VACCINE CONJ 20V (CRM197) (PREVNAR 20) for Immunisation. On 01-Nov-2023, the patient received unknown dose (dose 1) of suspect influenza quadrival A-B high dose HV vaccine (lot number, strength, formulation and expiry date not reported) via unknown route in unknown administration site and on 15-Nov-2023 patient somehow accidentally received another dose 0.7 ml (Dose 2) of the same vaccine (lot UT8111DA; Expiration Date : 30-JUN-2024; strength and formulation not reported) via intramuscular route in the left deltoid for Immunization two weeks apart with no adverse event (inappropriate schedule of product administration) (latency: on same day) following the last dose. Action taken: Not applicable 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 and Regulatory Authority 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
- Extra dose administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- PREVNAR 20
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- KS
- Alter
- 68,0
- Geschlecht
- F
- Eingang
- 21.11.2023
- Impfdatum
- 21.11.2023
- Beginn
- 21.11.2023
- Tage bis Beginn
- 0,0
- Dosis
- N/A
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Unevaluable event
Symptomtext
Upon administering both vaccines, patient stated her arm was itching already. Patient agreed to only 25mg of benadryl instead of 50mg. She was given 25mg of benadryl at 2:57pm. Blood pressure was 157/85. Pulse was 68 at 3:06pm. Blood pressure was 146/83 with a PR of 73 at 3:20pm. Patient had no other symptoms and felt well enough to leave. Upon speaking with the patient at 7:28pm, she had taken another 25mg of benadryl when she got home to make sure it didn't progress any further. She was doing fine by 7:28pm.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Unevaluable event
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- penicillin, levaquin, prednisone, bactrim
- Vorherige Impfungen
- -
- Staat
- TN
- Alter
- 63,0
- Geschlecht
- F
- Eingang
- 17.10.2023
- Impfdatum
- 17.10.2023
- Beginn
- 17.10.2023
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Product administered to patient of inappropriate age
Vaccination error
Wrong product administered
Symptomtext
Patient given Fluzone High Dose instead of regular Fluzone as patient is only 63 years of age, patient notified at 7:07pm of vaccine error and instructed to follow up if they experience any adverse reactions, patient in agreement with plan of care.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Product administered to patient of inappropriate age
- Hospital-Tage
- -
- Labordaten
- none
- Aktuelle Erkrankungen
- unknown
- Vorgeschichte
- unknown
- Andere Medikamente
- unknown
- Allergien
- none noted in chart or paperwork
- Vorherige Impfungen
- -
- Staat
- TN
- Alter
- 60,0
- Geschlecht
- F
- Eingang
- 12.10.2023
- Impfdatum
- 04.10.2023
- Beginn
- 12.10.2023
- Tage bis Beginn
- 8,0
- Dosis
- N/A
- Route/Site
- IM / RA
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 Fluzone HD
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Product administered to patient of inappropriate age
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -