- Staat
- -
- Alter
- 86,0
- Geschlecht
- F
- Eingang
- 21.11.2023
- Impfdatum
- 19.07.2022
- Beginn
- 02.10.2023
- Tage bis Beginn
- 440,0
- Dosis
- 4
- Route/Site
- - / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: ja
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Acute respiratory failure
Angiogram pulmonary abnormal
Bronchial wall thickening
COVID-19
Chronic obstructive pulmonary disease
Condition aggravated
Cough
Diarrhoea
Dyspnoea
Exposure to SARS-CoV-2
Haemodilution
Haemoglobin decreased
Hypotension
Hypoxia
Interstitial lung disease
Legionella test
Lung infiltration
Lung opacity
Symptomtext
Admitted: 10/2/2023 Discharge Date: 10/05/23 PCP Handoff Recommended Outpatient Testing Follow-up with PCP in 1 to 2 weeks Results Pending At Discharge Blood Culture Aerobic/Anaerobic Preliminary result Blood Culture Aerobic/Anaerobic Preliminary result Clinical Summary Patient is a 87 y.o. female patient of MD with history of C. Diff, HTN, HFpEF, COPD, CVA, seizure disorder presented to Hospital with cough and shortness of breath. Acute respiratory failure with hypoxia COPD with possible exacerbation Suspected secondary to recent COVID-19 infection, possible developing secondary lung injury versus secondary bacterial pneumonia. Had COVID symptoms in early September, treated with Paxlovid though was never tested for. COVID (husband tested positive) and did improve with worsening over 5 days prior to admission Treated with medrol dose pack and azithromycin as outpatient without improvement prior to admission. CTPA on admission with interstitial and ground-glass infiltrates are most pronounced in the right lung; bilateral bronchial wall thickening is suggestive of bronchitis. Respiratory PCR,urinary antigens for Legionella and strep pneumo--unremarkable except for COVID. Given levaquin in ED, transitioned to ceftriaxone/azithromycin given higher risk of C. Diff with flouroquinolones. With patient having diarrhea, discontinued Rocephin and continued azithromycin. Continued Zithromax to complete the course at discharge. Started decadron for COVID and COPD exacerbation and continued at discharge. Checked O2 requirement prior to discharge. Qualified for 2 L of oxygen ATC. Patient to follow-up with PCP in 1 to 2 weeks Recent COVID-19 viral infection Date of onset of symptoms: early September initially, then improved, then 5 days prior to admission Symptoms present on admission: shortness of breath, cough Date of covid positive test: was not tested in early September but treated with Paxlovid due to husband being positive; tested positive on admission 10/2 Vaccination status: vaccinated Imaging: CTPA as above Oxygen requirements on admission: 2L Current oxygen requirements: RA Medical therapy: steroids Consultants following: n/a Anticipated special isolation end date: given unclear timing, remain in isolation 5 additional days History of recurrent C. Diff infection With prior fulminant infection in Sep 2022, prior FMT Prophylactic PO vancomycin while on antibiotics Patient started having diarrhea in the hospital but stool C. difficile negative Chronic anemia Baseline hemoglobin 9 to 10 g/dL Admit Hb 9.2> 8.2 most likely due to hemodilution On B12 and iron supplementation History of CVA With some residual left sided weakness Continue home plavix and statin Seizure disorder Continue home Keppra HTN Home Rx: Lisinopril 5 mg daily. BP was running low. Discontinued lisinopril. May restart as an outpatient based on BP readings HFpEF, chronic Continue home furosemide 20 mg daily
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Acute respiratory failure
- Hospital-Tage
- 3,0
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- TN
- Alter
- 64,0
- Geschlecht
- M
- Eingang
- 01.09.2023
- Impfdatum
- 21.07.2022
- Beginn
- 01.07.2023
- Tage bis Beginn
- 345,0
- Dosis
- 2
- Route/Site
- UN / UN
Tod: ja
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Cardiac arrest
Resuscitation
Ventricular tachycardia
Symptomtext
On 7/23 he suffered an asystolic arrest, brief VT, ACLS x30 minutes. Resuscitation stopped at the request of his brother whom Dr. reached by phone.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Cardiac arrest
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- Severe COPD, HTN, hyperlipidemia, CAD, CKD4 , wrist ORIF.
- Andere Medikamente
- -
- Allergien
- NKA
- Vorherige Impfungen
- -
- Staat
- -
- Alter
- 77,0
- Geschlecht
- F
- Eingang
- 21.04.2023
- Impfdatum
- 29.09.2022
- Beginn
- 15.10.2022
- Tage bis Beginn
- 16,0
- Dosis
- 5
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: ja
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Acute respiratory failure
Chronic respiratory failure
Hypoxia
Respiratory failure
Shock
Symptom recurrence
Symptomtext
CHRONIC HYPERCAPNIC RESPIRATORY FAILURE ACUTE ON CHRONIC HYPOXEMIC RESPIRATORY FAILURE RESPIRATORY FAILURE, UNSPECIFIED ACUITY HYPOXEMIA SHOCK, UNSPECIFIED 10/30/2022, 11/16/2022, 12/10/2022, -RECURRENCE OF SAME SYMPTOMS
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Acute respiratory failure
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- MI
- Alter
- 77,0
- Geschlecht
- M
- Eingang
- 10.03.2023
- Impfdatum
- 28.06.2022
- Beginn
- 03.03.2023
- Tage bis Beginn
- 248,0
- Dosis
- 3
- Route/Site
- - / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: ja
Disable: unbekannt
ER: unbekannt
Erholt: ja
Acute respiratory failure
Asthenia
COVID-19
COVID-19 pneumonia
Chest X-ray
Culture negative
Dysphagia
Gait disturbance
Inflammatory marker test
Medical diet
Pneumonia aspiration
Symptomtext
Discharge Provider: MD Primary Care Provider at Discharge: MD Admission Date: 3/3/2023 Discharge Date: 03/06/2023 PRESENTING PROBLEM: Acute hypoxemic respiratory failure due to COVID-19 (HCC) [U07.1, J96.01] Pneumonia due to COVID-19 virus [U07.1, J12.82] HOSPITAL COURSE: Patient did well. He was weaned off supplemental oxygen during the daytime, ambulating with minimal difficulty. He was treated with Zosyn initially which was transition to Augmentin to complete a 7 day course for suspected aspiration pneumonia. He was started on Decadron for COVID-19 pneumonia, switched to prednisone with slow taper for COVID-19 pneumonia. Patient's weakness improved. He will continue on a modified diet as before for dysphagia. He was tolerating his diet while here, all cultures remain negative, inflammatory markers improved. Patient is stable for discharge. Recommend he follow up with primary care provider next week, repeat chest x-ray in 4 weeks.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Acute respiratory failure
- Hospital-Tage
- 4,0
- Labordaten
- -
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- Benign prostatic hyperplasia without lower urinary tract symptoms Depression Asthma-COPD overlap syndrome Essential hypertension Postpolio syndrome Mixed hyperlipidemia PTSD (post-traumatic stress disorder) Paroxysmal atrial fibrillation OSA (obstructive sleep apnea) Closed compression fracture of L2 lumbar vertebra with routine healing, subsequent encounter Hypertensive lower esophageal sphincter Falls Urinary retention with incomplete bladder emptying Bilateral carotid artery stenosis H/O: CVA (cerebrovascular accident) Compression fracture of L1 vertebra with routine healing, subsequent encounter Closed compression fracture of L5 lumbar vertebra with routine healing, subsequent encounter Atherosclerosis of aorta Type 2 diabetes mellitus without complication, without long-term current use of insulin Nocturnal hypoxia Multiple lung nodules on CT mild to moderate, oropharyngeal phase dysphagia, pharyngoesophageal phase dysphagia Acquired hypothyroidism Chronic heart failure with preserved ejection fraction Weakness Osteopenia of spine Right leg pain Protein-calorie malnutrition, moderate Recurrent pneumonia Acute hypoxemic respiratory failure due to COVID-19
- Andere Medikamente
- acetaminophen (TYLENOL) 325 MG tablet albuterol (PROVENTIL) (2.5 MG/3ML) 0.083% nebulization albuterol HFA (PROVENTIL HFA, VENTOLIN HFA, PROAIR HFA) 108 (90 Base) MCG/ACT inhaler alendronate (FOSAMAX) 35 MG tablet amoxicillin-clavulanate
- Allergien
- Ace InhibitorsCough Azithromycin [Macrolides] StatinsOther Sulfa DrugsAnxiety BactrimOther
- Vorherige Impfungen
- -
- Staat
- KY
- Alter
- 79,0
- Geschlecht
- F
- Eingang
- 23.02.2023
- Impfdatum
- 16.08.2022
- Beginn
- 15.02.2023
- Tage bis Beginn
- 183,0
- Dosis
- 3
- Route/Site
- IM / RA
Tod: ja
Lebensbedrohlich: unbekannt
Hospital: ja
Disable: unbekannt
ER: unbekannt
Erholt: nein
Death
Symptomtext
PATIENT EXPIRED ON 02/15/2023
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Death
- Hospital-Tage
- 5,0
- Labordaten
- -
- Aktuelle Erkrankungen
- UNKNOWN
- Vorgeschichte
- ACUTE RESP FAILURE CAD COPD
- Andere Medikamente
- UNKNOWN
- Allergien
- UNKNOWN
- Vorherige Impfungen
- -
- Staat
- NY
- Alter
- 72,0
- Geschlecht
- F
- Eingang
- 03.01.2023
- Impfdatum
- 30.09.2022
- Beginn
- 04.10.2022
- Tage bis Beginn
- 4,0
- Dosis
- 5
- Route/Site
- IM / LA
Tod: ja
Lebensbedrohlich: unbekannt
Hospital: ja
Disable: unbekannt
ER: unbekannt
Erholt: nein
Acute myocardial infarction
Acute respiratory failure
Anticoagulant therapy
Aspiration
Blood pressure increased
COVID-19
Chest X-ray abnormal
Culture urine positive
Death
Enterococcus test positive
Fungal test positive
Lung disorder
Lung infiltration
Mental status changes
Metabolic encephalopathy
Pneumonia
Renal impairment
SARS-CoV-2 test positive
Symptomtext
10/4/2022-Presents to ED via EMS, with reports of AMS, only responsive to painful stimuli. Ordered ceftriaxone, UTI. Trop peaked at 0.144 consistent with a Type 2 NSTEMI, recieved asa and on Heparin drip. Covid - test. Recent admission 9/11-9/23/2022 for acute hypoxic resp failure PNA. VSS 02 94% on RA. CXR-bibasilar airspace disease. Admit metabolic encephalopathy in setting of UTI. 10/7/2022-BP elevated 181/66 Hydralazine added. Desat 85% 4L via NC placed. Ceftriaxone changed to Unasyn, to cover for aspiration. 10/10/2022-UC yeast and VRE. restart oxybutin and start linezolid and fluconazole. Now covid +. 10/12/2022- Continue on bumex, isodil and Procardia. On RA VSS. CXR-b/l pulm infiltrates. Reanla dysfunction 10/12/2022- does not permit to use remdesivir or baricitinib. 10/13/2022- O2 increased to 6L nc after desat of 87%. Unasyn changed to Zosyn. Dexamethasone started. 10/14/2022-O2 increased to 8L NC. 10/15/2022- o2 increased to 15 L NRB, made palliative. Time of death 2056.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Acute myocardial infarction
- Hospital-Tage
- 11,0
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- Type 1 DM, HTN, CAD and CKD.
- Andere Medikamente
- -
- Allergien
- Codeine
- Vorherige Impfungen
- -
- Staat
- MI
- Alter
- 58,0
- Geschlecht
- M
- Eingang
- 19.12.2022
- Impfdatum
- 15.09.2022
- Beginn
- 04.12.2022
- Tage bis Beginn
- 80,0
- Dosis
- 3
- Route/Site
- - / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: ja
Disable: unbekannt
ER: unbekannt
Erholt: ja
Acute respiratory failure
COVID-19
COVID-19 pneumonia
Chronic obstructive pulmonary disease
Computerised tomogram normal
Condition aggravated
Cough
Dyspnoea
Emphysema
Face injury
Facial bones fracture
Fall
Head injury
Homeless
Hypoxia
Influenza virus test negative
Injury
Lung opacity
Symptomtext
Discharge Provider: MD Primary Care Provider: DO Admission Date: 12/4/2022 Discharge Date: Dec 16, 2022 COVID positive date: 12/4/2022 PRESENTING PROBLEM: Acute respiratory failure with hypoxia [J96.01] COVID-19 infection Ground-glass opacity secondary to COVID-19 COPD HOSPITAL COURSE: 58 y/o male with hx of COPD,who was admitted for acute hypoxic respiratory failure 2/2 COVID pneumonia. He has completed 10 day course of decadron. He was not given remdesivir given length of time since onset of symptoms. Initially patient required 5L O2 via Nc, but were able to titrate down to 2 L of oxygen at all times. Patient is homeless and stays at shelter and was discharged in stable condition. He will continue to follow-up with PCP and counseled about tobacco cessation
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Acute respiratory failure
- Hospital-Tage
- 12,0
- Labordaten
- -
- Aktuelle Erkrankungen
- Admission to Hospital Discharge Provider: MD Primary Care Provider: DO Admission Date: 11/17/2022 Discharge Date: 11/19/2022 PRESENTING PROBLEM: COPD with acute exacerbation [J44.1] HOSPITAL COURSE: Patient is a 58 y.o. male who presents today s/p a fall and trauma. Patient was seen here in the ED this AM for cough and shortness of breath and was ultimately diagnosed with potential CAP and discharged on Ceftin, Azithro, and Prednisone. He then returned this afternoon after being punched in the back of the head while waiting in line, causing him to fall both on the back of his head and subsequently face first causing a posterior neck laceration and nasal fracture. Posterior head laceration was stapled in Emergency Department. CT of the whole body for trauma workup was within normal limits revealing Tetanus shot was updated. Given that the patient was neg for Influenza, COVID, and RSV in ED, as well as being afebrile and with no leukocytosis, CAP is felt less likely. He did have a few episodes of hypoxia (~mid 80s, resolved w supplemental O2) and therefore admission was felt warranted for uncontrolled emphysema and acute hypoxic respiratory failure. Given infectious workup awas negative, his antibiotics were discontinued. He was given IV soumedrol x1, scheduled duonebs for 24hrs and continued on prednisone 40 mg and started on inhalers with Spiriva and Symbicort before being discharged was educated on the use of albuterol. In regards to social situation, is currently homeless after recently completing his work assignment is looking for next job and thereafter going back to his apartment. In the meantime he would like to wait on further oxygen therapy evaluation.Before being discharged, he was ambulated and maintain pulse ox at 92-94% and not requiring any oxygen.
- Vorgeschichte
- Acute respiratory failure with hypoxia Panlobular emphysema Hypoxia COPD (chronic obstructive pulmonary disease) Hypertension associated with diabetes Hepatitis C virus infection, unspecified chronicity Type 2 diabetes mellitus with diabetic neuropathy, without long-term current use of insulin Chronic left-sided low back pain with left-sided sciatica Weakness and parasthesiaof left side of body Headache Numbness Choroidal nevus, left eye Chest pain Lumbar radiculopathy Diabetes mellitus type 2 without retinopathy History of GI bleed Insomnia, unspecified type Impotence due to erectile dysfunction History of colon polyps Tobacco abuse Myopia of both eyes Alcohol abuse Mood disorder
- Andere Medikamente
- albuterol HFA (PROVENTIL HFA, VENTOLIN HFA, PROAIR HFA) 108 (90 Base) MCG/ACT inhaler amLODIPine (NORVASC) 10 MG tablet Blood Glucose Monitoring Suppl MISC Blood Pressure Monitoring (BLOOD PRESSURE CUFF) MISC budesonide/formoterol (SYMBICO
- Allergien
- NKA
- Vorherige Impfungen
- -
- Staat
- SD
- Alter
- 71,0
- Geschlecht
- M
- Eingang
- 02.12.2022
- Impfdatum
- 17.08.2022
- Beginn
- 25.09.2022
- Tage bis Beginn
- 39,0
- Dosis
- 5
- Route/Site
- SYR / RL
Tod: ja
Lebensbedrohlich: unbekannt
Hospital: ja
Disable: unbekannt
ER: unbekannt
Erholt: nein
Acute kidney injury
Atrial fibrillation
COVID-19
Condition aggravated
Death
General physical health deterioration
Intestinal perforation
Lung adenocarcinoma
Respiratory failure
SARS-CoV-2 test positive
Shock
Vaccine breakthrough infection
Symptomtext
This is an instance of breakthrough COVID-19 after which death occurred. The individual was vaccinated 5 times with the Pfizer product, having received vaccine on 02/03/2021, 02/24/2021, 08/27/2021, 03/02/2022, and 08/17/2022. They were hospitalized 09/15/2022-09/23/2022for multiple reasons, including small bowel perforation, shock, hypoxic respiratory failure, multiple metastasized adenocarcinoma of the lung, acute renal failure, and a-Fib. They were transferred to a hospice facility on 09/23/2022. They tested negative for COVID-19 on 09/15/2022 and then positive on 09/25/2022 and 09/26/2022. Their health continued to decline and they died on 10/04/2022.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Death
- Hospital-Tage
- 19,0
- Labordaten
- Positive COVID-19 test x2 despite being vaccinated x5.
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- Metastatic Adenocarcinoma of the Lung, Anemia, Acute Kidney Failure The individual entered into a hospice facility 2 days prior to the adverse event.
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- MI
- Alter
- 39,0
- Geschlecht
- F
- Eingang
- 25.10.2022
- Impfdatum
- 23.09.2022
- Beginn
- 27.09.2022
- Tage bis Beginn
- 4,0
- Dosis
- UNK
- Route/Site
- SYR / RA
Tod: unbekannt
Lebensbedrohlich: ja
Hospital: unbekannt
Disable: unbekannt
ER: ja
Erholt: nein
Administration site wound
Anaphylactic shock
Injection site pain
Injection site pruritus
Wound
Symptomtext
Open wound at injection site that left flesh exposed, burning and itching. Anaphylactic shock on September 30th
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Anaphylactic shock
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- N/A
- Vorgeschichte
- N/A
- Andere Medikamente
- N/A
- Allergien
- Allergic to steroids and corn
- Vorherige Impfungen
- -
- Staat
- MI
- Alter
- 77,0
- Geschlecht
- M
- Eingang
- 25.10.2022
- Impfdatum
- 13.07.2022
- Beginn
- 17.09.2022
- Tage bis Beginn
- 66,0
- Dosis
- 4
- Route/Site
- - / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: ja
Disable: unbekannt
ER: unbekannt
Erholt: ja
Acute respiratory failure
Alanine aminotransferase normal
Angiogram
Anion gap
Aspartate aminotransferase increased
Angiogram cerebral
Bladder catheterisation
Blood culture negative
Atelectasis
Bacterial test positive
Blood albumin decreased
Blood alkaline phosphatase normal
Blood bilirubin normal
Blood calcium normal
Blood chloride normal
Blood creatinine normal
Blood glucose normal
Blood potassium normal
Symptomtext
Discharge Provider: MD Primary Care Provider at Discharge: MD Admission Date: 9/17/2022 Discharge Date: 10/12/22 PRESENTING PROBLEM: Acute on chronic respiratory failure with hypoxia and hypercapnia (HCC) [J96.21, J96.22] Respiratory failure (HCC) [J96.90] HOSPITAL COURSE: 77-year-old male with past medical history chronic obstructive pulmonary disease on 2 L, enlarging lung nodule, chronic Foley secondary to BPH, stage IV decubitus ulcers, diastolic heart failure, and chronic ulcer of the left midfoot who was admitted to the ICU on 9/17 for respiratory failure. Pt presented to ER for acute stroke-like symptoms. Patient's last known well was last night per EMS. Family notice slurred speech and left-sided facial droop. By the time he presented to the ER he was more responsive but had rhonchorous breath sounds, cough and was on 4 L nasal cannula which is above his home oxygen level. Oxygen requirements progressively increased to 6 L. Facial droop and slurred speech persisted which according to family is not baseline. Patient ultimately was intubated and sedated due to worsening hypercapnia/hypoxia and mentation. Labs noted leukocytosis w/ WBC 17.8 and hyponatremia of 128 which improved after 1L IV fluids. CT Chest revealed a LLL pneumonia. UA was also positive w/ hematuria and pyuria. Pt was started on Vanc/Zosyn and was transferred to ICU. In the ICU, pt required Norepi and was started on Methylprednisone and duonebs. He was transitioned from Vanc/zosyn to Merrem due to a hx of multidrug resistant UTI's. Repeat UA after foley change remained positive. However, Urine cultures grew mixed floras. Pt underwent a workup for his AMS/CVA-like sx's which included CT, CTA, MRI, and MRA of the head. These were nonpathologic. Neuro concluded his initial presenting sx's were secondary to toxic metabolic encephalopathy. Pressors were weaned off on 9/19. On 9/20, after becoming arousable and following commands, he was extubated. Post extubation pt was alert and neurologically intact. Has been requiring high-flow nasal cannula which we have been weaning. Blood cultures continue to show no growth. He does have a stage IV decubitus ulcer which has been noncontributory to his current condition. He remains off of pressors, A/Ox4, and is stable for transfer now that he is down to FiO2 of 50% on high-flow. Patient noted to have a history of a RUL lung nodule which was noted to be enlarging from 11/2021 to 6/8/22. PET (8/16/2022) showed right upper lobe pulmonary nodule that was hypermetabolic and considered suspicious for primary bronchogenic carcinoma, equivocal nonenlarged mildly hypermetabolic precarinal and right hilar lymph nodes and no evidence for distant metastatic disease. Pt was scheduled for a CT-guided bx w/ U. Patient understands concern for malignancy but unable to give diagnosis an until biopsy preformed. Patient was in Covid isolation per SAR requirements and developed CAUTI and HAP vs Aspiration pneumonia. Patient was evaluated by pulomonary, infectious disease, SLP, PT/OT and was on broad spectrum antibiotics which were deescalated to augmentin upon discharge. Patient was discharged in good condition to SAR.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Acute respiratory failure
- Hospital-Tage
- 25,0
- Labordaten
- -
- Aktuelle Erkrankungen
- Discharge Provider: MD Primary Care Provider at Discharge: MD Admission Date: 7/1/2022 Discharge Date: 7/3/2022 PRESENTING PROBLEM: Acute on chronic respiratory failure with hypoxia and hypercapnia (HCC) [J96.21, J96.22] 6/29/22- UTI
- Vorgeschichte
- Alcohol dependence in remission (HCC) Environmental and seasonal allergies Simple chronic bronchitis (HCC) Age-related osteoporosis without current pathological fracture Neuropathy of both feet Urinary retention Cognitive deficits Dysphagia Erectile dysfunction, unspecified erectile dysfunction type Acquired renal cyst of right kidney Chronic diastolic heart failure (HCC) Gastro-esophageal reflux disease without esophagitis History of recurrent UTI (urinary tract infection) Atherosclerotic heart disease of native coronary artery without angina pectoris Bilateral lower extremity edema Restless legs syndrome (RLS) Mixed simple and mucopurulent chronic bronchitis (HCC) Pressure injury of right ischium, stage 4 (HCC) Foley catheter in place Hypertension Coronary artery calcification seen on CT scan Chronic ulcer of left midfoot with necrosis of muscle (HCC) Medication management Nodule of upper lobe of right lung, first noted 6/2022. Candida albicans infection Pressure injury of left ischium, stage 3 (HCC) Pressure injury of coccygeal region, stage 3 (HCC) Pressure injury of buttock, stage 3 (HCC) Preop cardiovascular exam Abnormal positron emission tomography (PET) of lung Acute on chronic respiratory failure with hypoxia and hypercapnia (HCC)
- Andere Medikamente
- acetaminophen (TYLENOL) 500 MG tablet ascorbic acid (VITAMIN C) 500 MG tablet aspirin 81 MG enteric coated tablet bisacodyl (DULCOLAX) 10 MG suppository budesonide/formoterol (SYMBICORT) 160-4.5 MCG/ACT inhaler Calcium Carbonate (CALCIUM 50
- Allergien
- None
- Vorherige Impfungen
- -
- Staat
- MI
- Alter
- 54,0
- Geschlecht
- F
- Eingang
- 24.10.2022
- Impfdatum
- 22.07.2022
- Beginn
- 30.09.2022
- Tage bis Beginn
- 70,0
- Dosis
- 4
- Route/Site
- - / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: ja
Disable: unbekannt
ER: unbekannt
Erholt: ja
Abdominal pain
Atrial fibrillation
Atrial flutter
Brachiocephalic artery stenosis
COVID-19
Cough
Dyspnoea
Immune thrombocytopenia
Immunoglobulin therapy
Intensive care
Pneumonia
Positive airway pressure therapy
SARS-CoV-2 test positive
Septic shock
Subclavian artery stenosis
Ureteral stent insertion
Vomiting
Symptomtext
Patient up to date on COVID vaccines who admitted to hospital with COVID detected PCR. Provider d/c note: "Brief Summary of Hospital Stay: (Include Significant Findings and Invasive Procedures) history of paroxysmal aflutter, asthma, DM2, hypertension, hyperlipidemia, MDD, GERD presented to cough, abdominal pain, emesis, and shortness of breath initially. Transferred to ICU for septic shock symptoms and known to have klebsiella bacteremia c/b renal abscess, initially managed with levophed, vasopressin and BiPAP. She was treated with ceftriaxone and gentamycin initially, weaned down to ceftriaxone with ID following after she was stabilized and transferred to the floor. Plan will be to send with midline placed for prolonged IV ceftriaxone course. She also had a left ureteral stent placed during this admission. She also has right brachiocephalic and left subclavian stenosis, surgery was consulted with no plans for interventions during this admission. Cardiology also consulted about the same, but no plans for stent at this time, will defer to oupatient follow up with cardiology. Restarted on high intensity statin. She also had episode of atrial fibrillation/flutter, cardiology consulted and resumed her home lopressor. She later self converted to Normal Sinus Rhythm. Also was COVID+ with pneumonia, s/p isolation period and treated with symbicort and spiriva and NC O2, weaned down to home 2L NC. She additionally had acute ITP which was treated with steroids and IVIG. Currently, medically stable for discharge. "
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Septic shock
- Hospital-Tage
- 17,0
- Labordaten
- COVID Detected 9/30/2022
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- Cardiovascular HYPERLIPIDEMIA, MIXED, COMBINED (272.2) Hypertension Pulmonary hypertension (*) Migraine without aura and without status migrainosus, not intractable Orthostatic hypotension History of atherosclerosis- in bilateral upper extremeties leading to hypotensive measurements. Always check B/P's on lower extremeties. Stenosis of left subclavian artery (*) Carotid stenosis, asymptomatic, bilateral Vertebral artery stenosis, asymptomatic, bilateral Brachiocephalic artery stenosis, right (*) Subclavian artery stenosis (*) Brachiocephalic artery stenosis, left (*) Paroxysmal atrial flutter (*) Digestive GERD (gastroesophageal reflux disease) Endocrine Type 2 diabetes mellitus with hypoglycemia, with long-term current use of insulin (*) Type 2 diabetes mellitus with hyperglycemia (*) Integumentary ITP secondary to infection (*) Psychological Moderate episode of recurrent major depressive disorder (HCC) Episodic mood disorder (*) Respiratory Asthma with chronic obstructive pulmonary disease (COPD) (HCC) Chronic respiratory failure with hypoxia (*) Centrilobular emphysema (*) COPD mixed type (*) Urinary Urge urinary incontinence Urolithiasis Calyceal diverticulum of kidney Nephrolithiasis Acute kidney injury due to COVID-19 (*) Hydronephrosis with urinary obstruction due to ureteral calculus Renal abscess, left Other Epilepsy (*) Seizures (*) Arthritis Chest pain of uncertain etiology Cervicalgia Right sided abdominal pain Chronic pain syndrome Amputated toe of left foot (*) Encounter for screening mammogram for malignant neoplasm of breast Erythrocytosis Encounter to discuss test results Pain in left foot Morbid obesity with BMI of 40.0-44.9, adult (*) History of colonoscopy with polypectomy Thrombocytopenia due to COVID-19 virus Bacteremia due to Klebsiella pneumoniae Sepsis due to gram-negative urinary tract infection (*) Severe protein-calorie malnutrition (*)
- Andere Medikamente
- -
- Allergien
- Latex, Natural Rubber, Bee Stings, Bactrim, Augmentin, Lidex
- Vorherige Impfungen
- -
- Staat
- MI
- Alter
- 64,0
- Geschlecht
- M
- Eingang
- 05.10.2022
- Impfdatum
- 12.08.2022
- Beginn
- 26.09.2022
- Tage bis Beginn
- 45,0
- Dosis
- 4
- Route/Site
- - / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: ja
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Cerebrovascular accident
Dizziness
Headache
Hypoaesthesia
Imaging procedure
Paraesthesia
Symptomtext
dizziness facial numbness and tingling and headache lead to ER visit stroke - cardio concerned for posterior circulation ischemia despite negative imaging
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Cerebrovascular accident
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- NH
- Alter
- 69,0
- Geschlecht
- F
- Eingang
- 02.09.2022
- Impfdatum
- 25.08.2022
- Beginn
- 25.08.2022
- Tage bis Beginn
- 0,0
- Dosis
- 2
- Route/Site
- - / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: ja
Erholt: nein
Angina pectoris
Asthenia
Blood pressure measurement
Blood test
Electrocardiogram
Inappropriate schedule of product administration
Mobility decreased
Myocardial infarction
Symptomtext
she could not lean forward and she could not lean back; She is feeling really weak; her arm was a little sore, within 5 minutes she had severe chest pain/ severe pain for 2 days/ Not sure if heart attack and she had pain in her back/ severe heart pain; Dose 1 on 23Aug2021; Dose 2 on 25Aug2022/ she spread the vaccines out a year apart; This is a spontaneous report received from a contactable reporter(s) (Consumer or other non HCP) from medical information team, Program ID. The reporter is the patient. A 69-year-old female patient received BNT162b2 (BNT162B2), on 25Aug2022 at 14:30 as dose 2, single (Lot number: FP7150) at the age of 69 years, in right arm for covid-19 immunisation. The patient's relevant medical history included: "COVID-19", start date: Jan2022 (unspecified if ongoing). There were no concomitant medications. Vaccination history included: BNT162b2 (DOSE 1, Lot: FC3181, Anatomical location: Arm), administration date: 23Aug2021, when the patient was 68-year-old, for Covid-19 Immunization, reaction(s): "COVID-19", "COVID-19". The following information was reported: INAPPROPRIATE SCHEDULE OF PRODUCT ADMINISTRATION (non-serious) with onset 25Aug2022 at 14:30, outcome "unknown", described as "Dose 1 on 23Aug2021; Dose 2 on 25Aug2022/ she spread the vaccines out a year apart"; MYOCARDIAL INFARCTION (medically significant) with onset 26Aug2022 at 09:00, outcome "recovering", described as "her arm was a little sore, within 5 minutes she had severe chest pain/ severe pain for 2 days/ Not sure if heart attack and she had pain in her back/ severe heart pain"; MOBILITY DECREASED (non-serious), outcome "unknown", described as "she could not lean forward and she could not lean back"; ASTHENIA (non-serious), outcome "unknown", described as "She is feeling really weak". The events "her arm was a little sore, within 5 minutes she had severe chest pain/ severe pain for 2 days/ not sure if heart attack and she had pain in her back/ severe heart pain", "she could not lean forward and she could not lean back" and "she is feeling really weak" required emergency room visit. The patient underwent the following laboratory tests and procedures: Blood pressure measurement: Unknown result; Blood test: Unknown result; Electrocardiogram: Unknown result. Clinical course: No additional vaccines were administered on same date of the Pfizer suspect. Patient received the first vaccine and she spread the vaccines out a year apart. She said with her first shot there was no reaction. Nothing happened and felt like she didn't even have it. She received her second Covid Pfizer vaccine on Thursday 25Aug2022 2:30 in the afternoon and everything was fine. She was trying to drink a lot of water and she went to sleep that night. She woke up in the morning and her arm was a little sore (had slight pain in her arm) and nothing major and within 5 minutes she had severe chest pain. Pain started in the center and moved all over her chest. She did not get out of bed. She had severe pain for 2 days and this was constant pain. Not sure if heart attack and she had pain in her back. Severe heart pain. It's like she got to hold her heart for 2 days. She could not sit up, could not lie down, could not lean forward and had to sit straight up for 2 days and was still in severe pain. She could not lie down without excruciating shocking pain. When to Emergency Room by 11:00 am and she work up around 9 or 9:30 and the pain got worse. She said the hospital is not noted for being the best hospital. She had an EKG, blood work and then had to do blood work again in 2 hours and did blood pressure and she was too sick to know what was going on. She is feeling really weak and she had appointment on the 31th and not sure if the records will help. She said the chest pain has improved. Her heart is still very sore but it's not like it was. She felt like it was heart attack, to put it that way. She wants to know if there is a difference in the ingredients with her first and second dose of the Pfizer Biontech COVID19 vaccine. Follow-up attempts are completed. No further information is expected.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Myocardial infarction
- Hospital-Tage
- -
- Labordaten
- Test Name: blood pressure; Result Unstructured Data: Test Result:Unknown result; Test Name: blood work; Result Unstructured Data: Test Result:Unknown result; Test Name: EKG; Result Unstructured Data: Test Result:Unknown result
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- Medical History/Concurrent Conditions: Suspected COVID-19
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- MN
- Alter
- 86,0
- Geschlecht
- F
- Eingang
- 25.07.2022
- Impfdatum
- 25.07.2022
- Beginn
- 25.07.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- IM / LA
Tod: ja
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Death
Dyspnoea
Respiratory arrest
Walking aid user
Symptomtext
Patient arrived to vaccinating nurse and was SOB, nurse asked caregiver why she was SOB, Caregiver stated this is normal for patient as she has a history of anxiety and SOB. Nurse vaccinated patient. Patient used her walker and sat down in the lobby next to her caregiver then a few minutes later stopped breathing. 911 was called, she had a DNR, there was no swelling of her face or lips.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Death
- Hospital-Tage
- -
- Labordaten
- None, she was a DNR and died on arrival of paramedics.
- Aktuelle Erkrankungen
- Shortness of Breath, Disoriented
- Vorgeschichte
- Heart Failure, Anxiety disorder, Disorientation, Shortness of Breath, Acute Pulmonary edema, Hypertension, Dementia,
- Andere Medikamente
- unknown
- Allergien
- none known
- Vorherige Impfungen
- -
- Staat
- IN
- Alter
- 80,0
- Geschlecht
- F
- Eingang
- 23.07.2022
- Impfdatum
- 18.07.2022
- Beginn
- 19.07.2022
- Tage bis Beginn
- 1,0
- Dosis
- 3
- Route/Site
- IM / RA
Tod: ja
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Cardioversion
Death
Pulse absent
Respiratory arrest
Resuscitation
Unresponsive to stimuli
Symptomtext
Day after received 1st booster dose, at 12:17 pm resident was found with head slumped to the side and no response from resident, no pulse or respirations noted. 12:18 pm CPR was initiated, 911 called, AED and code cart grabbed. 12:20 pm AED applied shock advised no response, CPR continued. Two other shocks advised and no response, CPR continues. 12:33 pm Medics arrived and took over CPR. 12:48 Time of death called by medics.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Death
- Hospital-Tage
- -
- Labordaten
- None
- Aktuelle Erkrankungen
- shortness of breath, weakness
- Vorgeschichte
- COPD, angina, GERD, edema, hyperlipidemia, CHF, hypothyroidism, GAD, pressure ulcers, left bundle-branch block, hyperkalemia, cardiac pacemaker, HTN
- Andere Medikamente
- Aspirin 81mg, Lexapro 5mg, Atrovent HFA, Bisoprolol, Tylenol, Levothyroxine, Tums, Protonix, Dulcolax suppository, Senna tablet
- Allergien
- No known allergies
- Vorherige Impfungen
- -
- Staat
- IN
- Alter
- 95,0
- Geschlecht
- M
- Eingang
- 01.07.2022
- Impfdatum
- 30.06.2022
- Beginn
- 01.07.2022
- Tage bis Beginn
- 1,0
- Dosis
- 4
- Route/Site
- IM / RA
Tod: ja
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Death
Respiratory arrest
Symptomtext
No previous reaction from vaccine, found resident without respirations at 7:20 am. Resident had been up to bathroom through the night with no complaints. Resident died.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Death
- Hospital-Tage
- -
- Labordaten
- none
- Aktuelle Erkrankungen
- Pneumonia previously
- Vorgeschichte
- Atherosclerotic heart, CAD, HTN, hyperlipidemia, hx MI, chronic systolic heart failure, polyosteoarthritis,
- Andere Medikamente
- Acetaminophen, ASA, Atorvastatin, Vitamin D, Carvedilol, Docusate, Donepezil, Finasteride, Flunisolide, Furosemide, Ipratropium-Albuteral Solution, Lisinopril, Melatonin, Miralax, Potassium Chloride, Tamsulosin.
- Allergien
- Lactose intolerant
- Vorherige Impfungen
- -
- Staat
- MI
- Alter
- 72,0
- Geschlecht
- M
- Eingang
- 06.02.2023
- Impfdatum
- 13.08.2022
- Beginn
- 04.12.2022
- Tage bis Beginn
- 113,0
- Dosis
- 4
- Route/Site
- - / -
Tod: ja
Lebensbedrohlich: unbekannt
Hospital: ja
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Acute kidney injury
Acute respiratory distress syndrome
Bacteraemia
Fungaemia
Haemofiltration
Symptomtext
Hospital Principal Problem (Discharge Diagnoses): Acute renal failure, unspecified acute renal failure type (CMS/HCC) ARDS Fungemia Bacteremia Acute renal failure requiring CRRT
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Acute respiratory distress syndrome
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 24,0
- Geschlecht
- M
- Eingang
- 09.01.2023
- Impfdatum
- 14.08.2022
- Beginn
- 20.08.2022
- Tage bis Beginn
- 6,0
- Dosis
- 1
- Route/Site
- SYR / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: ja
Erholt: nein
Angina pectoris
Blood test normal
Electrocardiogram abnormal
Fear
Immunisation reaction
Pericarditis
Stress
Symptomtext
After one week I was feeling heart pain. I went to the hospital, and they didn't help. Ran my vitals, told me I was doing alright. I went to a family doctor for a second opinion. He diagnosed me with vaccine mediated pericarditis? and advised I not receive further mRNA covid vaccines. He advised me to take anti-inflammatory drugs and said my condition should return to normal after 2-3 weeks. This was in September 2022. My condition improved past those two weeks, but I am still experiencing heart pain in January. I would really like to see a cardiologist as I have never experienced any heart pain before, but as a young adult without insurance I cannot afford to do so. I fear this Covid vaccine has shortened my life. It has definitely added a new fear and stress that was not there prior to my vaccine.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Pericarditis
- Hospital-Tage
- -
- Labordaten
- EKG - came back abnormal; Blood work - came back normal; This is the best of my knowledge on the subject as of now.
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- Asthma
- Andere Medikamente
- None
- Allergien
- None
- Vorherige Impfungen
- -
- Staat
- WA
- Alter
- 77,0
- Geschlecht
- F
- Eingang
- 26.09.2022
- Impfdatum
- 09.09.2022
- Beginn
- 11.09.2022
- Tage bis Beginn
- 2,0
- Dosis
- 6
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: ja
Erholt: nein
Electric shock sensation
Fatigue
Inflammation
Insomnia
Metabolic function test
Muscle twitching
Pruritus
Vitamin B12 increased
Symptomtext
Progrerssively worsening systemic inflammatory response with severe all-over itching, exhaustion, inability to sleep, neurological shocks and twitches
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Electric shock sensation
- Hospital-Tage
- -
- Labordaten
- Metabolic panel, normal except slightly elevated B12 level
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- osteoarthritis, hypothyroidism, chronic pain, acontractile bladder
- Andere Medikamente
- estrogen, conerta, synthroid, levothyroxine
- Allergien
- sulfa, scallops, epinephrine, NSAIDs
- Vorherige Impfungen
- -
- Staat
- NY
- Alter
- 16,0
- Geschlecht
- M
- Eingang
- 22.09.2022
- Impfdatum
- 22.09.2022
- Beginn
- 22.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Dizziness
Skin discolouration
Syncope
Symptomtext
syncope, dizziness, change of color of skin (became yellow)
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Syncope
- Hospital-Tage
- -
- Labordaten
- called emergency number. they came to evaluate him
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- CO
- Alter
- 84,0
- Geschlecht
- M
- Eingang
- 29.08.2022
- Impfdatum
- 28.08.2022
- Beginn
- 28.08.2022
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Hypotension
Intensive care
Lethargy
Symptomtext
Required transfer to ICU due to hypotension and lethargy. Patient had been cleared for DC prior to vaccine.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Intensive care
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- IL
- Alter
- 37,0
- Geschlecht
- F
- Eingang
- 24.08.2022
- Impfdatum
- 08.08.2022
- Beginn
- 09.08.2022
- Tage bis Beginn
- 1,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Blister
Dysarthria
Eyelid disorder
Facial paralysis
Hypoaesthesia oral
Lymph node pain
Lymphadenopathy
Mobility decreased
Pain
Pustule
Tenderness
Symptomtext
White pus filled blisters on right-side of tongue, which were very painful. After 4-5 days half of my tongue became numb. Nothing tasted right. 2 days ago, the entire right-side of my face paralyzed and tender to the touch. My eye lid won't blink. I can't use a straw. I can't smile. I'm slurring my words. All my lymph nodes swollen and sore.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Facial paralysis
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- IN
- Alter
- 12,0
- Geschlecht
- F
- Eingang
- 22.08.2022
- Impfdatum
- 10.08.2022
- Beginn
- 10.08.2022
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: ja
Erholt: ja
Confusional state
Hyperhidrosis
Pain in extremity
Pallor
Presyncope
Syncope
Wheelchair user
Symptomtext
After applying the band aid following the last immunization (Tdap), Patient fainted in her chair for about 3 seconds. Other nurses were called by CMA and mother. Patient was waking up but confused. Patient was diaphoretic and pale. Blood pressure was monitored as well as O2 and heart rate. Patient was given sips of coca cola and a couple bites of a muffin. Patient started to feel better and was complaining of arm pain. Mom was asked if she would like an ambulance called to transport to the ER and she opted to drive her herself. Patient was helped into a wheelchair and was taken to ER by parents. The next day, we called mom to find out how she was. Mom said the Doctor didn't think it was a vaccine reaction. They thought it was a vasovagal reaction. They gave her the ok to continue getting he vaccinations but to lay down in the future to prevent this from occuring.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Presyncope
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- None
- Andere Medikamente
- None
- Allergien
- None
- Vorherige Impfungen
- -
- Staat
- CA
- Alter
- 14,0
- Geschlecht
- F
- Eingang
- 15.08.2022
- Impfdatum
- 12.08.2022
- Beginn
- 12.08.2022
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Confusional state
Eye movement disorder
Syncope
Tremor
Symptomtext
Eyes rolled back, shaking, fainted for 5 seconds, regained consciousness, and was confused on what happened
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Syncope
- Hospital-Tage
- -
- Labordaten
- n/a
- Aktuelle Erkrankungen
- NONE
- Vorgeschichte
- NONE
- Andere Medikamente
- NONE
- Allergien
- NONE
- Vorherige Impfungen
- -
- Staat
- FL
- Alter
- 18,0
- Geschlecht
- M
- Eingang
- 03.08.2022
- Impfdatum
- 03.08.2022
- Beginn
- 03.08.2022
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Dizziness
Dyspnoea
Immediate post-injection reaction
Loss of consciousness
Nausea
Syncope
Vomiting
Symptomtext
Pfizer administered in left deltoid, then influenza administered in right deltoid. Patient immediately fainted after influenza vaccine. Once patient was seated, he immediately regained consciousness, breathing was regulated and he was able to speak. However, he was dizzy and nauseous. He vomited once. He was then given crackers, water and wet napkins for his face/neck. After being monitored for about ~30 minutes, he was physically able to walk out of the pharmacy. No medication administration, CPR or further healthcare was necessary. I called to check on patient at 18:30 (4 hours after he left the pharmacy). He was better, having no further events.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Loss of consciousness
- Hospital-Tage
- -
- Labordaten
- None.
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- None
- Andere Medikamente
- None
- Allergien
- Amoxicillin
- Vorherige Impfungen
- -
- Staat
- NH
- Alter
- 14,0
- Geschlecht
- M
- Eingang
- 02.08.2022
- Impfdatum
- 29.07.2022
- Beginn
- 29.07.2022
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Dizziness
Flushing
Hyperhidrosis
Loss of consciousness
Syncope
Unresponsive to stimuli
Symptomtext
Systemic: Dizziness/Lightheadedness-Severe, Systemic: Fainting/Unresponsive-Medium, Systemic: Flushed/Sweating-Medium, Additional Details: Patient had syncopal episode when walking away from vaccination area. Patient became conscious after 10 seconds of unresponsiveness. Patient hydrated and given food. Rested 30 minutes prior to leaving the pharmacy. After 6 hours, patient maintained that they are feeling well and not exhibiting any similar symptoms.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Loss of consciousness
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- FL
- Alter
- 57,0
- Geschlecht
- F
- Eingang
- 01.08.2022
- Impfdatum
- 27.07.2022
- Beginn
- 27.07.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: ja
Disable: unbekannt
ER: unbekannt
Erholt: nein
Dizziness
Syncope
Unresponsive to stimuli
Symptomtext
Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Severe, Additional Details: patient waited for few minutes after getting vaccinated while her husband got his vaccine, then they both left immunization area to shop the store
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Syncope
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- CT
- Alter
- 12,0
- Geschlecht
- M
- Eingang
- 26.07.2022
- Impfdatum
- 22.07.2022
- Beginn
- 22.07.2022
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: ja
Erholt: ja
Anaphylactic reaction
Chills
Dysphagia
Dyspnoea
Rash
Throat tightness
Tremor
Symptomtext
Systemic: Allergic: Anaphylaxis-Severe, Systemic: Allergic: Difficulty Breathing-Medium, Systemic: Allergic: Difficulty Swallowing, Throat Tightness-Medium, Systemic: Allergic: Rash (specify: facial area, extremeties)-Severe, Systemic: Allergic: Rash Generalized-Severe, Systemic: Chills-Medium, Systemic: Shakiness-Medium
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Anaphylactic reaction
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- AZ
- Alter
- 12,0
- Geschlecht
- M
- Eingang
- 12.07.2022
- Impfdatum
- 07.07.2022
- Beginn
- 08.07.2022
- Tage bis Beginn
- 1,0
- Dosis
- 3
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Chills
Gait inability
Lymphadenopathy
Malaise
Nausea
Pain
Pain in extremity
Pallor
Pyrexia
Rash
Rash pruritic
Skin warm
Syncope
Tenderness
Urticaria
Symptomtext
He got a shot Thursday, late that evening I noticed a quarter sized welt on his arm where he got the shot. The next morning, he had a sore arm and intense nausea, very faint, was unable to walk, lost color in his lips. I sat him down and wheeled him into the bathroom. Called the pediatric clinic. They told me to call the PCP. He was shivering but not cold, that lasted 5 minutes. They said TYLENOL and cold compress. We did that and the next day he was a little sick to his stomach and sore, swollen lymph node under the arm. He had a low grade fever. By Sunday, the place on his arm had grown to two inches and itchy and warm to the touch. He took BENADRYL, as per the pediatrician. On Monday, the spot was three inches and still pink. It was warm and painful to the touch. We did a virtual telehealth. She put him on an antibiotic three times a day for seven days. She mentioned the injection site may be too low.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Syncope
- Hospital-Tage
- -
- Labordaten
- N/A
- Aktuelle Erkrankungen
- N/A
- Vorgeschichte
- N/A
- Andere Medikamente
- N/A
- Allergien
- Cow milk
- Vorherige Impfungen
- -
- Staat
- -
- Alter
- 66,0
- Geschlecht
- F
- Eingang
- 22.12.2023
- Impfdatum
- 15.07.2022
- Beginn
- 14.10.2023
- Tage bis Beginn
- 456,0
- Dosis
- 3
- Route/Site
- - / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: ja
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Abdominal pain
Blood culture
Blood lactic acid
COVID-19
Chest X-ray normal
Computerised tomogram abdomen abnormal
Cough
Culture urine
Diarrhoea
Ejection fraction normal
Escherichia infection
Hepatitis viral test negative
Hepatomegaly
Hypertension
Implantable cardiac monitor insertion
Lipase normal
Liver function test normal
Pathology test
Symptomtext
Patient is a 67 y.o. female patient of MD with history of A-fib, factor XI deficiency, cerebral palsy, CAD, COPD presented to Medical Center with cough, diarrhea and fevers. Sepsis due to Covid -19 virus, sepsis now resolved Tmax 101.7, tachycardic, tachypneic, WBC 4.14, LA 1.2 CXR with no acute process Possible source: UTI, more likely 2/2 COVID Blood cxs collected before abx, urine cxs collected after abx S/p CTX in ED, UA unremarkable, S/p 1 L bolus Completed Keflex Covid-19 Virus Infection Date of onset of symptoms: 10/12 Symptoms present on admission: yes Date of covid positive test: 10/14 Vaccination status: vaccinated Imaging: negative CXR Oxygen requirements on admission: was on 2L but for comfort, not hypoxic Current oxygen requirements: none Medical therapy: remdesivir Consultants following: ID Anticipated special isolation end date: 10/22 E. Coli UTI 10/10/2023 Ucx with pan-susceptible E.coli Treated with keflex outpatient (last day 10/16) Symptoms have largely resolved, no dysuria, does report urinary frequency UA unremarkable on admission S/p one dose CTX in ED Completed Keflex Chronic RLE DVT Noted since at least 2018 Continue home eliquis Left sided abdominal pain - resolved CT AP without left sided intraabdominal pathology Lipase wnl Hepatomegaly Noted on CT LFTs wnl 10/10/2023 Hep panel negative Can check US Abdomen o/p Sinus pauses Loop recorder placed 10/3, found to have sinus pauses, no evidence of A-fib Follows with cardiology outpatient HTN Hypertensive to 150s on admission Continue home amlodipine, imdur CAD NM Stress 4/2023 without inducible ischemia, normal LVSF EF 66% Continue home ASA, statin COPD Not in exacerbation Continue home albuterol, flovent Hx of cerebral palsy Lives alone in apartment Dispo PT/OT recs c/w SNF;however, pt. Refusing adamantly Agrees to HHC
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Hypertension
- Hospital-Tage
- 3,0
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- -
- Alter
- 60,0
- Geschlecht
- F
- Eingang
- 26.07.2023
- Impfdatum
- 28.08.2022
- Beginn
- 04.02.2023
- Tage bis Beginn
- 160,0
- Dosis
- 4
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: ja
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Hypotension
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Hypotension
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- MI
- Alter
- 75,0
- Geschlecht
- M
- Eingang
- 27.03.2023
- Impfdatum
- 01.08.2022
- Beginn
- 20.03.2023
- Tage bis Beginn
- 231,0
- Dosis
- 3
- Route/Site
- - / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: ja
Disable: unbekannt
ER: unbekannt
Erholt: ja
Abdominal discomfort
Asthenia
Atrioventricular block first degree
Bacterial test negative
COVID-19
Culture urine
Dizziness
Echocardiogram
Electrocardiogram abnormal
Fall
Full blood count normal
Hypotension
Metabolic function test normal
Orthostatic hypotension
SARS-CoV-2 test positive
Sinus rhythm
Substance use
Urinary system X-ray
Symptomtext
Admission Date: 3/20/2023 Discharge Date: 3/21/2023 PRESENTING PROBLEM: Orthostatic hypotension Hypotension HOSPITAL COURSE: Patient is a 75 y.o. male with past medical history of syncope, paroxysmal atrial fibrillation, OSA, idiopathic hypotension, BPH, urinary incontinence, migraine headaches, hypertension, COPD and GERD. Follows with cardiology and urology. He was admitted to hospital 6/2022 after a syncope and collapse- at discharge cardiology consulted with midodrine increased from 2.5 mg BID to 5 mg BID. He has had several syncopal episodes over the last 6 years. Patient presented on 3/20/2023 with lightheaded and generalized weakness. Reports he took his morning medications around 5 am then checked his blood pressure around 7 am in the bathroom. States SBP 40s-50s with heart rate 60s. He then stood up where he became lightheaded and generally weak that led to a fall. Denies racing heart rate or flutters. Reports he was COVID positive last week and still feeling weak. He was given antiviral medications which he was unable to tolerate due to side effects. Denies chest pain. Denies fever or chills. Denies abdominal pain. Denies nausea or vomiting. Reports using marijuana/CBD monthly. In the ER, patient arrived hemodynamically stable. Orthostatic vitals- laying 98/73, sitting 88/66, standing 70/41. 500 ml IV fluids given. CMP and CBC unremarkable. EKG:Sinus rhythm with 1st degree AV block. Expressing abdominal discomfort to ER physician- KUB no significant findings. UA small leukocytes, negative urine bacteria. Denied urinary symptoms, Urine culture sent. History of chronic UTI, on Macrobid nightly. The patient was admitted and placed on IV fluids. HIs home dose of midodrine was increased from 5mg BID to 5mg TID. His BP remained stable on this regimen and he was still able to continue taking entresto for underlying heart failure. His symptoms resolved entirely prior to discharge. A limited echocardiogram was obtained but was a very poor study so unable to assess valves or LVEF. Would recommend being outpatient appointment for complete echo in April. The patient worked with physical therapy and occupational therapy note that he is at his baseline and appropriate to discharge home.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Hypotension
- Hospital-Tage
- 2,0
- Labordaten
- -
- Aktuelle Erkrankungen
- 8/1/2023 UTI
- Vorgeschichte
- Snoring OSA (obstructive sleep apnea) Complete rotator cuff tear, right Risk for falls Back pain Spinal stenosis in cervical region Need for desensitization to allergens Headache Hyperlipidemia Depression Environmental allergies Seborrheic keratoses Umbilical hernia without obstruction and without gangrene Paroxysmal atrial fibrillation (HCC) Essential hypertension Asthma PVC (premature ventricular contraction) Venous (peripheral) insufficiency Tension headache Neck pain Pulmonary emphysema, unspecified emphysema type (HCC) Syncope and collapse Closed fracture of right femur (HCC) Effusion of bursa of knee, right Aortic ectasia (HCC) Closed displaced fracture of medial condyle of right femur (HCC) H/O colonoscopy Idiopathic hypotension Cervical stenosis of spinal canal BPH with obstruction/lower urinary tract symptoms Symptomatic cholelithiasis Renal calculus, right Gastroesophageal reflux disease without esophagitis Dry mouth Dry eyes Anemia due to other cause, not classified Suicidal ideation Anxiety as acute reaction to exceptional stress Rupture of left quadriceps tendon S/P cervical spinal fusion Cervical spondylosis Urinary tract infection Nonischemic cardiomyopathy (HCC) History of UTI Constipation, unspecified constipation type Abnormal posture Generalized weakness Dry eye syndrome of unspecified lacrimal gland Major depressive disorder, recurrent, mild (HCC) Obesity, unspecified Other seasonal allergic rhinitis Presence of right artificial knee joint Unsteadiness on feet Hypotension COVID-19
- Andere Medikamente
- albuterol HFA (PROVENTIL HFA, VENTOLIN HFA, PROAIR HFA) 108 (90 Base) MCG/ACT inhaler allergy serum cholecalciferol (VITAMIN D3) 125 MCG (5000 UT) tablet ciclopirox (LOPROX) 0.77 % cream flecainide (TAMBOCOR) 50 MG tablet fluticasone (FLONA
- Allergien
- Adhesive TapeRash Cats Dust Eliquis [Apixaban] Environmental Hmg-coa-r Inhibitors Pollen StatinsMyalgia
- Vorherige Impfungen
- -
- Staat
- FL
- Alter
- 52,0
- Geschlecht
- M
- Eingang
- 10.02.2023
- Impfdatum
- 11.08.2022
- Beginn
- 11.08.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- SYR / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Chest pain
Weight decreased
Symptomtext
It kind of built up I just noticed it more lately. The chest pain has moved over from my left side to my right. Over the last month and a half I have cut my metoprolol dose in half and here lately having these chest pains I do not understand as I have been healthy my whole life I am loosing weight as I know this is a factor as well and now I am back to normal weight or almost to where I should be.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Chest pain
- Hospital-Tage
- -
- Labordaten
- None
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- Sleep Apnea
- Andere Medikamente
- Amlodipine; metoprolol
- Allergien
- None
- Vorherige Impfungen
- I felt like I had gotten the flu with chills and a headache age 50 03/24/2021 COVID-19 Pfizer. I had another reaction just like
- Staat
- NY
- Alter
- 61,0
- Geschlecht
- M
- Eingang
- 05.01.2023
- Impfdatum
- 06.07.2022
- Beginn
- 08.07.2022
- Tage bis Beginn
- 2,0
- Dosis
- 4
- Route/Site
- SYR / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Ageusia
COVID-19
Chills
Cough
Dyspnoea
Hypotension
Loss of personal independence in daily activities
Pain
Pyrexia
Respiratory tract congestion
Rhinorrhoea
SARS-CoV-2 test positive
Secretion discharge
Symptomtext
My COVID-19 infection started on 07/08/2022 in the morning around 08:00AM. I had fever 102.00, chills, body aches, loss of taste, cough, congestions, and runny nose. My blood pressure was very low. Within few days I started experiencing breathing issue. I did 2 different home COVID-19 test which were positive. I called my doctor who prescribe me with prednisone for 10 days. I also took guaifenesin 2 times for the mucus. Since July I am experiencing breathing problem. It's becoming an obstacle for me to function daily life. Everything has been so difficult with the breathing issue from COVID-19 infection. Now I have a Cardiologist.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Dyspnoea
- Hospital-Tage
- -
- Labordaten
- 05JAN2023 COVID-19 test positive
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- COPD; Asthma
- Andere Medikamente
- Rosuvastatin; amlodipine
- Allergien
- Seasonal allergies
- Vorherige Impfungen
- -
- Staat
- CA
- Alter
- 33,0
- Geschlecht
- F
- Eingang
- 22.12.2022
- Impfdatum
- 28.06.2022
- Beginn
- 12.12.2022
- Tage bis Beginn
- 167,0
- Dosis
- 3
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: ja
Erholt: nein
Ageusia
Anosmia
COVID-19
Chest pain
Cough
Delivery
Dyspnoea
Fatigue
Feeling of body temperature change
Headache
Impaired work ability
Nausea
Painful respiration
Premature labour
Pyrexia
SARS-CoV-2 test positive
Vomiting
Symptomtext
Date of delivery reported 7 pounds 1 ounce. Late July I went into early labor and my inhaler wasn't working and I couldn't breath so I went to the emergency department. They were able to stop labor. On December 12, 2022, I was nauseous and throwing up and was sent home from work. I tested positive for COVID-19. December 14th, I visited the doctor and confirmed test results. I was prescribed PAXLOVID for 5 days. My symptoms are cough, headache, fatigue, diarrhea, loss of taste and smell, and trouble breathing. I also had a fever for a couple of days and was freezing cold and burning hot. I still have cough and headache and my chest hurts when I breath.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Chest pain
- Hospital-Tage
- -
- Labordaten
- COVID-19 home, positive, 12/15/2022
- Aktuelle Erkrankungen
- N/A
- Vorgeschichte
- Asthma; acid reflux
- Andere Medikamente
- SINGULAIR; SYMBICORT; loratadine; NEXIUM; prenatal vitamin; TYLENOL; albuterol inhaler
- Allergien
- Cats; dogs
- Vorherige Impfungen
- -
- Staat
- MI
- Alter
- 77,0
- Geschlecht
- M
- Eingang
- 21.12.2022
- Impfdatum
- 30.07.2022
- Beginn
- 11.10.2022
- Tage bis Beginn
- 73,0
- Dosis
- 4
- Route/Site
- - / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: ja
Disable: unbekannt
ER: unbekannt
Erholt: ja
Acute kidney injury
COVID-19
Influenza virus test
Leukocytosis
Pneumonia
Respiratory syncytial virus test
SARS-CoV-2 test positive
Troponin increased
Symptomtext
Date of Admission: 10/11/2022 Date of Discharge: 10/14/2022 Admission Diagnosis: Community acquired pneumonia, unspecified laterality [J18.9] Hospital Principal Problem (Discharge Diagnoses): AKI (acute kidney injury) (CMS/HCC) All Hospital Problems (Other Diagnoses): Active Hospital Problems Diagnosis o Principal Problem: AKI (acute kidney injury) (CMS/HCC) o COVID-19 o Leukocytosis o Elevated troponin o Type 2 diabetes mellitus without complication, without long-term current use of insulin (CMS/HCC) o Essential hypertension
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Pneumonia
- Hospital-Tage
- -
- Labordaten
- 10/11 Covid-19, Flu, RSV by NAA SARS-CoV-2 -COVID-19 Positive
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- KS
- Alter
- 69,0
- Geschlecht
- M
- Eingang
- 21.11.2022
- Impfdatum
- 15.08.2022
- Beginn
- 07.09.2022
- Tage bis Beginn
- 23,0
- Dosis
- 4
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Chest pain
Cough
Pulmonary congestion
SARS-CoV-2 test negative
Symptomtext
It started with a bad cough I am pretty sure I got it around 9/9/2022 I knew was getting something I only had the cough. Then I went to the doctor on 10/3 and I was positive because the cough wouldn't go away, and my lungs kept running. They prescribed antibiotic doxycycline, benzonatate and inhaler. I had to go back on the 17th, and they gave more benzonatate and a cough medication. I tested at home, and it was negative. My lungs had stop burning I and still on the inhaler and I also take cough drops. I didn't test until the 28 and 30 and they were both negative.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Chest pain
- Hospital-Tage
- -
- Labordaten
- COVID-19 test
- Aktuelle Erkrankungen
- N/A
- Vorgeschichte
- Diabetic
- Andere Medikamente
- Metformin; ramipril; atorvastatin; glipizide ER
- Allergien
- N/A
- Vorherige Impfungen
- -
- Staat
- CA
- Alter
- 24,0
- Geschlecht
- F
- Eingang
- 06.10.2022
- Impfdatum
- 05.10.2022
- Beginn
- 06.10.2022
- Tage bis Beginn
- 1,0
- Dosis
- 2
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Dry throat
Fatigue
Paraesthesia
Symptomtext
Tingling in left arm, dry throat, fatigue
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Paraesthesia
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- No
- Vorgeschichte
- No
- Andere Medikamente
- No
- Allergien
- No
- Vorherige Impfungen
- -
- Staat
- PA
- Alter
- 48,0
- Geschlecht
- F
- Eingang
- 25.09.2022
- Impfdatum
- 18.07.2022
- Beginn
- 19.07.2022
- Tage bis Beginn
- 1,0
- Dosis
- 3
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: ja
Erholt: ja
Blood test abnormal
Hypotension
Infection
Injection site erythema
Injection site pain
Injection site swelling
Pain
Pyrexia
Symptomtext
Site: Pain at Injection Site-Medium, Site: Redness at Injection Site-Medium, Site: Swelling at Injection Site-Medium, Systemic: Fever-Severe, Systemic: Hypertension-Medium, Additional Details: Patient described 104 degree fever the day after vaccination and pain/swelling radiating down arm from injection site and armpit. Never had reaction to previous 2 Pfizer vaccines. She went to ER when fever did not subside. Bloodwork was performed and patient was diagnosed with an infection where she was treated with Zpak and has since recovered. May be due to poor technique/cleanliness from immunizer and site.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Hypotension
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- NY
- Alter
- 59,0
- Geschlecht
- F
- Eingang
- 21.09.2022
- Impfdatum
- 21.09.2022
- Beginn
- 21.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 2
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: ja
Erholt: nein
Injection site pain
Paraesthesia
Patient uncooperative
Screaming
Visual impairment
Symptomtext
PRIOR TO THE VACCINE, PATIENT WAS NERVOUS AND SCARED OF THE NEEDLE. I ASKED THE PATIENT WHICH ARM THEY WANTED THE VACCINE IN, AND PROCEDED TO ADMINISTER THE VACCINE, AFTER CLEANING THE INJECTION SITE (RIGHT DELTOID). THE PATIENT MADE JERK MOVEMENT (DID NOT STAY STILL) UPON THE INJECTION OF THE VACCINE, LET OUT A VERY LOUD SCREAM, CLAIMED TO SEE STARS AND CLAIMED TO HAVE EXPERIENCED "THE MOST PAINFUL VACCINE MOMENT OF HER LIFE." SHE NOTICED A TINGLING SENSATION IN HER ARM IMMEDIATELY.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Paraesthesia
- Hospital-Tage
- -
- Labordaten
- N/A
- Aktuelle Erkrankungen
- UNKNOWN
- Vorgeschichte
- UNKNOWN
- Andere Medikamente
- ESCITALOPRAM 10MG VITAMIN D 50,000 IU CAPSULE
- Allergien
- GARLIC POWDER AND ONION POWDER
- Vorherige Impfungen
- -
- Staat
- MN
- Alter
- 51,0
- Geschlecht
- M
- Eingang
- 20.09.2022
- Impfdatum
- 13.04.2021
- Beginn
- 09.09.2022
- Tage bis Beginn
- 514,0
- Dosis
- 4
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: ja
Disable: unbekannt
ER: unbekannt
Erholt: ja
COVID-19
Chest pain
Dyspnoea
SARS-CoV-2 test positive
Symptomtext
CHEST PAIN AND BREATHING PROBLEMS
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Chest pain
- Hospital-Tage
- 2,0
- Labordaten
- COVID POSITIVE TEST FOUR WEEKS PRIOR TO ADMISSION ON 9/15/22
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- Chronic lower back pain COVID-19 virus back pain Cervical spine pain Lumbar radiculopathy
- Andere Medikamente
- acetaminophen (TYLENOL ORAL)
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- MI
- Alter
- 67,0
- Geschlecht
- F
- Eingang
- 16.09.2022
- Impfdatum
- 31.08.2022
- Beginn
- 12.09.2022
- Tage bis Beginn
- 12,0
- Dosis
- 4
- Route/Site
- SYR / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: ja
Erholt: nein
COVID-19
Cough
Dyspnoea
Exposure to SARS-CoV-2
Headache
Malaise
Myalgia
Oropharyngeal pain
SARS-CoV-2 test positive
Symptomtext
The symptoms are still going. My daughter and grandson became sick on Saturday 9/10 they both woke up with high fevers. I started getting sick on Monday 9/12 night. My daughter tested positive for COVID-19 on 9/13. The baby wasn't tested but confirmed positive. I started getting sick Monday night 9/12. I had shortness of breather, dry cough, headache, muscle aches and pains, sore throat. I did not have a fever. I spoke to my Dr. on Wednesday. I will got the monoclonal antibody 9/15 in the morning. I'm also on steroids and antibiotics. I still have all of the same symptoms, no fever. Nothing has improved yet.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Dyspnoea
- Hospital-Tage
- -
- Labordaten
- PCR test COVID-19- positive - Wednesday 9/14
- Aktuelle Erkrankungen
- No
- Vorgeschichte
- Asthma; Calcium Leaking Syndrome; Neuromyotonia
- Andere Medikamente
- Tegretol;Symbicort; Singular; Moduiretic; Aspirin`
- Allergien
- Bactrim
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 32,0
- Geschlecht
- F
- Eingang
- 01.09.2022
- Impfdatum
- 07.07.2022
- Beginn
- 07.07.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: ja
Erholt: ja
Arrhythmia
Blood thyroid stimulating hormone
Discomfort
Electrocardiogram abnormal
Electrocardiogram ambulatory
Extrasystoles
Full blood count
Myocardial necrosis marker
Palpitations
Symptomtext
On the night I received the vaccine I started having continuous heart palpitations. They did not stop and were causing me a lot of discomfort. I have had a cardiac work up in the past, which was all clear. I contacted my cardiologist and she had me come in for an EKG. The EKG showed bigeminy and trigeminy. She prescribed me metoprolol 25 mg BID, but it didn't help. It was worsening over the course of several days and I went to the hospital because I was in so much discomfort and on repeated EKGs the irregular rhythm continued. While in the EKG they gave me IV labetalol and made a referral to an electrophysiologist. They put me on a Holter monitor for continuous monitoring for 5 days. By the time I had my appointment with the EP the palpitations had mostly subsided. The irregular rhythm lasted 2 weeks continuously, then stopped spontaneously after 2 weeks and I haven't had them since.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Arrhythmia
- Hospital-Tage
- -
- Labordaten
- EKG, CBC, CMP, cardiac enzymes, TSH - all around 7/12
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- Bipolar disorder, migraines
- Andere Medikamente
- Lamotrigine 300 mg, Quetiapine 200 mg
- Allergien
- NKDA
- Vorherige Impfungen
- -
- Staat
- TN
- Alter
- 62,0
- Geschlecht
- M
- Eingang
- 19.08.2022
- Impfdatum
- 29.07.2022
- Beginn
- 17.08.2022
- Tage bis Beginn
- 19,0
- Dosis
- 4
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: ja
Erholt: nein
Computerised tomogram
Dizziness
Dyspnoea
Nausea
Pain
Pyrexia
Symptomtext
I had right side pain fever of 101 shortness of breath and nausea with dizziness including pain
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Dyspnoea
- Hospital-Tage
- -
- Labordaten
- Cat scan
- Aktuelle Erkrankungen
- No
- Vorgeschichte
- Rheumatoid arthritis Soria tic arthritis High blood pressure and high cholesterol Diabetes Long Covid
- Andere Medikamente
- Janumet Jardiance Trulicity Leucovorin calcium Leflunomide Folic acid Lisinopril Pantoprazole Vitamin E fish oil Sucralfate Tamsulosin Gabapentin Aspirin
- Allergien
- Robinul Clendomiocin
- Vorherige Impfungen
- Dose 3 Moderna
- Staat
- MI
- Alter
- 55,0
- Geschlecht
- F
- Eingang
- 16.08.2022
- Impfdatum
- 16.07.2022
- Beginn
- 03.08.2022
- Tage bis Beginn
- 18,0
- Dosis
- 4
- Route/Site
- - / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: ja
Disable: unbekannt
ER: unbekannt
Erholt: ja
Acute kidney injury
Blood creatinine increased
Blood potassium increased
COVID-19
Condition aggravated
Cough
Fluid intake reduced
Glomerular filtration rate decreased
Headache
Hyperkalaemia
Hypertransaminasaemia
Laboratory test abnormal
Oropharyngeal pain
Paranasal sinus discomfort
Respiratory tract congestion
SARS-CoV-2 test positive
Symptomtext
Discharge Provider: DO Primary Care Provider at Discharge: MD Admission Date: 8/3/2022 Discharge Date: 8/5/2022 DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Hyperkalemia [E87.5] Acute kidney injury [N17.9] Patient is a 55 y.o. female with PMH of HTN and DM who presented to the ED on 8/3 due to AKI and hyperkalemia on outpatient labs. Patient developed sinus pressure, HA, congestion, sore throat and dry cough on 8/1. She then took a home COVID test on 8/2 which was positive. She had a virtual visit with her PCP on 8/2 at which time labs were checked in anticipation of starting Paxlovid and showed Cr 1.89 compared to baseline 0.8. Patient endorses low fluid intake for the past month or so. Diet has been normal but had not eaten prior to arrival in the ED today. In the ED, VS remained stable. Labs notable for Cr 2.02, K 6.1, eGFR 26. Mild tranaminitis. No imaging obtained. Patient was given IV fluids for her AKI as well as lasix, Ca gluconate and albuterol for her hyperkalemia. Patient is essentially asymptomatic at discharge
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Condition aggravated
- Hospital-Tage
- 2,0
- Labordaten
- -
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- AKI (acute kidney injury) COVID-19 Elevated liver enzymes Elevated d-dimer HTN (hypertension) Anemia Uncontrolled type 2 diabetes mellitus with diabetic polyneuropathy, without long-term current use of insulin Mixed diabetic hyperlipidemia associated with type 2 diabetes mellitus Former smoker Fear of needles Adopted Hyperkalemia
- Andere Medikamente
- Accu-Chek FastClix Lancets acetaminophen (TYLENOL) 500 MG tablet aspirin EC 81 MG enteric coated tablet atorvastatin (LIPITOR) 40 MG tablet Blood Glucose Monitoring Suppl (ONETOUCH VERIO) w/Device KIT blood glucose test strips glipiZIDE CR
- Allergien
- Cymbalta [Duloxetine]Nausea and Vomiting Gabapentin
- Vorherige Impfungen
- -
- Staat
- KY
- Alter
- 81,0
- Geschlecht
- M
- Eingang
- 16.08.2022
- Impfdatum
- 03.08.2022
- Beginn
- 04.08.2022
- Tage bis Beginn
- 1,0
- Dosis
- 4
- Route/Site
- - / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: ja
Disable: unbekannt
ER: ja
Erholt: nein
Asthenia
Blood test
Cardiac stress test
Chest X-ray
Electrocardiogram
Computerised tomogram
Echocardiogram
Fatigue
Feeling abnormal
Lethargy
Mobility decreased
Investigation
Ultrasound scan
Oxygen saturation decreased
Symptomtext
Lethargy; Fatigue; Couldn't pick himself up off the floor/he was on the floor and didn't have the strength to lift himself off the floor.; This is a spontaneous report received from contactable reporter (consumer or other non HCP). An 81-year-old male patient received BNT162b2 (PFIZER-BIONTECH COVID-19 VACCINE), on 03Aug2022 as dose 4 (booster), single (Lot number: FP7150) at the age of 81 years, in right deltoid for COVID-19 immunisation. The patient's relevant medical history included: "Diabetes" (ongoing), notes: Diagnosed for possibly 5-10 years; "Congestive heart failure", start date: Feb2021 (ongoing); "Cardiac stent within the last 20 years" (unspecified if ongoing); "Triple bypass In 1998 or 1999" (unspecified if ongoing); "TIA's" (unspecified if ongoing), notes: had multiple TIA's in the past that have worn away at his cognitive ability; "Pacemaker" (unspecified if ongoing), notes: Has a pacemaker, has had triple bypass and stents; "Covid-19" (unspecified if ongoing), notes: contracted Covid-19 prior to receiving any vaccines; "bowel regularity" (unspecified if ongoing); "pain" (unspecified if ongoing). Concomitant medications included: TAMSULOSIN; OMEPRAZOLE; METFORMIN; FUROSEMIDE; METHYL SALICYLATE; FERROUS SULFATE; BISOPROLOL oral; METAMUCIL [PSYLLIUM HYDROPHILIC MUCILLOID] taken for constipation prophylaxis; POTASSIUM CHLORIDE; LOSARTAN; ACETAMINOPHEN taken for pain; ATORVASTATIN; NITROGLYCERIN; ASPIRIN [ACETYLSALICYLIC ACID]. Vaccination history included: BNT162b2 (Dose 3); BNT162b2 (Dose 2); and BNT162b2 (Dose 1), all for COVID-19 immunization and reported the following reactions for all doses: "laid around a little more and was less active", "fatigue", "felt bad for a couple days", "lethargy" and "didn't feel well". The following information was reported: ASTHENIA (hospitalization) with onset 04Aug2022, outcome "recovering", described as "Couldn't pick himself up off the floor/he was on the floor and didn't have the strength to lift himself off the floor."; FATIGUE (hospitalization) with onset 04Aug2022, outcome "recovering"; LETHARGY (hospitalization) with onset 04Aug2022, outcome "recovering". The patient was hospitalized for lethargy, fatigue, asthenia (start date: 05Aug2022, discharge date: 09Aug2022, hospitalization duration: 4 days. The events required emergency room visit. The patient underwent the following laboratory tests and procedures: Blood test: Unknown results; Cardiac stress test: Unknown results; came back to be at baseline; Chest X-ray: Unknown results; Electrocardiogram: Unknown results; Labs: Unknown results; Ultrasound scan: Unknown results. Additional information: Metamucil: helps counteract constipation that can happen with the iron supplement. The patient had a pacemaker installed 1.5-2 years ago and rarely takes nitroglycerin anymore; possibly over a year since he's taken it. Vaccination Facility Type was a clinic and vaccine was not administered at facility. Fatigue and Lethargy occurred 24hours after vaccination. The adverse events AE(s) required a visit to the Emergency Room. The patient had no prior vaccinations (within 4 weeks). Similar type of reaction as far as lethargy and fatigue following the first three COVID-19 vaccines. The patient laid around a little more and was less active. Didn't feel well. Not close to this severity though. With the fourth dose, he was on the floor and didn't have the strength to lift himself off the floor. Ambulance personnel had to lift him off the floor when they arrived. This was a drastic difference in severity. Previous three vaccines were far less severe. The patient's son will definitely do some thinking before he takes the patient to get a fifth dose. People feel bad the day after the vaccines, but people know that the vaccine is protecting them from something worse. Clinical course: The patient's son was calling on behalf of his father in regards to the COVID-19 vaccine dose #4 or Booster dose #2, which ever it is referred to. The patient received 4th dose of vaccine on Wednesday, 03Aug2022 of last week. The following day, the patient had lethargy, fatigue, and couldn't pick himself up off the floor. On Friday morning, 05Aug2022 about 36hrs after the vaccine dose, the patient was taken to the hospital. The patient has been hospitalized since. Possible AE given onset of symptoms which started 24 hours after vaccination. Previously reported this possible AE to VAERS and felt it was reasonable to call Pfizer as well. The patient's son works in validation in pharmaceuticals and has a history of reviewing annual pharmaceutical reports. He is very patient and willing to help to assist Pfizer in the exploration of this instance and making the information aware to prevent something similar to this from happening again. He wants to aid in his father's recovery and prevent a similar event like this from occurring. His father's baseline is treated congestive heart failure (CHF). He feels like it may be worthwhile to include a warning to consider the risk versus benefit for patients who have the chronic heart conditions at baseline. His father's CHF was controlled. Has a pacemaker, has had triple bypass and stents. The patient has a long cardiac history that may have played a part in all this. CHF was being managed. Could this incident have been a baseline event, yes. Could the vaccine administration have contributed, yes. With the first 3 COVID-19 vaccine doses, it wasn't this bad. The patient's son wants Pfizer to know that making this report is not a knee jerk reaction. After doses 1-3 of the vaccine, his father felt bad for a couple days, but a lot of people do. Nothing severe or life threatening or anything like that. But this time, the severity, and the hospitalization 36hrs later are severe enough to warrant exploration of the specific vaccine lot or to consider the adverse event further and/or aggregate the data from cases like this. May need to consider revising the info sheet or consider whether dose 4 is recommended or not with similar patients. Trying to be transparent to aid in fathers' case but also get the word out to decrease the likelihood of something similar happening. Maybe a warning to physicians to consider something like this happening with other patients with similar health profiles to help them decide if further vaccination is warranted. The patient has since stabilized and improved. Forecasting to leave the hospital today, 09Aug2022 and to enter a rehab center. When an 81 year old man is in bed for 4 days, his strength erodes quickly, so he needs physical rehab to regain his strength. No later than tomorrow, the patient will move from hospital to rehab center. His vitals and testing suggest that it is safe to move from the hospital. The patient's son waited to see the data for his father's testing before making the report to Pfizer. Didn't want to burden Pfizer without cause. If his father had needed an angioplasty or his cardiac health had eroded, he wouldn't have called. But the stress test came back to be at his father's baseline. There hadn't been any further erosion or decline. Upon seeing that, he felt like the primary driver and a significant contributor was receipt of vaccine dose number 4 because his father's baseline health had not changed. It is important for Pfizer to know that the caller has been in pharmaceutical industry for 20 years and is not allowing politics to pollute sound science. He is calling just as a concerned engineer from the pharmaceutical company who is grateful and knows that investigations and changes can be done when robust reporting systems are in place. Knows that revisions are sometimes necessary as information is gained, PI sheet revisions, warnings, etc. He wants to evangelize appropriately and communicate with everyone to decrease the likelihood of an instance like what occurred with his father from happening again. He desires to have an open, transparent conversation with all stake holders to ensure that future decisions are made appropriately around the vaccine. Date, and Lot number for previous three vaccines is unknown at this time. He would need additional time to gather that information for his father but could retrieve the information if needed at a later date. Believes that third dose was administered on 19Aug2021, but unsure. Additional information: Dose #4: Date: 03Aug2022, Lot: FP7150, Site: Right Deltoid, Time of Day: around 3:30-3:45pm. No other vaccines. The patient contracted COVID-19 prior to receiving any vaccines. Since then, he has received the 4 doses of the vaccine. The patient was hospitalized and previously in rehab from that COVID infection. CHF is a real, chronic condition. The vaccine is not the sole cause. His dad's case could enable Pfizer to learn more about CHF and can better weigh the risk and reward to dose or not dose patients with these conditions. One of the biggest populations to protect against COVID are people in their 80's who have heart disease. Does his father's case warrant adding content to the PI sheet because of his level of cardiac function to question further doses based on preexisting cardiac conditions. Wants to be transparent and give knowledge of this event to take it into consideration for similar patients. Wants an outcome so he can be better informed. Knows that another dose update will come up. Will be faced with this decision again. Wants to help identify cause of what happened with his father and risk to dose or not to dose when another dose comes along.; Sender's Comments: Linked Report(s) : US-PFIZER INC-202201051461 same patient and different vaccine dose, different event separated in time;US-PFIZER INC-202201051462 same patient and different vaccine dose, different event separated in time;US-PFIZER INC-202201051463 same patient and different vaccine dose, different event separated in time;
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Mobility decreased
- Hospital-Tage
- 4,0
- Labordaten
- Test Name: blood work; Result Unstructured Data: Test Result:Unknown results; Test Name: stress test; Result Unstructured Data: Test Result:Unknown results; Test Name: stress test; Result Unstructured Data: Test Result:came back to be at baseline; Test Name: chest x-ray; Result Unstructured Data: Test Result:Unknown results; Test Name: EKG; Result Unstructured Data: Test Result:Unknown results; Test Name: Labs; Result Unstructured Data: Test Result:Unknown results; Test Name: echo; Result Unstructured Data: Test Result:Unknown results
- Aktuelle Erkrankungen
- Congestive heart failure; Diabetes (Diagnosed for possibly 5-10 years)
- Vorgeschichte
- Medical History/Concurrent Conditions: Bowel movement irregularity; Cardiac pacemaker insertion (Has a pacemaker, has had triple by pass and stents); Coronary stent stenosis; COVID-19 (contracted COVID-19 prior to receiving any vaccines); Pain; TIA (had multiple TIA's in the past that have worn away at his cognitive ability); Triple vessel bypass graft
- Andere Medikamente
- TAMSULOSIN; OMEPRAZOLE; METFORMIN; FUROSEMIDE; METHYL SALICYLATE; FERROUS SULFATE; BISOPROLOL; METAMUCIL [PSYLLIUM HYDROPHILIC MUCILLOID]; POTASSIUM CHLORIDE; LOSARTAN; ACETAMINOPHEN; ATORVASTATIN; NITROGLYCERIN; ASPIRIN [ACETYLSALICYLIC AC
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- KY
- Alter
- 81,0
- Geschlecht
- M
- Eingang
- 16.08.2022
- Impfdatum
- 03.08.2022
- Beginn
- 04.08.2022
- Tage bis Beginn
- 1,0
- Dosis
- 4
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: ja
Disable: unbekannt
ER: ja
Erholt: nein
Asthenia
Blood test
Cardiac stress test
Chest X-ray
Electrocardiogram
Computerised tomogram
Echocardiogram
Fatigue
Feeling abnormal
Lethargy
Mobility decreased
Investigation
Ultrasound scan
Oxygen saturation decreased
Symptomtext
Lethargy; Fatigue; Couldn't pick himself up off the floor/he was on the floor and didn't have the strength to lift himself off the floor.; This is a spontaneous report received from contactable reporter (consumer or other non HCP). An 81-year-old male patient received BNT162b2 (PFIZER-BIONTECH COVID-19 VACCINE), on 03Aug2022 as dose 4 (booster), single (Lot number: FP7150) at the age of 81 years, in right deltoid for COVID-19 immunisation. The patient's relevant medical history included: "Diabetes" (ongoing), notes: Diagnosed for possibly 5-10 years; "Congestive heart failure", start date: Feb2021 (ongoing); "Cardiac stent within the last 20 years" (unspecified if ongoing); "Triple bypass In 1998 or 1999" (unspecified if ongoing); "TIA's" (unspecified if ongoing), notes: had multiple TIA's in the past that have worn away at his cognitive ability; "Pacemaker" (unspecified if ongoing), notes: Has a pacemaker, has had triple bypass and stents; "Covid-19" (unspecified if ongoing), notes: contracted Covid-19 prior to receiving any vaccines; "bowel regularity" (unspecified if ongoing); "pain" (unspecified if ongoing). Concomitant medications included: TAMSULOSIN; OMEPRAZOLE; METFORMIN; FUROSEMIDE; METHYL SALICYLATE; FERROUS SULFATE; BISOPROLOL oral; METAMUCIL [PSYLLIUM HYDROPHILIC MUCILLOID] taken for constipation prophylaxis; POTASSIUM CHLORIDE; LOSARTAN; ACETAMINOPHEN taken for pain; ATORVASTATIN; NITROGLYCERIN; ASPIRIN [ACETYLSALICYLIC ACID]. Vaccination history included: BNT162b2 (Dose 3); BNT162b2 (Dose 2); and BNT162b2 (Dose 1), all for COVID-19 immunization and reported the following reactions for all doses: "laid around a little more and was less active", "fatigue", "felt bad for a couple days", "lethargy" and "didn't feel well". The following information was reported: ASTHENIA (hospitalization) with onset 04Aug2022, outcome "recovering", described as "Couldn't pick himself up off the floor/he was on the floor and didn't have the strength to lift himself off the floor."; FATIGUE (hospitalization) with onset 04Aug2022, outcome "recovering"; LETHARGY (hospitalization) with onset 04Aug2022, outcome "recovering". The patient was hospitalized for lethargy, fatigue, asthenia (start date: 05Aug2022, discharge date: 09Aug2022, hospitalization duration: 4 days. The events required emergency room visit. The patient underwent the following laboratory tests and procedures: Blood test: Unknown results; Cardiac stress test: Unknown results; came back to be at baseline; Chest X-ray: Unknown results; Electrocardiogram: Unknown results; Labs: Unknown results; Ultrasound scan: Unknown results. Additional information: Metamucil: helps counteract constipation that can happen with the iron supplement. The patient had a pacemaker installed 1.5-2 years ago and rarely takes nitroglycerin anymore; possibly over a year since he's taken it. Vaccination Facility Type was a clinic and vaccine was not administered at facility. Fatigue and Lethargy occurred 24hours after vaccination. The adverse events AE(s) required a visit to the Emergency Room. The patient had no prior vaccinations (within 4 weeks). Similar type of reaction as far as lethargy and fatigue following the first three COVID-19 vaccines. The patient laid around a little more and was less active. Didn't feel well. Not close to this severity though. With the fourth dose, he was on the floor and didn't have the strength to lift himself off the floor. Ambulance personnel had to lift him off the floor when they arrived. This was a drastic difference in severity. Previous three vaccines were far less severe. The patient's son will definitely do some thinking before he takes the patient to get a fifth dose. People feel bad the day after the vaccines, but people know that the vaccine is protecting them from something worse. Clinical course: The patient's son was calling on behalf of his father in regards to the COVID-19 vaccine dose #4 or Booster dose #2, which ever it is referred to. The patient received 4th dose of vaccine on Wednesday, 03Aug2022 of last week. The following day, the patient had lethargy, fatigue, and couldn't pick himself up off the floor. On Friday morning, 05Aug2022 about 36hrs after the vaccine dose, the patient was taken to the hospital. The patient has been hospitalized since. Possible AE given onset of symptoms which started 24 hours after vaccination. Previously reported this possible AE to VAERS and felt it was reasonable to call Pfizer as well. The patient's son works in validation in pharmaceuticals and has a history of reviewing annual pharmaceutical reports. He is very patient and willing to help to assist Pfizer in the exploration of this instance and making the information aware to prevent something similar to this from happening again. He wants to aid in his father's recovery and prevent a similar event like this from occurring. His father's baseline is treated congestive heart failure (CHF). He feels like it may be worthwhile to include a warning to consider the risk versus benefit for patients who have the chronic heart conditions at baseline. His father's CHF was controlled. Has a pacemaker, has had triple bypass and stents. The patient has a long cardiac history that may have played a part in all this. CHF was being managed. Could this incident have been a baseline event, yes. Could the vaccine administration have contributed, yes. With the first 3 COVID-19 vaccine doses, it wasn't this bad. The patient's son wants Pfizer to know that making this report is not a knee jerk reaction. After doses 1-3 of the vaccine, his father felt bad for a couple days, but a lot of people do. Nothing severe or life threatening or anything like that. But this time, the severity, and the hospitalization 36hrs later are severe enough to warrant exploration of the specific vaccine lot or to consider the adverse event further and/or aggregate the data from cases like this. May need to consider revising the info sheet or consider whether dose 4 is recommended or not with similar patients. Trying to be transparent to aid in fathers' case but also get the word out to decrease the likelihood of something similar happening. Maybe a warning to physicians to consider something like this happening with other patients with similar health profiles to help them decide if further vaccination is warranted. The patient has since stabilized and improved. Forecasting to leave the hospital today, 09Aug2022 and to enter a rehab center. When an 81 year old man is in bed for 4 days, his strength erodes quickly, so he needs physical rehab to regain his strength. No later than tomorrow, the patient will move from hospital to rehab center. His vitals and testing suggest that it is safe to move from the hospital. The patient's son waited to see the data for his father's testing before making the report to Pfizer. Didn't want to burden Pfizer without cause. If his father had needed an angioplasty or his cardiac health had eroded, he wouldn't have called. But the stress test came back to be at his father's baseline. There hadn't been any further erosion or decline. Upon seeing that, he felt like the primary driver and a significant contributor was receipt of vaccine dose number 4 because his father's baseline health had not changed. It is important for Pfizer to know that the caller has been in pharmaceutical industry for 20 years and is not allowing politics to pollute sound science. He is calling just as a concerned engineer from the pharmaceutical company who is grateful and knows that investigations and changes can be done when robust reporting systems are in place. Knows that revisions are sometimes necessary as information is gained, PI sheet revisions, warnings, etc. He wants to evangelize appropriately and communicate with everyone to decrease the likelihood of an instance like what occurred with his father from happening again. He desires to have an open, transparent conversation with all stake holders to ensure that future decisions are made appropriately around the vaccine. Date, and Lot number for previous three vaccines is unknown at this time. He would need additional time to gather that information for his father but could retrieve the information if needed at a later date. Believes that third dose was administered on 19Aug2021, but unsure. Additional information: Dose #4: Date: 03Aug2022, Lot: FP7150, Site: Right Deltoid, Time of Day: around 3:30-3:45pm. No other vaccines. The patient contracted COVID-19 prior to receiving any vaccines. Since then, he has received the 4 doses of the vaccine. The patient was hospitalized and previously in rehab from that COVID infection. CHF is a real, chronic condition. The vaccine is not the sole cause. His dad's case could enable Pfizer to learn more about CHF and can better weigh the risk and reward to dose or not dose patients with these conditions. One of the biggest populations to protect against COVID are people in their 80's who have heart disease. Does his father's case warrant adding content to the PI sheet because of his level of cardiac function to question further doses based on preexisting cardiac conditions. Wants to be transparent and give knowledge of this event to take it into consideration for similar patients. Wants an outcome so he can be better informed. Knows that another dose update will come up. Will be faced with this decision again. Wants to help identify cause of what happened with his father and risk to dose or not to dose when another dose comes along.; Sender's Comments: Linked Report(s) : US-PFIZER INC-202201051461 same patient and different vaccine dose, different event separated in time;US-PFIZER INC-202201051462 same patient and different vaccine dose, different event separated in time;US-PFIZER INC-202201051463 same patient and different vaccine dose, different event separated in time;
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Mobility decreased
- Hospital-Tage
- 4,0
- Labordaten
- Test Name: blood work; Result Unstructured Data: Test Result:Unknown results; Test Name: stress test; Result Unstructured Data: Test Result:Unknown results; Test Name: stress test; Result Unstructured Data: Test Result:came back to be at baseline; Test Name: chest x-ray; Result Unstructured Data: Test Result:Unknown results; Test Name: EKG; Result Unstructured Data: Test Result:Unknown results; Test Name: Labs; Result Unstructured Data: Test Result:Unknown results; Test Name: echo; Result Unstructured Data: Test Result:Unknown results
- Aktuelle Erkrankungen
- Congestive heart failure; Diabetes (Diagnosed for possibly 5-10 years)
- Vorgeschichte
- Medical History/Concurrent Conditions: Bowel movement irregularity; Cardiac pacemaker insertion (Has a pacemaker, has had triple by pass and stents); Coronary stent stenosis; COVID-19 (contracted COVID-19 prior to receiving any vaccines); Pain; TIA (had multiple TIA's in the past that have worn away at his cognitive ability); Triple vessel bypass graft
- Andere Medikamente
- TAMSULOSIN; OMEPRAZOLE; METFORMIN; FUROSEMIDE; METHYL SALICYLATE; FERROUS SULFATE; BISOPROLOL; METAMUCIL [PSYLLIUM HYDROPHILIC MUCILLOID]; POTASSIUM CHLORIDE; LOSARTAN; ACETAMINOPHEN; ATORVASTATIN; NITROGLYCERIN; ASPIRIN [ACETYLSALICYLIC AC
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- VA
- Alter
- 54,0
- Geschlecht
- F
- Eingang
- 11.08.2022
- Impfdatum
- 19.07.2022
- Beginn
- 21.07.2022
- Tage bis Beginn
- 2,0
- Dosis
- 4
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Arthralgia
Fatigue
Injected limb mobility decreased
Muscle tightness
Myalgia
Pain
Pain of skin
Pyrexia
Symptomtext
I seen the doctor the day before and had joint pain. I was having problem picking things up. Her neck was tight. Got the booster on Tuesday and it kicked her butt. Had joint pain, achy skin, hurt all over, fatigue, fever, and even muscle pain. Trying to raise the right arm it really hurt especially lifting. Really tight from neck to lower truck. Still going to physical therapy.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Injected limb mobility decreased
- Hospital-Tage
- -
- Labordaten
- None
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- Thyroid
- Andere Medikamente
- Levothyroxine; Lutein vioxanthin; Cyclosporine ; Multi- vitamin
- Allergien
- Cinnamon; Orange; Cowberry; egg; beef; shellfish; Fruit; crepes; black walnuts, strawberry; corn; cashew ;neomycin; and fragrance
- Vorherige Impfungen
- -
- Staat
- CO
- Alter
- 62,0
- Geschlecht
- M
- Eingang
- 07.08.2022
- Impfdatum
- 30.07.2022
- Beginn
- 31.07.2022
- Tage bis Beginn
- 1,0
- Dosis
- UNK
- Route/Site
- SYR / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Chills
Decreased appetite
Feeling abnormal
Headache
Hypersomnia
Impaired work ability
Mobility decreased
Pyrexia
Thinking abnormal
Vomiting
Symptomtext
sleep, sleep, sleep, culiminating in fever one night, chills, low grade headache for 4 days, could not function, could not work, could not think clearly, loss of appetite and one day of vomiting; tried to drive to work and would turn around and come home because foggy
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Mobility decreased
- Hospital-Tage
- -
- Labordaten
- did not seek medical treatment, was told it was normal but now not so sure
- Aktuelle Erkrankungen
- NONE
- Vorgeschichte
- diagnosed with AFIB in early 2021, symptoms have disappeared
- Andere Medikamente
- atorvastatin daily
- Allergien
- none
- Vorherige Impfungen
- -
- Staat
- CA
- Alter
- 24,0
- Geschlecht
- F
- Eingang
- 05.08.2022
- Impfdatum
- 18.07.2022
- Beginn
- 18.07.2022
- Tage bis Beginn
- 0,0
- Dosis
- 2
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Chest discomfort
Cough
Dyspnoea
Epistaxis
Injection site pain
Respiratory tract congestion
Vomiting
Symptomtext
Day 1- 3 of injection, extreme arm pain from injection Day 2 of injection and ONGOING to the present; chest pressure/congestion, difficulty breathing like not able to get a full breath, developed extreme coughing. Day 4 (07/29/22), had vomiting Day 8 (08/02/22), had a bloody nose
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Dyspnoea
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- none
- Vorgeschichte
- generalized anxiety
- Andere Medikamente
- sertraline
- Allergien
- allergic to penicillin
- Vorherige Impfungen
- 1st Pfizer covid shot on 06/05/21, age 23, same extreme arm pain at injection site, chest pressure/difficulty breathing, and ext
- Staat
- MI
- Alter
- 32,0
- Geschlecht
- F
- Eingang
- 04.08.2022
- Impfdatum
- 01.08.2022
- Beginn
- 02.08.2022
- Tage bis Beginn
- 1,0
- Dosis
- 2
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Chills
Decreased appetite
Hypoaesthesia
Pain
Paraesthesia
Pyrexia
Vomiting
Symptomtext
Chills, body aches, fevers x3, no appetite, got up and violently threw up three times and then proceeded to have numbness and tingling in my upper and lower extremities along with extreme chills. The numbness in my fingers made it hard for me to hold my phone. It would radiate from one extremity to the other and it did this for about 30-45 mins before it stopped.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Paraesthesia
- Hospital-Tage
- -
- Labordaten
- None
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- Hypothyroid
- Andere Medikamente
- Levothyroxine
- Allergien
- Latex gloves
- Vorherige Impfungen
- -
- Staat
- WI
- Alter
- 38,0
- Geschlecht
- F
- Eingang
- 02.08.2022
- Impfdatum
- 01.08.2022
- Beginn
- 01.08.2022
- Tage bis Beginn
- 0,0
- Dosis
- 2
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: ja
Erholt: nein
Dizziness
Dyspnoea
Electrocardiogram normal
Flushing
Laboratory test
Paraesthesia
Symptomtext
Felt a full body flush seconds after administration. Rapid HR and tingling of left hand. About one 30-45 min later SOB and light headedness. Seen in Emergency room, labs/EKG normal. Most symptoms resolved after 3hours. Continued with intermittent SOB, as if I can't take in a deep breath. Went home took a Claritin with little improvement. The following day, continued with intermittent SOB.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Dyspnoea
- Hospital-Tage
- -
- Labordaten
- discussed above
- Aktuelle Erkrankungen
- VESTIBULAR OCCULAR DYSFUNCTION
- Vorgeschichte
- WPW
- Andere Medikamente
- n/a
- Allergien
- AMOXICILLIN
- Vorherige Impfungen
- Pfizer Dose 1
- Staat
- AL
- Alter
- 51,0
- Geschlecht
- F
- Eingang
- 28.07.2022
- Impfdatum
- 06.07.2022
- Beginn
- 20.07.2022
- Tage bis Beginn
- 14,0
- Dosis
- 4
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: ja
Erholt: nein
Asthenia
Blood pressure abnormal
COVID-19
Cerebral calcification
Cough
Diarrhoea
Dysphonia
Impaired work ability
Influenza virus test negative
Magnetic resonance imaging head abnormal
Malaise
Migraine
Nausea
Oropharyngeal pain
Oxygen saturation decreased
Paranasal sinus discomfort
Respiratory syncytial virus test negative
SARS-CoV-2 test negative
Symptomtext
COVID-19 symptoms started on 07/20/2022; tested positive on 07/25/2022. On the 20th I started with a migraine and vomiting. I went to the ER and they did an MRI and said they saw calcium build up on my brain so I was worried about that. They tested me for COVID-19, Strep, Flu, and RSV and they were all negative. Thursday it was the same thing with the nausea, vomiting, diarrhea, and migraine still. On Friday I started with sinus pressure and coughing and they had given me medications for the nausea which did help calm it down but then on Sunday night I started vomiting again and had a migraine again and started coughing and got hoarse and had a sore throat. Since those symptoms showed up I took a home test and it was positive. Monday I went to urgent care and at that point my oxygen levels dropped low and my blood pressure was going crazy and I got really weak because of the vomiting. They gave me antiviral IV and I immediately got better. Still, even now, I do get bad migraines and nausea time to time. I'm still not able to work because the migraine won't go away. Neurologist can't see me until the end of August.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Migraine
- Hospital-Tage
- -
- Labordaten
- MRI (07/20/22- calcium build up); COVID-19 PCR (neg); Strep (neg); Flu (neg); RSV (neg); COVID-19 home test 07/25/22 (pos.)
- Aktuelle Erkrankungen
- Kidney stones; high blood pressure
- Vorgeschichte
- None
- Andere Medikamente
- Metoprolol; hydrochlorothiazide; irbesartan; vitamin D
- Allergien
- None
- Vorherige Impfungen
- -
- Staat
- CA
- Alter
- 37,0
- Geschlecht
- F
- Eingang
- 12.07.2022
- Impfdatum
- 09.07.2022
- Beginn
- 09.07.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: ja
Erholt: nein
Blood pressure increased
Chest pain
Hypoaesthesia
Symptomtext
Started to have chest pain and left sided numbness after 10 mins of receiving the vaccine. Blood pressure was slightly elevated at 142/90 and heart rate of 90 bpm. EMT was called and was taken to the emergency deparment.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Chest pain
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- NJ
- Alter
- 43,0
- Geschlecht
- M
- Eingang
- 10.07.2022
- Impfdatum
- 08.07.2022
- Beginn
- 09.07.2022
- Tage bis Beginn
- 1,0
- Dosis
- 4
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Headache
Migraine
Symptomtext
Very bad migraine in the head. It was prominent at the ?em center of my head, behind the eye. It started after about 18 hours after getting the vaccine shot and persisted for about a while day. Took ibuprofen two tablets and slept almost half day. After 36 hours, the headache is still there. If I shake my head, I could feel the pain at the center of my head
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Migraine
- Hospital-Tage
- -
- Labordaten
- None
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- None
- Andere Medikamente
- Vitamins
- Allergien
- None
- Vorherige Impfungen
- -
- Staat
- -
- Alter
- 74,0
- Geschlecht
- F
- Eingang
- 30.05.2023
- Impfdatum
- 04.08.2022
- Beginn
- 23.05.2023
- Tage bis Beginn
- 292,0
- Dosis
- 4
- Route/Site
- SYR / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: ja
Disable: unbekannt
ER: ja
Erholt: nein
Abdominal pain
Abdominal pain lower
Abdominal pain upper
Abdominal tenderness
Alanine aminotransferase increased
Angiogram pulmonary
Anion gap
Appendicitis
Appendicolith
Aspartate aminotransferase normal
Basophil count decreased
Basophil percentage decreased
Bilirubin urine
Blood albumin normal
Blood alkaline phosphatase normal
Blood bilirubin
Blood calcium
Blood chloride decreased
Symptomtext
Document Type: ED Physician Progress Note Document Subject: ED Progress Note Performed By: NP on May 23, 2023 13:21 EDT Verified By: NP on May 23, 2023 13:21 EDT Encounter Info: Hospital, Emergency, 05/23/23 - 05/23/23 * Final Report * Basic Information Time Seen: NP / 05/23/2023 11:14 Chief Complaint Abdominal Pain History of Present Illness A 75-year-old female with a hx of COPD, htn presents with abdominal pain on and off since yesterday evening epigastric going down into the bilateral R much greater than left, lower quadrants with associated decreased appetite and some nausea. Denies any fevers or chills denies vomiting denies diarrhea. She states she had a small normal soft stool this morning. Review of Systems Constitutional: no fever, no chills, no sweats, no weakness Respiratory: no shortness of breath, no cough Cardiovascular: no chest pain Additional ROS info: Except as noted in the above Review of Systems and in the History of Present Illness, all other systems have been reviewed and are negative or noncontributory. Physical Exam/Objective Vitals & Measurements most recent T: 37.3 ?C (Oral) BP: 151/63 HR: 80 (Monitored) RR: 18 SpO2: 93% Oxygen Therapy: Room air Oxygen Flow Rate: 2 (L/min) WT: 79.50 kg (WFC) HT: 162.1 cm General: alert, no acute distress Cardiovascular: regular rate and rhythm, normal peripheral perfusion Respiratory: Lungs CTA, respirations non-labored ABD abdomen large amount of soft bowel sounds x4 quadrants. mild Tender to palpation left lower quadrant mid lower quadrant and Significant tenderness to right lower quadrant. Rebound tenderness on the right lower quadrant. No guarding. Extremities: no deformity, no trauma Neurological: oriented x4, LOC appropriate for age Medical Decision Making triage note reviewed history by patient NPO 1245 spoke with Dr. regarding results of CT 1304docunotes Dr. for admission 1310 Dr. at the bedside spoke with patient for laparoscopic appendectomy 1315 Zosyn ordered, not given in the ED due to surgical team taking her to the OR now 1320 left the ED via gurney for the OR Re-Assessment pain controlled Condition stable Assessment/Plan Admit, surgery this afternoon 1. Acute appendicitis K35.80 2. Hypokalemia E87.6 3. Leukocytosis D72.829 Orders: Sodium Chloride 0.9% 1,000 mL, Total Volume (mL) = 1,000, IV, 05/23/23 12:54:00 EDT, 100 mL/hr, Clinical Weight Bed Request (Decision to Admit) CT Abd/Pelvis W/IV Contrast Follow Up No qualifying data available Chronic Problem List Colon cancer screening COPD (chronic obstructive pulmonary disease) Hyperglycemia Hyperlipidemia Hypertension Leg pain, bilateral Long term use of drug Low back pain Mixed stress and urge urinary incontinence Osteoarthritis Osteopenia Seasonal allergies Procedure/Surgical History ?Diabetic retinal eye exam (09/15/2021) ?Diabetic retinal eye exam (03/16/2021) ?Cholecystectomy ?Lumpectomy ?TL - Tubal ligation Medications Home Medications (11) Active albuterol-ipratropium inh soln 2.5 mg-0.5 mg/3 mL 3 mL, PRN, Inhalation, 4 Times Daily Citracal + D 2 Tablet, Orally, Daily Daliresp 500 mCg oral tablet 500 mCg = 1 Tablet, Orally, Daily Incruse Ellipta 62.5 mCg inhalation powder 62.5 mCg = 1 Each, Inhalation, Q24H, doses should be taken at least 24 hours apart losartan-hydroCHLOROthiazide 100mg-12.5mg oral tablet 1 Tablet, Orally, Daily losartan-hydroCHLOROthiazide 100mg-12.5mg oral tablet 1 Tablet, Orally, Daily magnesium gluconate 250 mg oral tablet 250 mg = 1 Tablet, Orally, BID Misc Supplies See Instructions, Portable Oxygen ConcentratorDx: Moderate oxygen dependent COPDRA sat 76% with activity on 2.5 lpm Protonix 40 mg oral delayed release tablet 40 mg = 1 Tablet, Orally, Daily Trelegy Ellipta 200 mCg-62.5 mCg-25 mCg inhalation powder 1 Puff, Inhalation, Daily Ventolin HFA 90 mCg/inh inhalation aerosol 2 Puff, PRN, Inhalation, Q6H Medication Administration Given HYDROmorphone Inj ED (1 mg/mL), 0.5 mg, IV Push ondansetron, 4 mg, IV Push Sodium Chloride 0.9% - ED Bolus, 500 mL, IVPB Allergies NKA Social History Alcohol Denies Electronic Cigarette/Vaping E-Cigarette Use Never. Home/Environment Married, 2 Children Substance Abuse Denies Tobacco Tobacco Use: Never (less than 100 in lifetime). Family History Leukemia: Brother. Lung cancer..: Mother. Pancreatic cancer: Brother. Lab Results Hemogram-Platelets-WBC Differential FS LATEST RESULTS HISTORICAL RESULTS WBC 05/23/23 10:47 11.3 High 02/13/23 6.6 RBC 05/23/23 10:47 4.40 02/13/23 4.60 Hgb 05/23/23 10:47 12.7 02/13/23 13.5 Hct 05/23/23 10:47 38.6 02/13/23 40.2 MCV 05/23/23 10:47 88 02/13/23 87 MCH 05/23/23 10:47 28.9 02/13/23 29.3 MCHC 05/23/23 10:47 32.9 02/13/23 33.5 RDW 05/23/23 10:47 14.7 High 02/13/23 14.3 Platelet 05/23/23 10:47 217 02/13/23 273 MPV 05/23/23 10:47 7.5 02/13/23 8.3 Neutrophils % 05/23/23 10:47 86 02/13/23 74 Lymphocytes % 05/23/23 10:47 8 02/13/23 18 Monocytes % 05/23/23 10:47 5 02/13/23 7 Eosinophils % 05/23/23 10:47 0 02/13/23 1 Basophils % 05/23/23 10:47 0 02/13/23 0 Absolute Neutrophil 05/23/23 10:47 9.8 High 02/13/23 4.9 Absolute Lymphocyte 05/23/23 10:47 0.9 Low 02/13/23 1.2 Absolute Monocyte 05/23/23 10:47 0.5 02/13/23 0.5 Absolute Eosinophil 05/23/23 10:47 0.0 02/13/23 0.1 Absolute Basophil 05/23/23 10:47 0.1 02/13/23 0.0 Routine Chemistry Tests FS LATEST RESULTS HISTORICAL RESULTS Sodium SerPl QN 05/23/23 10:47 133 Low 02/13/23 131 Low Potassium SerPl QN 05/23/23 10:47 3.3 Low 02/13/23 3.7 Chloride SerPl QN 05/23/23 10:47 93 Low 02/13/23 92 Low Carbon Dioxide SerPl QN 05/23/23 10:47 32 High 02/13/23 30 High Anion Gap 05/23/23 10:47 8 02/13/23 9 BUN SerPl QN 05/23/23 10:47 9 02/13/23 12 Creatinine SerPl QN 05/23/23 10:47 0.62 02/13/23 0.66 Estimated GFR (CKD-EPI, no race) 05/23/23 10:47 >90 02/13/23 >90 Estimated CRCL (CG) 05/23/23 10:47 80 02/13/23 75 Glucose SerPl QN 05/23/23 10:47 134 High 02/13/23 112 High Calcium Total SerPl QN 05/23/23 10:47 10.3 02/13/23 9.6 Alkaline Phos SerPl QN 05/23/23 10:47 77 02/13/23 74 ALT SerPl QN 05/23/23 10:47 11 02/13/23 41 AST SerPl QN 05/23/23 10:47 17 02/13/23 31 Bilirubin Total SerPl QN 05/23/23 10:47 0.6 02/13/23 0.4 Total Protein SerPl QN 05/23/23 10:47 8.5 High 02/13/23 8.7 High Albumin SerPl QN 05/23/23 10:47 4.6 02/13/23 4.6 Lipase SerPl QN 05/23/23 10:47 17 Lactate Venous Pl QN 05/23/23 10:47 0.8 02/13/23 1.0 Urinalysis FS LATEST RESULTS HISTORICAL RESULTS Color 05/23/23 11:41 Light-Yellow 02/13/23 Yellow Clarity 05/23/23 11:41 Clear 02/13/23 Clear Specific Gravity 05/23/23 11:41 1.017 02/13/23 1.015 pH 05/23/23 11:41 8.0 02/13/23 6.5 Protein 05/23/23 11:41 Negative 02/13/23 Negative Glucose 05/23/23 11:41 Normal 02/13/23 Negative Ketones 05/23/23 11:41 Negative 02/13/23 Negative Bilirubin 05/23/23 11:41 Negative 02/13/23 Negative Hgb Ur 05/23/23 11:41 Negative 02/13/23 Negative Nitrite 05/23/23 11:41 Negative 02/13/23 Negative Urobilinogen 05/23/23 11:41 Normal 02/13/23 Normal Leukocyte Esterase Ur 05/23/23 11:41 Negative 02/13/23 Trace Abnormal Diagnostic Results CT Abd/Pelvis W/IV Contrast 05/23/23 12:27:16 IMPRESSION: Status post cholecystectomy. Colonic diverticulosis without evidence of acute diverticulitis. Thickened, inflamed appendix with appendicoliths consistent with acute, uncomplicated appendicitis. Electronically Signed by: Signed By: MD ************************************************** XR Chest PA or AP Portable 05/23/23 11:07:22 IMPRESSION: Coarse lung markings, similar to 2/13/2023. No focal infiltrates or other acute findings. Electronically Signed by: Signed By: MD Signature Line Electronically Signed on 05/23/23 13:21 EDT ________________________________________________________ NP
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Abdominal pain
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- MT
- Alter
- 66,0
- Geschlecht
- F
- Eingang
- 23.03.2023
- Impfdatum
- 01.09.2022
- Beginn
- 25.02.2023
- Tage bis Beginn
- 177,0
- Dosis
- 5
- Route/Site
- IM / AR
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
COVID-19
Decreased appetite
Diarrhoea
Fatigue
Headache
Oropharyngeal pain
Pyrexia
Rhinorrhoea
SARS-CoV-2 test positive
Symptomtext
Started with a runny nose. A sore throat, tired, head achy. After about two days I had a fever of 100.4 degrees, fatigue, no appetite, and diarrhea. I spoke to my doctor on the 3rd day when I tested positive and had a digital meeting with him. I then took Paxlovid. Instantly the next day the fever was gone.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Diarrhoea
- Hospital-Tage
- -
- Labordaten
- 25FEB2023 COVID-19 At Home Test - Negative; 26FEB2023 COVID-19 At Home Test - Negative; 27FEB2023 COVID-19 At Home Test - Positive
- Aktuelle Erkrankungen
- N/A
- Vorgeschichte
- Hashimoto Thyroid
- Andere Medikamente
- Levothyroxine; Multivitamin; Calcium Plus D
- Allergien
- Sulfa Drugs; Bee Stings
- Vorherige Impfungen
- -
- Staat
- WA
- Alter
- 75,0
- Geschlecht
- M
- Eingang
- 21.03.2023
- Impfdatum
- 19.09.2022
- Beginn
- 16.03.2023
- Tage bis Beginn
- 178,0
- Dosis
- 5
- Route/Site
- IM / AR
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: ja
Erholt: nein
COVID-19
Chest X-ray
Cough
Influenza virus test
Nasal congestion
Pyrexia
Respiratory tract congestion
SARS-CoV-2 test positive
Symptomtext
I tested positive for COVID-19 on 03/16/2023. I had tested negative twice and went into the clinic, I had a fever of 100.2 degrees. I took a flu test and chest X-Ray, two days later my wife became sick the same way I was and she tested positive so I tested again and was positive. I had stuffiness, congestion, high fever and a cough. I was prescribed Paxlovid, I started it on March 17th, 2023.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Pyrexia
- Hospital-Tage
- -
- Labordaten
- 17MAR2023 - COVID - 19 Test - Positive; 17MAR2023 - Chest X-Ray - Pending
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- BTH; High blood pressure
- Andere Medikamente
- Yes; Not listed
- Allergien
- Mobic
- Vorherige Impfungen
- -
- Staat
- OH
- Alter
- 73,0
- Geschlecht
- M
- Eingang
- 01.03.2023
- Impfdatum
- 05.07.2022
- Beginn
- 01.09.2022
- Tage bis Beginn
- 58,0
- Dosis
- 4
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Back pain
Fatigue
Magnetic resonance imaging
Musculoskeletal pain
Pain
Pain in extremity
Symptomtext
Had soreness in my arm and some tiredness the next day. I had shooting back from my buttocks down to my legs (description of the back pain).
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Back pain
- Hospital-Tage
- -
- Labordaten
- MRI
- Aktuelle Erkrankungen
- No
- Vorgeschichte
- Back issues; Episcleritis
- Andere Medikamente
- Aspirin; Atorvastatin; Flonase; Fluorometholone Ophthalmic Suspension; Metoprolol; Psyllium powder; Timolol Maleate Solution; Tylenol; Zyrtec
- Allergien
- Demerol; Hydrocyanide; Lisinopril; Travatan; Cosopt; Combigan
- Vorherige Impfungen
- -
- Staat
- OH
- Alter
- 85,0
- Geschlecht
- M
- Eingang
- 23.02.2023
- Impfdatum
- 31.08.2022
- Beginn
- 24.12.2022
- Tage bis Beginn
- 115,0
- Dosis
- 4
- Route/Site
- SYR / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
COVID-19
Chills
Decreased appetite
Fatigue
SARS-CoV-2 test positive
Symptomtext
I received my Covid-19 vaccine on 08/31/2022. On the evening of 12/24/2022 I started to have bad chills, loss of appetite and fatigue. I tested positive for Covid-19 on 12/26/2022. After reaching to my doctor and was prescribed medication and symptoms lasted approx. 5 weeks.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Chills
- Hospital-Tage
- -
- Labordaten
- Covid-19 positive
- Aktuelle Erkrankungen
- N/A
- Vorgeschichte
- Myasthenia gravis; Colitis; Depression; High Blood Pressure
- Andere Medikamente
- Mycophenolate; pantoprazole; mesalamine; terazosin; pyridostigmine; fluoxetine; bupropion; finasteride; amlodipine; losartan; ginger; alive vitamin; aspirin; probiotic; iron; turmeric; fish oil; CITRACAL; WIXELA
- Allergien
- Sulfa; lisinopril; BACTRIM
- Vorherige Impfungen
- -
- Staat
- SC
- Alter
- 75,0
- Geschlecht
- F
- Eingang
- 31.01.2023
- Impfdatum
- 29.07.2022
- Beginn
- 01.08.2022
- Tage bis Beginn
- 3,0
- Dosis
- 4
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Herpes zoster
Rash
Symptomtext
Around 08/01/2022, I had a severe rash on my right forearm. I do have a lot of environmental allergies, so I didn't think much of it. A few weeks later, I came down with shingles. I have no idea if they are related to my COVID-19 vaccine. I believe I had shingles in late September or early October. I went to see my doctor who prescribed an antiviral medication. It probably took about five days for the rash to go down after that. The rash itself was never painful but it was all over the left side of my body from my breast to my hip, front and back.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Rash
- Hospital-Tage
- -
- Labordaten
- None
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- Lung Cancer Survivor
- Andere Medikamente
- Levothyroxine; Atorvastatin
- Allergien
- Peanuts
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 61,0
- Geschlecht
- F
- Eingang
- 19.01.2023
- Impfdatum
- 31.07.2022
- Beginn
- 01.12.2022
- Tage bis Beginn
- 123,0
- Dosis
- 4
- Route/Site
- - / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: ja
ER: unbekannt
Erholt: unbekannt
Abdominal distension
Abdominal pain
Ovarian cancer
Ovarian mass
Weight decreased
Symptomtext
Pt started having bloating, weight loss, abdominal pain, found to have 14cm ovarian cancer mass
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Abdominal pain
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- NC
- Alter
- 41,0
- Geschlecht
- F
- Eingang
- 06.01.2023
- Impfdatum
- 05.12.2022
- Beginn
- 26.12.2022
- Tage bis Beginn
- 21,0
- Dosis
- 4
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
COVID-19
Chills
Cough
Headache
Myalgia
Nausea
Oropharyngeal pain
Pain
Pyrexia
Respiratory tract congestion
Rhinorrhoea
SARS-CoV-2 test positive
Symptomtext
Congestion, fever, chills, muscle/body aches, headaches, severe nausea, cough, runny nose, sore throat
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Chills
- Hospital-Tage
- -
- Labordaten
- POSITIVE Covid test 12/27/22
- Aktuelle Erkrankungen
- n/a
- Vorgeschichte
- Psoriasis, Migraines, Depression, Generalized anxiety, S/P laparoscopic sleeve gastrectomy, anemia, immunodeficiency due to drugs, GERD
- Andere Medikamente
- Humira 40 mg/0.4 mL (every two weeks), Junel Fe (birth control - daily), Vyepti 300 mg (IV infusion every 3 months), Magnesium 100 mg (twice daily), Topamax 50 mg (twice daily), Nadolol 20 mg (daily), Amitriptyline 10 mg at bedtime (as need
- Allergien
- Sulfa, Omnicef, Lamictal, Prednisone, Amoxicillin
- Vorherige Impfungen
- -
- Staat
- PA
- Alter
- 24,0
- Geschlecht
- F
- Eingang
- 06.12.2022
- Impfdatum
- 05.12.2022
- Beginn
- 06.12.2022
- Tage bis Beginn
- 1,0
- Dosis
- 1
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Hypoaesthesia
Injection site hypoaesthesia
Pain in extremity
Symptomtext
received 1st dose on 12/05 at 11am only had a sore arm as a reaction than at 12pm today 12/06 employee comes in to employee health with complaints of not being able to feel right side of body from hip to shoulder. Has full movement and normal strength just states can not feel that area on her body.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Injection site hypoaesthesia
- Hospital-Tage
- -
- Labordaten
- none
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- asthma
- Andere Medikamente
- albuterol as needed, anxiety (unsure of name takes 10mg)
- Allergien
- penicillin
- Vorherige Impfungen
- -
- Staat
- CA
- Alter
- 59,0
- Geschlecht
- F
- Eingang
- 29.11.2022
- Impfdatum
- 26.08.2022
- Beginn
- 26.08.2022
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- SYR / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Blood glucose increased
Blood test
Fatigue
Glycosylated haemoglobin increased
Influenza like illness
Urine analysis
Symptomtext
08/26/22 I felt like I had the flu, was exhausted, for the first 24 hours. The next day I was 50% better and within 5-6 days I was fine. My morning glucose and A1C has risen each month to being dangerously out of range. There is a possible LADA diagnosis which will happen on December 5, 2022.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Fatigue
- Hospital-Tage
- -
- Labordaten
- Complete Type 1 and Type 2 Diabetes blood work and urinalysis. No results back yet.
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- Hashimoto
- Andere Medikamente
- TIROSANT
- Allergien
- Penicillin; TYLENOL; contrast dye; shellfish; eggplant; cashews; iodine
- Vorherige Impfungen
- C Dap booster, threw up, shaking, loose bowels, brain fog.
- Staat
- AZ
- Alter
- 62,0
- Geschlecht
- F
- Eingang
- 21.11.2022
- Impfdatum
- 19.08.2022
- Beginn
- 13.11.2022
- Tage bis Beginn
- 86,0
- Dosis
- 4
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
COVID-19
Chest X-ray
Cough
Fatigue
Headache
Influenza
Oxygen saturation decreased
Pyrexia
SARS-CoV-2 test positive
Throat irritation
Symptomtext
I had flu feelings and a very bad scratchy throat. My nieces had it and that is how it started. That is what tipped me off. The next morning, 11/14/2022, I was full flu sick. I had a fever and tested with a COVID-19 home test and it was positive. That day I had fever, bad headache, very, very tired. I had low oxygen. On 11/15/2022, I had a telehealth with my physician, and she prescribed PAXLOVID for a 5 day regime and she sent me down for a chest x-ray. I have not received that chest x-ray result. My doctor asked me to purchase an oximeter. The first couple of days it wavered between 86 percent to about 91 percent. I was taking breathing treatments with a machine using albuterol treatments every 4 hours. Then after the treatment my oxygen would go up to 96 percent. The treatments were definitely working. I had fever up till yesterday morning. Fever ranged from, 102.5, 100.3, and 3 days of 99.5 and 99.9 and that let up yesterday morning, 11/20/2022. I am almost fully recovered. I don't have a fever; I just have a cough.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Fatigue
- Hospital-Tage
- -
- Labordaten
- 11/14/2022 COVID-19 home test positive; 11/15/2022 chest x-ray have not received the results.
- Aktuelle Erkrankungen
- N/A
- Vorgeschichte
- Back issues; Fusion in my Back; 2 new hips; Fusion in my neck; 2 very small benign carcinoid tumors on my lungs
- Andere Medikamente
- PAXIL; clonidine; lisinopril; fenofibrate; trazodone; vitamin D3 with calcium
- Allergien
- Ampicillin; tetracycline; hydrocodone
- Vorherige Impfungen
- -
- Staat
- MI
- Alter
- 68,0
- Geschlecht
- F
- Eingang
- 18.11.2022
- Impfdatum
- 27.03.2021
- Beginn
- 21.10.2021
- Tage bis Beginn
- 208,0
- Dosis
- 4
- Route/Site
- UN / UN
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: ja
Disable: unbekannt
ER: ja
Erholt: ja
COVID-19
Cough
Fatigue
SARS-CoV-2 test positive
Symptomtext
Pt to ED 10/21 for fatigue and cough. Pt COVID+ 10/21. 10/22 pt is A&O x 4, on room air. 10/23 no new symptoms. 10/24 pt discharged.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Fatigue
- Hospital-Tage
- 4,0
- Labordaten
- see above
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- OSA (obstructive sleep apnea) OSA (obstructive sleep apnea) Esophageal reflux Gastritis and gastroduodenitis Gastric polyps DVT of lower extremity (deep venous thrombosis) (CMS/HCC) Anxiety state Chest pain Breast mass, right Atypical chest pain History of pulmonary embolus (PE) Ascending aortic aneurysm Breast lump Epigastric pain Hypertension Bilateral lower extremity edema Lower extremity edema Obesity due to excess calories with serious comorbidity Anticoagulated on Coumadin Baker's cyst of knee, right Mixed hyperlipidemia Hiatal hernia Supratherapeutic INR H/O non-ST elevation myocardial infarction (NSTEMI) Malignant neoplasm of overlapping sites of breast in female, estrogen receptor positive (CMS/HCC) Pulmonary embolism, unspecified chronicity, unspecified pulmonary embolism type, unspecified whether acute cor pulmonale present (CMS/HCC) Dizziness COVID-19 Hypokalemia Debility Diarrhea with dehydration
- Andere Medikamente
- atorvastatin (LIPITOR) 40 MG PO Tab cyclobenzaprine atorvastatin (LIPITOR) 40 MG PO Tab cyclobenzaprine (FLEXERIL) 10 MG PO Tab diclofenac sodium (VOLTAREN) 1 % EXTERNAL Gel donepezil (ARICEPT) 10 MG PO Tab famotidine (PEPCID) 20 MG PO Tab
- Allergien
- penicillins, sulfa antibiotics, erythromycin, tramadol
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 63,0
- Geschlecht
- F
- Eingang
- 15.11.2022
- Impfdatum
- 15.07.2022
- Beginn
- 22.07.2022
- Tage bis Beginn
- 7,0
- Dosis
- 4
- Route/Site
- SC / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: ja
ER: ja
Erholt: nein
Arthralgia
Magnetic resonance imaging abnormal
Meniscus injury
Symptomtext
Terrible joint pain - torn right meniscus subsequently
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Arthralgia
- Hospital-Tage
- -
- Labordaten
- MRI
- Aktuelle Erkrankungen
- none
- Vorgeschichte
- HTN, high cholesterol, obesity
- Andere Medikamente
- Lisinopril 10 mg, Ceterizine 10 mg. Flonase nasal spray. Baby ASA 81 mg. Vitamin D3 1,000 units
- Allergien
- Talwin, Statin drugs
- Vorherige Impfungen
- -
- Staat
- NV
- Alter
- 31,0
- Geschlecht
- F
- Eingang
- 14.11.2022
- Impfdatum
- 27.06.2022
- Beginn
- 01.06.2022
- Tage bis Beginn
- -
- Dosis
- 3
- Route/Site
- - / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: ja
Erholt: nein
Aortic stenosis
Cardiac valve disease
Chest discomfort
Chills
Choking
Computerised tomogram
Cough
Hyperhidrosis
Lung disorder
Musculoskeletal discomfort
Pyrexia
Ultrasound scan
X-ray
Symptomtext
3 values in heart not working. Aorta stenosis and trouble with lungs. Constant cough and choking murmur. Fevers on and off sleeping sweats and chills. Pressure in chest and back.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Chills
- Hospital-Tage
- -
- Labordaten
- Cardiologist specialist hospitalization - ER ( Lungs ) Clinic x3 Medical ultrasound on full body CT Scan, xrays,
- Aktuelle Erkrankungen
- none
- Vorgeschichte
- none
- Andere Medikamente
- none
- Allergien
- dairy
- Vorherige Impfungen
- Couldn't stand , dizzy , headaches 5 days
- Staat
- TN
- Alter
- 42,0
- Geschlecht
- F
- Eingang
- 11.11.2022
- Impfdatum
- 18.08.2022
- Beginn
- 19.08.2022
- Tage bis Beginn
- 1,0
- Dosis
- 1
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: ja
Disable: ja
ER: ja
Erholt: nein
Balance disorder
Burning sensation
Computerised tomogram
Dental discomfort
Disability
Dysstasia
Dystonia
Fibrin D dimer increased
Full blood count
Gait disturbance
Headache
Insomnia
Magnetic resonance imaging
Metabolic function test
Muscle spasms
Muscular weakness
Pain in extremity
Thyroid function test
Symptomtext
Painful feet, weak legs, burning teeth, painful temples, insomnia, progressing can?t walk or stand long without painful legs feet with spasms weakness, unbalanced, high d Dimer, dystonia like reaction unknown in sept. Hospitalized twice following august in September and November currently. Disabled fully trying to get answers.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Headache
- Hospital-Tage
- 10,0
- Labordaten
- 4 mris, 3 CT?s, ultrasound of legs, cbc, cmc, thyroid panel ongoing tests currently 11/5/22, 11/6/22, 11/8/22-currently hospitalized
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- Pots. Epstein Barr. RMSF
- Andere Medikamente
- Trazadone 25mg. Hydroxyzine 25-100mg Multiple vit.
- Allergien
- Morphine, cipro, hycosamine
- Vorherige Impfungen
- -
- Staat
- OR
- Alter
- 26,0
- Geschlecht
- F
- Eingang
- 21.10.2022
- Impfdatum
- 21.10.2022
- Beginn
- 21.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Feeling hot
Flushing
Nausea
Vomiting
Symptomtext
Pt. became flushed, reporting she felt hot, then had 1 episode of emesis. Provided cool rag and water, nausea subsided after about 15 minutes.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Nausea
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- Chronic asthma
- Andere Medikamente
- Vienva birth control
- Allergien
- No known allergies
- Vorherige Impfungen
- -
- Staat
- MS
- Alter
- -
- Geschlecht
- F
- Eingang
- 13.10.2022
- Impfdatum
- 20.08.2022
- Beginn
- 20.09.2022
- Tage bis Beginn
- 31,0
- Dosis
- 4
- Route/Site
- - / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
COVID-19
Chills
Headache
Pain
SARS-CoV-2 test
Sleep disorder
Vaccination failure
Symptomtext
tested positive for Covid; tested positive for Covid; severe headache; chills; slept poorly; body aches; This is a spontaneous report received from a contactable reporter(s) (Consumer or other non HCP) from product quality group. The reporter is the patient. A 57-year-old female patient (not pregnant) received BNT162b2 (BNT162B2), on 25Feb2021 as dose 1, single (Lot number: EL9266), in left arm, on 24Mar2021 as dose 2, single (Lot number: FN6205), in left arm, on 19Nov2021 as dose 3 (booster), single (Lot number: FL8030), in left arm and on 20Aug2022 as dose 4 (booster), single (Lot number: FP7150), in left arm for covid-19 immunisation. The patient had no relevant medical history. The patient took concomitant medications. The following information was reported: PAIN (non-serious) with onset 20Sep2022, outcome "unknown", described as "body aches"; CHILLS (non-serious) with onset 20Sep2022, outcome "unknown"; HEADACHE (non-serious) with onset 20Sep2022, outcome "unknown", described as "severe headache"; SLEEP DISORDER (non-serious) with onset 20Sep2022, outcome "unknown", described as "slept poorly"; VACCINATION FAILURE (medically significant), COVID-19 (medically significant) all with onset 21Sep2022, outcome "unknown" and all described as "tested positive for Covid". The patient underwent the following laboratory tests and procedures: SARS-CoV-2 test: (21Sep2022) Positive, notes: I tested positive for Covid at home on the morning of 21Sep2022; (29Sep2022) Negative, notes: On 29Sep2022 I tested negative at home and felt fine; (04Oct2022) Positive, notes: On 04Oct2022 I started coughing and had a faint positive test at home; (05Oct2022) Positive, notes: On 05Oct2022 I woke up with a headache, body aches and head and chest cold and tested positive. Therapeutic measures were taken as a result of vaccination failure, covid-19, headache, chills, sleep disorder, pain. Clinical course: Product=COVID 19 Treatment, brand=Paxlovid, treatment start date=21Sep2022, treatment stop date=25Sep2022. Patient received other medication in 2 weeks include multivitamin. Patient had a severe headache and chills on the evening of 20Sep2022. Patient slept poorly and had body aches. Patient tested positive for Covid at home on the morning of 21Sep2022 and went to her FNP who confirmed the positive and prescribed Paxlovid. Patient stayed home and completed taking Paxlovid. On 29Sep2022 patient tested negative at home and felt fine. On 04Oct2022 patient started coughing and had a faint positive test at home. On 05Oct2022 patient woke up with a headache, body aches and head and chest cold and tested positive. Chest cold and cough were worse than when I first tested positive for Covid on 21Sep2022 before having Paxlovid treatment. Patient took Tylenol, Claritin-D, Promethazine. Patient had no known allergies.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Chills
- Hospital-Tage
- -
- Labordaten
- Test Date: 20220921; Test Name: COVID-19 test; Test Result: Positive ; Comments: I tested positive for Covid at home on the morning of 21Sep2022; Test Date: 20220929; Test Name: COVID-19 test; Test Result: Negative ; Comments: On 29Sep2022 I tested negative at home and felt fine.; Test Date: 20221004; Test Name: COVID-19 test; Test Result: Positive ; Comments: On 04Oct2022 I started coughing and had a faint positive test at home.; Test Date: 20221005; Test Name: COVID-19 test; Test Result: Positive ; Comments: On 05Oct2022 I woke up with a headache, body aches and head and chest cold and tested positive.
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- Comments: List of non-encoded Patient Relevant History: Patient Other Relevant History 1: None
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- -
- Alter
- -
- Geschlecht
- U
- Eingang
- 11.10.2022
- Impfdatum
- -
- Beginn
- 21.09.2022
- Tage bis Beginn
- -
- Dosis
- UNK
- Route/Site
- - / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Ear discomfort
Malaise
Nausea
Tinnitus
Symptomtext
i am going to get sick; tinnitus; it is getting better however it is still there and annoying; felt like my ears was blocked like, I could not even hear clearly; nauseous very quickly but it went away it did not last that long; This is a spontaneous report received from a contactable reporter(s) (Consumer or other non HCP). The reporter is the patient. A patient (no qualifiers provided) received BNT162b2 (BNT162B2), as dose number unknown, single (Lot number: FP7150), in left deltoid for covid-19 immunisation. The patient had no relevant medical history. There were no concomitant medications. The following information was reported: NAUSEA (non-serious) with onset 21Sep2022, outcome "recovered" (21Sep2022), described as "nauseous very quickly but it went away it did not last that long"; EAR DISCOMFORT (non-serious) with onset 22Sep2022, outcome "unknown", described as "felt like my ears was blocked like, I could not even hear clearly"; TINNITUS (non-serious) with onset 22Sep2022, outcome "recovering", described as "tinnitus; it is getting better however it is still there and annoying"; MALAISE (non-serious), outcome "unknown", described as "i am going to get sick". Additional information: patient just want to report the side effect of the Covid. Patient got the COVID Vaccine with Pfizer on the 21Sep2022 and the day when had vaccine patient just got nauseous very quickly but it went away it did not last that long. However the next day patient woke up and had tinnitus and did not realize that patient felt it but was so busy, so the next day it came and go, it came and go, the next day was very annoying. Patient just thought was going to get sick or you know was going to get a Flu (Further clarifications unknown). Patient felt like ears was blocked like, could not even hear clearly but then was not feeling sick or anything but ears so then patient realized that must be because of vaccine because patient did not had anything else. Patient was not getting sick anything like that, so was still experiencing but it was not bad as a few days after got the vaccine. Patient just want to let you know that and hopefully it will go away. The nausea went away after 15 minutes because patient was in the office from 30 minutes and it went away. Patient thought it just went away. It did not bother that much nausea but that tinnitus yes. Patient considered the COVID-19 Vaccine caused me the adverse event because patient did not had anything prior and was healthy individual, patient usually eat healthy food. Patient exercise did everything possible to keep immunity system healthy and all of a sudden patient had tinnitus which never had. Patient thought it was and thought because it happened the next day and that was why patient was like okay and it is getting better however it was still there and annoying patient thought it is related to that.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Malaise
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- Comments: List of non-encoded Patient Relevant History: Patient Other Relevant History 1: None
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 64,0
- Geschlecht
- F
- Eingang
- 06.10.2022
- Impfdatum
- 28.06.2022
- Beginn
- 28.06.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- - / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Arthralgia
Interchange of vaccine products
Joint swelling
Osteopenia
Pain in extremity
Peripheral swelling
Vaccination site joint movement impairment
Vaccination site pain
Vaccination site swelling
X-ray
Symptomtext
Pfizer booster: cannot even lift her left arm / Movement on her hand is unbearable with the pain. Is for the left arm and hand; Pfizer booster: left arm pain was reported as worsened; Pfizer booster: left wrist swollen (inflamed); Pfizer booster: left wrist pain; Pfizer booster: left shoulder swollen (inflamed) was reported as worsened; Pfizer booster: injection was painful; she got the three shots from Moderna and her second booster shot was from Pfizer; left shoulder from injection site all the way to her hand is swollen and inflamed / bump on her left arm; left shoulder from injection site all the way to her hand is swollen and inflamed; osteopenia; This is a spontaneous report received from a contactable reporter(s) (Consumer or other non HCP), Program ID. The reporter is the patient. A 64-year-old female patient received BNT162b2 (BNT162B2), on 28Jun2022 as dose 4 (booster), single (Lot number: FP7150) at the age of 64 years, in left arm for covid-19 immunisation. The patient's relevant medical history included: "Blood pressure", start date: 2020 (ongoing), notes: Blood pressure has no issues with the medication. Concomitant medication(s) included: LOSARTAN oral taken for blood pressure abnormal, start date: 2020 (ongoing). Vaccination history included: moderna (Dose 1, lot number: 012A21A), administration date: 05Mar2021, when the patient was 63-year-old, for COVID-19 immunization; moderna (Dose 2, lot number: 046A21A), administration date: 02Apr2021, when the patient was 63-year-old, for COVID-19 immunization; moderna (Dose 3, Lot number: 058H121A or 058-121A, Expiration date: 26Mar2022), administration date: 01Dec2021, when the patient was 63-year-old, for COVID-19 immunization. The following information was reported: PERIPHERAL SWELLING (non-serious) with onset 2022, outcome "not recovered", described as "left shoulder from injection site all the way to her hand is swollen and inflamed"; VACCINATION SITE SWELLING (non-serious) with onset 2022, outcome "not recovered", described as "left shoulder from injection site all the way to her hand is swollen and inflamed / bump on her left arm"; OSTEOPENIA (non-serious) with onset 2022, outcome "unknown"; VACCINATION SITE PAIN (non-serious) with onset 28Jun2022, outcome "not recovered", described as "Pfizer booster: injection was painful"; JOINT SWELLING (non-serious) with onset 28Jun2022, outcome "not recovered", described as "Pfizer booster: left shoulder swollen (inflamed) was reported as worsened"; INTERCHANGE OF VACCINE PRODUCTS (non-serious) with onset 28Jun2022, outcome "unknown", described as "she got the three shots from Moderna and her second booster shot was from Pfizer"; PAIN IN EXTREMITY (non-serious) with onset 30Jun2022, outcome "not recovered", described as "Pfizer booster: left arm pain was reported as worsened"; ARTHRALGIA (non-serious) with onset 30Jun2022, outcome "not recovered", described as "Pfizer booster: left wrist pain"; JOINT SWELLING (non-serious) with onset 30Jun2022, outcome "not recovered", described as "Pfizer booster: left wrist swollen (inflamed)"; VACCINATION SITE JOINT MOVEMENT IMPAIRMENT (non-serious) with onset 01Jul2022, outcome "not recovered", described as "Pfizer booster: cannot even lift her left arm / Movement on her hand is unbearable with the pain. Is for the left arm and hand". The event "osteopenia" required physician office visit. Relevant laboratory tests and procedures are available in the appropriate section. Therapeutic measures were taken as a result of pain in extremity, joint swelling, joint swelling, arthralgia, vaccination site joint movement impairment, vaccination site pain, vaccination site swelling, peripheral swelling, osteopenia. Additional information: The patient reported that she got the three shots from Moderna, and her second booster shot was from Pfizer. Her left shoulder from injection site all the way to her hand was swollen and inflamed. Could not even lift her arm up. Movement on her hand was unbearable with the pain. It was for the left arm and hand. Later clarified that as her hand and not her wrist. Everything was Moderna and the last one she took was Pfizer. One from Pfizer was a booster. Wanted to see if this was the cause. Left arm was ridiculous with pain. Was sent by nurse practitioner to an X-ray and found she had osteopenia and nothing else. Went to the orthopedic and was given a steroid shot right in the middle of her wrist to see if the pain would go away. Was prescribed Meloxicam which was not budging or helping her with nothing. Is only on blood pressure medication. Her left wrist was swollen. Was on blood pressure medication prior to the above medications. Taken Losartan 40 mg for blood pressure. When experienced pain spoked to main pharmacist and told her all this and wanted it noted in all her information. Injection was painful on 27Jun. Clarified this as the Pfizer booster injection and that it was on 28Jun2022. Painful when she rubs it with alcohol but not that severe. As she was feeling a bump on her left arm. Left arm pain: Treatment: steroid injection given in wrist on the top and Meloxicam medication. Left wrist swollen (inflamed): Ice packs. Still swollen on outer side. Left wrist pain: Went to orthopedic and given steroid shot. Left shoulder swollen (inflamed): No treatment. Clarified that the Meloxicam was not budging or helping her with the pain itself and the inflammation/swelling: Waited for seven days. Said it should have stopped right away since they gave her the injection itself. Could not even lift her left arm: Clarified that she could lift it to a certain point. Could not lift it without pain. No treatment. Certain movements were painful to lift because of her shoulder as well. Clarified that she had an X-ray of the left wrist since it was swollen the end of Jun or Jul. Meloxicam on Sep2022 to ongoing, 15mg one by mouth every day for 30 days for inflammation/pain.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Arthralgia
- Hospital-Tage
- -
- Labordaten
- Test Date: 2022; Test Name: X-ray; Result Unstructured Data: Test Result:she had osteopenia; Test Date: 2022; Test Name: X-ray; Result Unstructured Data: Test Result:swollen the end; Comments: X-ray of the left wrist since it was swollen the end of Jun or Jul
- Aktuelle Erkrankungen
- Blood pressure abnormal (Blood pressure has no issues with the medication.)
- Vorgeschichte
- -
- Andere Medikamente
- LOSARTAN
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 68,0
- Geschlecht
- F
- Eingang
- 28.09.2022
- Impfdatum
- 29.07.2022
- Beginn
- 02.08.2022
- Tage bis Beginn
- 4,0
- Dosis
- 4
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Anxiety
Blood potassium decreased
Blood test abnormal
Cardiac stress test
Chest discomfort
Dizziness
Electrocardiogram ST segment depression
Electrocardiogram abnormal
Troponin increased
Symptomtext
4 days after COVID 2nd booster, I went to the ER with chest sensation (not pain) and light headedness. The EKG was abnormal (ST depression) but the cardiologist on site said it was normal. All blood tests normal except Potassium slightly low. I headed home with the intention of following up with a Stress Test. My primary help schedule the Stress Test and prescribed Lexapro for anxiety. On day 3 after start of Lexapro, I went to ER. This time my Troponin was elevated (.05 and .1) and Stress Test EKG was markedly abnormal. Long story short, I believe the COVID booster may have caused the abnormal EKG?s.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Dizziness
- Hospital-Tage
- -
- Labordaten
- EKG 8/2/2022 and Stress Test EKG 8/10/2022 Troponin levels 8/8/2022
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- Arrhythmia Anxiety
- Andere Medikamente
- Metoprolol 12.5 mg/day Vit D 1000 IU/day
- Allergien
- Latex Penicillin
- Vorherige Impfungen
- -
- Staat
- GA
- Alter
- 59,0
- Geschlecht
- F
- Eingang
- 23.09.2022
- Impfdatum
- 23.08.2022
- Beginn
- 12.09.2022
- Tage bis Beginn
- 20,0
- Dosis
- 4
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Chills
Cough
Fatigue
Hypersomnia
Oropharyngeal pain
Pain
Pyrexia
SARS-CoV-2 test negative
Streptococcus test negative
Symptomtext
Coughing, Chills, Fever, Sore Throat, Body Ache, Fatigue/Tiredness, and A lot of Sleeping. These symptoms lasted for 9 days.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Chills
- Hospital-Tage
- -
- Labordaten
- COVID Test and Test for Strep Throat on Sept. 17, 2022 Both tests came back Negative.
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- Hypertension, Hypothyroidism, Obesity, Anxiety
- Andere Medikamente
- Micardis Tabs (Telmisartan) 80 mg Synthroid Tabs (L-Thyroxine 50 mcg Metoprolol ER Succinate 25mg tabs Albuterol Inhalation 90 mcg
- Allergien
- None
- Vorherige Impfungen
- Body ache, slight headache, Pain at injection site and slight swelling
- Staat
- NY
- Alter
- 73,0
- Geschlecht
- M
- Eingang
- 20.09.2022
- Impfdatum
- 07.09.2022
- Beginn
- 07.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect product formulation administered
Malaise
Pain
Pyrexia
Symptomtext
Error: Wrong Vaccine Formulation (ex. Prevnar 13 v. Prevnar 23)-
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Malaise
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- NY
- Alter
- 73,0
- Geschlecht
- M
- Eingang
- 20.09.2022
- Impfdatum
- 07.09.2022
- Beginn
- 07.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect product formulation administered
Malaise
Pain
Pyrexia
Symptomtext
Error: Wrong Vaccine Formulation (ex. Prevnar 13 v. Prevnar 23)-
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Malaise
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- NY
- Alter
- 72,0
- Geschlecht
- F
- Eingang
- 20.09.2022
- Impfdatum
- 07.09.2022
- Beginn
- 07.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Extra dose administered
Feeling cold
Incorrect product formulation administered
Pain
Pyrexia
Symptomtext
Error: Wrong Vaccine Formulation (ex. Prevnar 13 v. Prevnar 23)-
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Pain
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- NY
- Alter
- 72,0
- Geschlecht
- F
- Eingang
- 20.09.2022
- Impfdatum
- 07.09.2022
- Beginn
- 07.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Extra dose administered
Feeling cold
Incorrect product formulation administered
Pain
Pyrexia
Symptomtext
Error: Wrong Vaccine Formulation (ex. Prevnar 13 v. Prevnar 23)-
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Pain
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- CA
- Alter
- 50,0
- Geschlecht
- M
- Eingang
- 17.09.2022
- Impfdatum
- 13.08.2022
- Beginn
- 13.08.2022
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Throat irritation
Urticaria
Symptomtext
Called to an exam room to observe a patient after he received the Covid Booster. Injection was given at 1415. Benadryl 25mg Capsules x2 were given at 1420 (total of 50mg), because of c/o throat feeling itchy and dry. Of note, he reported having a previous reaction to the 2nd Covid shot he got. He stated he broke out in hives. With this vaccine, besides the scratchy throat, there were no other symptoms. Vital signs were taken. 146/85 P. 79, 02 sat 99% then 142/89 P.79 02 sat 99%. No respiratory distress observed. He continued to have conversation while being observed. At 1500, he stated he felt fine and wanted to go home. His wife was instructed to drive and to bring him to the urgent care if any serious symptoms came up. She verbalized understanding and willing to comply with follow up care. She states that they only live 5 minutes away.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Urticaria
- Hospital-Tage
- -
- Labordaten
- None
- Aktuelle Erkrankungen
- Not Reported
- Vorgeschichte
- Not Reported
- Andere Medikamente
- Acetazolamide 125mg BID Albuterol Sulfate HFA 108 2 puffs q4h or as needed Famotidine 40 mg 1 tab daily
- Allergien
- Lidocaine/Epinephrine
- Vorherige Impfungen
- -
- Staat
- AZ
- Alter
- 52,0
- Geschlecht
- M
- Eingang
- 04.09.2022
- Impfdatum
- 19.08.2022
- Beginn
- 01.09.2022
- Tage bis Beginn
- 13,0
- Dosis
- 3
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Injection site rash
Rash
Symptomtext
Patient called at 5PM on 9/1/2022 stating he had a reaction of rash on both arms. He stated, from the internet, this was caused by his last Covid 19 vaccine.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Injection site rash
- Hospital-Tage
- -
- Labordaten
- none
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- Unknown
- Andere Medikamente
- Unknown
- Allergien
- Unknow
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 58,0
- Geschlecht
- F
- Eingang
- 02.09.2022
- Impfdatum
- 24.08.2022
- Beginn
- 01.08.2022
- Tage bis Beginn
- -
- Dosis
- 2
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Contusion
Pain in extremity
X-ray
Symptomtext
Bruising and pain on the left arm
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Pain in extremity
- Hospital-Tage
- -
- Labordaten
- Xray completed. Pending results
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- None
- Andere Medikamente
- None
- Allergien
- No known allergies
- Vorherige Impfungen
- -
- Staat
- PA
- Alter
- 14,0
- Geschlecht
- F
- Eingang
- 30.08.2022
- Impfdatum
- 23.08.2022
- Beginn
- 23.08.2022
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- OT / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Overdose
Pain in extremity
Symptomtext
Sore arm; given almost 2ml of the product, instead of 0.3ml.; This is a spontaneous report received from contactable reporter(s) (Other HCP) from medical information team. A 14-year-old female patient received BNT162b2 (BNT162B2), on 23Aug2022 as dose 3 (booster), 2 ml single (Lot number: FP7150, Expiration Date: 16Oct2022) at the age of 14 years intramuscular, in left arm for covid-19 immunisation. The patient's relevant medical history included: "Asthma" (unspecified if ongoing); "Past history of mixed hyperlipidemia" (unspecified if ongoing); "Vitamin d deficiency" (unspecified if ongoing); "High serum cholesterol borderline" (unspecified if ongoing); "autoimmune thyroiditis", start date: 2018 (unspecified if ongoing). There were no concomitant medications. Vaccination history included: BNT162b2 (Second Dose, NDC, LOT, EXP: Unknown ), administration date: 08Jun2021, when the patient was 12-year-old, for Covid-19 immunization; BNT162b2 (First Dose, Covid-19 vaccine, purple cap NDC, LOT, EXP: Unknown), administration date: 29May2021, when the patient was 12-year-old, for COVID-19 immunization. The following information was reported: OVERDOSE (non-serious) with onset 23Aug2022, outcome "unknown", described as "given almost 2ml of the product, instead of 0.3ml."; PAIN IN EXTREMITY (non-serious) with onset 24Aug2022, outcome "unknown", described as "Sore arm". Additional Information: Caller was reporting an administration error for the Pfizer COVID vaccine gray cap that had been administered to a patient. Caller confirmed that the patient was given almost 2ml of the product, instead of 0.3ml. Caller wants to know if there was anything the patient can do or any guidance about this error and if there are side effects to look after the error. Caller also mentioned that it was for the booster dose of the patient. Reporter called because they were concerned that an employee gave the wrong Covid vaccine. Found out, the correct Covid vaccine was given but was given the wrong dosage. Dose was supposed to be 0.3ml and patient was given almost 2ml, which was too much. Patient had no reaction other than a sore arm. Patient had no additional vaccines administered on same date of the Pfizer suspect. AE(s) did not require a visit to Emergency Room or Physician Office. Patient had no prior vaccination (within 4weeks) and had no AE(s) following prior vaccinations. No family medical history relevant to AE(s). Patient had no relevant tests done. The information on the batch/lot number for BNT162b2 has been requested and will be submitted if and when received. Follow-up (23Aug2022 and 24Aug2022): This is a spontaneous follow-up report received from a contactable other HCP. Updated information: new reporter, patient details, medical history, historical vaccine, vaccination details, new event.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Pain in extremity
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- Medical History/Concurrent Conditions: Asthma; Autoimmune thyroiditis; Mixed hyperlipidemia; Serum cholesterol abnormal; Vitamin D deficiency
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- NC
- Alter
- 63,0
- Geschlecht
- F
- Eingang
- 25.08.2022
- Impfdatum
- 10.08.2022
- Beginn
- 15.08.2022
- Tage bis Beginn
- 5,0
- Dosis
- 4
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Injection site discomfort
Injection site induration
Injection site swelling
Symptomtext
Overweight 63 yo F with type 2 DM pure hypercholesterolemia, and uncomplicated severe persistant asthma presented to clinic for a wellness check on 8/10/22. During this visit, the patient was given an IM Covid-19 vaccination booster in her left arm (lot # FP7150) and a Prevnar 20 IM injection in her right arm (lot# FW2328). Injections given ~1530 8/10. On 8/15, the patient was with her husband at a clinic visit and complained of some mild swelling in the right arm at site of the Prevnar-20 injection. The physician examined the site and found a very small subcutaneous induration with mild discomfort - no redness or fluctuance. This was determined to be a local reaction to the vaccine. The patient had no other major side effect. Physician provided reassurance and encouraged continued use of warm compresses.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Injection site discomfort
- Hospital-Tage
- -
- Labordaten
- None
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- Diabetes mellitus
- Andere Medikamente
- albuterol, empagliflozin, Flonase, fluticasone-vilanterol, gabapentin, metformin, montelukast, oxycodone/acetaminophen, rosuvastatin, Spiriva, ProAir HFA
- Allergien
- aspirin (rash), shellfish (hives, swelling), pravastatin (GI intolerance, atorvastatin (hives), Lactose (intolerance)
- Vorherige Impfungen
- -
- Staat
- NJ
- Alter
- 59,0
- Geschlecht
- F
- Eingang
- 19.08.2022
- Impfdatum
- 15.08.2022
- Beginn
- 01.08.2022
- Tage bis Beginn
- -
- Dosis
- 3
- Route/Site
- - / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: ja
ER: unbekannt
Erholt: nein
Joint swelling
Pain
Skin discolouration
Symptomtext
elbow blew up like a golf ball under it and turned black and blue; elbow blew up like a golf ball under it and turned black and blue; Even worse body aches; This is a spontaneous report received from contactable consumer. The reporter is the patient. A 59-year-old female patient (not pregnant) received BNT162b2 (BNT162B2), on 15Aug2022 as dose 3 (booster), single (Lot number: FP7150) at the age of 59 years, in left arm for covid-19 immunisation. The patient's relevant medical history included: "Heart attack", start date: Jul2021 (unspecified if ongoing); "COVID-19" (unspecified if ongoing), notes: If COVID prior vaccination: Yes; "Known allergies: Sulfa" (unspecified if ongoing). The patient's concomitant medications were not reported. Vaccination history included: BNT162b2 (Dose Number: 1 , Batch/Lot No: FE3592 , Location of injection: Arm Left), administration date: 27Jan2022, when the patient was 58-year-old, for COVID-19 immunization, reaction(s): "Left arm swelled up"; BNT162b2 (Dose Number: 2 , Batch/Lot No: FM0698 , Location of injection: Arm Left, ), administration date: 22Feb2022, when the patient was 58-year-old, for COVID-19 immunization, reaction(s): "Whole body broke out in scabie like sores all over body", "Whole body broke out in scabie like sores all over body", "Whole body broke out in scabie like sores all over body". The following information was reported: PAIN (disability) with onset Aug2022, outcome "not recovered", described as "Even worse body aches"; JOINT SWELLING (disability), SKIN DISCOLOURATION (disability) all with onset Aug2022, outcome "not recovered" and all described as "elbow blew up like a golf ball under it and turned black and blue". Events were reported with seriousness criteria-disabling/incapacitating. Event details reported as follow: After third dose, elbow blew up like a golf ball under it and turned black and blue. Even worse body aches. AE resulted in doctor or other healthcare professional office/clinic visit, disability or permanent damage. Therapeutic measures were not taken as a result of joint swelling, skin discolouration, pain.; Sender's Comments: Linked Report(s) : US-PFIZER INC-202201065138 same patient/drug, different dose (2nd)/event;US-PFIZER INC-202201065128 same patient/drug, different dose (1st)/event;
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Pain
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- Medical History/Concurrent Conditions: COVID-19 (If COVID prior vaccination: Yes); Heart attack; Sulfonamide allergy
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 38,0
- Geschlecht
- F
- Eingang
- 18.08.2022
- Impfdatum
- 11.08.2022
- Beginn
- 12.08.2022
- Tage bis Beginn
- 1,0
- Dosis
- 3
- Route/Site
- SYR / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Cheilitis
Glossodynia
Herpes simplex
Lip haemorrhage
Oral herpes
Pain
Stomatitis
Symptomtext
Herpes simplex cold sore outbreak- worst I have ever had, 6 sores on lip/in mouth/ on tongue. One week later and still in significant pain, lip bleeding, and more sores breaking out. Have been using Abreva topically but it isn't helping.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Pain
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- N/A
- Vorgeschichte
- Back pain
- Andere Medikamente
- Latuda, bupropion, ocp -altevera
- Allergien
- Penicillin, sulfas, doxycycline, cephalosporin
- Vorherige Impfungen
- -
- Staat
- LA
- Alter
- 24,0
- Geschlecht
- F
- Eingang
- 17.08.2022
- Impfdatum
- 12.08.2022
- Beginn
- 13.08.2022
- Tage bis Beginn
- 1,0
- Dosis
- 1
- Route/Site
- - / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Back pain
Chills
Headache
Injection site pain
Neck pain
Pain in extremity
Pyrexia
Vomiting
Symptomtext
Client reports symptoms started 8-13-22 @ 5:00am, awoke chills, pain of neck, head, and back at that time took 1000mg Tylenol fever was 103.6, took luke warm bath tempt went down to 100, but tempt went back up to 102 she started throwing up for several hours. Fever went down to normal @4:30. On 8-14-22 her arm was painful at injection site did have fever of 101 8-15-22 2:30 client called reports painful arm enc her to contact her PCP.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Back pain
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- Seasonal allergies
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- OH
- Alter
- 51,0
- Geschlecht
- F
- Eingang
- 17.08.2022
- Impfdatum
- 12.08.2022
- Beginn
- 14.08.2022
- Tage bis Beginn
- 2,0
- Dosis
- 3
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Cellulitis
Erythema
Injection site reaction
Rash
Skin warm
Symptomtext
Localized reaction to the L arm. Had both shingles and Pfizer booster. Shot on Morning Friday. Rash noticed on Sunday, could have been there longer. Red and warm but atypical for cellulitis.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Injection site reaction
- Hospital-Tage
- -
- Labordaten
- None
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- None
- Andere Medikamente
- MVI
- Allergien
- Shellfish
- Vorherige Impfungen
- -
- Staat
- CA
- Alter
- 2,0
- Geschlecht
- F
- Eingang
- 16.08.2022
- Impfdatum
- 02.08.2022
- Beginn
- 02.08.2022
- Tage bis Beginn
- 0,0
- Dosis
- 2
- Route/Site
- - / RL
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Body temperature
Chills
Lethargy
Overdose
Product administered to patient of inappropriate age
Pyrexia
Symptomtext
This is a spontaneous report received from contactable reporters (Nurse and Consumer or other non HCP) from medical information team. A 2-year-old female patient received BNT162b2 (BNT162B2), on 02Aug2022 as dose 2, 0.2 ml single (Lot number: FP7150, Expiration Date: 30Sep2022) at the age of 2 years, in right thigh for covid-19 immunisation. The patient had no relevant medical history. There were no concomitant medications. Vaccination history included: BNT162b2 (DOSE 1, SINGLE: lot number: FT9142), administration date: 07Jul2022, when the patient was 2-year-old, for COVID-19 Immunization. The following information was reported: PRODUCT ADMINISTERED TO PATIENT OF INAPPROPRIATE AGE (non-serious), OVERDOSE (non-serious) all with onset 02Aug2022, outcome "unknown" and all described as "A Baby was given the adult Pfizer/accidently received the gray cap formulation and was administered 0.2mL/gray cap Pfizer Covid-19 vaccine that was administered to a 2 year old female"; CHILLS (non-serious), outcome "unknown"; LETHARGY (non-serious), outcome "unknown", described as "looks lethargic"; PYREXIA (non-serious), outcome "unknown", described as "fever/ fever of 103.6". Relevant laboratory tests and procedures are available in the appropriate section. Additional information: The nurse stated the product was placed in a box that was supposed to be baby Pfizer and it was assumed that it was baby Pfizer. The nurse noted not the full dose as the adult Pfizer was given, only 0.2 ml. The reporter stated, on 02Aug2022, morning they gave a vaccine out to a baby, and that was the Pfizer (clarified as Pfizer COVID 19 vaccine) and they inadvertently given them the twelve plus Pfizer instead of the infant Pfizer. Reporter asked on how do they proceed from there. So, they had given the adult Pfizer to a baby, and did they need to hold off on vaccination. It was unknown if patient received any other vaccines within 4 weeks of this vaccine. The nurse denied any other medications, medical conditions, labs, testing, or treatments for the patient relevant to these events. Patient's Medical History and Relevant Tests were reported as none. Caller provided that the information was of an off label nature and was regarding the gray cap Pfizer Covid-19 vaccine that was administered to a 2-year-old female and the parents would like to know any information on accidental administrations or if there were any studies about children receiving larger doses of the Pfizer Covid-19 vaccine. The nurse reported that the patient's caregiver (father) was on the line. He was reporting for his two year old daughter who got the adult Pfizer vaccine. He added that his daughter had fever of 103.6, chills, looking like she is almost ready to get seizures, and that she also looked lethargic. The patient's father said that she is fine now but he just wanted to know if there was information on the possible long term effects. Follow up (05Aug2022): This is a spontaneous follow-up report received from a contactable Nurse. This Nurse reported for a Patient that: Updated information included: Additional information updated. Follow-up (09Aug2022): This is a spontaneous follow-up report received from a contactable Nurse and consumer. Updated information: patient demographics (height and weight updated), Laboratory data, reaction data (events fever, chills, Lethargic were added) and clinical course details.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Chills
- Hospital-Tage
- -
- Labordaten
- Test Name: Fever; Result Unstructured Data: Test Result: 103.6 Fahrenheit.
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- Comments: List of non-encoded Patient Relevant History: Patient Other Relevant History 1: None
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- TN
- Alter
- 31,0
- Geschlecht
- F
- Eingang
- 14.08.2022
- Impfdatum
- 10.08.2022
- Beginn
- 10.08.2022
- Tage bis Beginn
- 0,0
- Dosis
- 2
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Dysphagia
Injection site pruritus
Throat tightness
Symptomtext
Site: Itching at Injection Site-Mild, Systemic: Allergic: Difficulty Swallowing, Throat Tightness-Mild, Systemic: ems called and evaluated pt. determined proper procudure and instructed okay to go home after 15 more minutes-Mild
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Injection site pruritus
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- FL
- Alter
- 88,0
- Geschlecht
- M
- Eingang
- 10.08.2022
- Impfdatum
- 03.08.2022
- Beginn
- 04.08.2022
- Tage bis Beginn
- 1,0
- Dosis
- 3
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: ja
Disable: unbekannt
ER: ja
Erholt: ja
Asthenia
Fall
Hip fracture
Hyperhidrosis
Malaise
X-ray of pelvis and hip abnormal
Symptomtext
WEAKNESS, MALAISE, DIAPHORESIS, RESIDENT THEN FELL OUT OF BED AND BROKE RIGHT HIP
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Malaise
- Hospital-Tage
- 3,0
- Labordaten
- XRAY
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- HISTORY OF BLADDER CANCER
- Andere Medikamente
- -
- Allergien
- CIPROFLOXACIN, OXYBUTYNIN, ACE INHIBITORS, FISH OIL
- Vorherige Impfungen
- -
- Staat
- MD
- Alter
- 65,0
- Geschlecht
- F
- Eingang
- 05.08.2022
- Impfdatum
- 30.07.2022
- Beginn
- 30.07.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Erythema
Injection site erythema
Injection site pruritus
Injection site swelling
Pruritus
Swelling
Symptomtext
Site: Itching at Injection Site-Mild, Site: Redness at Injection Site-Mild, Site: Swelling at Injection Site-Mild, Systemic: Allergic: Itch Generalized-Mild, Additional Details: Large swollen bump that is a little red. patient complains about itching but not pain
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Injection site erythema
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- CA
- Alter
- 63,0
- Geschlecht
- M
- Eingang
- 05.08.2022
- Impfdatum
- 26.07.2022
- Beginn
- 26.07.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Injection site extravasation
Symptomtext
Error: Leaking from Injection Site-
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Injection site extravasation
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- MS
- Alter
- 24,0
- Geschlecht
- M
- Eingang
- 05.08.2022
- Impfdatum
- 28.07.2022
- Beginn
- 29.07.2022
- Tage bis Beginn
- 1,0
- Dosis
- 3
- Route/Site
- - / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Asthenia
Body temperature
Fatigue
Influenza like illness
Lethargy
Nausea
Pyrexia
Rash
Vaccination site rash
Symptomtext
had rashes spreading over body, rashes came from injection site and spread to hands, feet, and lower extremities; had rashes spreading over body, rashes came from injection site and spread to hands, feet, and lower extremities; nausea, felt like caller was going to vomit,; general lethargicness; fatigue; low grade fever.; no energy at all; Flu like symptoms; This is a spontaneous report received from contactable reporter(s) (Consumer or other non HCP). The reporter is the patient. A 24-year-old male patient received BNT162b2 (BNT162B2), on 28Jul2022 as dose 3 (booster), single (Lot number: FP7150) at the age of 24 years, in left arm for covid-19 immunisation. The patient had no relevant medical history. There were no concomitant medications. Vaccination history included: BNT162b2 (Dose: 01, SINGLE, Lot number: EW0171), administration date: 20May2021, when the patient was 22-year-old, for COVID-19 immunization, reaction(s): "Flu like symptoms", "Fatigue"; BNT162b2 (Dose: 02, SINGLE, Lot number: EC3180), administration date: 11Aug2021, when the patient was 23-year-old, for COVID-19 immunization, reaction(s): "Flu like symptoms", "Fatigue". The following information was reported: INFLUENZA LIKE ILLNESS (non-serious) with onset 29Jul2022, outcome "recovered" (30Jul2022), described as "Flu like symptoms"; FATIGUE (non-serious) with onset 29Jul2022, outcome "recovered" (30Jul2022); LETHARGY (non-serious) with onset 29Jul2022, outcome "recovered" (30Jul2022), described as "general lethargicness"; PYREXIA (non-serious) with onset 29Jul2022, outcome "recovered" (30Jul2022), described as "low grade fever."; NAUSEA (non-serious) with onset 29Jul2022, outcome "recovered" (30Jul2022), described as "nausea, felt like caller was going to vomit,"; ASTHENIA (non-serious) with onset 29Jul2022, outcome "recovered" (30Jul2022), described as "no energy at all"; VACCINATION SITE RASH (non-serious), RASH (non-serious) all with onset 31Jul2022, outcome "recovering" and all described as "had rashes spreading over body, rashes came from injection site and spread to hands, feet, and lower extremities". Relevant laboratory tests and procedures are available in the appropriate section. Additional information: Patient stated that had rashes spreading over body, rashes came from injection site and spread to hands, feet, and lower extremities. Indication: To have more sustained immunity for going back and forth from work and to not get caller's fiance sick, caller's fiance was susceptible to getting very sick from Covid. No any other event require a visit to emergency room, physician office. Prior Vaccinations (within 4 weeks) no any other list of vaccinations within four weeks prior to the first administration date of the suspect vaccine(s). Just besides feeling general fatigue and flu like symptoms which caller stated everyone experiences. Reporter confirmed he had general fatigue and flu like symptoms with the 1st and 2nd doses of the Pfizer COVID-19 vaccine. No follow-up attempts are possible. No further information is expected.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Fatigue
- Hospital-Tage
- -
- Labordaten
- Test Name: Body Temperature; Result Unstructured Data: Test Result:low grade fever
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- Comments: List of non-encoded Patient Relevant History: Patient Other Relevant History 1: None, Comment: Patient's Medical History (including any illness at time of vaccination)? None
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- MA
- Alter
- 60,0
- Geschlecht
- F
- Eingang
- 02.08.2022
- Impfdatum
- 27.07.2022
- Beginn
- 28.07.2022
- Tage bis Beginn
- 1,0
- Dosis
- 3
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Erythema
Headache
Hypersensitivity
Inflammation
Injection site erythema
Injection site pain
Injection site pruritus
Injection site swelling
Musculoskeletal stiffness
Peripheral swelling
Pruritus
Rash
Skin warm
Symptomtext
Site: Itching at Injection Site-Mild, Site: Pain at Injection Site-Mild, Site: Redness at Injection Site-Medium, Site: Swelling at Injection Site-Medium, Systemic: Allergic: Itch Generalized-Medium, Systemic: Allergic: Rash Generalized-Medium, Additional Details: Patient presented to pharmacy on 7/30/22 with redness, swelling, itching, and pain on back of arm above elbow. Pt reports first symptoms starting on 7/28 with headache and neck stiffness then on 7/29 her arm began showing swelling/inflammation/redness and woke up on 7/30 with redness spreading and beginning to itch and feverish to the touch. Recommended taking otc benadryl by mouth and using either topical benadryl or hydrocortisone to help with itching/redness. No other symptoms at this time
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Headache
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 14,0
- Geschlecht
- F
- Eingang
- 01.08.2022
- Impfdatum
- 28.07.2022
- Beginn
- 28.07.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Dizziness
Symptomtext
Systemic: Dizziness/Lightheadedness-Mild.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Dizziness
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- CA
- Alter
- 18,0
- Geschlecht
- M
- Eingang
- 29.07.2022
- Impfdatum
- 27.07.2022
- Beginn
- 27.07.2022
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Fatigue
Headache
Pyrexia
Symptomtext
Per MD note, patient had fever, fatigue, headache after Pfizer on 7/27/22
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Fatigue
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- NKDA
- Vorherige Impfungen
- -
- Staat
- MA
- Alter
- 56,0
- Geschlecht
- M
- Eingang
- 29.07.2022
- Impfdatum
- 23.07.2022
- Beginn
- 24.07.2022
- Tage bis Beginn
- 1,0
- Dosis
- 4
- Route/Site
- - / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Fatigue
Myalgia
Vaccination site pain
Symptomtext
This is a spontaneous report received from a contactable reporter(s) (Consumer or other non HCP). The reporter is the patient. A 56-year-old male patient received BNT162b2 (BNT162B2), on 23Jul2022 at 13:00 as dose 4 (booster), single (Lot number: FP7150) at the age of 56 years, in left arm for covid-19 immunization. The patient's relevant medical history and concomitant medications were not reported. Vaccination history included: Covid-19 vaccine (DOSE 1; MANUFACTURER UNKNOWN), for COVID-19 immunization; Covid-19 vaccine (DOSE 2; MANUFACTURER UNKNOWN), for COVID-19 immunization; Covid-19 vaccine (DOSE 3; MANUFACTURER UNKNOWN), for COVID-19 immunization. The following information was reported: FATIGUE (non-serious) with onset 24Jul2022 at 10:00, outcome "recovering", described as "General Fatigue"; VACCINATION SITE PAIN (non-serious) with onset 24Jul2022 at 10:00, outcome "recovering", described as "Injection Site Pain"; MYALGIA (non-serious) with onset 24Jul2022 at 10:00, outcome "recovering", described as "Muscle Soreness". Therapeutic measures were taken as a result of fatigue, vaccination site pain, myalgia. Additional information: The patient took 600 mg Ibuprofen as treatment for adverse events. There were no other vaccine in four weeks. There was no covid prior to vaccination. The patient was not tested for covid post vaccination.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Fatigue
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- CA
- Alter
- 30,0
- Geschlecht
- F
- Eingang
- 27.07.2022
- Impfdatum
- 19.07.2022
- Beginn
- 20.07.2022
- Tage bis Beginn
- 1,0
- Dosis
- 4
- Route/Site
- SYR / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Arthralgia
Immunisation reaction
Injection site rash
Injection site swelling
Pain in extremity
Symptomtext
Extreme case of ?Covid arm? with a rash and bump at my the site of injection. Elbow area and forearm are Severely sore even after an entire week. I can?t tell if it?s muscle related or bone.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Arthralgia
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- No
- Vorgeschichte
- Hypothyroidism, hyperprolactinemia
- Andere Medikamente
- Levothyroxine
- Allergien
- No
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 58,0
- Geschlecht
- F
- Eingang
- 26.07.2022
- Impfdatum
- 23.07.2022
- Beginn
- 23.07.2022
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Blood pressure increased
Dizziness
Headache
Symptomtext
Systemic: Dizziness / Lightheadness-Mild, Systemic: Headache-Mild, Additional Details: Pt does not have PCP. Pt reported having symptoms of (dizziness and body code) within approximatley 1 minute of injection. Pt confirmed taht she does not want to call 911 or ambulance. Couseled pt to wait at least 30 minutes to make sure she is safe. Pt stated that she did not take her blood pressure medication in the morning and her elevated blood pressure is due to not taking it. Pt reported not having symptoms after 38 minuts after injection. Pt confirmed that she wants to go home-couseld
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Dizziness
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 13,0
- Geschlecht
- F
- Eingang
- 25.07.2022
- Impfdatum
- 25.07.2022
- Beginn
- 25.07.2022
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Dizziness
Headache
Immediate post-injection reaction
Symptomtext
Sudden frontal headache immediately after receiving a Pfizer COVID vaccine. Also dizzy but no nausea. Patient taken to pediatrics for pediatrician evaluation. Given ibuprofen, told to rest and return to clinic with worrisome symptoms.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Dizziness
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 14,0
- Geschlecht
- M
- Eingang
- 25.07.2022
- Impfdatum
- 25.07.2022
- Beginn
- 25.07.2022
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- SYR / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Lymphadenopathy
Pain in extremity
Soft tissue swelling
Swelling
Symptomtext
Swollen lymph nodes noted to left axilla 7/15/2022, day after receiving Covid booster; also developed soft tissue swelling down left side below axilla; no fever note; some left arm pain per parent reporting event. MD exam noted 2-3 mildly enlarge lymph nodes under left axilla/armpit, soft nontender boggy swelling below armpit in axillary line; MD recommended treatment of cool pack to affected area.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Pain in extremity
- Hospital-Tage
- -
- Labordaten
- None
- Aktuelle Erkrankungen
- Splinter in foot for 2 days, removed in office prior to vaccine administration.
- Vorgeschichte
- -
- Andere Medikamente
- None noted
- Allergien
- Beef sensitivity, tomato allergy, grass and mold allergy
- Vorherige Impfungen
- -
- Staat
- CA
- Alter
- 54,0
- Geschlecht
- F
- Eingang
- 24.07.2022
- Impfdatum
- 22.07.2022
- Beginn
- 23.07.2022
- Tage bis Beginn
- 1,0
- Dosis
- 4
- Route/Site
- SYR / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Axillary pain
Oedema peripheral
Symptomtext
Very swollen and sore right armpit
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Axillary pain
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- None
- Andere Medikamente
- Lexapro Multivitamin
- Allergien
- Penicillin allergy
- Vorherige Impfungen
- -
- Staat
- OH
- Alter
- 68,0
- Geschlecht
- M
- Eingang
- 22.07.2022
- Impfdatum
- 15.07.2022
- Beginn
- 21.07.2022
- Tage bis Beginn
- 6,0
- Dosis
- 4
- Route/Site
- SYR / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
COVID-19
Malaise
Myalgia
Rhinorrhoea
SARS-CoV-2 test positive
Symptomtext
Runny nose, some muscle aches on 7/21/22. Positive home COVID test. Reported to family physician's office; declined paxlovid as symptoms are mild.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Malaise
- Hospital-Tage
- -
- Labordaten
- Rapid antigen test.
- Aktuelle Erkrankungen
- none
- Vorgeschichte
- high cholesterol
- Andere Medikamente
- atorvastatin, tamsulosin
- Allergien
- clyndomycine
- Vorherige Impfungen
- -
- Staat
- OH
- Alter
- 66,0
- Geschlecht
- F
- Eingang
- 19.07.2022
- Impfdatum
- 18.07.2022
- Beginn
- 18.07.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- - / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Arthralgia
Feeling cold
Headache
Pain
Pyrexia
Symptomtext
Fever, chills, body/joint aches, headache
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Arthralgia
- Hospital-Tage
- -
- Labordaten
- None
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- Fibromyalgia, Diabetes type 2
- Andere Medikamente
- Daily Rx arenolol, metformin, glimeperide, align, savella, levithytoxine, trazodone, vitamin D, doxycycline, tylenol
- Allergien
- Penicillin, sulfa drugs
- Vorherige Impfungen
- 65 , 64
- Staat
- NY
- Alter
- 53,0
- Geschlecht
- M
- Eingang
- 19.07.2022
- Impfdatum
- 20.06.2022
- Beginn
- 26.06.2022
- Tage bis Beginn
- 6,0
- Dosis
- 4
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Erythema multiforme
Pruritus
Rash macular
Symptomtext
6 days after vaccination, on Sunday June 26th, started to develop red itchy spots on lower legs and left arm. Patient thought this was poison ivy contamination. The itching and red spots spread and on Wed July 6th patient visited a nurse practitioner who diagnosed poison ivy and prescribed prednazolone (60 mg first day, 50 mg 2nd day, etc until 10 mg 6th day). and Betamethasone Dipropionate ointment. This helped and red spots and itching went down. But on Tuesday July 12th, while flying, red spots increased quickly again, with many spots on my hands and feet, and red areas over belly and back. So on Wednesday July 13th I visited a doctor, who sent me to the hospital on Thursday July 14th to visit a dermatologist. The dermatologist diagnosed Erythema Multiforme - minor form, a skin condition caused by overreacting of the immune system. He prescribed prednozolone again, now 80 mg per day for 4 days. This helped to get rid of the red spots in 5 days, and I have now fully recovered. The dermatologist was not sure what triggered this condition. Could be the vaccine, could be the poison ivy, could be another virus. I have a medical report from the dermatologist and pictures of my body in case this is of interest to the CDC.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Pruritus
- Hospital-Tage
- -
- Labordaten
- None done. Diagnosis done by literature study and observation.
- Aktuelle Erkrankungen
- Possible poison ivy contamination and rash from poison ivy.
- Vorgeschichte
- Overweight / Obese High blood pressure
- Andere Medikamente
- Atenolol 50 mg
- Allergien
- None.
- Vorherige Impfungen
- -
- Staat
- FL
- Alter
- 79,0
- Geschlecht
- M
- Eingang
- 13.07.2022
- Impfdatum
- 26.06.2022
- Beginn
- 27.06.2022
- Tage bis Beginn
- 1,0
- Dosis
- 4
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Fatigue
Lethargy
Symptomtext
Systemic: Exhaustion / Lethargy-Medium
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Fatigue
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- AZ
- Alter
- 29,0
- Geschlecht
- F
- Eingang
- 07.07.2022
- Impfdatum
- 06.07.2022
- Beginn
- 06.07.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Pain in extremity
Symptomtext
Patient stated their were only mild arm soreness and no other effects. No treatment necessary.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Pain in extremity
- Hospital-Tage
- -
- Labordaten
- None
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- None
- Andere Medikamente
- None
- Allergien
- None
- Vorherige Impfungen
- -
- Staat
- OH
- Alter
- 50,0
- Geschlecht
- M
- Eingang
- 05.07.2022
- Impfdatum
- 30.06.2022
- Beginn
- 01.07.2022
- Tage bis Beginn
- 1,0
- Dosis
- 4
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: ja
Erholt: nein
COVID-19
Cough
Exposure to SARS-CoV-2
Fatigue
Feeling abnormal
Impaired work ability
Injection site swelling
Loss of personal independence in daily activities
Lymphadenopathy
Malaise
Myalgia
Oropharyngeal pain
Pharyngeal swelling
Quarantine
Rhinorrhoea
SARS-CoV-2 test positive
Swelling
Upper-airway cough syndrome
Symptomtext
During the week prior to my vaccination, a coworker came to work coughing continuously. My other coworkers encouraged him to go home and he didn't come back the rest of week. On Thursday, I was vaccinated. Afterwards, I began to experience progressively symptoms that lead me to believe I may have COVID-19. My job required me to do a home test before returning from the holiday weekend. So, on July 4th, I did a home test and it came back positive. I wasn't certain of the accuracy of that test. I found a clinic and requested a test to be conducted there. By midnight, July 5th, I received confirmation that I was positive for COVID-19. I had to take another day off work to quarantine. I don't feel great. On Friday, after my vaccination, I felt what seemed to be normal swelling under my left armpit at the site where I was injected with the vaccine. I went to work that Friday. By the end of Friday, I was beginning to feel tired, but I thought that was just from the work day. Saturday, I still felt tired and also began to experience muscle aches. They were mild. Sunday, the muscle aches and swelling continued, but they was joined by swollen glands in my throat. The tiredness increased. I was zonked out on Sunday and didn't do much of anything that day. By the end of Sunday, my throat started to hurt. On Monday, July 4th, I was dealing with the swelling, muscle aches, swelling in throat, the pain in my throat, the tiredness, and my nose was running with a post nasal drip. That caused me to have a cough. The symptoms continued to progress.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Fatigue
- Hospital-Tage
- -
- Labordaten
- 07/04/2022 At Home COVID-19 Test x2 - Positive; 07/04/2022 COVID -19 Test at Clinic - Positive
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- None
- Andere Medikamente
- Flonase; Vitamin D3; Cod Liver Oil Tablets; Beyond Tangy Tangerine Multivitamin
- Allergien
- Sulfa; Season Allergies
- Vorherige Impfungen
- -
- Staat
- MI
- Alter
- 76,0
- Geschlecht
- F
- Eingang
- 26.07.2023
- Impfdatum
- 29.07.2022
- Beginn
- 04.10.2022
- Tage bis Beginn
- 67,0
- Dosis
- 4
- Route/Site
- - / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: ja
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
COVID-19
SARS-CoV-2 test positive
Vaccine breakthrough infection
Symptomtext
Breakthrough case admission after 4 vaccines Pfizer 3/4/21 lot# EN6206; Pfizer 3/5/21 lot# EN6206; Pfizer 10/29/21 lot # 32030BD; Pfizer 7/29/22 lot# FP7150
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- COVID-19
- Hospital-Tage
- -
- Labordaten
- COVID +
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- MI
- Alter
- 56,0
- Geschlecht
- F
- Eingang
- 10.05.2023
- Impfdatum
- 30.07.2022
- Beginn
- 04.05.2023
- Tage bis Beginn
- 278,0
- Dosis
- 4
- Route/Site
- - / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: ja
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
COVID-19
SARS-CoV-2 test positive
Vaccine breakthrough infection
Symptomtext
Breakthrough case admission after 4 vaccines Pfizer 3/1/21 Lot# EN6199; Pfizer 4/1/21 Lot# ER8730; Pfizer 11/12/21 Lot# FF2593; Pfizer 7/30/22 Lot# FP7150
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- COVID-19
- Hospital-Tage
- -
- Labordaten
- COVID +
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- -
- Alter
- 56,0
- Geschlecht
- F
- Eingang
- 08.05.2023
- Impfdatum
- 23.07.2022
- Beginn
- 23.07.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- - / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
COVID-19
Drug ineffective
Interchange of vaccine products
SARS-CoV-2 test
Symptomtext
Treatment of COVID-19; Treatment of COVID-19; Dose 1/Dose 2/Dose 3: Moderna; Dose 4: Pfizer / BioNTech; This is a spontaneous report received from a non-contactable reporter(s) (Consumer or other non HCP). The reporter is the patient. A 56-year-old female patient (not pregnant) received BNT162b2 (BNT162B2), on 23Jul2022 as dose 4 (booster), single (Lot number: FP7150) at the age of 56 years for covid-19 immunisation; elasomeran (MODERNA COVID-19 VACCINE), on 05Feb2021 as dose 1, single (Lot number: 004M20A), on 05Mar2021 as dose 2, single (Lot number: 023M20A) and on 29Oct2021 as dose 3 (booster), single (Lot number: 0047C21A) for covid-19 immunisation. The patient's relevant medical history included: "asthma" (unspecified if ongoing). The patient's concomitant medications were not reported. The following information was reported: INTERCHANGE OF VACCINE PRODUCTS (medically significant) with onset 23Jul2022, outcome "unknown", described as "Dose 1/Dose 2/Dose 3: Moderna; Dose 4: Pfizer / BioNTech"; DRUG INEFFECTIVE (medically significant), COVID-19 (medically significant), outcome "unknown" and all described as "Treatment of COVID-19". The patient underwent the following laboratory tests and procedures: SARS-CoV-2 test: Positive, notes: Treatment of COVID-19. Therapeutic measures were taken as a result of drug ineffective, covid-19. No follow-up attempts are possible. No further information is expected.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- COVID-19
- Hospital-Tage
- -
- Labordaten
- Test Name: Covid-19 Test; Test Result: Positive ; Comments: Treatment of COVID-19
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- Medical History/Concurrent Conditions: Asthma
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- CA
- Alter
- 31,0
- Geschlecht
- F
- Eingang
- 29.03.2023
- Impfdatum
- 08.08.2022
- Beginn
- 06.10.2022
- Tage bis Beginn
- 59,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Amenorrhoea
Infertility
Symptomtext
After receiving the first and second vaccine, I did not have a menses for 3 months. Still today, I have not been able to conceive a child after many attempts.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Amenorrhoea
- Hospital-Tage
- -
- Labordaten
- Upcoming.
- Aktuelle Erkrankungen
- N/A
- Vorgeschichte
- Hypothyroidism
- Andere Medikamente
- Levothyroxine. I was prescribed birth control pills and cholesterol medications which were never consumed.
- Allergien
- KNA
- Vorherige Impfungen
- -
- Staat
- MO
- Alter
- 82,0
- Geschlecht
- M
- Eingang
- 23.03.2023
- Impfdatum
- 26.10.2022
- Beginn
- 21.03.2023
- Tage bis Beginn
- 146,0
- Dosis
- 4
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: ja
Disable: unbekannt
ER: unbekannt
Erholt: nein
Unevaluable event
Symptomtext
unable to speak with case due to hospitalization on 03/21/2023.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Unevaluable event
- Hospital-Tage
- -
- Labordaten
- unknown
- Aktuelle Erkrankungen
- unknown
- Vorgeschichte
- unknown
- Andere Medikamente
- unknown
- Allergien
- unknown
- Vorherige Impfungen
- -
- Staat
- FL
- Alter
- -
- Geschlecht
- F
- Eingang
- 17.03.2023
- Impfdatum
- 30.08.2022
- Beginn
- -
- Tage bis Beginn
- -
- Dosis
- 4
- Route/Site
- - / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
COVID-19
Drug ineffective
SARS-CoV-2 test
Symptomtext
Drug ineffective; Treatment of COVID-19; This is a spontaneous report received from contactable reporter(s) (Consumer or other non HCP) from product quality group. The reporter is the patient. A 69-year-old female patient received BNT162b2 (BNT162B2), on 14Mar2021 as dose 1, single (Lot number: EN6206), in left arm, on 01May2021 as dose 2, single (Lot number: ER8732), in left arm, on 30Oct2021 as dose 3 (booster), single (Lot number: 301SSBA), in left arm and on 30Aug2022 as dose 4 (booster), single (Lot number: FP7150), in left arm for covid-19 immunisation. The patient's relevant medical history included: "Cancer" (unspecified if ongoing); "COPD" (unspecified if ongoing). Concomitant medication(s) included: SYNTHROID, start date: Aug2009. The following information was reported: DRUG INEFFECTIVE (medically significant), outcome "unknown"; COVID-19 (medically significant), outcome "unknown", described as "Treatment of COVID-19". The patient underwent the following laboratory tests and procedures: SARS-CoV-2 test: Positive, notes: Tested positive for covid again after after being treated with paxlovid and testing negative; Negative, notes: Tested positive for covid again after after being treated with paxlovid and testing negative. Therapeutic measures were taken as a result of covid-19. Clinical course: Anti-viral details: Product: COVID 19 Treatment: Paxlovid. Treatment start and stop date: 03Mar2023 and 07Mar2023. Indication= Treatment of COVID-19. Adverse event: Tested positive for covid again after after being treated with paxlovid and testing negative. No exposure to anyone with covid.; Sender's Comments: Linked Report(s) : US-PFIZER INC-202300107503 same patient, different drug/event;US-PFIZER INC-202300108848 same patient, different dose and event;
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- COVID-19
- Hospital-Tage
- -
- Labordaten
- Test Name: Covid-19 Test; Test Result: Positive ; Comments: Tested positive for covid again after after being treated with paxlovid and testing negative.; Test Name: Covid-19 Test; Test Result: Negative ; Comments: Tested positive for covid again after after being treated with paxlovid and testing negative.
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- Medical History/Concurrent Conditions: Cancer; COPD
- Andere Medikamente
- SYNTHROID
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- CA
- Alter
- 21,0
- Geschlecht
- F
- Eingang
- 15.03.2023
- Impfdatum
- 19.01.2022
- Beginn
- 04.03.2023
- Tage bis Beginn
- 409,0
- Dosis
- 2
- Route/Site
- - / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: ja
Erholt: unbekannt
Unevaluable event
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Unevaluable event
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- CO
- Alter
- 44,0
- Geschlecht
- F
- Eingang
- 02.03.2023
- Impfdatum
- 10.08.2022
- Beginn
- 12.08.2022
- Tage bis Beginn
- 2,0
- Dosis
- 1
- Route/Site
- SYR / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: ja
Erholt: nein
Cognitive disorder
Computerised tomogram abdomen
Computerised tomogram head
Feeling abnormal
Gastrointestinal disorder
Magnetic resonance imaging head
Neuropathy peripheral
Ultrasound abdomen
Vision blurred
Visual impairment
Symptomtext
severe brain fog; peripheral neuropathy; gut issues; cognitive issues; blurry vision; vision issues other than blurred vision;
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Cognitive disorder
- Hospital-Tage
- -
- Labordaten
- stomach/abdomen CT; stomach/abdomen ultrasound; brain CT; brain MRI; more to come
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- None
- Andere Medikamente
- birth control; cetirizine; Pantoprazole; fish oil w/vitamin d; vitamin d supplement;
- Allergien
- NKA
- Vorherige Impfungen
- -
- Staat
- ID
- Alter
- 63,0
- Geschlecht
- F
- Eingang
- 11.02.2023
- Impfdatum
- 13.10.2022
- Beginn
- -
- Tage bis Beginn
- -
- Dosis
- 5
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
No adverse event
Vaccination error
Symptomtext
Contacted patient 2/10 around 1812, patient informed of error and states no adverse reactions to immunization from time of administration to time of contact. Patient has no concerns for any treatment in regards to immunization error.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- ID
- Alter
- 65,0
- Geschlecht
- M
- Eingang
- 10.02.2023
- Impfdatum
- 07.09.2022
- Beginn
- 07.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 5
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect product formulation administered
No adverse event
Symptomtext
Patient received a Pfizer Monovalent booster instead of a bivalent booster. Patient has been informed of the vaccine administration error. Reports no adverse reaction to the vaccine.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- None.
- Aktuelle Erkrankungen
- Upper Respiratory Infection.
- Vorgeschichte
- Hx of Diabetes.
- Andere Medikamente
- Tamsulosin 0.4mg capsul, take 1 capsule orally once a day. Metoclopramide 10mg, take one tablet orally 3 x per day.
- Allergien
- N.K.D.A.
- Vorherige Impfungen
- -
- Staat
- ID
- Alter
- 56,0
- Geschlecht
- F
- Eingang
- 10.02.2023
- Impfdatum
- 07.09.2022
- Beginn
- 07.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect product formulation administered
Symptomtext
Patient received a Pfizer Monovalent booster instead of a bivalent booster. Patient informed of the immunization error.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- None
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- Hx of HTN, prediabetes, low potassium, headaches
- Andere Medikamente
- Morphine 20mg/12 ER 1 cap orally every 12 hrs Carisoprodol 350mg tablet 1 tablet 3 times a day if needed Multivitamin 1 tablet daily Oxycodone 15mg tablet, 1 tab orally every 4-6 hrs, prn Cymbalta 60mg, 2 caps once a day Neurotin 300mg ca
- Allergien
- N.K.D.A.
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 10,0
- Geschlecht
- M
- Eingang
- 31.01.2023
- Impfdatum
- 29.07.2022
- Beginn
- 29.07.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect dose administered
No adverse event
Symptomtext
NO ADVERSE EVENTS REPORTED. PARENT PROVIDED WRONG DATE OF BIRTH, RESULTING IN WRONG VACCINE ADMINISTERED FOR AGE (GRAY CAP FOR AGES 12+ WAS ADMINISTERED INSTEAD OF ORANGE CAP FOR AGES 5-11)
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect dose administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 10,0
- Geschlecht
- M
- Eingang
- 31.01.2023
- Impfdatum
- 29.07.2022
- Beginn
- 29.07.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect dose administered
No adverse event
Symptomtext
NO ADVERSE EVENTS REPORTED. PARENT GAVE INCORRECT DATE OF BIRTH, RESULTING IN WRONG VACCINE GIVEN FOR AGE (GRAY CAP FOR AGES 12+ WAS ADMINISTERED INSTEAD OF ORANGE CAP FOR AGES 5-11)
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect dose administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- ID
- Alter
- 73,0
- Geschlecht
- F
- Eingang
- 20.01.2023
- Impfdatum
- 05.10.2022
- Beginn
- 05.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect product formulation administered
No adverse event
Product administration error
Symptomtext
Patient received a Pfizer Monovalent booster instead of a bivalent booster. Patient has been contacted and informed of the vaccine administration error. Reports no adverse reactions.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- None.
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- Prediabetes, Hypertension, hx of bladder cancer, calculus of gallbladder without cholecystitis witout obstruction, hyperlipidemia, seasonal allergic rhinitis, obesity, and osteopenia.
- Andere Medikamente
- -
- Allergien
- Allergic to penicillin and codeine.
- Vorherige Impfungen
- -
- Staat
- CA
- Alter
- 57,0
- Geschlecht
- M
- Eingang
- 10.01.2023
- Impfdatum
- 08.04.2021
- Beginn
- 01.12.2022
- Tage bis Beginn
- 602,0
- Dosis
- 3
- Route/Site
- - / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
COVID-19 immunisation
Suspected COVID-19
Symptomtext
REVACCINATION WITH DIFFERENT COVID-19 VACCINE; SUSPECTED COVID-19 INFECTION; This spontaneous report received from a patient via other manufacturer (Pfizer) concerned a 58 year old male. The patient's height, and weight were not reported. The patient's concurrent conditions included: allergies (not specified) and asthma. The patient received covid-19 vaccine ad26.cov2.s (Dose number in series 1) (suspension for injection, route of admin not reported, batch number: 042A21A, expiry: unknown) dose was not reported, 1 total administered on 08-APR-2021 at right arm for covid-19 prophylaxis. Age at time of vaccination 57 years old. It was unknown whether patient had any adverse events following vaccination with first dose of covid-19 vaccine ad26.cov2.s (Dose number in series 1). The patient received second dose of non-company suspect vaccine included: Moderna covid-19 vaccine (elasomeran) (Dose number in series 2) (form of admin, route of admin was not reported, batch number: 021C21A, expiry: unknown) dose and frequency were not reported, administered on 05-NOV-2021 at right arm for covid-19 prophylaxis. It was unknown whether patient had any adverse events following vaccination with Moderna covid-19 vaccine (Dose number in series 2). The patient received third dose of non-company suspect vaccine included: Pfizer biontech covid-19 vaccine (tozinameran) (Dose number in series 3) (form of admin, route of admin was not reported, batch number: FP7150, expiry: unknown) dose and frequency were not reported, administered on 20-AUG-2022 at right arm for covid-19 prophylaxis. It was unknown whether patient had any adverse events following vaccination with Pfizer biontech covid-19 vaccine (Dose number in series 3). The patient received fourth dose of non-company suspect vaccine included: Moderna covid-19 vaccine (bivalent) (elasomeran) (Dose number in series 4) (form of admin, route of admin was not reported, batch number: 023H22A, expiry: unknown) dose and frequency were not reported, administered on 06-DEC-2022 at right arm for covid-19 prophylaxis which was revaccination with different covid-19 vaccine (Dose number in series 4). Concomitant medications included Astepro (azelastine hydrochloride), Allegra (fexofenadine hydrochloride) and Flonase (fluticasone propionate). On an unspecified date in DEC-2022, the patient experienced suspected covid-19 infection (Dose number in series 4). The patient received non-company suspect drug Paxlovid (form of admin and route of admin was not reported, batch number and expiry date was not reported) dose and frequency were not reported administered from 13-DEC-2022 to 17-DEC-2022 for covid-19 treatment. On 23-DEC-2022, the patient was sick again (Dose number in series 4). The patient recovered from sick again on 01-JAN-2023. The action taken with covid-19 vaccine ad26.cov2.s, elasomeran, tozinameran, elasomeran was not applicable and for paxlovid was drug withdrawn. The patient recovered from suspected covid-19 infection on 01-JAN-2023, and the outcome of revaccination with different covid-19 vaccine was not reported. This report was non-serious.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- COVID-19 immunisation
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- Allergy NOS (not specified); Asthma
- Vorgeschichte
- -
- Andere Medikamente
- FLONASE [FLUTICASONE PROPIONATE]; ALLEGRA [FEXOFENADINE HYDROCHLORIDE]; ASTEPRO
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- CA
- Alter
- 58,0
- Geschlecht
- M
- Eingang
- 06.01.2023
- Impfdatum
- 20.08.2022
- Beginn
- 20.08.2022
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- - / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
COVID-19
Drug ineffective
Interchange of vaccine products
Symptomtext
COVID 19 Treatment; COVID 19 Treatment; Vaccine brand Other: Jansen/Vaccine brand Other: Moderna/Vaccine brand: Pfizer / BioNTech/Vaccine brand Other: Moderna biv; This is a spontaneous report received from contactable reporter(s) (Consumer or other non HCP). The reporter is the patient. A 58-year-old male patient received BNT162b2 (BNT162B2), on 20Aug2022 as dose 3 (booster), single (Lot number: FP7150) at the age of 58 years, in right arm for covid-19 immunisation; coviD-19 vaccine nrvv ad26 (jnj 78436735) (COVID-19 VACCINE JANSSEN), on 08Apr2021 as dose 1, single (Lot number: 042A21A), in right arm for covid-19 immunisation; elasomeran (MODERNA COVID-19 VACCINE), on 05Nov2021 as dose 2 (booster), single (Lot number: 021C21A), in right arm for covid-19 immunisation; coviD-19 vaccine nrvv MVa (MODERNA COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.4/BA.5)), on 06Dec2022 as dose 4 (booster), single (Lot number: 023H22A), in right arm for covid-19 immunisation. The patient's relevant medical history included: "Allergies" (unspecified if ongoing), notes: Other medical history: Allergies & asthma; "Asthma" (unspecified if ongoing), notes: Other medical history: Allergies & asthma. Concomitant medication(s) included: FLONASE [FLUTICASONE PROPIONATE], start date: 01Jan2022, stop date: 03Jan2023; ASTEPRO, start date: 01Jan2022, stop date: 03Jan2023; ALLEGRA [FEXOFENADINE HYDROCHLORIDE] taken for hypersensitivity, start date: 01Jan2022, stop date: 03Jan2023. The following information was reported: INTERCHANGE OF VACCINE PRODUCTS (medically significant) with onset 20Aug2022, outcome "unknown", described as "Vaccine brand Other: Jansen/Vaccine brand Other: Moderna/Vaccine brand: Pfizer / BioNTech/Vaccine brand Other: Moderna biv"; DRUG INEFFECTIVE (medically significant), COVID-19 (medically significant), outcome "unknown" and all described as "COVID 19 Treatment". Therapeutic measures were taken as a result of drug ineffective, covid-19. Clinical course: It was reported that patient received Paxlovid treatment for Covid-19 from 13Dec2022 to 17Dec2022. Reported that patient received other medication in 2 weeks. No Known allergies.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- COVID-19
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- Medical History/Concurrent Conditions: Allergy (Other medical history: Allergies & asthma); Asthma (Other medical history: Allergies & asthma)
- Andere Medikamente
- FLONASE [FLUTICASONE PROPIONATE]; ASTEPRO; ALLEGRA [FEXOFENADINE HYDROCHLORIDE]
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- TN
- Alter
- 59,0
- Geschlecht
- F
- Eingang
- 23.12.2022
- Impfdatum
- 04.08.2022
- Beginn
- 15.08.2022
- Tage bis Beginn
- 11,0
- Dosis
- 2
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Sensory disturbance
Symptomtext
Patient states that she received a steroid shot 1 week before receiving Pfizer vaccine. At the time that she received the Pfizer vaccination she could fill a sensation down the entire left side where the steroid shot was given
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Sensory disturbance
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- Spondylosis, Hyperlipidemia, Migeraine, Hypetension, Neuralgia
- Vorgeschichte
- Same as above
- Andere Medikamente
- ubrelvy, steroid innjection
- Allergien
- Peanut, Palforzia, Latex, Codeine, Quinolones, COrn Starch, Opioids, Avelox, Ibuprofen
- Vorherige Impfungen
- -
- Staat
- MA
- Alter
- 80,0
- Geschlecht
- F
- Eingang
- 19.12.2022
- Impfdatum
- 19.12.2022
- Beginn
- 19.12.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect product formulation administered
No adverse event
Symptomtext
Pt was given the Covid 19 Pfizer-BioNTech in stead of the Covid 19 Pfizer-BioNTech Bivalent. Spoke with pt and at this time she has no adverse reaction.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- none needed
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- Hyperlipidemia Peripheral artery disease Murmur, cardiac Essential hypertension Hypothyroidism
- Andere Medikamente
- co-enzyme Q-10 50 mg cholecalciferol, vitamin D3, 25 mcg (1,000 unit) capsule
- Allergien
- Latex Angioedema Allevess Patch [Capsaicin-menthol] Cephalosporins Nickel Paxil [Paroxetine Mesylate] GI Intolerance Zoloft [Sertraline] GI Intolerance
- Vorherige Impfungen
- -
- Staat
- MI
- Alter
- 82,0
- Geschlecht
- F
- Eingang
- 13.12.2022
- Impfdatum
- 21.07.2022
- Beginn
- 12.12.2022
- Tage bis Beginn
- 144,0
- Dosis
- 5
- Route/Site
- - / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: ja
Disable: unbekannt
ER: unbekannt
Erholt: nein
COVID-19
SARS-CoV-2 test positive
Vaccine breakthrough infection
Symptomtext
covid vaccine breakthrough case dose 1 Pfizer 1/30/21 EL9261 dose 2 Pfizer 2/20/21 EM9810 dose 3 Pfizer 11/4/21 no lot number dose 4 Pfizer 2/1/22 no lot number
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- COVID-19
- Hospital-Tage
- -
- Labordaten
- covid+ 12/12/22
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- DC
- Alter
- 14,0
- Geschlecht
- F
- Eingang
- 12.12.2022
- Impfdatum
- 02.12.2022
- Beginn
- 02.12.2022
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- IM / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect product formulation administered
Symptomtext
Pt wanted to get Pfizer Bivalent, but she got regular Pfizer. Pt didn't have any symptoms.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- NA
- Aktuelle Erkrankungen
- NA
- Vorgeschichte
- NA
- Andere Medikamente
- NA
- Allergien
- NA
- Vorherige Impfungen
- -
- Staat
- MI
- Alter
- 18,0
- Geschlecht
- M
- Eingang
- 09.12.2022
- Impfdatum
- 08.12.2022
- Beginn
- 08.12.2022
- Tage bis Beginn
- 0,0
- Dosis
- 2
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Expired product administered
Symptomtext
Vaccine above, with expiration date of 11/30/22 was administered IM on 12/8/2022 by medical assistant.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Expired product administered
- Hospital-Tage
- -
- Labordaten
- N/A
- Aktuelle Erkrankungen
- none
- Vorgeschichte
- Asthma, Chronic knee pain
- Andere Medikamente
- none
- Allergien
- none
- Vorherige Impfungen
- -
- Staat
- -
- Alter
- 64,0
- Geschlecht
- F
- Eingang
- 07.12.2022
- Impfdatum
- 05.12.2022
- Beginn
- 05.12.2022
- Tage bis Beginn
- 0,0
- Dosis
- 2
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Expired product administered
No adverse event
Symptomtext
Vaccine that was administered was 5 days past expiration date. No adverse reaction was noted.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Expired product administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- MA
- Alter
- 69,0
- Geschlecht
- F
- Eingang
- 05.12.2022
- Impfdatum
- 01.12.2022
- Beginn
- 01.12.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Incorrect dose administered
Symptomtext
Error: Wrong Dose of Vaccine - Too High-
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect dose administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- MA
- Alter
- 68,0
- Geschlecht
- M
- Eingang
- 05.12.2022
- Impfdatum
- 01.12.2022
- Beginn
- 01.12.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect dose administered
Symptomtext
Error: Wrong Dose of Vaccine - Too High-
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect dose administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- ID
- Alter
- 15,0
- Geschlecht
- M
- Eingang
- 25.11.2022
- Impfdatum
- 21.11.2022
- Beginn
- 23.11.2022
- Tage bis Beginn
- 2,0
- Dosis
- 4
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect product formulation administered
No adverse event
Symptomtext
The monovalent and pfizer bialent vacines look alike vials. The monovalent was administered instead of the bivalent. Patient doesn't report any adverse events. They were told to come in after 2 months to get the bivalent vaccine
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- N/a
- Aktuelle Erkrankungen
- N/a
- Vorgeschichte
- N/a
- Andere Medikamente
- N/a
- Allergien
- N/a
- Vorherige Impfungen
- -
- Staat
- ID
- Alter
- 13,0
- Geschlecht
- F
- Eingang
- 25.11.2022
- Impfdatum
- 19.11.2022
- Beginn
- 23.11.2022
- Tage bis Beginn
- 4,0
- Dosis
- 4
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect product formulation administered
Symptomtext
The pfizer monovalent and bivalent vials look alike. The Monovalent vial was pulled from the fridge instead of the bivalent vial. The pt was here to get the bivalent vaccine
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- N/a
- Aktuelle Erkrankungen
- N/a
- Vorgeschichte
- N/a
- Andere Medikamente
- N/a
- Allergien
- N/a
- Vorherige Impfungen
- -
- Staat
- ID
- Alter
- 46,0
- Geschlecht
- F
- Eingang
- 25.11.2022
- Impfdatum
- 19.11.2022
- Beginn
- 23.11.2022
- Tage bis Beginn
- 4,0
- Dosis
- 4
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect product formulation administered
Symptomtext
The pt had to get the new bivalent booster for pfizer. Since the pfizer monovalent and bivalent vaccine vials look the same, the monovalent vial was grabbed from the fridge instead of the bivalent vial.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- N/a
- Aktuelle Erkrankungen
- N/a
- Vorgeschichte
- N/A
- Andere Medikamente
- N/a
- Allergien
- N/a
- Vorherige Impfungen
- -
- Staat
- ID
- Alter
- 19,0
- Geschlecht
- M
- Eingang
- 25.11.2022
- Impfdatum
- 21.11.2022
- Beginn
- 22.11.2022
- Tage bis Beginn
- 1,0
- Dosis
- 4
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect product formulation administered
No adverse event
Symptomtext
Since the monovalent and the bivalent vial look alike. The monovalent was taken from the fridge and administered to the patient
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- N/a. The patient has had no adverse events and are doing good
- Aktuelle Erkrankungen
- N/a
- Vorgeschichte
- N/a
- Andere Medikamente
- N/a
- Allergien
- N/a
- Vorherige Impfungen
- -
- Staat
- ID
- Alter
- 75,0
- Geschlecht
- F
- Eingang
- 25.11.2022
- Impfdatum
- 28.10.2022
- Beginn
- 28.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
Symptomtext
Patient potentially given Bivalent instead of Monovalent
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- NKDA
- Vorherige Impfungen
- -
- Staat
- MD
- Alter
- 11,0
- Geschlecht
- M
- Eingang
- 19.11.2022
- Impfdatum
- 22.08.2022
- Beginn
- -
- Tage bis Beginn
- -
- Dosis
- UNK
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
No adverse event
Product administered to patient of inappropriate age
Symptomtext
Pt. given 12+ vial of Pfizer covid vaccine when 11 years 8 months. No reaction, no concerns.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- No adverse event
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- NKDA
- Vorherige Impfungen
- -
- Staat
- NJ
- Alter
- 16,0
- Geschlecht
- M
- Eingang
- 16.11.2022
- Impfdatum
- 03.11.2022
- Beginn
- 03.11.2022
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect product formulation administered
Symptomtext
The booster dose was monovalent, not bivalent
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- no
- Aktuelle Erkrankungen
- n/a
- Vorgeschichte
- n/a
- Andere Medikamente
- n/a
- Allergien
- n/a
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 30,0
- Geschlecht
- F
- Eingang
- 16.11.2022
- Impfdatum
- 25.10.2022
- Beginn
- 15.11.2022
- Tage bis Beginn
- 21,0
- Dosis
- 2
- Route/Site
- SYR / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Interchange of vaccine products
No adverse event
Symptomtext
No adverse events noted... Pt. had mixed initial series - the facility was out of Novavax vaccine and pfizer was given
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Interchange of vaccine products
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 67,0
- Geschlecht
- F
- Eingang
- 15.11.2022
- Impfdatum
- 02.09.2022
- Beginn
- -
- Tage bis Beginn
- -
- Dosis
- 4
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
Symptomtext
Monovalent vaccine administered for a booster on 9-2-22. Bivalent booster authorized by FDA on 8-31-22. Patient contracted, will return for bivalent booster in 2 months.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- None
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- None
- Vorherige Impfungen
- -
- Staat
- LA
- Alter
- 62,0
- Geschlecht
- F
- Eingang
- 15.11.2022
- Impfdatum
- 02.09.2022
- Beginn
- -
- Tage bis Beginn
- -
- Dosis
- 4
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
Symptomtext
Monovalent vaccine administered for a booster on 9-2-22. Bivalent booster authorized by FDA on 8-31-22. Patient contacted, will return for bivalent booster in 2 months.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- None
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- Codeine
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 28,0
- Geschlecht
- M
- Eingang
- 15.11.2022
- Impfdatum
- 01.09.2022
- Beginn
- -
- Tage bis Beginn
- -
- Dosis
- 3
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect product formulation administered
Symptomtext
Monovalent vaccine administered for a booster on 9-1-22. Bivalent booster authorized by FDA on 8/31/22. Patient contacted, will return for bivalent booster in 2 months.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- None
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- No
- Andere Medikamente
- No
- Allergien
- None known
- Vorherige Impfungen
- -
- Staat
- LA
- Alter
- 62,0
- Geschlecht
- M
- Eingang
- 15.11.2022
- Impfdatum
- 02.09.2022
- Beginn
- -
- Tage bis Beginn
- -
- Dosis
- 4
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
Symptomtext
Monovalent vaccine administered for a booster on 9-2-22. Bivalent booster authorized by FDA on 8-31-22. Patient contacted, will return for bivalent booster in 2 months.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- None
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- None known
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 57,0
- Geschlecht
- F
- Eingang
- 15.11.2022
- Impfdatum
- 01.09.2022
- Beginn
- -
- Tage bis Beginn
- -
- Dosis
- 4
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect product formulation administered
Symptomtext
Monovalent vaccine administered for a booster on 9-1-22. Bivalent booster authorized by FDA on 8/31/22. Patient contacted, will return for bivalent booster in 2 months.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- None
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- -
- Andere Medikamente
- Yes
- Allergien
- PCN, Mobic
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- -
- Geschlecht
- U
- Eingang
- 15.11.2022
- Impfdatum
- -
- Beginn
- -
- Tage bis Beginn
- -
- Dosis
- 4
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
Symptomtext
Monovalent vaccine administered for a booster on 9-2-22. Bivalent booster authorized by FDA on 8-31-22. Patient contacted, will return for bivalent booster in 2 months.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- None
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- -
- Geschlecht
- F
- Eingang
- 15.11.2022
- Impfdatum
- 01.09.2022
- Beginn
- -
- Tage bis Beginn
- -
- Dosis
- 4
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect product formulation administered
Symptomtext
Monovalent vaccine administered for a booster on 9-1-22. Bivalent booster authorized by FDA on 8/31/22. Patient contacted, will return for bivalent booster in 2 months.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- None
- Aktuelle Erkrankungen
- none
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- none known
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 65,0
- Geschlecht
- F
- Eingang
- 15.11.2022
- Impfdatum
- 02.09.2022
- Beginn
- -
- Tage bis Beginn
- -
- Dosis
- 4
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
Symptomtext
Monovalent vaccine administered for a booster on 9-2-22. Bivalent booster authorized by FDA on 8-31-22. Patient contacted, will return for bivalent booster in 2 months.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- None
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- PCN
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 64,0
- Geschlecht
- M
- Eingang
- 15.11.2022
- Impfdatum
- 02.09.2022
- Beginn
- -
- Tage bis Beginn
- -
- Dosis
- 4
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
Symptomtext
Monovalent vaccine administered for a booster on 9-2-22. Bivalent booster authorized by FDA on 8-31-22. Patient contacted, will return for bivalent booster in 2 months.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- None
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- None
- Vorherige Impfungen
- -
- Staat
- ID
- Alter
- 64,0
- Geschlecht
- M
- Eingang
- 15.11.2022
- Impfdatum
- 01.11.2022
- Beginn
- -
- Tage bis Beginn
- -
- Dosis
- 4
- Route/Site
- - / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Unevaluable event
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Unevaluable event
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 65,0
- Geschlecht
- F
- Eingang
- 15.11.2022
- Impfdatum
- 01.09.2022
- Beginn
- -
- Tage bis Beginn
- -
- Dosis
- 4
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect product formulation administered
Symptomtext
Monovalent vaccine administered for a booster on 9-1-22. Bivalent booster authorized by FDA on 8/31/22. Patient contacted, will return for bivalent booster in 2 months.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- None
- Aktuelle Erkrankungen
- none
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- Tetracyclin Bactrim, Hydrocodone, ginger & cayen pepper
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 75,0
- Geschlecht
- M
- Eingang
- 15.11.2022
- Impfdatum
- 01.09.2022
- Beginn
- -
- Tage bis Beginn
- -
- Dosis
- 4
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect product formulation administered
Symptomtext
Monovalent vaccine administered for a booster on 9-1-22. Bivalent booster authorized by FDA on 8/31/22. Patient contacted, will return for bivalent booster in 2 months.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- None
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- None Known
- Vorherige Impfungen
- -
- Staat
- NC
- Alter
- 53,0
- Geschlecht
- F
- Eingang
- 13.11.2022
- Impfdatum
- 09.11.2022
- Beginn
- 09.11.2022
- Tage bis Beginn
- 0,0
- Dosis
- 2
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect product formulation administered
Symptomtext
Error: Wrong Vaccine Formulation (ex. Prevnar 13 v. Prevnar 23)-
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- NV
- Alter
- 55,0
- Geschlecht
- M
- Eingang
- 09.11.2022
- Impfdatum
- 03.11.2022
- Beginn
- 03.11.2022
- Tage bis Beginn
- 0,0
- Dosis
- N/A
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect product formulation administered
Symptomtext
Error: Wrong Vaccine Formulation (ex. Prevnar 13 v. Prevnar 23)-
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- NV
- Alter
- 67,0
- Geschlecht
- F
- Eingang
- 09.11.2022
- Impfdatum
- 03.11.2022
- Beginn
- 03.11.2022
- Tage bis Beginn
- 0,0
- Dosis
- N/A
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect product formulation administered
Symptomtext
Error: Wrong Vaccine Formulation (ex. Prevnar 13 v. Prevnar 23)-
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- NV
- Alter
- 53,0
- Geschlecht
- M
- Eingang
- 09.11.2022
- Impfdatum
- 03.11.2022
- Beginn
- 03.11.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect product formulation administered
Symptomtext
Error: Wrong Vaccine Formulation (ex. Prevnar 13 v. Prevnar 23)-
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- NV
- Alter
- 84,0
- Geschlecht
- M
- Eingang
- 09.11.2022
- Impfdatum
- 03.11.2022
- Beginn
- 03.11.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect product formulation administered
Symptomtext
Error: Wrong Vaccine Formulation (ex. Prevnar 13 v. Prevnar 23)-
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- NV
- Alter
- 75,0
- Geschlecht
- F
- Eingang
- 09.11.2022
- Impfdatum
- 03.11.2022
- Beginn
- 03.11.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect product formulation administered
Symptomtext
Error: Wrong Vaccine Formulation (ex. Prevnar 13 v. Prevnar 23)-
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- NV
- Alter
- 61,0
- Geschlecht
- F
- Eingang
- 09.11.2022
- Impfdatum
- 03.11.2022
- Beginn
- 03.11.2022
- Tage bis Beginn
- 0,0
- Dosis
- N/A
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect product formulation administered
Symptomtext
Error: Wrong Vaccine Formulation (ex. Prevnar 13 v. Prevnar 23)-
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- CA
- Alter
- 53,0
- Geschlecht
- M
- Eingang
- 03.11.2022
- Impfdatum
- 01.11.2022
- Beginn
- 01.11.2022
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- SYR / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Interchange of vaccine products
Symptomtext
We had a patient that received their primary doses in another country. First dose was Sinovac and the second dose AstraZeneca. NP made the call to restart primary series for patient as both Sinovac and AztraZeca are not FDA approved.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Interchange of vaccine products
- Hospital-Tage
- -
- Labordaten
- None
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- None
- Andere Medikamente
- None
- Allergien
- None
- Vorherige Impfungen
- -
- Staat
- -
- Alter
- 72,0
- Geschlecht
- F
- Eingang
- 01.11.2022
- Impfdatum
- 22.08.2022
- Beginn
- 01.08.2022
- Tage bis Beginn
- -
- Dosis
- 2
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
No adverse event
Symptomtext
Vaccine vial potentially stored for longer than recommended period, potentially stored up to 28 days , No illness, no adverse reactions
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- No adverse event
- Hospital-Tage
- -
- Labordaten
- N/A
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- Codeine, shellfish
- Vorherige Impfungen
- -
- Staat
- WA
- Alter
- 85,0
- Geschlecht
- F
- Eingang
- 01.11.2022
- Impfdatum
- 20.10.2022
- Beginn
- 01.10.2022
- Tage bis Beginn
- -
- Dosis
- 4
- Route/Site
- - / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
No adverse event
Symptomtext
Monovalent given in error. No adverse events noted.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- WA
- Alter
- 87,0
- Geschlecht
- F
- Eingang
- 31.10.2022
- Impfdatum
- 20.10.2022
- Beginn
- 01.10.2022
- Tage bis Beginn
- -
- Dosis
- 5
- Route/Site
- - / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
No adverse event
Symptomtext
Monovalent given in error. No adverse events noted.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- WA
- Alter
- 89,0
- Geschlecht
- F
- Eingang
- 31.10.2022
- Impfdatum
- 20.10.2022
- Beginn
- 01.10.2022
- Tage bis Beginn
- -
- Dosis
- 5
- Route/Site
- - / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
No adverse event
Symptomtext
Monovalent given in error. No adverse events noted.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- WA
- Alter
- 99,0
- Geschlecht
- M
- Eingang
- 31.10.2022
- Impfdatum
- 20.10.2022
- Beginn
- 01.10.2022
- Tage bis Beginn
- -
- Dosis
- 2
- Route/Site
- - / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
No adverse event
Symptomtext
Monovalent given in error. No adverse events noted.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- WA
- Alter
- 92,0
- Geschlecht
- M
- Eingang
- 31.10.2022
- Impfdatum
- 20.10.2022
- Beginn
- 01.10.2022
- Tage bis Beginn
- -
- Dosis
- 5
- Route/Site
- - / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
No adverse event
Symptomtext
Monovalent given in error. No adverse events noted.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- WA
- Alter
- 80,0
- Geschlecht
- F
- Eingang
- 31.10.2022
- Impfdatum
- 20.10.2022
- Beginn
- 01.10.2022
- Tage bis Beginn
- -
- Dosis
- 5
- Route/Site
- - / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
No adverse event
Symptomtext
Monovalent given in error. No adverse events noted.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- WA
- Alter
- 89,0
- Geschlecht
- F
- Eingang
- 31.10.2022
- Impfdatum
- 20.10.2022
- Beginn
- 01.10.2022
- Tage bis Beginn
- -
- Dosis
- 6
- Route/Site
- - / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
No adverse event
Symptomtext
Monovalent given in error. No adverse events noted.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- WA
- Alter
- 86,0
- Geschlecht
- F
- Eingang
- 31.10.2022
- Impfdatum
- 20.10.2022
- Beginn
- 01.10.2022
- Tage bis Beginn
- -
- Dosis
- 5
- Route/Site
- - / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
No adverse event
Symptomtext
Monovalent given in error. No adverse events noted.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- WA
- Alter
- 73,0
- Geschlecht
- M
- Eingang
- 31.10.2022
- Impfdatum
- 20.10.2022
- Beginn
- 01.10.2022
- Tage bis Beginn
- -
- Dosis
- 5
- Route/Site
- - / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
No adverse event
Symptomtext
Monovalent given in error. No adverse events noted.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- WA
- Alter
- 83,0
- Geschlecht
- M
- Eingang
- 31.10.2022
- Impfdatum
- 20.10.2022
- Beginn
- 01.10.2022
- Tage bis Beginn
- -
- Dosis
- 5
- Route/Site
- - / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
No adverse event
Symptomtext
Monovalent given in error. No adverse events noted.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- WA
- Alter
- 89,0
- Geschlecht
- M
- Eingang
- 31.10.2022
- Impfdatum
- 20.10.2022
- Beginn
- 01.10.2022
- Tage bis Beginn
- -
- Dosis
- 5
- Route/Site
- - / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
No adverse event
Symptomtext
Monovalent given in error. No adverse events noted.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- WA
- Alter
- 87,0
- Geschlecht
- M
- Eingang
- 31.10.2022
- Impfdatum
- 20.10.2022
- Beginn
- 01.10.2022
- Tage bis Beginn
- -
- Dosis
- 5
- Route/Site
- - / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
No adverse event
Symptomtext
Monovalent given in error. No adverse events noted.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- WA
- Alter
- 96,0
- Geschlecht
- M
- Eingang
- 31.10.2022
- Impfdatum
- 20.10.2022
- Beginn
- 01.10.2022
- Tage bis Beginn
- -
- Dosis
- 5
- Route/Site
- - / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
No adverse event
Symptomtext
Monovalent given in error. No adverse events noted.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- WA
- Alter
- 102,0
- Geschlecht
- M
- Eingang
- 31.10.2022
- Impfdatum
- 20.10.2022
- Beginn
- 01.10.2022
- Tage bis Beginn
- -
- Dosis
- 5
- Route/Site
- - / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
No adverse event
Symptomtext
Monovalent given in error. No adverse events noted.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- WA
- Alter
- 79,0
- Geschlecht
- F
- Eingang
- 31.10.2022
- Impfdatum
- 20.10.2022
- Beginn
- 01.10.2022
- Tage bis Beginn
- -
- Dosis
- 3
- Route/Site
- - / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
No adverse event
Symptomtext
Monovalent given in error. No adverse events noted.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 76,0
- Geschlecht
- M
- Eingang
- 31.10.2022
- Impfdatum
- 12.10.2022
- Beginn
- 12.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect product formulation administered
Symptomtext
Error: Wrong Vaccine Formulation (ex. Prevnar 13 v. Prevnar 23)-
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 57,0
- Geschlecht
- F
- Eingang
- 31.10.2022
- Impfdatum
- 12.10.2022
- Beginn
- 12.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect product formulation administered
Symptomtext
Error: Wrong Vaccine Formulation (ex. Prevnar 13 v. Prevnar 23)-
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 55,0
- Geschlecht
- F
- Eingang
- 31.10.2022
- Impfdatum
- 12.10.2022
- Beginn
- 12.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect product formulation administered
Symptomtext
Error: Wrong Vaccine Formulation (ex. Prevnar 13 v. Prevnar 23)-
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 13,0
- Geschlecht
- F
- Eingang
- 31.10.2022
- Impfdatum
- 12.10.2022
- Beginn
- 12.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect product formulation administered
Symptomtext
Error: Wrong Vaccine Formulation (ex. Prevnar 13 v. Prevnar 23).
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 68,0
- Geschlecht
- M
- Eingang
- 31.10.2022
- Impfdatum
- 12.10.2022
- Beginn
- 12.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect product formulation administered
Symptomtext
Error: Wrong Vaccine Formulation (ex. Prevnar 13 v. Prevnar 23)-
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 28,0
- Geschlecht
- F
- Eingang
- 31.10.2022
- Impfdatum
- 12.10.2022
- Beginn
- 12.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect product formulation administered
Symptomtext
Error: Wrong Vaccine Formulation (ex. Prevnar 13 v. Prevnar 23)-
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 29,0
- Geschlecht
- M
- Eingang
- 31.10.2022
- Impfdatum
- 12.10.2022
- Beginn
- 12.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect product formulation administered
Symptomtext
Error: Wrong Vaccine Formulation (ex. Prevnar 13 v. Prevnar 23)-
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 75,0
- Geschlecht
- F
- Eingang
- 31.10.2022
- Impfdatum
- 12.10.2022
- Beginn
- 12.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect product formulation administered
Symptomtext
Error: Wrong Vaccine Formulation (ex. Prevnar 13 v. Prevnar 23)-
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 64,0
- Geschlecht
- F
- Eingang
- 31.10.2022
- Impfdatum
- 12.10.2022
- Beginn
- 12.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect product formulation administered
Symptomtext
Error: Wrong Vaccine Formulation (ex. Prevnar 13 v. Prevnar 23)-
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 15,0
- Geschlecht
- M
- Eingang
- 31.10.2022
- Impfdatum
- 12.10.2022
- Beginn
- 12.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect product formulation administered
Symptomtext
Error: Wrong Vaccine Formulation (ex. Prevnar 13 v. Prevnar 23)-
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- NM
- Alter
- 56,0
- Geschlecht
- F
- Eingang
- 31.10.2022
- Impfdatum
- 12.10.2022
- Beginn
- 12.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect product formulation administered
Symptomtext
Error: Wrong Vaccine Formulation (ex. Prevnar 13 v. Prevnar 23)-
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 67,0
- Geschlecht
- F
- Eingang
- 31.10.2022
- Impfdatum
- 12.10.2022
- Beginn
- 12.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect product formulation administered
Symptomtext
Error: Wrong Vaccine Formulation (ex. Prevnar 13 v. Prevnar 23)-
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 21,0
- Geschlecht
- M
- Eingang
- 31.10.2022
- Impfdatum
- 12.10.2022
- Beginn
- 12.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect product formulation administered
Symptomtext
Error: Wrong Vaccine Formulation (ex. Prevnar 13 v. Prevnar 23)-
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 17,0
- Geschlecht
- F
- Eingang
- 31.10.2022
- Impfdatum
- 12.10.2022
- Beginn
- 12.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect product formulation administered
Symptomtext
Error: Wrong Vaccine Formulation (ex. Prevnar 13 v. Prevnar 23)-
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 48,0
- Geschlecht
- F
- Eingang
- 31.10.2022
- Impfdatum
- 12.10.2022
- Beginn
- 12.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect product formulation administered
Symptomtext
Error: Wrong Vaccine Formulation (ex. Prevnar 13 v. Prevnar 23)-
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 32,0
- Geschlecht
- M
- Eingang
- 31.10.2022
- Impfdatum
- 12.10.2022
- Beginn
- 12.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect product formulation administered
Symptomtext
Error: Wrong Vaccine Formulation (ex. Prevnar 13 v. Prevnar 23)-
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 63,0
- Geschlecht
- F
- Eingang
- 31.10.2022
- Impfdatum
- 12.10.2022
- Beginn
- 12.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect product formulation administered
Symptomtext
Error: Wrong Vaccine Formulation (ex. Prevnar 13 v. Prevnar 23)-
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 16,0
- Geschlecht
- F
- Eingang
- 31.10.2022
- Impfdatum
- 12.10.2022
- Beginn
- 12.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect product formulation administered
Symptomtext
Error: Wrong Vaccine Formulation (ex. Prevnar 13 v. Prevnar 23)-
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 64,0
- Geschlecht
- M
- Eingang
- 31.10.2022
- Impfdatum
- 12.10.2022
- Beginn
- 12.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect product formulation administered
Symptomtext
Error: Wrong Vaccine Formulation (ex. Prevnar 13 v. Prevnar 23).
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 30,0
- Geschlecht
- F
- Eingang
- 31.10.2022
- Impfdatum
- 12.10.2022
- Beginn
- 12.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect product formulation administered
Symptomtext
Error: Wrong Vaccine Formulation (ex. Prevnar 13 v. Prevnar 23)-
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 70,0
- Geschlecht
- F
- Eingang
- 31.10.2022
- Impfdatum
- 12.10.2022
- Beginn
- 12.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect product formulation administered
Symptomtext
Error: Wrong Vaccine Formulation (ex. Prevnar 13 v. Prevnar 23)-
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 72,0
- Geschlecht
- M
- Eingang
- 31.10.2022
- Impfdatum
- 12.10.2022
- Beginn
- 12.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect product formulation administered
Symptomtext
Error: Wrong Vaccine Formulation (ex. Prevnar 13 v. Prevnar 23)-
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 66,0
- Geschlecht
- M
- Eingang
- 31.10.2022
- Impfdatum
- 12.10.2022
- Beginn
- 12.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect product formulation administered
Symptomtext
Error: Wrong Vaccine Formulation (ex. Prevnar 13 v. Prevnar 23)-
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 60,0
- Geschlecht
- M
- Eingang
- 31.10.2022
- Impfdatum
- 12.10.2022
- Beginn
- 12.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- IM / AR
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect product formulation administered
Symptomtext
Error: Wrong Vaccine Formulation (ex. Prevnar 13 v. Prevnar 23)-
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 47,0
- Geschlecht
- F
- Eingang
- 31.10.2022
- Impfdatum
- 12.10.2022
- Beginn
- 12.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect product formulation administered
Symptomtext
Error: Wrong Vaccine Formulation (ex. Prevnar 13 v. Prevnar 23)-
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 65,0
- Geschlecht
- M
- Eingang
- 31.10.2022
- Impfdatum
- 12.10.2022
- Beginn
- 12.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect product formulation administered
Symptomtext
Error: Wrong Vaccine Formulation (ex. Prevnar 13 v. Prevnar 23)-
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 64,0
- Geschlecht
- M
- Eingang
- 31.10.2022
- Impfdatum
- 12.10.2022
- Beginn
- 12.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Incorrect product formulation administered
Symptomtext
Error: Wrong Vaccine Formulation (ex. Prevnar 13 v. Prevnar 23)-
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 62,0
- Geschlecht
- F
- Eingang
- 31.10.2022
- Impfdatum
- 12.10.2022
- Beginn
- 12.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect product formulation administered
Symptomtext
Error: Wrong Vaccine Formulation (ex. Prevnar 13 v. Prevnar 23)-
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 65,0
- Geschlecht
- F
- Eingang
- 31.10.2022
- Impfdatum
- 12.10.2022
- Beginn
- 12.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Incorrect product formulation administered
Symptomtext
Error: Wrong Vaccine Formulation (ex. Prevnar 13 v. Prevnar 23)-
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 46,0
- Geschlecht
- F
- Eingang
- 31.10.2022
- Impfdatum
- 12.10.2022
- Beginn
- 12.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Incorrect product formulation administered
Symptomtext
Error: Wrong Vaccine Formulation (ex. Prevnar 13 v. Prevnar 23)-
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 60,0
- Geschlecht
- F
- Eingang
- 31.10.2022
- Impfdatum
- 12.10.2022
- Beginn
- 12.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect product formulation administered
Symptomtext
Error: Wrong Vaccine Formulation (ex. Prevnar 13 v. Prevnar 23)-
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 12,0
- Geschlecht
- F
- Eingang
- 31.10.2022
- Impfdatum
- 12.10.2022
- Beginn
- 12.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect product formulation administered
Symptomtext
Error: Wrong Vaccine Formulation (ex. Prevnar 13 v. Prevnar 23)-
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 51,0
- Geschlecht
- M
- Eingang
- 31.10.2022
- Impfdatum
- 12.10.2022
- Beginn
- 12.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect product formulation administered
Symptomtext
Error: Wrong Vaccine Formulation (ex. Prevnar 13 v. Prevnar 23)-
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 66,0
- Geschlecht
- M
- Eingang
- 31.10.2022
- Impfdatum
- 12.10.2022
- Beginn
- 12.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect product formulation administered
Symptomtext
Error: Wrong Vaccine Formulation (ex. Prevnar 13 v. Prevnar 23)-
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 51,0
- Geschlecht
- F
- Eingang
- 31.10.2022
- Impfdatum
- 12.10.2022
- Beginn
- 12.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect product formulation administered
Symptomtext
Error: Wrong Vaccine Formulation (ex. Prevnar 13 v. Prevnar 23)-
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 62,0
- Geschlecht
- M
- Eingang
- 31.10.2022
- Impfdatum
- 12.10.2022
- Beginn
- 12.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect product formulation administered
Symptomtext
Error: Wrong Vaccine Formulation (ex. Prevnar 13 v. Prevnar 23)-
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 50,0
- Geschlecht
- F
- Eingang
- 31.10.2022
- Impfdatum
- 12.10.2022
- Beginn
- 12.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect product formulation administered
Symptomtext
Error: Wrong Vaccine Formulation (ex. Prevnar 13 v. Prevnar 23)-
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- NM
- Alter
- 76,0
- Geschlecht
- M
- Eingang
- 31.10.2022
- Impfdatum
- 12.10.2022
- Beginn
- 12.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect product formulation administered
Symptomtext
Error: Wrong Vaccine Formulation (ex. Prevnar 13 v. Prevnar 23)-
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 30,0
- Geschlecht
- F
- Eingang
- 31.10.2022
- Impfdatum
- 12.10.2022
- Beginn
- 12.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect product formulation administered
Symptomtext
Error: Wrong Vaccine Formulation (ex. Prevnar 13 v. Prevnar 23)-
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 30,0
- Geschlecht
- F
- Eingang
- 31.10.2022
- Impfdatum
- 12.10.2022
- Beginn
- 12.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Incorrect product formulation administered
Symptomtext
Error: Wrong Vaccine Formulation (ex. Prevnar 13 v. Prevnar 23)-
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 15,0
- Geschlecht
- F
- Eingang
- 31.10.2022
- Impfdatum
- 12.10.2022
- Beginn
- 12.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect product formulation administered
Symptomtext
Error: Wrong Vaccine Formulation (ex. Prevnar 13 v. Prevnar 23)-
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 13,0
- Geschlecht
- M
- Eingang
- 31.10.2022
- Impfdatum
- 12.10.2022
- Beginn
- 12.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect product formulation administered
Symptomtext
Error: Wrong Vaccine Formulation (ex. Prevnar 13 v. Prevnar 23)-
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 58,0
- Geschlecht
- M
- Eingang
- 31.10.2022
- Impfdatum
- 12.10.2022
- Beginn
- 12.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect product formulation administered
Symptomtext
Error: Wrong Vaccine Formulation (ex. Prevnar 13 v. Prevnar 23)-
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- WA
- Alter
- 42,0
- Geschlecht
- F
- Eingang
- 28.10.2022
- Impfdatum
- 27.10.2022
- Beginn
- 27.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Expired product administered
No adverse event
Symptomtext
Vaccine expired on 10/25/2022. No adverse reaction.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Expired product administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- History of ischemic stroke , failure to thrive
- Vorgeschichte
- History of ischemic stroke , failure to thrive
- Andere Medikamente
- atorvastatin (LIPITOR) 40 MG tablet (Expired) gabapentin (NEURONTIN) 300 MG capsule hydroxychloroquine (PLAQUENIL) 200 mg tablet hydrOXYzine (ATARAX) 25 MG tablet levETIRAcetam (KEPPRA) 500 MG tablet lidocaine (LIDODERM) 5 % topical pa
- Allergien
- None
- Vorherige Impfungen
- -
- Staat
- MO
- Alter
- 34,0
- Geschlecht
- F
- Eingang
- 28.10.2022
- Impfdatum
- 27.10.2022
- Beginn
- 27.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Expired product administered
Symptomtext
Patient came in for first dose of Pfizer for COVID-19 vaccination. She was given the Pfizer monovalent with use-by date of 10/21/2022. Error was discovered during charting after patient had left the clinic. Patient was called to inform them of the situation, as our office had called a Pfizer representative who needs to determine if stability is still acceptable. We informed her that we were waiting for his response, and offered her to wait on his answer or come in for a new vaccination per CDC guidelines. She decided to wait, and a final decision is pending.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Expired product administered
- Hospital-Tage
- -
- Labordaten
- None indicated
- Aktuelle Erkrankungen
- Unknown
- Vorgeschichte
- Unknown
- Andere Medikamente
- Unknown
- Allergien
- Unknown
- Vorherige Impfungen
- -
- Staat
- MI
- Alter
- 67,0
- Geschlecht
- F
- Eingang
- 27.10.2022
- Impfdatum
- 12.09.2022
- Beginn
- 12.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect product formulation administered
No adverse event
Symptomtext
Patient came in to get a Covid Pfizer booster Bi-Valent booster shot and received instead a Mono-Valent Pfizer booster shot. Patient had no adverse events and was told to come back in 60 days from 9/12/2022 to get the Bi Valent booster
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- NONE
- Aktuelle Erkrankungen
- none
- Vorgeschichte
- none
- Andere Medikamente
- none
- Allergien
- n/a
- Vorherige Impfungen
- -
- Staat
- MI
- Alter
- 68,0
- Geschlecht
- M
- Eingang
- 27.10.2022
- Impfdatum
- 01.09.2022
- Beginn
- 01.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect product formulation administered
Symptomtext
patient came in for a Pfizer Covid Bi-Valent shot and received the Pfizer covid Mono-Valent booster. It was discovered and brought to the patient's attention. He was vey nice understood what had happened. Rph told patient he will need to come in 60 days after shot(11/11/2022) to get the Bi-Valent vaccine.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- N/A
- Aktuelle Erkrankungen
- n/a
- Vorgeschichte
- no
- Andere Medikamente
- n/a
- Allergien
- none
- Vorherige Impfungen
- -
- Staat
- IL
- Alter
- 73,0
- Geschlecht
- F
- Eingang
- 27.10.2022
- Impfdatum
- 30.09.2022
- Beginn
- 30.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Incorrect product formulation administered
Symptomtext
Patient received the "old" covid booster instead of the new bi-valent pfizer booster
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- IL
- Alter
- 78,0
- Geschlecht
- F
- Eingang
- 27.10.2022
- Impfdatum
- 30.09.2022
- Beginn
- 26.10.2022
- Tage bis Beginn
- 26,0
- Dosis
- 5
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Incorrect product formulation administered
Symptomtext
Patient received the "old" covid booster shot instead of the new bi-valent pfizer booster
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- IL
- Alter
- 78,0
- Geschlecht
- M
- Eingang
- 27.10.2022
- Impfdatum
- 30.09.2022
- Beginn
- 30.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 5
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Incorrect product formulation administered
Symptomtext
Patient received the "old" covid booster instead of the new bi-valent boost shot
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- TN
- Alter
- 72,0
- Geschlecht
- M
- Eingang
- 26.10.2022
- Impfdatum
- 24.10.2022
- Beginn
- 24.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- 5
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
Symptomtext
monovalent given instead of Bivalent booster
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- TN
- Alter
- 70,0
- Geschlecht
- F
- Eingang
- 26.10.2022
- Impfdatum
- 24.10.2022
- Beginn
- 24.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- 5
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
Symptomtext
Monovalent given when should have been Bivalent
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- WA
- Alter
- 86,0
- Geschlecht
- M
- Eingang
- 26.10.2022
- Impfdatum
- 20.10.2022
- Beginn
- 01.10.2022
- Tage bis Beginn
- -
- Dosis
- 4
- Route/Site
- - / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
No adverse event
Symptomtext
Monovalent given in error. No adverse events noted.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- WA
- Alter
- 86,0
- Geschlecht
- M
- Eingang
- 26.10.2022
- Impfdatum
- 20.10.2022
- Beginn
- 20.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- 5
- Route/Site
- - / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
No adverse event
Symptomtext
Monovalent given in error. No adverse events noted.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- WA
- Alter
- 86,0
- Geschlecht
- M
- Eingang
- 26.10.2022
- Impfdatum
- 20.10.2022
- Beginn
- 01.10.2022
- Tage bis Beginn
- -
- Dosis
- 5
- Route/Site
- - / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
No adverse event
Symptomtext
Monovalent given in error. No adverse events noted.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- WA
- Alter
- 87,0
- Geschlecht
- F
- Eingang
- 26.10.2022
- Impfdatum
- 20.10.2022
- Beginn
- 01.10.2022
- Tage bis Beginn
- -
- Dosis
- 5
- Route/Site
- - / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
No adverse event
Symptomtext
Monovalent given in error. No adverse events noted.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- WA
- Alter
- 86,0
- Geschlecht
- F
- Eingang
- 26.10.2022
- Impfdatum
- 20.10.2022
- Beginn
- 01.10.2022
- Tage bis Beginn
- -
- Dosis
- 4
- Route/Site
- - / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
No adverse event
Symptomtext
Monovalent given in error. No adverse events noted.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- WA
- Alter
- 87,0
- Geschlecht
- F
- Eingang
- 26.10.2022
- Impfdatum
- 20.10.2022
- Beginn
- 01.10.2022
- Tage bis Beginn
- -
- Dosis
- 5
- Route/Site
- - / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
No adverse event
Symptomtext
Monovalent given in error. No adverse events noted.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- WA
- Alter
- 71,0
- Geschlecht
- F
- Eingang
- 26.10.2022
- Impfdatum
- 20.10.2022
- Beginn
- 01.10.2022
- Tage bis Beginn
- -
- Dosis
- 5
- Route/Site
- - / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
No adverse event
Symptomtext
Monovalent given in error. No adverse events noted.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- WA
- Alter
- 76,0
- Geschlecht
- F
- Eingang
- 26.10.2022
- Impfdatum
- 20.10.2022
- Beginn
- 01.10.2022
- Tage bis Beginn
- -
- Dosis
- 5
- Route/Site
- - / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
No adverse event
Symptomtext
Monovalent given in error. No adverse events noted.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- WA
- Alter
- 57,0
- Geschlecht
- F
- Eingang
- 26.10.2022
- Impfdatum
- 20.10.2022
- Beginn
- 01.10.2022
- Tage bis Beginn
- -
- Dosis
- 5
- Route/Site
- - / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
No adverse event
Symptomtext
Monovalent given in error. No adverse events noted.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- WA
- Alter
- 81,0
- Geschlecht
- F
- Eingang
- 26.10.2022
- Impfdatum
- 20.10.2022
- Beginn
- 01.10.2022
- Tage bis Beginn
- -
- Dosis
- 5
- Route/Site
- - / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
Symptomtext
Monovalent given in error. No adverse events noted.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- WA
- Alter
- 88,0
- Geschlecht
- M
- Eingang
- 26.10.2022
- Impfdatum
- 20.10.2022
- Beginn
- 01.10.2022
- Tage bis Beginn
- -
- Dosis
- 5
- Route/Site
- - / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
No adverse event
Symptomtext
Monovalent given in error. No adverse events noted.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- WA
- Alter
- 81,0
- Geschlecht
- M
- Eingang
- 26.10.2022
- Impfdatum
- 20.10.2022
- Beginn
- 01.10.2022
- Tage bis Beginn
- -
- Dosis
- 3
- Route/Site
- - / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
No adverse event
Symptomtext
Monovalent given in error. No adverse events noted.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- WA
- Alter
- 87,0
- Geschlecht
- M
- Eingang
- 26.10.2022
- Impfdatum
- 20.10.2022
- Beginn
- 01.10.2022
- Tage bis Beginn
- -
- Dosis
- 5
- Route/Site
- - / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
No adverse event
Symptomtext
Monovalent given in error. No adverse events noted.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- WA
- Alter
- 77,0
- Geschlecht
- M
- Eingang
- 26.10.2022
- Impfdatum
- 20.10.2022
- Beginn
- 01.10.2022
- Tage bis Beginn
- -
- Dosis
- 5
- Route/Site
- - / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
No adverse event
Symptomtext
Monovalent given in error. No adverse events noted.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- WA
- Alter
- 82,0
- Geschlecht
- F
- Eingang
- 26.10.2022
- Impfdatum
- 20.10.2022
- Beginn
- 01.10.2022
- Tage bis Beginn
- -
- Dosis
- 5
- Route/Site
- - / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
No adverse event
Symptomtext
Monovalent given in error. No adverse events noted.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- WA
- Alter
- 79,0
- Geschlecht
- M
- Eingang
- 26.10.2022
- Impfdatum
- 20.10.2022
- Beginn
- 01.10.2022
- Tage bis Beginn
- -
- Dosis
- 5
- Route/Site
- - / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
No adverse event
Symptomtext
Monovalent given in error. No adverse events noted.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- WA
- Alter
- 75,0
- Geschlecht
- M
- Eingang
- 26.10.2022
- Impfdatum
- 20.10.2022
- Beginn
- 01.10.2022
- Tage bis Beginn
- -
- Dosis
- 5
- Route/Site
- - / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
No adverse event
Symptomtext
Monovalent given in error. No adverse events noted.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- WA
- Alter
- 73,0
- Geschlecht
- M
- Eingang
- 26.10.2022
- Impfdatum
- 20.10.2022
- Beginn
- 01.10.2022
- Tage bis Beginn
- -
- Dosis
- 5
- Route/Site
- - / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
No adverse event
Symptomtext
Monovalent given in error. No adverse events noted.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- WA
- Alter
- 78,0
- Geschlecht
- M
- Eingang
- 26.10.2022
- Impfdatum
- 20.10.2022
- Beginn
- 01.10.2022
- Tage bis Beginn
- -
- Dosis
- 5
- Route/Site
- - / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
No adverse event
Symptomtext
Monovalent given in error. No adverse events noted.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- WA
- Alter
- 52,0
- Geschlecht
- F
- Eingang
- 26.10.2022
- Impfdatum
- 20.10.2022
- Beginn
- 01.10.2022
- Tage bis Beginn
- -
- Dosis
- 5
- Route/Site
- - / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
No adverse event
Symptomtext
Monovalent given in error. No adverse events noted.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- WA
- Alter
- 84,0
- Geschlecht
- M
- Eingang
- 26.10.2022
- Impfdatum
- 20.10.2022
- Beginn
- 01.10.2022
- Tage bis Beginn
- -
- Dosis
- 5
- Route/Site
- - / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
No adverse event
Symptomtext
Monovalent given in error. No adverse events noted.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- WA
- Alter
- 86,0
- Geschlecht
- F
- Eingang
- 26.10.2022
- Impfdatum
- 20.10.2022
- Beginn
- 01.10.2022
- Tage bis Beginn
- -
- Dosis
- 5
- Route/Site
- - / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
Symptomtext
Monovalent given in error. No adverse events noted.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- WA
- Alter
- 87,0
- Geschlecht
- M
- Eingang
- 26.10.2022
- Impfdatum
- 20.10.2022
- Beginn
- 01.10.2022
- Tage bis Beginn
- -
- Dosis
- 5
- Route/Site
- - / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
No adverse event
Symptomtext
Monovalent given in error. No adverse reaction noted.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- WA
- Alter
- 98,0
- Geschlecht
- M
- Eingang
- 26.10.2022
- Impfdatum
- 20.10.2022
- Beginn
- 01.10.2022
- Tage bis Beginn
- -
- Dosis
- 5
- Route/Site
- - / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
No adverse event
Symptomtext
Monovalent given in error. No adverse reaction noted.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- WA
- Alter
- 75,0
- Geschlecht
- F
- Eingang
- 26.10.2022
- Impfdatum
- 20.10.2022
- Beginn
- 01.10.2022
- Tage bis Beginn
- -
- Dosis
- 5
- Route/Site
- - / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
No adverse event
Symptomtext
Monovalent given in error. No adverse reaction noted.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- WA
- Alter
- 87,0
- Geschlecht
- F
- Eingang
- 26.10.2022
- Impfdatum
- 20.10.2022
- Beginn
- 01.10.2022
- Tage bis Beginn
- -
- Dosis
- 5
- Route/Site
- - / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
No adverse event
Symptomtext
Monovalent given in error. No adverse reaction noted.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- WA
- Alter
- 78,0
- Geschlecht
- F
- Eingang
- 26.10.2022
- Impfdatum
- 20.10.2022
- Beginn
- 01.10.2022
- Tage bis Beginn
- -
- Dosis
- 5
- Route/Site
- - / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
No adverse event
Symptomtext
Monovalent given in error. No adverse reaction noted.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- WA
- Alter
- 87,0
- Geschlecht
- M
- Eingang
- 26.10.2022
- Impfdatum
- 20.10.2022
- Beginn
- 01.10.2022
- Tage bis Beginn
- -
- Dosis
- 5
- Route/Site
- - / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
No adverse event
Symptomtext
Monovalent given in error. No adverse reaction noted.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- WA
- Alter
- 33,0
- Geschlecht
- F
- Eingang
- 25.10.2022
- Impfdatum
- 20.10.2022
- Beginn
- 01.10.2022
- Tage bis Beginn
- -
- Dosis
- 3
- Route/Site
- - / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
No adverse event
Symptomtext
Monovalent given in error. No adverse reaction noted.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- IL
- Alter
- 71,0
- Geschlecht
- M
- Eingang
- 25.10.2022
- Impfdatum
- 30.09.2020
- Beginn
- 30.09.2022
- Tage bis Beginn
- 730,0
- Dosis
- 5
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Incorrect product formulation administered
Symptomtext
Patient was given the "old" booster instead of the new bivalent booster
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- IL
- Alter
- 75,0
- Geschlecht
- F
- Eingang
- 25.10.2022
- Impfdatum
- 30.09.2022
- Beginn
- 30.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 5
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Incorrect product formulation administered
Symptomtext
Patient was given the "old" covid booster instead the new bi-valent booster
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- UNKNOWN
- Vorgeschichte
- UNKNOWN
- Andere Medikamente
- UNKNOWN
- Allergien
- UNKNOWN
- Vorherige Impfungen
- -
- Staat
- -
- Alter
- 81,0
- Geschlecht
- M
- Eingang
- 24.10.2022
- Impfdatum
- 24.10.2022
- Beginn
- 24.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- N/A
- Route/Site
- SYR / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
Symptomtext
patient received monovalent covid booster instead of bivalent covid booster
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- -
- Alter
- 80,0
- Geschlecht
- F
- Eingang
- 24.10.2022
- Impfdatum
- 24.10.2022
- Beginn
- 24.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- N/A
- Route/Site
- SYR / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
Symptomtext
patient received monovalent booster instead of bivalent booster
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- -
- Alter
- 73,0
- Geschlecht
- M
- Eingang
- 24.10.2022
- Impfdatum
- 24.10.2022
- Beginn
- 24.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- N/A
- Route/Site
- SYR / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
Symptomtext
patient received monovalent vaccine instead of bivalent booster vaccine
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- -
- Alter
- 65,0
- Geschlecht
- M
- Eingang
- 24.10.2022
- Impfdatum
- 24.10.2022
- Beginn
- 24.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- N/A
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
Symptomtext
patient was given monovalent booster instead of bivalent booster
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- -
- Alter
- 74,0
- Geschlecht
- M
- Eingang
- 24.10.2022
- Impfdatum
- 24.10.2022
- Beginn
- 24.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- N/A
- Route/Site
- SYR / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
Symptomtext
patient received monovalent dose instead of bivalent booster dose
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- -
- Alter
- 70,0
- Geschlecht
- F
- Eingang
- 24.10.2022
- Impfdatum
- 24.10.2022
- Beginn
- 24.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- N/A
- Route/Site
- SYR / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
Symptomtext
patient was given monovalent booster instead of bivalent booster
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- -
- Alter
- 65,0
- Geschlecht
- M
- Eingang
- 24.10.2022
- Impfdatum
- 24.10.2022
- Beginn
- 24.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
Symptomtext
patient received monovalent booster instead of bivalent booster
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- -
- Alter
- 64,0
- Geschlecht
- F
- Eingang
- 24.10.2022
- Impfdatum
- 24.10.2022
- Beginn
- 24.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- SYR / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
Symptomtext
patient received monovalent booster instead of bivalent booster
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- RI
- Alter
- 50,0
- Geschlecht
- F
- Eingang
- 24.10.2022
- Impfdatum
- 24.10.2022
- Beginn
- 24.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- - / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
Symptomtext
Patient was given the monovalent covid vaccine instead of the bivalent booster.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- RI
- Alter
- 42,0
- Geschlecht
- M
- Eingang
- 24.10.2022
- Impfdatum
- 24.10.2022
- Beginn
- 24.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect product formulation administered
Symptomtext
Patient received the monovalent pfizer covid booster shot instead of the bivalent shot
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- n/a
- Vorgeschichte
- n/a
- Andere Medikamente
- n/a
- Allergien
- n/a
- Vorherige Impfungen
- -
- Staat
- IL
- Alter
- 79,0
- Geschlecht
- M
- Eingang
- 24.10.2022
- Impfdatum
- 30.09.2022
- Beginn
- 30.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 5
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect product formulation administered
Symptomtext
Patient was given "old" covid booster instead of new updated bivalent booster
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- IL
- Alter
- 52,0
- Geschlecht
- M
- Eingang
- 24.10.2022
- Impfdatum
- 30.09.2022
- Beginn
- 30.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect product formulation administered
Symptomtext
Patient was accidently given the "old" covid booster instead of the new bivalent booster,
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- NY
- Alter
- 61,0
- Geschlecht
- M
- Eingang
- 23.10.2022
- Impfdatum
- 19.10.2022
- Beginn
- 19.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Wrong product administered
Symptomtext
Error: Wrong Vaccine/Product Administered-
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Wrong product administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- NY
- Alter
- 66,0
- Geschlecht
- F
- Eingang
- 23.10.2022
- Impfdatum
- 19.10.2022
- Beginn
- 19.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- SYR / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Wrong product administered
Symptomtext
Error: Wrong Vaccine/Product Administered-
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Wrong product administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- OH
- Alter
- 73,0
- Geschlecht
- M
- Eingang
- 22.10.2022
- Impfdatum
- 12.10.2022
- Beginn
- 12.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect product formulation administered
Symptomtext
Error: Wrong Vaccine Formulation (ex. Prevnar 13 v. Prevnar 23)-
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- OR
- Alter
- 23,0
- Geschlecht
- F
- Eingang
- 21.10.2022
- Impfdatum
- 21.10.2022
- Beginn
- 21.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
No adverse event
Symptomtext
No adverse side effects noted.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- No adverse event
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- asthma
- Andere Medikamente
- albuterol HFA 108 (90 base)mcg/act inhalation aerosol solution, aluminum chloride 20% external solution
- Allergien
- Latex: reaction - itching.
- Vorherige Impfungen
- -
- Staat
- OR
- Alter
- 70,0
- Geschlecht
- F
- Eingang
- 21.10.2022
- Impfdatum
- 21.10.2022
- Beginn
- 21.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
No adverse event
Symptomtext
No adverse reactions noted.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- No adverse event
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- Abnormal ultrasound of endometrium, ovarian fibroma, other abnormal glucose, atrial fibrillation (cms/hcc), essential (primary) hypertension, endocrine disorder, age-related osteoporosis without current pathological fracture, radiculopathy, gout, chronic kidney disease stage 3, history of colonic polyps
- Andere Medikamente
- Allopurinol 300mg oral, epinephrine 0.3mg/0.3ml injection solution, gabapentin 300mg oral, lisinopril-hydrochlorothiazide 20-25mg oral, magnesium Cl-Calcium carbonate oral, metformin 500mg oral, xarelto 15mg oral, sotalol 80mg oral, zinc 50
- Allergien
- No known allergies
- Vorherige Impfungen
- -
- Staat
- OR
- Alter
- 23,0
- Geschlecht
- F
- Eingang
- 21.10.2022
- Impfdatum
- 21.10.2022
- Beginn
- 21.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
No adverse event
Symptomtext
No adverse side effects noted.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- No adverse event
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- Tums, tylenol, zantac
- Allergien
- No known allergies
- Vorherige Impfungen
- -
- Staat
- MI
- Alter
- 20,0
- Geschlecht
- U
- Eingang
- 20.10.2022
- Impfdatum
- 19.10.2022
- Beginn
- 19.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Expired product administered
Symptomtext
The vaccine expired on 10/17/2022 at 2125 and was given on 10/19/2022 at 1630.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Expired product administered
- Hospital-Tage
- -
- Labordaten
- none
- Aktuelle Erkrankungen
- unknown
- Vorgeschichte
- unknown
- Andere Medikamente
- unknown
- Allergien
- unknown
- Vorherige Impfungen
- -
- Staat
- MI
- Alter
- 61,0
- Geschlecht
- M
- Eingang
- 20.10.2022
- Impfdatum
- 03.10.2022
- Beginn
- 03.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
No adverse event
Symptomtext
Patient received monovalent when should have received bivalent vaccine. No patient adverse effects
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- WI
- Alter
- 80,0
- Geschlecht
- M
- Eingang
- 20.10.2022
- Impfdatum
- 18.10.2022
- Beginn
- 18.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- 5
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Extra dose administered
No adverse event
Wrong product administered
Symptomtext
Patient was given Pfizer Monovalent Covid Booster instead of the Pfizer Bivalent Booster. Patient was receiving his fifth booster at this time. Patient was notified and no adverse side effects were reported.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Extra dose administered
- Hospital-Tage
- -
- Labordaten
- N/A
- Aktuelle Erkrankungen
- Multiple
- Vorgeschichte
- Multiple Chronic
- Andere Medikamente
- Multiple
- Allergien
- Amlodipine Lisinopril
- Vorherige Impfungen
- -
- Staat
- CA
- Alter
- 27,0
- Geschlecht
- F
- Eingang
- 18.10.2022
- Impfdatum
- 18.10.2022
- Beginn
- 18.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Incorrect product formulation administered
Symptomtext
Pt got mono-valent Pfizer booster instead of Bivalent Booster
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- unknown
- Vorgeschichte
- unknown
- Andere Medikamente
- unknown
- Allergien
- unknown
- Vorherige Impfungen
- -
- Staat
- CA
- Alter
- 41,0
- Geschlecht
- F
- Eingang
- 18.10.2022
- Impfdatum
- 18.10.2022
- Beginn
- 18.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Incorrect product formulation administered
Symptomtext
Pt got mono-valent Pfizer booster instead of Bivalent Booster
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- unknown
- Vorgeschichte
- unknown
- Andere Medikamente
- unknown
- Allergien
- unknown
- Vorherige Impfungen
- -
- Staat
- CA
- Alter
- 51,0
- Geschlecht
- F
- Eingang
- 18.10.2022
- Impfdatum
- 18.10.2022
- Beginn
- 18.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Incorrect product formulation administered
Symptomtext
Pt got mono-valent Pfizer booster instead of Bivalent Booster
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- unknown
- Vorgeschichte
- unknown
- Andere Medikamente
- unknown
- Allergien
- unknown
- Vorherige Impfungen
- -
- Staat
- CA
- Alter
- 24,0
- Geschlecht
- F
- Eingang
- 18.10.2022
- Impfdatum
- 18.10.2022
- Beginn
- 18.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Wrong product administered
Symptomtext
Pt got mono-valent Pfizer booster instead of Bivalent Booster
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Wrong product administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- unknown
- Vorgeschichte
- unknown
- Andere Medikamente
- unknown
- Allergien
- unknown
- Vorherige Impfungen
- -
- Staat
- CA
- Alter
- 16,0
- Geschlecht
- F
- Eingang
- 18.10.2022
- Impfdatum
- 18.10.2022
- Beginn
- 18.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Incorrect product formulation administered
Symptomtext
Pt got mono valent Pfizer booster instead of Bivalent Booster
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- unknown
- Vorgeschichte
- unknonw
- Andere Medikamente
- unknown
- Allergien
- unknown
- Vorherige Impfungen
- -
- Staat
- CA
- Alter
- 49,0
- Geschlecht
- M
- Eingang
- 18.10.2022
- Impfdatum
- 18.10.2022
- Beginn
- 01.10.2022
- Tage bis Beginn
- -
- Dosis
- 4
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Incorrect product formulation administered
No adverse event
Symptomtext
NO ADVERSE EVENT. Pt got mono valent Pfizer booster instead of Bivalent Booster
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- unknown
- Vorgeschichte
- unknown
- Andere Medikamente
- unknown
- Allergien
- unknown
- Vorherige Impfungen
- -
- Staat
- CA
- Alter
- 20,0
- Geschlecht
- F
- Eingang
- 18.10.2022
- Impfdatum
- 18.10.2022
- Beginn
- 18.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Incorrect product formulation administered
No adverse event
Symptomtext
NO ADVERSE EVENT. Pt got mono valent Pfizer booster instead of Bivalent Booster
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- none
- Vorgeschichte
- none
- Andere Medikamente
- none
- Allergien
- none
- Vorherige Impfungen
- -
- Staat
- CA
- Alter
- 20,0
- Geschlecht
- F
- Eingang
- 18.10.2022
- Impfdatum
- 18.10.2022
- Beginn
- 18.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Incorrect product formulation administered
Symptomtext
NO ADVERSE EVENT. Pt got mono valent Pfizer booster instead of Bivalent Booster
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- none
- Vorgeschichte
- none
- Andere Medikamente
- none
- Allergien
- none
- Vorherige Impfungen
- -
- Staat
- CA
- Alter
- 21,0
- Geschlecht
- M
- Eingang
- 18.10.2022
- Impfdatum
- 18.10.2022
- Beginn
- 01.10.2022
- Tage bis Beginn
- -
- Dosis
- 4
- Route/Site
- - / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Incorrect product formulation administered
Symptomtext
NO ADVERSE EVENT. Pt got mono valent Pfizer booster instead of Bivalent Booster
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- none
- Vorgeschichte
- none
- Andere Medikamente
- none
- Allergien
- none
- Vorherige Impfungen
- -
- Staat
- CA
- Alter
- 47,0
- Geschlecht
- M
- Eingang
- 18.10.2022
- Impfdatum
- 18.10.2022
- Beginn
- 18.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Incorrect product formulation administered
No adverse event
Symptomtext
NO ADVERSE EVENT. Pt got mono valent Pfizer booster instead of Bivalent Booster
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- none
- Vorgeschichte
- none
- Andere Medikamente
- none
- Allergien
- none
- Vorherige Impfungen
- -
- Staat
- CA
- Alter
- 17,0
- Geschlecht
- F
- Eingang
- 18.10.2022
- Impfdatum
- 18.10.2022
- Beginn
- 18.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Incorrect product formulation administered
Symptomtext
NO ADVERSE EVENT. Pt got mono valent Pfizer booster instead of Bivalent Booster
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- none
- Vorgeschichte
- none
- Andere Medikamente
- none
- Allergien
- none
- Vorherige Impfungen
- -
- Staat
- CA
- Alter
- 48,0
- Geschlecht
- F
- Eingang
- 18.10.2022
- Impfdatum
- 18.10.2022
- Beginn
- 01.10.2022
- Tage bis Beginn
- -
- Dosis
- 4
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Incorrect product formulation administered
No adverse event
Symptomtext
NO ADVERSE EVENT. Pt got mono valent Pfizer booster instead of Bivalent Booster
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- none
- Vorgeschichte
- none
- Andere Medikamente
- none
- Allergien
- none
- Vorherige Impfungen
- -
- Staat
- CA
- Alter
- 54,0
- Geschlecht
- M
- Eingang
- 18.10.2022
- Impfdatum
- 18.10.2022
- Beginn
- 01.10.2022
- Tage bis Beginn
- -
- Dosis
- 5
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Incorrect product formulation administered
No adverse event
Symptomtext
no adverse event. Pt got mono valent Pfizer instead of Bivalent
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- none
- Vorgeschichte
- none
- Andere Medikamente
- none
- Allergien
- none
- Vorherige Impfungen
- -
- Staat
- OR
- Alter
- 18,0
- Geschlecht
- F
- Eingang
- 18.10.2022
- Impfdatum
- 18.10.2022
- Beginn
- 01.10.2022
- Tage bis Beginn
- -
- Dosis
- 4
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Unevaluable event
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Unevaluable event
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- none
- Vorgeschichte
- none
- Andere Medikamente
- none
- Allergien
- none
- Vorherige Impfungen
- -
- Staat
- CA
- Alter
- 18,0
- Geschlecht
- F
- Eingang
- 18.10.2022
- Impfdatum
- 18.10.2022
- Beginn
- 18.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- 2
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Incorrect product formulation administered
Symptomtext
Patient got monovalanet booster instead of Bivalent booster
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- none
- Vorgeschichte
- none
- Andere Medikamente
- none
- Allergien
- none
- Vorherige Impfungen
- -
- Staat
- MD
- Alter
- 51,0
- Geschlecht
- M
- Eingang
- 18.10.2022
- Impfdatum
- 14.10.2022
- Beginn
- -
- Tage bis Beginn
- -
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
Symptomtext
Patient was to get Pfizer bivalent vaccine the Medical Assistant accidently gave Pfizer monovalent
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- Hypercholesterolemia Sleep apena, Migraines
- Andere Medikamente
- omega-3 Rosuvastatin
- Allergien
- NKDA
- Vorherige Impfungen
- -
- Staat
- MD
- Alter
- 58,0
- Geschlecht
- F
- Eingang
- 18.10.2022
- Impfdatum
- 14.10.2022
- Beginn
- 14.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect product formulation administered
Symptomtext
Patient was to get Pfizer bivalent vaccine the Medical Assistant accidently gave Pfizer monovalent vaccine.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- None
- Aktuelle Erkrankungen
- Anxiety
- Vorgeschichte
- Anxiety
- Andere Medikamente
- Xanax Propranolol Lexapro
- Allergien
- Tramadol.
- Vorherige Impfungen
- -
- Staat
- MD
- Alter
- 56,0
- Geschlecht
- F
- Eingang
- 18.10.2022
- Impfdatum
- 14.10.2022
- Beginn
- 14.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect product formulation administered
Symptomtext
Patient was to get Pfizer Bivalent vaccine the Medical Assistant accidently gave Pfizer monovalent vaccine.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- None
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- Pure Hypercholesterolemia Anxiety
- Andere Medikamente
- Aspirin Lorazepam Rosuvastatin
- Allergien
- NKDA
- Vorherige Impfungen
- -
- Staat
- CO
- Alter
- 15,0
- Geschlecht
- F
- Eingang
- 18.10.2022
- Impfdatum
- 13.10.2022
- Beginn
- 13.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect product formulation administered
Symptomtext
Monovalent vaccine was accidentally given as booster dose in stead of bivalent
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- none
- Vorgeschichte
- Asthma
- Andere Medikamente
- Advair, Albuterol
- Allergien
- none
- Vorherige Impfungen
- -
- Staat
- MI
- Alter
- 76,0
- Geschlecht
- F
- Eingang
- 17.10.2022
- Impfdatum
- 12.09.2022
- Beginn
- 12.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- IM / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect product formulation administered
Symptomtext
patient came i for a Covid Pfizer Bi-Valent vaccination and received a Covid Pfizer Mono-Valent vaccine by mistake. It was discovered recently and brought to the patient's attention. She was very pleasant and did not get upset. She was told to come back in 2 months from the vaccination date to get the Bi-Valent Covid vaccination on or after 11/12/2022 with no complications
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- no adverse events noted.
- Aktuelle Erkrankungen
- n/a
- Vorgeschichte
- n/a
- Andere Medikamente
- n/a
- Allergien
- n/a
- Vorherige Impfungen
- -
- Staat
- VA
- Alter
- 18,0
- Geschlecht
- M
- Eingang
- 17.10.2022
- Impfdatum
- 16.10.2022
- Beginn
- 16.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: ja
Erholt: nein
Road traffic accident
Symptomtext
PATIENT GOT THE VACCINE WAITED FOR 10 MIN AFTER THAT WHEN HE IS DRIVING BACK TO HOME HE MET WITH AN ACCIDENT .
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Road traffic accident
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- MO
- Alter
- 67,0
- Geschlecht
- F
- Eingang
- 17.10.2022
- Impfdatum
- 17.10.2022
- Beginn
- 17.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect product formulation administered
No adverse event
Symptomtext
Patient was administered the initial COVID-19 vaccine instead of the booster dose. No adverse events reported.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- None
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- None
- Andere Medikamente
- Unknown
- Allergien
- None
- Vorherige Impfungen
- -
- Staat
- MO
- Alter
- 73,0
- Geschlecht
- M
- Eingang
- 17.10.2022
- Impfdatum
- 17.10.2022
- Beginn
- 17.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect product formulation administered
Symptomtext
Initial COVID-19 vaccination was given instead of the booster. No adverse events reported.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- None
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- None
- Andere Medikamente
- Unknown
- Allergien
- None
- Vorherige Impfungen
- -
- Staat
- CA
- Alter
- 18,0
- Geschlecht
- M
- Eingang
- 15.10.2022
- Impfdatum
- 15.09.2022
- Beginn
- 15.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Product storage error
Symptomtext
Error: Improper Storage (ex. temp./location)-
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Product storage error
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- CA
- Alter
- 17,0
- Geschlecht
- F
- Eingang
- 15.10.2022
- Impfdatum
- 08.09.2022
- Beginn
- 08.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Product storage error
Symptomtext
Error: Improper Storage (ex. temp./location)-
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Product storage error
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- MI
- Alter
- 71,0
- Geschlecht
- M
- Eingang
- 14.10.2022
- Impfdatum
- 12.09.2022
- Beginn
- 01.09.2022
- Tage bis Beginn
- -
- Dosis
- 3
- Route/Site
- IM / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect product formulation administered
No adverse event
Symptomtext
Patient came in for a Pfizer Bivalent booster shot and received a Mono-Valent booster instead. There was no adverse reaction just that the wrong vaccine was given. Patient is fine and has no issues at this time.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- none
- Aktuelle Erkrankungen
- n/a
- Vorgeschichte
- no
- Andere Medikamente
- n/a
- Allergien
- n/a
- Vorherige Impfungen
- -
- Staat
- PA
- Alter
- 3,0
- Geschlecht
- M
- Eingang
- 14.10.2022
- Impfdatum
- 12.09.2022
- Beginn
- 12.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Product administered to patient of inappropriate age
Symptomtext
I believe patient was given the 12 year and older dose of Pfizer by a medical assistant/ family practice MD. I did not witness or participate in the event. However, per the documentation it appears the patient was given the incorrect vaccine. Our COVID vaccine medical assistant was out sick on this day. Staff who were not trained on COVID vaccine administration were asked to give the vaccine. I submitted an incident report about this error to my supervisor. I do not believe the patient's parent was notified/informed of this error.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Product administered to patient of inappropriate age
- Hospital-Tage
- -
- Labordaten
- unknown
- Aktuelle Erkrankungen
- unknown
- Vorgeschichte
- unknown
- Andere Medikamente
- unknown
- Allergien
- unknown
- Vorherige Impfungen
- -
- Staat
- MT
- Alter
- 73,0
- Geschlecht
- F
- Eingang
- 13.10.2022
- Impfdatum
- 03.10.2022
- Beginn
- 01.10.2022
- Tage bis Beginn
- -
- Dosis
- 5
- Route/Site
- - / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect product formulation administered
Symptomtext
Patient given monovalent Pfizer instead of bivalent Pfizer
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- MI
- Alter
- 74,0
- Geschlecht
- M
- Eingang
- 13.10.2022
- Impfdatum
- 12.09.2022
- Beginn
- 12.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- IM / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect product formulation administered
No adverse event
Symptomtext
the wrong booster was administered with NO adverse events . Patient was supposed to get the Bi Valent booster and instead received the Mono-Valent booster. The patient did NOT have any adverse events.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- n/a
- Aktuelle Erkrankungen
- none
- Vorgeschichte
- none
- Andere Medikamente
- none
- Allergien
- none
- Vorherige Impfungen
- -
- Staat
- NC
- Alter
- 69,0
- Geschlecht
- F
- Eingang
- 12.10.2022
- Impfdatum
- 07.10.2022
- Beginn
- 07.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect product formulation administered
Symptomtext
Error: Wrong Vaccine Formulation (ex. Prevnar 13 v. Prevnar 23)-
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- NC
- Alter
- 71,0
- Geschlecht
- M
- Eingang
- 12.10.2022
- Impfdatum
- 07.10.2022
- Beginn
- 07.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect product formulation administered
Symptomtext
Error: Wrong Vaccine Formulation (ex. Prevnar 13 v. Prevnar 23)-
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- NC
- Alter
- 62,0
- Geschlecht
- F
- Eingang
- 12.10.2022
- Impfdatum
- 07.10.2022
- Beginn
- 07.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect product formulation administered
Symptomtext
Error: Wrong Vaccine Formulation (ex. Prevnar 13 v. Prevnar 23)-
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- NC
- Alter
- 69,0
- Geschlecht
- F
- Eingang
- 12.10.2022
- Impfdatum
- 07.10.2022
- Beginn
- 07.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect product formulation administered
Symptomtext
Error: Wrong Vaccine Formulation (ex. Prevnar 13 v. Prevnar 23)-
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- WA
- Alter
- 59,0
- Geschlecht
- M
- Eingang
- 11.10.2022
- Impfdatum
- 10.10.2022
- Beginn
- 10.10.2022
- Tage bis Beginn
- 0,0
- Dosis
- 2
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Extra dose administered
Symptomtext
Patient presented to pharmacy with Covid vaccination card with monovalent Pfizer vaccine, 1st shot only. patient was given 2nd Pfizer monovalent, tri-sucrose vaccine at the site. upon processing the claim, it came with error and vaccination registry was checked and realized that pt received 24 Covid vaccines previously.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Extra dose administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- MI
- Alter
- 72,0
- Geschlecht
- F
- Eingang
- 08.10.2022
- Impfdatum
- 12.07.2022
- Beginn
- 06.10.2022
- Tage bis Beginn
- 86,0
- Dosis
- 4
- Route/Site
- - / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: ja
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
COVID-19
SARS-CoV-2 test positive
Vaccine breakthrough infection
Symptomtext
Breakthrough case admission after 4 vaccines Pfizer 2/9/21 Lot# EM9810; Pfizer 3/2/21 Lot# EM9810; Pfizer 12/9/21 Lot# FH8028; Pfizer 7/12/22 Lot# FP7150
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- COVID-19
- Hospital-Tage
- -
- Labordaten
- COVID +
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- VA
- Alter
- 35,0
- Geschlecht
- F
- Eingang
- 08.10.2022
- Impfdatum
- 03.10.2022
- Beginn
- 04.10.2022
- Tage bis Beginn
- 1,0
- Dosis
- 1
- Route/Site
- - / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Skin discolouration
Symptomtext
Right hand brown spots; This is a spontaneous report received from a non-contactable reporter(s) (Consumer or other non HCP). The reporter is the patient. A 35-year-old female patient (not pregnant) received BNT162b2 (BNT162B2), on 03Oct2022 at 01:00 as dose 1, single (Lot number: FP7150) at the age of 35 years, in left arm for covid-19 immunisation. The patient's relevant medical history included: "Known allergies : Pollen" (unspecified if ongoing); "Known allergies : Trees" (unspecified if ongoing). There were no concomitant medications. The following information was reported: SKIN DISCOLOURATION (non-serious) with onset 04Oct2022, outcome "not recovered", described as "Right hand brown spots". Therapeutic measures were not taken as a result of skin discolouration. Additional information: No other medications in two weeks. Known allergies included pollen and trees.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Skin discolouration
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- Medical History/Concurrent Conditions: Allergy to plants; Pollen allergy
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- KY
- Alter
- 11,0
- Geschlecht
- F
- Eingang
- 06.10.2022
- Impfdatum
- 02.09.2022
- Beginn
- 02.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Product administered to patient of inappropriate age
Symptomtext
Student was given the Pfizer vaccine indicated for those 12 years and older.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Product administered to patient of inappropriate age
- Hospital-Tage
- -
- Labordaten
- none
- Aktuelle Erkrankungen
- none indicated
- Vorgeschichte
- none indicated
- Andere Medikamente
- none indicated
- Allergien
- none indicated
- Vorherige Impfungen
- -
- Staat
- KY
- Alter
- 10,0
- Geschlecht
- F
- Eingang
- 06.10.2022
- Impfdatum
- 02.09.2022
- Beginn
- 02.09.2022
- 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
Symptomtext
Student was given the Pfizer dose that was indicated for students 12 years and older
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect dose administered
- Hospital-Tage
- -
- Labordaten
- none
- Aktuelle Erkrankungen
- none indicated
- Vorgeschichte
- none indicated
- Andere Medikamente
- none indicated
- Allergien
- none indicated
- Vorherige Impfungen
- -
- Staat
- KY
- Alter
- 11,0
- Geschlecht
- F
- Eingang
- 06.10.2022
- Impfdatum
- 02.09.2022
- Beginn
- 02.09.2022
- 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
Symptomtext
Student was given the Pfizer dose intended for those 12 years and older.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect dose administered
- Hospital-Tage
- -
- Labordaten
- none
- Aktuelle Erkrankungen
- none indicated
- Vorgeschichte
- none indicated
- Andere Medikamente
- none indicated
- Allergien
- none indicated
- Vorherige Impfungen
- -
- Staat
- CA
- Alter
- 87,0
- Geschlecht
- M
- Eingang
- 05.10.2022
- Impfdatum
- 29.09.2022
- Beginn
- 29.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 5
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Circumstance or information capable of leading to medication error
Incorrect product formulation administered
Symptomtext
Shortly after 1200 Nurse was returning from where she was pulled to assist a patient. This was during our lunch period so we only had two nurses to assist with patients and a long line developed so she stayed to draw up medication, so the other nurses could continue to take patients. She went into the small cooler and pulled Pfizer monovalent, which had been placed in separately labeled "Monovalent" bag in its original packaging with the regional label. All nurses had been advised of this and told to check the packaging as well as the vial for the bivalent label. The nurse made a mistake and pulled two vials of the monovalent vaccine and drew them up but noted the different lot number with the other nurses. The administering nurse proceeded to take and vaccinate 4 patients with this vaccine. The mistake was noticed when a first dose patient came in for Pfizer and she went to pull a monovalent vaccine, she noticed that the lot number was the same as what she was told was the bivalent vaccine. They immediately reported to me the manager, and I immediately pulled the vaccines from the floor, collected the patient?s information that were given the incorrect dose. I reported this to my director and the next steps were decided upon.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Circumstance or information capable of leading to medication error
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- CA
- Alter
- 65,0
- Geschlecht
- F
- Eingang
- 05.10.2022
- Impfdatum
- 29.09.2022
- Beginn
- 29.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 5
- Route/Site
- - / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Circumstance or information capable of leading to medication error
Incorrect product formulation administered
Symptomtext
Shortly after 1200 Nurse was returning from where she was pulled to assist a patient. This was during our lunch period so we only had two nurses to assist with patients and a long line developed so she stayed to draw up medication, so the other nurses could continue to take patients. She went into the small cooler and pulled Pfizer monovalent, which had been placed in separately labeled "Monovalent" bag in its original packaging with the regional label. All nurses had been advised of this and told to check the packaging as well as the vial for the bivalent label. The nurse made a mistake and pulled two vials of the monovalent vaccine and drew them up but noted the different lot number with the other nurses. The administering nurse proceeded to take and vaccinate 4 patients with this vaccine. The mistake was noticed when a first dose patient came in for Pfizer and she went to pull a monovalent vaccine, she noticed that the lot number was the same as what she was told was the bivalent vaccine. They immediately reported to me the manager and I immediately pulled the vaccines from the floor, collected the patient?s information that were given the incorrect dose. I reported this to my director and the next steps were decided upon. Patient was notified.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Circumstance or information capable of leading to medication error
- Hospital-Tage
- -
- Labordaten
- NA
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- OH
- Alter
- 64,0
- Geschlecht
- F
- Eingang
- 04.10.2022
- Impfdatum
- 30.09.2022
- Beginn
- 30.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
Symptomtext
The monovalent formulation was given to the patient instead of the bivalent for the 4th vaccination of their covid 19 series.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- OH
- Alter
- 48,0
- Geschlecht
- M
- Eingang
- 04.10.2022
- Impfdatum
- 30.09.2022
- Beginn
- 30.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
Symptomtext
The monovalent formulation was given to the patient instead of the bivalent for the 4th vaccination of their covid 19 series.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- OH
- Alter
- 38,0
- Geschlecht
- F
- Eingang
- 04.10.2022
- Impfdatum
- 30.09.2022
- Beginn
- 30.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
Symptomtext
The monovalent formulation was given to the patient instead of the bivalent for the 4th vaccination of their covid 19 series.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- OH
- Alter
- 37,0
- Geschlecht
- M
- Eingang
- 04.10.2022
- Impfdatum
- 30.09.2022
- Beginn
- 30.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
Symptomtext
The monovalent formulation was given to the patient instead of the bivalent for the 4th vaccination of their covid 19 series.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- OH
- Alter
- 22,0
- Geschlecht
- F
- Eingang
- 04.10.2022
- Impfdatum
- 30.09.2022
- Beginn
- 30.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
Symptomtext
The monovalent formulation was given to the patient instead of the bivalent for the 4th vaccination of their covid 19 series.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- OH
- Alter
- 21,0
- Geschlecht
- F
- Eingang
- 04.10.2022
- Impfdatum
- 30.09.2022
- Beginn
- 30.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Extra dose administered
Incorrect product formulation administered
Symptomtext
The monovalent formulation was given to the patient instead of the bivalent for the 4th vaccination of their covid 19 series.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Extra dose administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- OH
- Alter
- 70,0
- Geschlecht
- F
- Eingang
- 04.10.2022
- Impfdatum
- 30.09.2022
- Beginn
- 30.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
Symptomtext
The monovalent formulation was given to the patient instead of the bivalent for the 4th vaccination of their covid 19 series.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- OH
- Alter
- 77,0
- Geschlecht
- F
- Eingang
- 04.10.2022
- Impfdatum
- 30.09.2022
- Beginn
- 30.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 5
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
Symptomtext
The monovalent formulation was given to the patient instead of the bivalent for the 4th vaccination of their covid 19 series.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- OH
- Alter
- 68,0
- Geschlecht
- F
- Eingang
- 04.10.2022
- Impfdatum
- 30.09.2022
- Beginn
- 30.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
Symptomtext
The monovalent formulation was given to the patient instead of the bivalent for the 4th vaccination of their covid 19 series.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- OH
- Alter
- 70,0
- Geschlecht
- F
- Eingang
- 04.10.2022
- Impfdatum
- 29.09.2022
- Beginn
- 29.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 5
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
Symptomtext
The monovalent formulation was given to the patient instead of the bivalent for the 4th vaccination of their covid 19 series.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- OH
- Alter
- 92,0
- Geschlecht
- F
- Eingang
- 04.10.2022
- Impfdatum
- 29.09.2022
- Beginn
- 29.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 5
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
Symptomtext
The monovalent formulation was given to the patient instead of the bivalent for the 4th vaccination of their covid 19 series.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- OH
- Alter
- 70,0
- Geschlecht
- M
- Eingang
- 04.10.2022
- Impfdatum
- 29.09.2022
- Beginn
- 29.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 5
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
Symptomtext
The monovalent formulation was given to the patient instead of the bivalent for the 4th vaccination of their covid 19 series.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- OH
- Alter
- 75,0
- Geschlecht
- F
- Eingang
- 04.10.2022
- Impfdatum
- 29.09.2022
- Beginn
- 29.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 5
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
Symptomtext
The monovalent formulation was given to the patient instead of the bivalent for the 4th vaccination of their covid 19 series.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- OH
- Alter
- 49,0
- Geschlecht
- M
- Eingang
- 04.10.2022
- Impfdatum
- 29.09.2022
- Beginn
- 29.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Wrong product administered
Symptomtext
The monovalent formulation was given to the patient instead of the bivalent for the 4th vaccination of their covid 19 series.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Wrong product administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- -
- Alter
- 13,0
- Geschlecht
- F
- Eingang
- 04.10.2022
- 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: unbekannt
Expired product administered
No adverse event
Symptomtext
Vaccine was given 9/30/2022 when by use date on box was 9/29/2022. No adverse events afterwards.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Expired product administered
- Hospital-Tage
- -
- Labordaten
- n/a
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- OH
- Alter
- 54,0
- Geschlecht
- F
- Eingang
- 04.10.2022
- Impfdatum
- 29.09.2022
- Beginn
- 29.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
Symptomtext
Patient was given monovalent formulation for their 4th covid vaccination.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- OH
- Alter
- 81,0
- Geschlecht
- F
- Eingang
- 04.10.2022
- Impfdatum
- 29.09.2022
- Beginn
- 29.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
Symptomtext
Patient was given monovalent formulation for their 4th covid vaccination.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- KY
- Alter
- 11,0
- Geschlecht
- M
- Eingang
- 03.10.2022
- Impfdatum
- 28.09.2022
- Beginn
- 28.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 2
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Product administered to patient of inappropriate age
Symptomtext
Student recieved Pfizer vaccine that is intended for those 12 years and older.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Product administered to patient of inappropriate age
- Hospital-Tage
- -
- Labordaten
- none
- Aktuelle Erkrankungen
- none indicated
- Vorgeschichte
- none indicated
- Andere Medikamente
- none indicated
- Allergien
- none indicated
- Vorherige Impfungen
- -
- Staat
- KY
- Alter
- 11,0
- Geschlecht
- F
- Eingang
- 03.10.2022
- Impfdatum
- 28.09.2022
- Beginn
- 28.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- 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
Symptomtext
Student given Pfizer vaccine intended for those 12 years and older.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect dose administered
- Hospital-Tage
- -
- Labordaten
- none
- Aktuelle Erkrankungen
- none indicated
- Vorgeschichte
- none indicated
- Andere Medikamente
- none indicated
- Allergien
- none indicatedd
- Vorherige Impfungen
- -
- Staat
- KY
- Alter
- 11,0
- Geschlecht
- M
- Eingang
- 03.10.2022
- Impfdatum
- 28.09.2022
- Beginn
- 28.09.2022
- 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
Symptomtext
Student was given Pfizer vaccine intended for those age 12 years and older.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect dose administered
- Hospital-Tage
- -
- Labordaten
- none
- Aktuelle Erkrankungen
- none indicated
- Vorgeschichte
- none indicated
- Andere Medikamente
- none indicated
- Allergien
- none indicated
- Vorherige Impfungen
- -
- Staat
- KY
- Alter
- 10,0
- Geschlecht
- M
- Eingang
- 03.10.2022
- Impfdatum
- 28.09.2022
- Beginn
- 28.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect product formulation administered
Symptomtext
Patient was given the Pfizer vaccine indicated for those 12 years and older.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- none
- Aktuelle Erkrankungen
- none indicated
- Vorgeschichte
- none indicated
- Andere Medikamente
- none indicated
- Allergien
- none indicated
- Vorherige Impfungen
- -
- Staat
- MD
- Alter
- 69,0
- Geschlecht
- F
- Eingang
- 03.10.2022
- Impfdatum
- 05.08.2022
- Beginn
- 07.08.2022
- Tage bis Beginn
- 2,0
- Dosis
- 4
- Route/Site
- SYR / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Acoustic stimulation tests
Tinnitus
Symptomtext
Tinnitus two days after booster, has gotten worst with time.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Acoustic stimulation tests
- Hospital-Tage
- -
- Labordaten
- Hearing test with Dr on September 21,2022
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- High Blood Pressure, Seasonal Allergies, Lichen Sclerosis
- Andere Medikamente
- Amlodipine ,Allegra, Clobetasol
- Allergien
- Sulfa
- Vorherige Impfungen
- -
- Staat
- GA
- Alter
- 13,0
- Geschlecht
- F
- Eingang
- 02.10.2022
- Impfdatum
- 02.09.2022
- Beginn
- 02.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Unevaluable event
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Unevaluable event
- Hospital-Tage
- -
- Labordaten
- None
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- None
- Andere Medikamente
- None
- Allergien
- None
- Vorherige Impfungen
- -
- Staat
- GA
- Alter
- 15,0
- Geschlecht
- F
- Eingang
- 02.10.2022
- Impfdatum
- 02.09.2022
- Beginn
- 02.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
No adverse event
Symptomtext
No adverse event occurred
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
- OH
- Alter
- 90,0
- Geschlecht
- F
- Eingang
- 02.10.2022
- Impfdatum
- 28.09.2022
- Beginn
- 28.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect product formulation administered
Symptomtext
Error: Wrong Vaccine Formulation (ex. Prevnar 13 v. Prevnar 23)-
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- OH
- Alter
- 87,0
- Geschlecht
- F
- Eingang
- 02.10.2022
- Impfdatum
- 28.09.2022
- Beginn
- 28.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Incorrect product formulation administered
Symptomtext
Error: Wrong Vaccine Formulation (ex. Prevnar 13 v. Prevnar 23)-
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- OH
- Alter
- 86,0
- Geschlecht
- F
- Eingang
- 02.10.2022
- Impfdatum
- 28.09.2022
- Beginn
- 28.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect product formulation administered
Symptomtext
Error: Wrong Vaccine Formulation (ex. Prevnar 13 v. Prevnar 23)-
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- OH
- Alter
- 77,0
- Geschlecht
- M
- Eingang
- 02.10.2022
- Impfdatum
- 28.09.2022
- Beginn
- 28.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Incorrect product formulation administered
Symptomtext
Error: Wrong Vaccine Formulation (ex. Prevnar 13 v. Prevnar 23)-
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- OH
- Alter
- 31,0
- Geschlecht
- F
- Eingang
- 02.10.2022
- Impfdatum
- 28.09.2022
- Beginn
- 28.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Incorrect product formulation administered
Symptomtext
Error: Wrong Vaccine Formulation (ex. Prevnar 13 v. Prevnar 23)-
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- OH
- Alter
- 99,0
- Geschlecht
- F
- Eingang
- 02.10.2022
- Impfdatum
- 28.09.2022
- Beginn
- 28.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Incorrect product formulation administered
Symptomtext
Error: Wrong Vaccine Formulation (ex. Prevnar 13 v. Prevnar 23)-
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- OH
- Alter
- 85,0
- Geschlecht
- F
- Eingang
- 02.10.2022
- Impfdatum
- 28.09.2022
- Beginn
- 28.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Incorrect product formulation administered
Symptomtext
Error: Wrong Vaccine Formulation (ex. Prevnar 13 v. Prevnar 23)-
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- CA
- Alter
- 55,0
- Geschlecht
- F
- Eingang
- 30.09.2022
- Impfdatum
- 30.09.2022
- Beginn
- 30.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Incorrect product formulation administered
No adverse event
Symptomtext
Patient was accidently given Pfizer monovalent instead of Bivalent. patient was informed of the administered vaccine . no reported adverse events.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- N/A
- Aktuelle Erkrankungen
- NONE REPORTED BY PATIENT
- Vorgeschichte
- NONE REPORTED BY PATIENT
- Andere Medikamente
- NONE REPORTED BY PATIENT
- Allergien
- NONE REPORTED BY PATIENT
- Vorherige Impfungen
- -
- Staat
- CA
- Alter
- 59,0
- Geschlecht
- F
- Eingang
- 30.09.2022
- Impfdatum
- 30.09.2022
- Beginn
- 30.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Incorrect product formulation administered
No adverse event
Symptomtext
Patient was accidently given Pfizer monovalent instead of Bivalent. patient was informed of the administered vaccine . no reported adverse events.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- NOT APPLICABLE
- Aktuelle Erkrankungen
- none reported by patient
- Vorgeschichte
- none reported by patient
- Andere Medikamente
- none reported by patient
- Allergien
- none reported by patient
- Vorherige Impfungen
- -
- Staat
- CA
- Alter
- 39,0
- Geschlecht
- F
- Eingang
- 30.09.2022
- Impfdatum
- 30.09.2022
- Beginn
- 30.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Incorrect product formulation administered
No adverse event
Symptomtext
Patient was accidently given Pfizer monovalent instead of Bivalent. patient was informed of the administered vaccine . no reported adverse events.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- none applicable
- Aktuelle Erkrankungen
- None reported by patient
- Vorgeschichte
- None reported by patient
- Andere Medikamente
- None reported by patient
- Allergien
- no known allergies
- Vorherige Impfungen
- -
- Staat
- KY
- Alter
- 11,0
- Geschlecht
- F
- Eingang
- 30.09.2022
- Impfdatum
- 28.09.2022
- Beginn
- 28.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Product administered to patient of inappropriate age
Symptomtext
Patient recieved Pfizer vaccine indicated for those 12 years and older.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Product administered to patient of inappropriate age
- Hospital-Tage
- -
- Labordaten
- none
- Aktuelle Erkrankungen
- none indicated
- Vorgeschichte
- none indicated
- Andere Medikamente
- none indicated
- Allergien
- none indicated
- Vorherige Impfungen
- -
- Staat
- KY
- Alter
- 11,0
- Geschlecht
- M
- Eingang
- 30.09.2022
- Impfdatum
- 01.09.2022
- Beginn
- 02.09.2022
- Tage bis Beginn
- 1,0
- Dosis
- UNK
- Route/Site
- IM / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Product administered to patient of inappropriate age
Symptomtext
Patient was given the Pfizer vaccine indicated for those 12 years and older.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Product administered to patient of inappropriate age
- Hospital-Tage
- -
- Labordaten
- none
- Aktuelle Erkrankungen
- none indicated
- Vorgeschichte
- none indicated
- Andere Medikamente
- none indicated
- Allergien
- none indicated
- Vorherige Impfungen
- -
- Staat
- KY
- Alter
- 11,0
- Geschlecht
- F
- Eingang
- 30.09.2022
- Impfdatum
- 28.09.2022
- Beginn
- 28.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Product administered to patient of inappropriate age
Symptomtext
Patient was given the Pfizer vaccine indicated for those 12 years and older.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Product administered to patient of inappropriate age
- Hospital-Tage
- -
- Labordaten
- none
- Aktuelle Erkrankungen
- none indicated
- Vorgeschichte
- none indicated
- Andere Medikamente
- none indicated
- Allergien
- none indicated
- Vorherige Impfungen
- -
- Staat
- KY
- Alter
- 11,0
- Geschlecht
- F
- Eingang
- 30.09.2022
- Impfdatum
- 28.09.2022
- Beginn
- 28.09.2022
- 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
Symptomtext
Patient was given the Pfizer dose that is indicated for ages 12 years and older.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect dose administered
- Hospital-Tage
- -
- Labordaten
- none
- Aktuelle Erkrankungen
- none indicated
- Vorgeschichte
- none indicated
- Andere Medikamente
- none indicated
- Allergien
- none indicated
- Vorherige Impfungen
- -
- Staat
- MS
- Alter
- 27,0
- Geschlecht
- F
- Eingang
- 30.09.2022
- Impfdatum
- 24.09.2022
- Beginn
- 24.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect product formulation administered
Symptomtext
Error: Wrong Vaccine Formulation (ex. Prevnar 13 v. Prevnar 23)-
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- MS
- Alter
- 42,0
- Geschlecht
- M
- Eingang
- 30.09.2022
- Impfdatum
- 24.09.2022
- Beginn
- 24.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect product formulation administered
Symptomtext
Error: Wrong Vaccine Formulation (ex. Prevnar 13 v. Prevnar 23)-
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- MS
- Alter
- 31,0
- Geschlecht
- M
- Eingang
- 30.09.2022
- Impfdatum
- 24.09.2022
- Beginn
- 24.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect product formulation administered
Symptomtext
Error: Wrong Vaccine Formulation (ex. Prevnar 13 v. Prevnar 23)-
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- MS
- Alter
- 52,0
- Geschlecht
- M
- Eingang
- 30.09.2022
- Impfdatum
- 24.09.2022
- Beginn
- 24.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect product formulation administered
Symptomtext
Error: Wrong Vaccine Formulation (ex. Prevnar 13 v. Prevnar 23)-
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- MS
- Alter
- 54,0
- Geschlecht
- F
- Eingang
- 30.09.2022
- Impfdatum
- 03.09.2022
- Beginn
- 03.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Incorrect product formulation administered
Symptomtext
Error: Wrong Vaccine Formulation (ex. Prevnar 13 v. Prevnar 23)-
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- MI
- Alter
- 69,0
- Geschlecht
- F
- Eingang
- 30.09.2022
- Impfdatum
- 10.08.2022
- Beginn
- -
- Tage bis Beginn
- -
- Dosis
- 4
- Route/Site
- - / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
COVID-19
Drug ineffective
SARS-CoV-2 test
Symptomtext
Treatment of COVID-19; Treatment of COVID-19; This is a spontaneous report received from contactable reporter(s) (Consumer or other non HCP). The reporter is the patient. A 70-year-old female patient (not pregnant) received BNT162b2 (BNT162B2), on 10Aug2022 at 11:00 as dose 4 (booster), single (Lot number: FP7150) at the age of 69 years, in right arm for covid-19 immunisation; coviD-19 vaccine (COVID-19 VACCINE), as dose 1, single (Batch/Lot number: unknown), as dose 2, single (Batch/Lot number: unknown) and as dose 3 (booster),single (Batch/Lot number: unknown) for covid-19 immunisation. The patient's relevant medical history included: "Asthma" (unspecified if ongoing). Concomitant medication(s) included: SIMVASTATIN, start date: 12Sep2022, stop date: 12Sep2022; MONTELUKAST; DULERA; PRESERVISION AREDS 2. The following information was reported: DRUG INEFFECTIVE (medically significant), COVID-19 (medically significant), outcome "unknown" and all described as "Treatment of COVID-19". The patient underwent the following laboratory tests and procedures: SARS-CoV-2 test: Positive, notes: COVID 19 Treatment. Therapeutic measures were taken as a result of drug ineffective, covid-19.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- COVID-19
- Hospital-Tage
- -
- Labordaten
- Test Name: Covid-19 test; Test Result: Positive ; Comments: COVID 19 Treatment
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- Medical History/Concurrent Conditions: Asthma
- Andere Medikamente
- SIMVASTATIN; MONTELUKAST; DULERA; PRESERVISION AREDS 2
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- OH
- Alter
- 14,0
- Geschlecht
- M
- Eingang
- 29.09.2022
- Impfdatum
- 09.09.2022
- Beginn
- 09.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect product formulation administered
Symptomtext
Patient given monovalent covid vaccine booster after CDC had approved Covid bivalent vaccine booster on Sept 1, 2022.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- none
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- Asthma Allergic rhinitis
- Andere Medikamente
- albuterol as needed cetirizine as needed
- Allergien
- none
- Vorherige Impfungen
- -
- Staat
- OH
- Alter
- 16,0
- Geschlecht
- F
- Eingang
- 29.09.2022
- Impfdatum
- 09.09.2022
- Beginn
- 09.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect product formulation administered
Symptomtext
Patient was given Pfizer-BioNTech booster monovalent after Sept 1, 2022 when biovalent booster was approved.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- none
- Aktuelle Erkrankungen
- Allergic rhinitis Anxiety Gender dysphoria eczema
- Vorgeschichte
- Allergic rhinitis Anxiety Gender dysphoria eczema
- Andere Medikamente
- Cetirizine Flonase
- Allergien
- None
- Vorherige Impfungen
- -
- Staat
- CA
- Alter
- 36,0
- Geschlecht
- M
- Eingang
- 28.09.2022
- Impfdatum
- 28.09.2022
- Beginn
- 28.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Incorrect product formulation administered
Symptomtext
PT WANTED BIVALENT VACCINE AND RECEIVED MONO VALENT PFIZER. NO SIDE EFFECTS
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- NONE
- Aktuelle Erkrankungen
- NONE
- Vorgeschichte
- NONE
- Andere Medikamente
- NONE
- Allergien
- NONE
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 69,0
- Geschlecht
- M
- Eingang
- 28.09.2022
- Impfdatum
- 28.09.2022
- Beginn
- 28.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Unevaluable event
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Unevaluable event
- Hospital-Tage
- -
- Labordaten
- N/A
- Aktuelle Erkrankungen
- none
- Vorgeschichte
- none
- Andere Medikamente
- none
- Allergien
- none
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 84,0
- Geschlecht
- M
- Eingang
- 28.09.2022
- Impfdatum
- 28.09.2022
- Beginn
- 28.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
No adverse event
Symptomtext
no adverse event occured
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
- CA
- Alter
- 71,0
- Geschlecht
- F
- Eingang
- 28.09.2022
- Impfdatum
- 27.09.2022
- Beginn
- 27.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect product formulation administered
Symptomtext
Patient arrived at the pharmacy to receive her Pfizer Bivalent and Fluad. Monovalent Pfizer was administered accidentally instead of Bivalent Pfizer as a booster dose. Patient was contacted and will revaccinate in 2 months for Bivalent Pfizer.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- Unknown
- Vorgeschichte
- Unknown
- Andere Medikamente
- Unknown
- Allergien
- Codeine
- Vorherige Impfungen
- -
- Staat
- CO
- Alter
- 12,0
- Geschlecht
- F
- Eingang
- 28.09.2022
- Impfdatum
- 27.09.2022
- Beginn
- 27.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Wrong product administered
Symptomtext
The 3rd dose of Covid 12+ vaccine that was given was not the Bivalent that is now required as the third dose.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Wrong product administered
- Hospital-Tage
- -
- Labordaten
- N/A
- Aktuelle Erkrankungen
- n/a
- Vorgeschichte
- delay physiological, strabismus, acidemia,metobolic disorder, hypotonic, platlet defect, VUR
- Andere Medikamente
- epalrestat, mupirocin, cyproheptadine, nitrofurantoin, polycitrate, novaferrum iron, keppra, acetazolamide
- Allergien
- bactrim, acetamenaphen
- Vorherige Impfungen
- -
- Staat
- IA
- Alter
- 81,0
- Geschlecht
- F
- Eingang
- 27.09.2022
- Impfdatum
- 22.09.2022
- Beginn
- 22.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- N/A
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect product formulation administered
Symptomtext
Error: Wrong Vaccine Formulation (ex. Prevnar 13 v. Prevnar 23)-
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- IA
- Alter
- 80,0
- Geschlecht
- F
- Eingang
- 27.09.2022
- Impfdatum
- 22.09.2022
- Beginn
- 22.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- N/A
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect product formulation administered
Symptomtext
Error: Wrong Vaccine Formulation (ex. Prevnar 13 v. Prevnar 23)-
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- IA
- Alter
- 82,0
- Geschlecht
- M
- Eingang
- 27.09.2022
- Impfdatum
- 22.09.2022
- Beginn
- 22.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- N/A
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect product formulation administered
Symptomtext
Error: Wrong Vaccine Formulation (ex. Prevnar 13 v. Prevnar 23)-
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- IA
- Alter
- 68,0
- Geschlecht
- M
- Eingang
- 27.09.2022
- Impfdatum
- 22.09.2022
- Beginn
- 22.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- N/A
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect product formulation administered
Symptomtext
Error: Wrong Vaccine Formulation (ex. Prevnar 13 v. Prevnar 23)-
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- IA
- Alter
- 64,0
- Geschlecht
- F
- Eingang
- 27.09.2022
- Impfdatum
- 22.09.2022
- Beginn
- 22.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- N/A
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect product formulation administered
Symptomtext
Error: Wrong Vaccine Formulation (ex. Prevnar 13 v. Prevnar 23)-
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- IA
- Alter
- 71,0
- Geschlecht
- F
- Eingang
- 27.09.2022
- Impfdatum
- 22.09.2022
- Beginn
- 22.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- N/A
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect product formulation administered
Symptomtext
Error: Wrong Vaccine Formulation (ex. Prevnar 13 v. Prevnar 23)-
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- IA
- Alter
- 67,0
- Geschlecht
- M
- Eingang
- 27.09.2022
- Impfdatum
- 22.09.2022
- Beginn
- 22.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- N/A
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect product formulation administered
Symptomtext
Error: Wrong Vaccine Formulation (ex. Prevnar 13 v. Prevnar 23)-
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- IA
- Alter
- 65,0
- Geschlecht
- F
- Eingang
- 27.09.2022
- Impfdatum
- 22.09.2022
- Beginn
- 22.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect product formulation administered
Symptomtext
Error: Wrong Vaccine Formulation (ex. Prevnar 13 v. Prevnar 23)-
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- MI
- Alter
- 64,0
- Geschlecht
- F
- Eingang
- 26.09.2022
- Impfdatum
- 29.06.2022
- Beginn
- 23.09.2022
- Tage bis Beginn
- 86,0
- Dosis
- 4
- Route/Site
- - / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: ja
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
COVID-19
SARS-CoV-2 test positive
Vaccine breakthrough infection
Symptomtext
Breakthrough case admission after 4 vaccines Pfizer 3/18/21 Lot# En6207; Pfizer 4/8/21 Lot# Ew0150; Pfizer 12/10/21 Lot# Fj8757; Pfizer 6/29/22 Lot# FP7150
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- COVID-19
- Hospital-Tage
- -
- Labordaten
- external COVID +
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- MO
- Alter
- 79,0
- Geschlecht
- F
- Eingang
- 26.09.2022
- Impfdatum
- 06.09.2022
- Beginn
- 06.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Wrong product administered
Symptomtext
Error: Wrong Vaccine/Product Administered-
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Wrong product administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- MO
- Alter
- 81,0
- Geschlecht
- M
- Eingang
- 26.09.2022
- Impfdatum
- 06.09.2022
- Beginn
- 06.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Wrong product administered
Symptomtext
Error: Wrong Vaccine/Product Administered-
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Wrong product administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- MO
- Alter
- 70,0
- Geschlecht
- M
- Eingang
- 26.09.2022
- Impfdatum
- 06.09.2022
- Beginn
- 06.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect product formulation administered
Symptomtext
Error: Wrong Vaccine Formulation (ex. Prevnar 13 v. Prevnar 23)-
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- MO
- Alter
- 71,0
- Geschlecht
- M
- Eingang
- 26.09.2022
- Impfdatum
- 06.09.2022
- Beginn
- 06.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect product formulation administered
Symptomtext
Error: Wrong Vaccine Formulation (ex. Prevnar 13 v. Prevnar 23)-
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- GA
- Alter
- 77,0
- Geschlecht
- F
- Eingang
- 26.09.2022
- Impfdatum
- 15.09.2022
- Beginn
- 15.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect product formulation administered
Symptomtext
Error: Wrong Vaccine Formulation (ex. Prevnar 13 v. Prevnar 23)-
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- GA
- Alter
- 82,0
- Geschlecht
- M
- Eingang
- 26.09.2022
- Impfdatum
- 15.09.2022
- Beginn
- 15.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect product formulation administered
Symptomtext
Error: Wrong Vaccine Formulation (ex. Prevnar 13 v. Prevnar 23)-
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- GA
- Alter
- 66,0
- Geschlecht
- F
- Eingang
- 26.09.2022
- Impfdatum
- 15.09.2022
- Beginn
- 15.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect product formulation administered
Symptomtext
Error: Wrong Vaccine Formulation (ex. Prevnar 13 v. Prevnar 23)-
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- GA
- Alter
- 35,0
- Geschlecht
- F
- Eingang
- 26.09.2022
- Impfdatum
- 15.09.2022
- Beginn
- 15.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect product formulation administered
Symptomtext
Error: Wrong Vaccine Formulation (ex. Prevnar 13 v. Prevnar 23)-
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 60,0
- Geschlecht
- M
- Eingang
- 26.09.2022
- Impfdatum
- 13.07.2022
- Beginn
- 01.08.2022
- Tage bis Beginn
- 19,0
- Dosis
- 4
- Route/Site
- IM / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Deafness unilateral
Hypersensitivity
Symptomtext
Approximately 3 weeks after booster, awoke with right-sided hearing loss. This resolved slowly over the next 3 days.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Deafness unilateral
- Hospital-Tage
- -
- Labordaten
- Seen by Urgent Care and was told ear looked fine. They thought it might be allergies.
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- Hypercholesterolemia Elevated Fasting Blood Glucose Recurrent Nephrolithiasis Benign Prostatic Hypertrophy High Frequency Hearing Loss
- Andere Medikamente
- Atorvastatin Metformin Urocit-K, Allopurinol Alfuzosin Minoxidil Isotretinoin
- Allergien
- Terbinafine
- Vorherige Impfungen
- -
- Staat
- GA
- Alter
- 78,0
- Geschlecht
- F
- Eingang
- 26.09.2022
- Impfdatum
- 15.09.2022
- Beginn
- 15.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- UNK
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect product formulation administered
Symptomtext
Error: Wrong Vaccine Formulation (ex. Prevnar 13 v. Prevnar 23)-
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- PA
- Alter
- 65,0
- Geschlecht
- M
- Eingang
- 25.09.2022
- Impfdatum
- 21.09.2022
- Beginn
- 21.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 5
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Wrong product administered
Symptomtext
Error: Wrong Vaccine/Product Administered-
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Wrong product administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- CA
- Alter
- 30,0
- Geschlecht
- F
- Eingang
- 24.09.2022
- Impfdatum
- 24.09.2022
- Beginn
- 24.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect product formulation administered
Symptomtext
Patient was administered Pfizer Monovalent Booster (FP7150) instead of Pfizer Bivalent Booster (GH9702). Vial was covered with sticker and incorrect medication was administered to the patient. The patient was called and made aware of the situation. Patient did not require treatment.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 10,0
- Geschlecht
- F
- Eingang
- 21.09.2022
- Impfdatum
- 21.09.2022
- Beginn
- 21.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 2
- 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
Gave adult dose to pediatric patient. Patient waited 15 minutes after injection and no adverse reaction at injection site. Immediately following injection immunization team was informed. They informed me no other actions needed to be taken other than reporting incident.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect dose administered
- Hospital-Tage
- -
- Labordaten
- None were advised.
- Aktuelle Erkrankungen
- No.
- Vorgeschichte
- Asthma Abnormal Thyroid Stimulating Hormone
- Andere Medikamente
- Albuterol Sulfate 900 mcg Cetirizine 10 mg Dupixent 200 mg/1.14mL Epinephrine 0.3 mg/0.3 mL Montelukast 5 mg Triamcinilone acetonide 0.1% topical cream
- Allergien
- Peanuts
- Vorherige Impfungen
- -
- Staat
- -
- Alter
- 71,0
- Geschlecht
- M
- Eingang
- 21.09.2022
- Impfdatum
- 21.09.2022
- Beginn
- 21.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 5
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
Symptomtext
Patient was given the Pfizer monovalient covid vaccine as a booster instead of the bivalent. The monovalient vial was pulled from the bivalent multidose box, that was stored in the fridge, and the nurses administering thought it was the bivalient.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- -
- Alter
- 75,0
- Geschlecht
- F
- Eingang
- 21.09.2022
- Impfdatum
- 21.09.2022
- Beginn
- 21.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 5
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect product formulation administered
Symptomtext
Patient was given the Pfizer monovalient covid vaccine as a booster instead of the bivalent. The monovalient vial was pulled from the bivalent multidose box, that was stored in the fridge, and the nurses administering thought it was the bivalient.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- -
- Alter
- 65,0
- Geschlecht
- F
- Eingang
- 21.09.2022
- Impfdatum
- 21.09.2022
- Beginn
- 21.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect product formulation administered
Symptomtext
Patient was given the Pfizer monovalient covid vaccine as a booster instead of the bivalent. The monovalient vial was pulled from the bivalent multidose box, that was stored in the fridge, and the nurses administering thought it was the bivalient.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- CA
- Alter
- 62,0
- Geschlecht
- F
- Eingang
- 21.09.2022
- Impfdatum
- 20.09.2022
- Beginn
- 20.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect product formulation administered
No adverse event
Symptomtext
Patient came in for her Pfizer booster #1 (already had previous Pfizer Dose 1 & 2) and I administered the Pfizer-BioNTech COVID-19 Monovalent vaccine, instead of the Bivalent Pfizer-BioNTech COVID-19 Vaccine. The Monovalent is outdated now and I should have given the Bivalent vaccine. NO adverse reaction occurred to patient during or after vaccination. Patient was monitored for 15min after administration of Pfizer-BioNTech COVID-19 vaccine and felt fine, asymptomatic, with no adverse reacitons/symptoms during, 15minutes, and 20 minutes after administration.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- None needed.
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- DM type 2, GERD, HTN, Hyperlipidemia, Mechanical heart valve present, On anticoagulation therapy.
- Andere Medikamente
- Atorvastatin 40mg, Losartan 50mg, Lasix 20mg, Famotidine 20mg, Warfarin 3mg x 4days/week and 4mg x3 days/week, Vitamin D 50,000 IU.
- Allergien
- Gabapentin, Morphine
- Vorherige Impfungen
- -
- Staat
- GA
- Alter
- 79,0
- Geschlecht
- M
- Eingang
- 21.09.2022
- Impfdatum
- 16.09.2022
- Beginn
- 16.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect product formulation administered
No adverse event
Symptomtext
No Adverse event Look A Like Pfizer vial resulted given Pfizer Biontech Covid 19 instead of PfizerBivalent Patient was ok Offered to give Bivalent in 2 months
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- NA
- Aktuelle Erkrankungen
- NA
- Vorgeschichte
- NA
- Andere Medikamente
- NA
- Allergien
- NA
- Vorherige Impfungen
- -
- Staat
- GA
- Alter
- 32,0
- Geschlecht
- M
- Eingang
- 21.09.2022
- Impfdatum
- 16.09.2022
- Beginn
- 01.09.2022
- Tage bis Beginn
- -
- Dosis
- 3
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect product formulation administered
No adverse event
Symptomtext
There was no adverse event with vaccination Look A Like Pfizer bottle resulted to give Pfizer Biontech Covid 19 instead of Pfizer Bivalent Patient was ok Offered to give him Bivalent booster in 2 months
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- NA
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- NA
- Andere Medikamente
- NA
- Allergien
- NA
- Vorherige Impfungen
- -
- Staat
- NY
- Alter
- 75,0
- Geschlecht
- M
- Eingang
- 20.09.2022
- Impfdatum
- 08.09.2022
- Beginn
- 08.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect product formulation administered
Symptomtext
Error: Wrong Vaccine Formulation (ex. Prevnar 13 v. Prevnar 23)-
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- NY
- Alter
- 76,0
- Geschlecht
- F
- Eingang
- 20.09.2022
- Impfdatum
- 08.09.2022
- Beginn
- 08.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect product formulation administered
Symptomtext
Error: Wrong Vaccine Formulation (ex. Prevnar 13 v. Prevnar 23)-
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- WA
- Alter
- 65,0
- Geschlecht
- M
- Eingang
- 20.09.2022
- Impfdatum
- 19.09.2022
- Beginn
- 19.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- N/A
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Incorrect product formulation administered
Symptomtext
Inadvertent administration of Pfizer monovalent instead of bivalent.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- WA
- Alter
- 75,0
- Geschlecht
- M
- Eingang
- 20.09.2022
- Impfdatum
- 19.09.2022
- Beginn
- 19.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- N/A
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Incorrect product formulation administered
Symptomtext
Inadvertent administration of Pfizer monovalent instead of bivalent.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- WA
- Alter
- 75,0
- Geschlecht
- F
- Eingang
- 20.09.2022
- Impfdatum
- 19.09.2022
- Beginn
- 19.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- N/A
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Incorrect product formulation administered
Symptomtext
Inadvertent administration of Pfizer monovalent instead of bivalent.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- WA
- Alter
- 78,0
- Geschlecht
- F
- Eingang
- 20.09.2022
- Impfdatum
- 19.09.2022
- Beginn
- 19.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- N/A
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Incorrect product formulation administered
Symptomtext
Inadvertent administration of Pfizer monovalent instead of bivalent.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- WA
- Alter
- 75,0
- Geschlecht
- F
- Eingang
- 20.09.2022
- Impfdatum
- 19.09.2022
- Beginn
- 19.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- N/A
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Incorrect product formulation administered
Symptomtext
Inadvertent administration of monovalent Pfizer instead of bivalent.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- WA
- Alter
- 40,0
- Geschlecht
- F
- Eingang
- 20.09.2022
- Impfdatum
- 19.09.2022
- Beginn
- 19.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Incorrect product formulation administered
Symptomtext
Inadvertent administration of Pfizer monovalent instead of bivalent.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- WA
- Alter
- 77,0
- Geschlecht
- F
- Eingang
- 20.09.2022
- Impfdatum
- 19.09.2022
- Beginn
- 19.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
Symptomtext
Inadvertent administration of monovalent Pfizer instead of bivalent.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- WA
- Alter
- 64,0
- Geschlecht
- M
- Eingang
- 19.09.2022
- Impfdatum
- 09.09.2022
- Beginn
- 01.09.2022
- Tage bis Beginn
- -
- Dosis
- 3
- Route/Site
- - / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
Product administration error
Symptomtext
Monovalent given in error- Pharmacy dispensed original COVID vaccine when facility requested Bivalent. Facility administered monovalent.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- WA
- Alter
- 70,0
- Geschlecht
- F
- Eingang
- 19.09.2022
- Impfdatum
- 09.09.2022
- Beginn
- 01.09.2022
- Tage bis Beginn
- -
- Dosis
- 4
- Route/Site
- - / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
Product administration error
Symptomtext
Monovalent given in error- Pharmacy dispensed original COVID vaccine when facility requested Bivalent. Facility administered monovalent.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- WA
- Alter
- 74,0
- Geschlecht
- M
- Eingang
- 19.09.2022
- Impfdatum
- 09.09.2022
- Beginn
- 01.09.2022
- Tage bis Beginn
- -
- Dosis
- 3
- Route/Site
- - / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
Symptomtext
Monovalent given in error- Pharmacy dispensed original COVID vaccine when facility requested Bivalent. Facility administered monovalent.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- WA
- Alter
- 86,0
- Geschlecht
- F
- Eingang
- 19.09.2022
- Impfdatum
- 09.09.2022
- Beginn
- 01.09.2022
- Tage bis Beginn
- -
- Dosis
- 4
- Route/Site
- - / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
Symptomtext
Monovalent given in error- Pharmacy dispensed original COVID vaccine when facility requested Bivalent. Facility administered monovalent.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- WA
- Alter
- 80,0
- Geschlecht
- F
- Eingang
- 19.09.2022
- Impfdatum
- 09.09.2022
- Beginn
- 09.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- - / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
Symptomtext
Monovalent given in error- Pharmacy dispensed original COVID vaccine when facility requested Bivalent. Facility administered monovalent.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- WA
- Alter
- 78,0
- Geschlecht
- F
- Eingang
- 19.09.2022
- Impfdatum
- 09.09.2022
- Beginn
- 01.09.2022
- Tage bis Beginn
- -
- Dosis
- 4
- Route/Site
- - / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
Symptomtext
Monovalent given in error- Pharmacy dispensed original COVID vaccine when facility requested Bivalent. Facility administered monovalent.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- WA
- Alter
- 32,0
- Geschlecht
- F
- Eingang
- 19.09.2022
- Impfdatum
- 09.09.2022
- Beginn
- 01.09.2022
- Tage bis Beginn
- -
- Dosis
- 3
- Route/Site
- - / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Wrong product administered
Symptomtext
Monovalent given in error- Pharmacy dispensed original COVID vaccine when facility requested Bivalent. Facility administered monovalent.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Wrong product administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- WA
- Alter
- 27,0
- Geschlecht
- F
- Eingang
- 19.09.2022
- Impfdatum
- 09.09.2022
- Beginn
- 01.09.2022
- Tage bis Beginn
- -
- Dosis
- 4
- Route/Site
- - / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Wrong product administered
Symptomtext
Monovalent given in error- Pharmacy dispensed original COVID vaccine when facility requested Bivalent. Facility administered monovalent.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Wrong product administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- WA
- Alter
- 77,0
- Geschlecht
- F
- Eingang
- 19.09.2022
- Impfdatum
- 09.09.2022
- Beginn
- 01.09.2022
- Tage bis Beginn
- -
- Dosis
- 2
- Route/Site
- - / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
Symptomtext
Monovalent given in error- Pharmacy dispensed original COVID vaccine when facility requested Bivalent. Facility administered monovalent.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- NE
- Alter
- 82,0
- Geschlecht
- M
- Eingang
- 17.09.2022
- Impfdatum
- 13.09.2022
- Beginn
- 13.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Wrong product administered
Symptomtext
Error: Wrong Vaccine/Product Administered-
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Wrong product administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- NE
- Alter
- 63,0
- Geschlecht
- M
- Eingang
- 17.09.2022
- Impfdatum
- 13.09.2022
- Beginn
- 13.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 5
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Wrong product administered
Symptomtext
Error: Wrong Vaccine/Product Administered-
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Wrong product administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- CA
- Alter
- 25,0
- Geschlecht
- F
- Eingang
- 17.09.2022
- Impfdatum
- 13.09.2022
- Beginn
- 13.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect product formulation administered
Symptomtext
Error: Wrong Vaccine Formulation (ex. Prevnar 13 v. Prevnar 23)-
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- VA
- Alter
- 17,0
- Geschlecht
- F
- Eingang
- 16.09.2022
- Impfdatum
- 15.09.2022
- Beginn
- 15.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Incorrect product formulation administered
Symptomtext
PFIZER REGULAR SERIES GIVEN INSTEAD OF BIVALENT
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- PA
- Alter
- 71,0
- Geschlecht
- F
- Eingang
- 16.09.2022
- Impfdatum
- 14.09.2022
- Beginn
- 14.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Incorrect product formulation administered
Symptomtext
On September 14th, 2022 around 10:15am, patient requested the Monovalent Pfizer 1st Booster and stated that she did not want to received the new Bivalent Vaccine. On September 14th, 2022, the Standing Orders that were in place were followed regarding the administration of the Monovalent Booster. When the vaccine was administered to the patient, the current standing orders provided, did not clearly state that the Monovalent COVID-vaccine was no longer approved to be given as the booster dose. The recommendation was received on 09/14/2022 at 3:19pm with the Recommendations Regarding the Bivalent COVID-19 Booster Vaccine. This new information was the first written documentation received that clearly stated that the monovalent COVID.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- N/A
- Aktuelle Erkrankungen
- N/A
- Vorgeschichte
- N/A
- Andere Medikamente
- N/A
- Allergien
- N/A
- Vorherige Impfungen
- -
- Staat
- CA
- Alter
- 67,0
- Geschlecht
- M
- Eingang
- 15.09.2022
- Impfdatum
- 15.09.2022
- Beginn
- 15.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Incorrect product formulation administered
Symptomtext
Patient was given Pfizer monovalent booster instead of Pfizer bivalent booster. Patient was contacted and informed and was ok with receiving their bivalent booster in 2 months.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- OR
- Alter
- 79,0
- Geschlecht
- M
- Eingang
- 14.09.2022
- Impfdatum
- 09.09.2022
- Beginn
- 14.09.2022
- Tage bis Beginn
- 5,0
- Dosis
- 4
- Route/Site
- - / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
Symptomtext
primary dose given NOT bi valent
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- OR
- Alter
- 77,0
- Geschlecht
- F
- Eingang
- 14.09.2022
- Impfdatum
- 14.09.2022
- Beginn
- 14.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 5
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
Symptomtext
Primary Pfizer formulation given NOT Bivalent.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- none
- Allergien
- none
- Vorherige Impfungen
- -
- Staat
- CA
- Alter
- 22,0
- Geschlecht
- M
- Eingang
- 13.09.2022
- Impfdatum
- 03.09.2022
- Beginn
- 03.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Incorrect product formulation administered
Symptomtext
Patient was given Pfizer monovalent vaccine booster instead of Pfizer bivalent vaccine booster. Patient was contacted and informed and was ok with receiving bivalent vaccine in 2 months.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- Autism
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- NJ
- Alter
- 78,0
- Geschlecht
- F
- Eingang
- 13.09.2022
- Impfdatum
- 08.09.2022
- Beginn
- 08.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Incorrect product formulation administered
Symptomtext
PT was administered Pfizer monovalent as a 2 booster , according to CDC pt need to get PfizerBivalent , Will follow up in to months to re-vaccination ,
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- none
- Vorherige Impfungen
- -
- Staat
- NJ
- Alter
- 72,0
- Geschlecht
- M
- Eingang
- 13.09.2022
- Impfdatum
- 08.09.2022
- Beginn
- 08.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 5
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Extra dose administered
Symptomtext
No reactions reported to nurse/facility
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Extra dose administered
- Hospital-Tage
- -
- Labordaten
- N/A
- Aktuelle Erkrankungen
- N/A
- Vorgeschichte
- Hypertension
- Andere Medikamente
- N/A
- Allergien
- N/A
- Vorherige Impfungen
- -
- Staat
- CO
- Alter
- 54,0
- Geschlecht
- F
- Eingang
- 11.09.2022
- Impfdatum
- 06.09.2022
- Beginn
- 06.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Wrong product administered
Symptomtext
Patient received Pfizer Monovalent vaccine instead of Pfizer Bivalent vaccine
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Wrong product administered
- Hospital-Tage
- -
- Labordaten
- n/a
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- CO
- Alter
- 73,0
- Geschlecht
- F
- Eingang
- 11.09.2022
- Impfdatum
- 06.09.2022
- Beginn
- 06.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 5
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Wrong product administered
Symptomtext
patient received Pfizer monovalent vaccine instead of Pfizer Bivalent vaccine
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Wrong product administered
- Hospital-Tage
- -
- Labordaten
- n/a
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- CO
- Alter
- 69,0
- Geschlecht
- M
- Eingang
- 11.09.2022
- Impfdatum
- 06.09.2022
- Beginn
- 06.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 5
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Wrong product administered
Symptomtext
Administered Pfizer monovalent vaccine instead of Pfizer Bivalent vaccine
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Wrong product administered
- Hospital-Tage
- -
- Labordaten
- n/a
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- OR
- Alter
- 14,0
- Geschlecht
- F
- Eingang
- 11.09.2022
- Impfdatum
- 02.09.2022
- Beginn
- 02.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect product formulation administered
Symptomtext
This vaccine that was administered was the monovalent COVID19 vaccine which was no longer approved to be used as a booster.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- almonds
- Vorherige Impfungen
- -
- Staat
- NC
- Alter
- 13,0
- Geschlecht
- M
- Eingang
- 09.09.2022
- Impfdatum
- 07.09.2022
- Beginn
- 07.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
Symptomtext
Patient received original monovalent Pfizer COVID-19 vaccine vs NEW updated bivalent Pfizer COVID-19 booster
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- NC
- Alter
- 48,0
- Geschlecht
- M
- Eingang
- 09.09.2022
- Impfdatum
- 07.09.2022
- Beginn
- 07.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
Symptomtext
Patient received original monovalent Pfizer COVID-19 vaccine vs NEW updated bivalent Pfizer COVID-19 booster
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- NC
- Alter
- 72,0
- Geschlecht
- F
- Eingang
- 09.09.2022
- Impfdatum
- 07.09.2022
- Beginn
- 07.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
Symptomtext
Patient received original monovalent Pfizer COVID-19 vaccine vs NEW updated bivalent Pfizer COVID-19 booster
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- CA
- Alter
- 33,0
- Geschlecht
- F
- Eingang
- 09.09.2022
- Impfdatum
- 07.09.2022
- Beginn
- 07.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect product formulation administered
Symptomtext
Patient received original monovalent Pfizer COVID-19 vaccine vs NEW updated bivalent Pfizer COVID-19 booster
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- NC
- Alter
- 13,0
- Geschlecht
- M
- Eingang
- 09.09.2022
- Impfdatum
- 07.09.2022
- Beginn
- 07.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
Symptomtext
Patient received original monovalent Pfizer COVID-19 vaccine vs NEW updated bivalent Pfizer COVID-19 booster
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- NC
- Alter
- 42,0
- Geschlecht
- M
- Eingang
- 09.09.2022
- Impfdatum
- 07.09.2022
- Beginn
- 07.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
Symptomtext
Patient received original monovalent Pfizer COVID-19 vaccine vs NEW updated bivalent Pfizer COVID-19 booster
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- NC
- Alter
- 68,0
- Geschlecht
- F
- Eingang
- 09.09.2022
- Impfdatum
- 07.09.2022
- Beginn
- 07.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- 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 received original monovalent Pfizer COVID-19 vaccine vs NEW updated bivalent Pfizer COVID-19 booster
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Product administered to patient of inappropriate age
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- NC
- Alter
- 69,0
- Geschlecht
- M
- Eingang
- 09.09.2022
- Impfdatum
- 07.09.2022
- Beginn
- 07.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect product formulation administered
Symptomtext
Patient received original monovalent Pfizer COVID-19 vaccine vs NEW updated bivalent Pfizer COVID-19 booster
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- NC
- Alter
- 45,0
- Geschlecht
- M
- Eingang
- 09.09.2022
- Impfdatum
- 07.09.2022
- Beginn
- 07.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect product formulation administered
Symptomtext
Patient received original monovalent Pfizer COVID-19 vaccine vs. new updated bivalent Pfizer COVID-19 booster.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- NC
- Alter
- 58,0
- Geschlecht
- M
- Eingang
- 09.09.2022
- Impfdatum
- 07.09.2022
- Beginn
- 07.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Incorrect product formulation administered
Symptomtext
Patient received original monovalent Pfizer COVID-19 vaccine vs NEW updated bivalent Pfizer COVID-19 booster
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- NC
- Alter
- 47,0
- Geschlecht
- F
- Eingang
- 09.09.2022
- Impfdatum
- 07.09.2022
- Beginn
- 07.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect product formulation administered
Symptomtext
Patient received original monovalent COVID-19 vaccine vs NEW updated bivalent booster (Pfizer)
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- NC
- Alter
- 59,0
- Geschlecht
- F
- Eingang
- 09.09.2022
- Impfdatum
- 07.09.2022
- Beginn
- 07.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect product formulation administered
Symptomtext
Patient received Covid-19 vs. Covid BIVALENT.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- None
- Aktuelle Erkrankungen
- none
- Vorgeschichte
- none
- Andere Medikamente
- none
- Allergien
- none
- Vorherige Impfungen
- -
- Staat
- IN
- Alter
- 19,0
- Geschlecht
- F
- Eingang
- 09.09.2022
- Impfdatum
- 09.08.2022
- Beginn
- 09.08.2022
- Tage bis Beginn
- 0,0
- Dosis
- 2
- Route/Site
- IM / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Interchange of vaccine products
No adverse event
Symptomtext
Patient received her second primary series COVID-19 vaccine as a Pfizer dose instead of a Moderna dose. Her first Moderna dose was received in July of 2021 (07/2021).
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Interchange of vaccine products
- Hospital-Tage
- -
- Labordaten
- No adverse events occurred.
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- MO
- Alter
- 66,0
- Geschlecht
- F
- Eingang
- 08.09.2022
- Impfdatum
- 08.09.2022
- Beginn
- 08.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Product preparation issue
Symptomtext
This vaccine was prepared by a staff member and given to the pharmacist to check without the vial it was drawn out of. When preparing a subsequent dose, the lot numbers were examined. This was done for an original formation and not the new bivalent booster.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Product preparation issue
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- No reported illnesses
- Vorgeschichte
- No reported health conditions
- Andere Medikamente
- n/a
- Allergien
- NKDA
- Vorherige Impfungen
- -
- Staat
- CO
- Alter
- 74,0
- Geschlecht
- M
- Eingang
- 08.09.2022
- Impfdatum
- 06.09.2022
- Beginn
- 06.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
No adverse event
Symptomtext
patient received monovalent vaccine booster instead of bivalent - no adverse effects
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- CO
- Alter
- 20,0
- Geschlecht
- F
- Eingang
- 08.09.2022
- Impfdatum
- 06.08.2022
- Beginn
- 06.08.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
Symptomtext
Patient recieved monovalent vaccine instead of bivalent vaccine. No adverse effects
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- PA
- Alter
- 72,0
- Geschlecht
- F
- Eingang
- 07.09.2022
- Impfdatum
- 10.08.2022
- Beginn
- 24.08.2022
- Tage bis Beginn
- 14,0
- Dosis
- 4
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: ja
Disable: unbekannt
ER: ja
Erholt: nein
Cardiac failure acute
Cardiac failure congestive
Symptomtext
Acute congestive heart failure
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Cardiac failure acute
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- NV
- Alter
- 66,0
- Geschlecht
- F
- Eingang
- 07.09.2022
- Impfdatum
- 02.09.2022
- Beginn
- 02.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 5
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Wrong product administered
Symptomtext
Error: Wrong Vaccine/Product Administered-
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Wrong product administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- -
- Alter
- 12,0
- Geschlecht
- U
- Eingang
- 06.09.2022
- Impfdatum
- 30.08.2022
- Beginn
- 30.08.2022
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Fall
Symptomtext
This RN reporting event for staff member at clinic. Patient received the Pfizer booster immunization on 8/30/22 at 1550. The lot number was FP7150. Vaccine was administered by medical assistant. Patient was walking with parents to the lobby to be observed for 15 min when patient fell to the ground. MA took vitals and on call provider was called to evaluate patient at 1555. Blood pressure was 97/74, O2 saturation was 100%, heart rate was 88. NP and a Pa-C evaluated the patient and assessed she was stable and helped them to sit up. Patient was sitting for 3 minutes before being helped up and walking to the lobby for their observation period. Patient provided fluid and observed for other reactions. Patient was feeling much better and left with family at the end of their observation time.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Fall
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- IN
- Alter
- 22,0
- Geschlecht
- F
- Eingang
- 06.09.2022
- Impfdatum
- 11.08.2022
- Beginn
- 11.08.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Eye swelling
Lip swelling
Symptomtext
Pt stated her eyes and lips started to swell on the way home. She went to a facility for treatment. They would NOT give her a steroid injection. They prescribed, Pepcid, Atarax & Prednisone which she picked up the next day
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Eye swelling
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- VA
- Alter
- 51,0
- Geschlecht
- F
- Eingang
- 05.09.2022
- Impfdatum
- 24.08.2022
- Beginn
- 31.08.2022
- Tage bis Beginn
- 7,0
- Dosis
- 4
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Gastrointestinal disorder
Menstrual disorder
Postmenopausal haemorrhage
Symptomtext
Menstrual cycle restarted. I am in menopause. Also having issues in my lower digestive tract.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Gastrointestinal disorder
- Hospital-Tage
- -
- Labordaten
- N/A
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- None
- Andere Medikamente
- Garlic, aloe, and parsley pills, collagen, turmeric, iron
- Allergien
- Latex allergy
- Vorherige Impfungen
- Pfizer, 4/5/21, menstrual cycle
- Staat
- TX
- Alter
- 23,0
- Geschlecht
- M
- Eingang
- 02.09.2022
- Impfdatum
- 01.09.2022
- Beginn
- 02.09.2022
- Tage bis Beginn
- 1,0
- Dosis
- 3
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect product formulation administered
Symptomtext
Patient was given monovalent Pfizer as first booster dose
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- CA
- Alter
- 64,0
- Geschlecht
- F
- Eingang
- 02.09.2022
- Impfdatum
- 02.09.2022
- Beginn
- 02.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Incorrect product formulation administered
Symptomtext
FDA and CDC rescinded their authorization for booster dossing (12 and over) Pfizer .
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- NONE
- Aktuelle Erkrankungen
- NONE
- Vorgeschichte
- -
- Andere Medikamente
- NONE
- Allergien
- NKDA
- Vorherige Impfungen
- -
- Staat
- ID
- Alter
- 26,0
- Geschlecht
- M
- Eingang
- 02.09.2022
- Impfdatum
- 30.07.2022
- Beginn
- 30.07.2022
- Tage bis Beginn
- 0,0
- Dosis
- 2
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Inappropriate schedule of product administration
Symptomtext
I gave the injection 14 days too early.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Inappropriate schedule of product administration
- Hospital-Tage
- -
- Labordaten
- n/a
- Aktuelle Erkrankungen
- n/a
- Vorgeschichte
- n/a
- Andere Medikamente
- n/a
- Allergien
- Penicillin
- Vorherige Impfungen
- -
- Staat
- MD
- Alter
- 53,0
- Geschlecht
- F
- Eingang
- 01.09.2022
- Impfdatum
- 01.09.2022
- Beginn
- 01.09.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Extra dose administered
Symptomtext
GAVE SECOND BOOSTER THE DAY THAT IT WAS UNAPPROVED BY FDA/CDC 9/1/22, SINCE AWAITING DECISION ON BIVALENT.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Extra dose administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- -
- Alter
- 86,0
- Geschlecht
- F
- Eingang
- 01.09.2022
- Impfdatum
- 29.08.2022
- Beginn
- 29.08.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Erythema
Skin warm
Swelling
Symptomtext
Patient came in with redness on injection arm that looked raised. Area was warm to the touch and spread from previous day. Patient also stated she maybe running a fever.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Erythema
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- WA
- Alter
- 76,0
- Geschlecht
- F
- Eingang
- 31.08.2022
- Impfdatum
- 31.08.2022
- Beginn
- 31.08.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Discontinued product administered
No adverse event
Symptomtext
Patient did not have adverse event. Reporting a VAERS due to administering vaccine when FDA/CDC released on August 31, 2022 that we were supposed to stop administering monovalent Pfizer boosters. Vaccine was administered in the morning prior to the news release in the afternoon. The pharmacy was unaware of the news release during time of administration.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Discontinued product administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- None
- Andere Medikamente
- Acyclovir
- Allergien
- Sulfa
- Vorherige Impfungen
- -
- Staat
- TN
- Alter
- 64,0
- Geschlecht
- F
- Eingang
- 30.08.2022
- Impfdatum
- 29.07.2022
- Beginn
- 01.08.2022
- Tage bis Beginn
- 3,0
- Dosis
- 4
- Route/Site
- SYR / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Urinary tract infection
Urine analysis
Symptomtext
UTI began August 29, contacted my PC doctor was prescribed antibiotics., finished round 08/29/22. Reported this development on my V safe report. Received call asked to report. In looking back at vaccine schedule. Also had UTI after Moderna booster received 12/12/21. Had to do 2 rounds of Antibiotics to fully knock out infection.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Urinary tract infection
- Hospital-Tage
- -
- Labordaten
- Urine dip test.
- Aktuelle Erkrankungen
- Nine
- Vorgeschichte
- Hypertension
- Andere Medikamente
- Synthroid Lisinopril Vitamins C,D3, Zinc, magnesium, Krill oil
- Allergien
- Tetanus vaccine
- Vorherige Impfungen
- Passed out, vomited. Age10, 1968 tetanus vaccine. Developed UTI , 12/12/21, age 63, Covid booster, Moderna
- Staat
- MO
- Alter
- 56,0
- Geschlecht
- F
- Eingang
- 30.08.2022
- Impfdatum
- 10.08.2022
- Beginn
- 01.08.2022
- Tage bis Beginn
- -
- Dosis
- 4
- Route/Site
- - / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
COVID-19
Disease recurrence
Drug ineffective
SARS-CoV-2 test
Symptomtext
This is a spontaneous report received from contactable reporter(s) (Consumer or other non HCP). The reporter is the patient. A 56-year-old female patient (not pregnant) received BNT162b2 (BNT162B2), on 10Aug2022 at 18:00 as dose 4 (booster), single (Lot number: FP7150) at the age of 56 years, in left arm for covid-19 immunisation; coviD-19 vaccine (COVID-19 VACCINE), as dose 1, single (Batch/Lot number: unknown), as dose 2, single (Batch/Lot number: unknown) and as dose 3 (booster), single (Batch/Lot number: unknown) for covid-19 immunisation. The patient's relevant medical history included: "Other medical history: High blood pressure but being treated for it" (unspecified if ongoing), notes: Other medical history: High blood pressure but being treated for it. There were no concomitant medications. The following information was reported: DRUG INEFFECTIVE (medically significant), COVID-19 (medically significant) all with onset Aug2022, outcome "not recovered" and all described as "COVID 19"; DISEASE RECURRENCE (medically significant) with onset 24Aug2022, outcome "not recovered", described as "feeling pretty sick again/ tested positive". The patient underwent the following laboratory tests and procedures: SARS-CoV-2 test: (20Aug2022) Negative, notes: I actually tested negative on 20Aug2022; (22Aug2022) Negative, notes: I actually tested negative on 20Aug2022; (24Aug2022) Positive, notes: Today the 24th I started feeling pretty sick again. Coughing worse and low grade fever. I tested this evening and I tested positive. Therapeutic measures were taken as a result of drug ineffective, covid-19 which included tab Paxlovid. Therapeutic measures were not taken as a result of disease recurrence. Clinical information: The patient received vaccine received. No other medications in two weeks. The patient took anti-viral product Paxlovid for COVID 19 Treatment starting from 15Aug2022 till 20Aug2022. No follow-up attempts are possible. No further information is expected.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- COVID-19
- Hospital-Tage
- -
- Labordaten
- Test Date: 20220820; Test Name: COVID-19 Test; Test Result: Negative; Comments: I actually tested negative on 20Aug2022; Test Date: 20220822; Test Name: COVID-19 Test; Test Result: Negative; Comments: I actually tested negative on 20Aug2022; Test Date: 20220824; Test Name: COVID-19 Test; Test Result: Positive; Comments: Today the 24th I started feeling pretty sick again. Coughing worse and low grade fever. I tested this evening and I tested positive.
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- Medical History/Concurrent Conditions: Blood pressure high (Other medical history: High blood pressure but being treated for it)
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 33,0
- Geschlecht
- M
- Eingang
- 26.08.2022
- Impfdatum
- 20.08.2020
- Beginn
- 20.08.2020
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Flushing
Hyperhidrosis
Symptomtext
Systemic: Flushed/Sweating-Mild.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Flushing
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- NE
- Alter
- 11,0
- Geschlecht
- F
- Eingang
- 25.08.2022
- Impfdatum
- 17.08.2022
- Beginn
- 17.08.2022
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- IM / -
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
Administered Pfizer vaccine 12 years and up to an 11-year-old patient. No adverse effects to the Pfizer vaccine.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect dose administered
- Hospital-Tage
- -
- Labordaten
- N/A.
- Aktuelle Erkrankungen
- No
- Vorgeschichte
- No
- Andere Medikamente
- Adderall 5mg and Vyvanse 20mg
- Allergien
- No allergies
- Vorherige Impfungen
- -
- Staat
- CT
- Alter
- 52,0
- Geschlecht
- M
- Eingang
- 25.08.2022
- Impfdatum
- 23.08.2022
- Beginn
- 23.08.2022
- Tage bis Beginn
- 0,0
- Dosis
- 2
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Inappropriate schedule of product administration
Symptomtext
Administered a 2nd dose 7 days after 1st dose. Patient is not exhibiting any symptoms.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Inappropriate schedule of product administration
- Hospital-Tage
- -
- Labordaten
- N/A.
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- NY
- Alter
- 40,0
- Geschlecht
- M
- Eingang
- 24.08.2022
- Impfdatum
- 24.08.2022
- Beginn
- 24.08.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Immunodeficiency
Symptomtext
RN(reporter) is the nurse manager of the clinic. RN(vaccinator) informed the manager that she just administered a 2nd booster to a client age 40 without immunocompromised condition who does not qualify for 2nd booster. Event supervisor is notified. Staff provided counseling and explained situation to the patient. Patient was observed and left without any distress.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Immunodeficiency
- Hospital-Tage
- -
- Labordaten
- none
- Aktuelle Erkrankungen
- none
- Vorgeschichte
- none
- Andere Medikamente
- none
- Allergien
- Dairy
- Vorherige Impfungen
- -
- Staat
- PA
- Alter
- 14,0
- Geschlecht
- F
- Eingang
- 24.08.2022
- Impfdatum
- 23.08.2022
- Beginn
- 23.08.2022
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect dose administered
Symptomtext
Patient given larger dose then ordered. Patient given 1.8 ml of gray cap
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect dose administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- none
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- MI
- Alter
- 18,0
- Geschlecht
- M
- Eingang
- 23.08.2022
- Impfdatum
- 17.08.2022
- Beginn
- 17.08.2022
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
No adverse event
Product storage error
Symptomtext
Dose of Covid 19 vaccine given 24 hours after initial vial puncture. No adverse reactions where noted by the patient.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- No adverse event
- Hospital-Tage
- -
- Labordaten
- none
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- Generalized Anxiety disorder, Aortic ectasia
- Andere Medikamente
- Sertraline
- Allergien
- NKDA
- Vorherige Impfungen
- -
- Staat
- PA
- Alter
- 91,0
- Geschlecht
- F
- Eingang
- 19.08.2022
- Impfdatum
- 25.07.2022
- Beginn
- 01.08.2022
- Tage bis Beginn
- 7,0
- Dosis
- 3
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: ja
Disable: unbekannt
ER: ja
Erholt: nein
Acute kidney injury
Asthenia
Decreased appetite
Fall
Symptomtext
91-year-old female with past medical history listed below admitted on 8/15/2022 for weakness. Was residing in a nursing home and fell. She was brought to the hospital for further evaluation, to have AKI. Patient denies any headache, dizziness, chest pain, palpitations, shortness of breath, abdominal pain, nausea, vomiting, diarrhea, urinary symptoms. Reports that she has had decreased appetite for the last 2 weeks. Did get the COVID vaccine about 3 weeks ago. In the ED, was noted to have AKI. She will be admitted for further evaluation and treatment
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Acute kidney injury
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- WA
- Alter
- 37,0
- Geschlecht
- M
- Eingang
- 18.08.2022
- Impfdatum
- 16.08.2022
- Beginn
- 16.08.2022
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Expired product administered
Symptomtext
Patient given an expired COVID-19 vaccination. We attempted to contact patient to inform him of the event but have been unsuccessful so far.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Expired product administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- OSA, obesity, nicotine dependence
- Andere Medikamente
- N/A
- Allergien
- N/A
- Vorherige Impfungen
- -
- Staat
- MI
- Alter
- 68,0
- Geschlecht
- F
- Eingang
- 18.08.2022
- Impfdatum
- 27.07.2022
- Beginn
- 16.08.2022
- Tage bis Beginn
- 20,0
- Dosis
- 4
- Route/Site
- - / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: ja
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
COVID-19
SARS-CoV-2 test positive
Vaccine breakthrough infection
Symptomtext
Breakthrough case admission after 4 vaccines Pfizer 3/22/21 Lot# ER8727; Pfizer 4/12/21 Lot# EW0150; Pfizer 12/23/21 Lot# FE3594; Pfizer 7/27/22 Lot# FP7150
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- COVID-19
- Hospital-Tage
- -
- Labordaten
- COVID +
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- WA
- Alter
- 7,0
- Geschlecht
- F
- Eingang
- 17.08.2022
- Impfdatum
- 17.08.2022
- Beginn
- 17.08.2022
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- IM / RA
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 the wrong dose (30 mcg/0.3mL) for her age. No adverse events were seen. I did not recheck the dose after it was drawn up. Parents were advised of error. They were given a number to call us if any adverse events were observed.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect dose administered
- Hospital-Tage
- -
- Labordaten
- none
- Aktuelle Erkrankungen
- none at the time prior month unknown
- Vorgeschichte
- none
- Andere Medikamente
- unknown
- Allergien
- none
- Vorherige Impfungen
- -
- Staat
- FL
- Alter
- 73,0
- Geschlecht
- M
- Eingang
- 17.08.2022
- Impfdatum
- 07.07.2022
- Beginn
- -
- Tage bis Beginn
- -
- Dosis
- 4
- Route/Site
- - / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
COVID-19
SARS-CoV-2 test
Vaccination failure
Symptomtext
COVID-19; COVID-19; This is a spontaneous report received from a contactable reporter(s) (Consumer or other non HCP). The reporter is the patient. A 73-year-old male patient received BNT162b2 (BNT162B2), on 09Jan2021 as dose 1, single (Lot number: EC3246), in left arm, on 30Jan2021 as dose 2, single (Lot number: EL9263), in left arm, on 19Sep2021 as dose 3 (booster), single (Lot number: E13184), in left arm and on 07Jul2022 as dose 4 (booster), single (Lot number: FP7150) at the age of 73 years, in left arm for covid-19 immunisation. The patient had no relevant medical history. There were no concomitant medications. Past drug history included: Amphicilin, reaction(s): "Known allergies: amphicilin". The following information was reported: VACCINATION FAILURE (medically significant), COVID-19 (medically significant), outcome "unknown" and all described as "COVID-19". The patient underwent the following laboratory tests and procedures: SARS-CoV-2 test: Positive. Therapeutic measures were taken as a result of vaccination failure, covid-19.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- COVID-19
- Hospital-Tage
- -
- Labordaten
- Test Name: COVID-19 Test; Test Result: Positive
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- Comments: List of non-encoded Patient Relevant History: Patient Other Relevant History 1: None
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- PA
- Alter
- 71,0
- Geschlecht
- M
- Eingang
- 16.08.2022
- Impfdatum
- 24.01.2021
- Beginn
- 01.05.2021
- Tage bis Beginn
- 97,0
- Dosis
- 4
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Antinuclear antibody negative
Blood thyroid stimulating hormone normal
Vitiligo
Symptomtext
Rapidly progressive vitiligo
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Antinuclear antibody negative
- Hospital-Tage
- -
- Labordaten
- Workup for associated autoimmune disease (TSH, ANA). Workup negative.
- Aktuelle Erkrankungen
- Mild asthma, BPH, GERD
- Vorgeschichte
- mild asthma, BPH, GERD
- Andere Medikamente
- Vitamin D3, omeprazole, Advair, prn albuterol MDI, prn zolpidem
- Allergien
- Penicillin, cephalosporins, rifampin, nickel (contact dermatitis)
- Vorherige Impfungen
- -
- Staat
- -
- Alter
- 11,0
- Geschlecht
- F
- Eingang
- 15.08.2022
- Impfdatum
- 15.08.2022
- Beginn
- 15.08.2022
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- IM / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect dose administered
Product administered to patient of inappropriate age
Symptomtext
Adult dose given at inappropriate age
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect dose administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- none
- Vorgeschichte
- Acne
- Andere Medikamente
- none
- Allergien
- none
- Vorherige Impfungen
- -
- Staat
- PA
- Alter
- 5,0
- Geschlecht
- M
- Eingang
- 13.08.2022
- Impfdatum
- 07.08.2022
- Beginn
- 07.08.2022
- Tage bis Beginn
- 0,0
- Dosis
- 1
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Product administered to patient of inappropriate age
Symptomtext
Error: Wrong Age for Vaccine Given-
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Product administered to patient of inappropriate age
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- MI
- Alter
- 87,0
- Geschlecht
- F
- Eingang
- 12.08.2022
- Impfdatum
- 09.08.2022
- Beginn
- 09.08.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Expired product administered
Symptomtext
The patient was given a Covid vaccine from a vial that had been opened the previous day Vial opened 8/8/2022 @ 9:30am patient received the vaccine 8/9/2022 @ 12:42pm. The patient and family were called 8/12/2022 when the error was discovered and the patient reported no adverse reactions or symptoms.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Expired product administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- CA
- Alter
- 11,0
- Geschlecht
- M
- Eingang
- 11.08.2022
- Impfdatum
- 09.08.2022
- Beginn
- 11.08.2022
- Tage bis Beginn
- 2,0
- Dosis
- 3
- 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
Received adult dose Pfizer -Biontech although patient is 7 days short of becoming 12 years old. No adverse effect present per Mom 8/11/22 1pm
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect dose administered
- Hospital-Tage
- -
- Labordaten
- none
- Aktuelle Erkrankungen
- NONE
- Vorgeschichte
- NONE
- Andere Medikamente
- NONE
- Allergien
- NONE
- Vorherige Impfungen
- -
- Staat
- NC
- Alter
- 87,0
- Geschlecht
- F
- Eingang
- 11.08.2022
- Impfdatum
- 03.08.2022
- Beginn
- 03.08.2022
- Tage bis Beginn
- 0,0
- Dosis
- 5
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Circumstance or information capable of leading to medication error
Symptomtext
Potentially gave 5th dose to patient due to incorrect documentation in medical record from Rehab facility(patient was marked down as having only received her first and second doses of vaccine and consented to being vaccinated)
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Circumstance or information capable of leading to medication error
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- OH
- Alter
- 99,0
- Geschlecht
- F
- Eingang
- 10.08.2022
- Impfdatum
- 10.08.2022
- Beginn
- 10.08.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect dose administered
Product administered to patient of inappropriate age
Symptomtext
Nurse gave pediatric dose Pfizer. Patient notified that she needed to come back in for adult Pfizer booster.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect dose administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- DC
- Alter
- 67,0
- Geschlecht
- F
- Eingang
- 09.08.2022
- Impfdatum
- 09.08.2022
- Beginn
- 09.08.2022
- Tage bis Beginn
- 0,0
- Dosis
- 5
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Extra dose administered
Symptomtext
RN asked the patient to confirm that it's her second covid booster. Patient said that it's her second booster. RN checked the patient's vaccination card and didn't see any documentation for her second covid booster. RN gave the patient her covid shot. RN checked and saw that patient received her second booster on 06/15/22. Patient called Private to confirm if she received her second booster. Nurse confirmed that she received it on 06/15/22. Patient didn't feel any adverse reaction from the Covid vaccine. Patient said she feels fine.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Extra dose administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- N/A
- Allergien
- None
- Vorherige Impfungen
- -
- Staat
- TN
- Alter
- 11,0
- Geschlecht
- M
- Eingang
- 08.08.2022
- Impfdatum
- 05.08.2022
- Beginn
- 08.08.2022
- Tage bis Beginn
- 3,0
- Dosis
- 2
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect dose administered
Incorrect product formulation administered
Product administered to patient of inappropriate age
Symptomtext
WRONG DOSE GIVEN- SHOULD HAVE RECEIVED AGE 5-11, RECEIVED AGE 12+ DOSAGE AND FORMULATION.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect dose administered
- Hospital-Tage
- -
- Labordaten
- N/A
- Aktuelle Erkrankungen
- N/A
- Vorgeschichte
- AUTISM
- Andere Medikamente
- N/A
- Allergien
- N/A
- Vorherige Impfungen
- -
- Staat
- WA
- Alter
- 10,0
- Geschlecht
- F
- Eingang
- 05.08.2022
- Impfdatum
- 04.08.2022
- Beginn
- 04.08.2022
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- IM / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect dose administered
Symptomtext
Patient presented to our clinic accompanied by her mother, to receive her booster dose Pfizer-BioNTech for age 5-11 years. However, patient walked to the table for doses to be given for patients 12+ years of age. The patient is 150 lbs and received the incorrect dose for her age. The mother was advised within 5-10 minutes of administration. The mother was not worried about the dosage mistake given the fact of her larger stature. I apologized for the vaccine error and provided my contact information incase of any adverse reactions. Advised her to report and/or seek medical attention if she felt her daughter had symptoms post vaccine.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect dose administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 0,5
- Geschlecht
- F
- Eingang
- 04.08.2022
- Impfdatum
- 04.08.2022
- Beginn
- 04.08.2022
- Tage bis Beginn
- 0,0
- Dosis
- 2
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect dose administered
Product preparation error
Symptomtext
Patient was given a Pfizer 2nd dose 0.3 ml (not diluted) vaccine. Patient should have been given Pedi Pfizer 6mo-4yrs dosage of 0.2 ml diluted with 2.2 ml normal saline. Patient was observed for 15 minutes then discharged.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect dose administered
- Hospital-Tage
- -
- Labordaten
- none
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- history of prematurity postural plagiocephaly
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- CA
- Alter
- 2,0
- Geschlecht
- F
- Eingang
- 02.08.2022
- Impfdatum
- 02.08.2022
- Beginn
- 02.08.2022
- Tage bis Beginn
- 0,0
- Dosis
- 2
- Route/Site
- IM / RL
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect product formulation administered
Symptomtext
Dose of 0.2mL Pfizer 12+ given instead of Pfizer peds. 6mo-4yrs dose
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect product formulation administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 69,0
- Geschlecht
- M
- Eingang
- 01.08.2022
- Impfdatum
- 01.08.2022
- Beginn
- 01.08.2022
- Tage bis Beginn
- 0,0
- Dosis
- 5
- Route/Site
- SYR / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Extra dose administered
Inappropriate schedule of product administration
Symptomtext
none yet. pt received another booster a month after their second booster
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Extra dose administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- none listed on var
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 70,0
- Geschlecht
- M
- Eingang
- 01.08.2022
- Impfdatum
- 01.08.2022
- Beginn
- 01.08.2022
- Tage bis Beginn
- 0,0
- Dosis
- 5
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Extra dose administered
Inappropriate schedule of product administration
Symptomtext
pt received Pfizer booster when pt already got their second booster last month
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Extra dose administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- high blood pressure
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- IN
- Alter
- 19,0
- Geschlecht
- F
- Eingang
- 01.08.2022
- Impfdatum
- 28.07.2022
- Beginn
- 28.07.2022
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Expired product administered
Symptomtext
Error: Expired Product Administered-
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Expired product administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- NY
- Alter
- 98,0
- Geschlecht
- F
- Eingang
- 29.07.2022
- Impfdatum
- 25.07.2022
- Beginn
- 26.07.2022
- Tage bis Beginn
- 1,0
- Dosis
- 4
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Product administered at inappropriate site
Symptomtext
Patient is heavy set with a large amount of fat on the arm. The injection was given in the fat below the left deltoid. Injection site reaction occurred the next day.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Product administered at inappropriate site
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- DIABETS TYPE 2
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- IN
- Alter
- 8,0
- Geschlecht
- F
- Eingang
- 26.07.2022
- Impfdatum
- 25.07.2022
- Beginn
- 25.07.2022
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- IM / RA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: unbekannt
Incorrect dose administered
Product administered to patient of inappropriate age
Symptomtext
pt was given the 12 and older vaccine at 0.2 and not the 11 and younger vial
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect dose administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- N/A
- Vorgeschichte
- N/A
- Andere Medikamente
- N/A
- Allergien
- Vancomycin Allergy
- Vorherige Impfungen
- -
- Staat
- FL
- Alter
- 56,0
- Geschlecht
- F
- Eingang
- 25.07.2022
- Impfdatum
- 22.07.2022
- Beginn
- 23.07.2022
- Tage bis Beginn
- 1,0
- Dosis
- 4
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: ja
Disable: unbekannt
ER: ja
Erholt: nein
Balance disorder
Blood pressure increased
Fall
Laboratory test
Vertigo
Symptomtext
Woke up 8:30 am the day after her 4th vaccine, with severe vertigo reporting the room was spinning and upon trying to sit up she fell over. Attempted to sit up again but again fell over. Called her husband to assist. She again tried to sit up but fell over. She did not lose consciousness at any time just loss of balance/equilibrium. Her husband called 911 and she was transported to the hospital and is currently inpatient. She also reports her B/P has intermittently been elevated while she has been hospitalized.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Balance disorder
- Hospital-Tage
- 3,0
- Labordaten
- Currently inpatient at hospital and undergoing testing
- Aktuelle Erkrankungen
- None
- Vorgeschichte
- None
- Andere Medikamente
- None
- Allergien
- NKA/NKDA
- Vorherige Impfungen
- -
- Staat
- KY
- Alter
- 77,0
- Geschlecht
- M
- Eingang
- 25.07.2022
- Impfdatum
- 11.07.2022
- Beginn
- 23.07.2022
- Tage bis Beginn
- 12,0
- Dosis
- 4
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: ja
Disable: unbekannt
ER: ja
Erholt: unbekannt
COVID-19
Fall
Mental status changes
SARS-CoV-2 test positive
Symptomtext
77 year old gentleman who presented to the emergency room with altered mental status; he was found on the floor at home; his stepsister found him after he did not show up for an appointment with a client yesterday; he also missed several other appointments so his family went to check on him; he says that he took a medication but cannot tell me which one; he is not able to answer questions; He tested positive for COVID on admission screening.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- COVID-19
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- TX
- Alter
- 11,0
- Geschlecht
- M
- Eingang
- 25.07.2022
- Impfdatum
- 23.07.2022
- Beginn
- 23.07.2022
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect dose administered
No adverse event
Symptomtext
Patient is age 11 years and was given the Grey cap (12 and older) formulation of covid vaccine. No adverse reactions. Patient age 11 years old was given the grey cap formulation of the covid vaccine (Pfizer manufacturer) as his booster vaccine. Pfizer was contacted who reported no repeat dose is needed and patient can continue on normal trajectory of series.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect dose administered
- Hospital-Tage
- -
- Labordaten
- None.
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- Patient age 11 years old was given the grey cap formulation of the covid vaccine (Pfizer manufacturer) as his booster vaccine. Pfizer was contacted who reported no repeat dose is needed and patient can continue on normal trajectory of ser
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- CA
- Alter
- 1,3
- Geschlecht
- M
- Eingang
- 24.07.2022
- Impfdatum
- 11.07.2022
- Beginn
- 01.07.2022
- Tage bis Beginn
- -
- Dosis
- 1
- Route/Site
- - / RL
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect dose administered
Product administered to patient of inappropriate age
Somnolence neonatal
Symptomtext
a 16-months-old male patient. The patient was inadvertently administered a dose of the Pfizer-BioNTech COVID-19 Vaccine, gray cap; Sleepy; This is a spontaneous report received from contactable reporter(s) (Other HCP) from medical information team. A 16-month-old male patient received BNT162b2 (BNT162B2), on 11Jul2022 at 10:00 as dose 1, 0.3 ml single (Lot number: FP7150, Expiration Date: 30Nov2022) at the age of 16 months, in right thigh for covid-19 immunisation. The patient's relevant medical history included: "Jaundice Had Jaundice when he was born" (unspecified if ongoing). There were no concomitant medications. Vaccination history included: varicella (Vaccine Name: Varicella Manufacturer: Merck; Lot Number: U033046; EXP: 21Oct2023; NDC: 406482700; Anatomical Location: right thigh), administration date: 06Jun2022, when the patient was 1-year-old, for immunisation; mmr vaccine (Lot Number: U006487; Anatomical Location: left thigh; EXP: 26Feb2023; NDC: 406468100), administration date: 06Jun2022, when the patient was 1-year-old, for immunisation; hepatitis a (Lot Number: U038841; Anatomical Location: left thigh; Route of administration: vastus lateralis; EXP: 26Feb2023; NDC: 406409502), administration date: 06Jun2022, when the patient was 1-year-old, for immunisation. The following information was reported: PRODUCT ADMINISTERED TO PATIENT OF INAPPROPRIATE AGE (non-serious) with onset 11Jul2022 at 10:00, outcome "unknown", described as "a 16-months-old male patient. The patient was inadvertently administered a dose of the Pfizer-BioNTech COVID-19 Vaccine, gray cap"; SOMNOLENCE NEONATAL (non-serious) with onset Jul2022, outcome "recovered" (Jul2022), described as "Sleepy". Additional information: The reporter stated they spoke with the mother yesterday for an update. The mother said the patient was sleepy for the first two days after the overdose event, but that has resolved. Currently (at the time of the report) the patient looks normal and was playing, eating OK, and was acting well again. Follow (13Jul2022): This is a spontaneous follow-up report received in response to the mail trail sent regarding the confirmation of reporter's occupation. The response included: reporter's occupation. No follow-up attempts are possible. No further information is expected. Follow-up (19Jul2022): This is a spontaneous follow-up report received from a contactable other HCP. Updated information: New event of Somnolence neonatal and additional information added.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect dose administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- Medical History/Concurrent Conditions: Jaundice of newborn
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- CA
- Alter
- 1,3
- Geschlecht
- M
- Eingang
- 24.07.2022
- Impfdatum
- 11.07.2022
- Beginn
- 01.07.2022
- Tage bis Beginn
- -
- Dosis
- 1
- Route/Site
- IM / RL
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Incorrect dose administered
Product administered to patient of inappropriate age
Somnolence neonatal
Symptomtext
a 16-months-old male patient. The patient was inadvertently administered a dose of the Pfizer-BioNTech COVID-19 Vaccine, gray cap; Sleepy; This is a spontaneous report received from contactable reporter(s) (Other HCP) from medical information team. A 16-month-old male patient received BNT162b2 (BNT162B2), on 11Jul2022 at 10:00 as dose 1, 0.3 ml single (Lot number: FP7150, Expiration Date: 30Nov2022) at the age of 16 months, in right thigh for covid-19 immunisation. The patient's relevant medical history included: "Jaundice Had Jaundice when he was born" (unspecified if ongoing). There were no concomitant medications. Vaccination history included: varicella (Vaccine Name: Varicella Manufacturer: Merck; Lot Number: U033046; EXP: 21Oct2023; NDC: 406482700; Anatomical Location: right thigh), administration date: 06Jun2022, when the patient was 1-year-old, for immunisation; mmr vaccine (Lot Number: U006487; Anatomical Location: left thigh; EXP: 26Feb2023; NDC: 406468100), administration date: 06Jun2022, when the patient was 1-year-old, for immunisation; hepatitis a (Lot Number: U038841; Anatomical Location: left thigh; Route of administration: vastus lateralis; EXP: 26Feb2023; NDC: 406409502), administration date: 06Jun2022, when the patient was 1-year-old, for immunisation. The following information was reported: PRODUCT ADMINISTERED TO PATIENT OF INAPPROPRIATE AGE (non-serious) with onset 11Jul2022 at 10:00, outcome "unknown", described as "a 16-months-old male patient. The patient was inadvertently administered a dose of the Pfizer-BioNTech COVID-19 Vaccine, gray cap"; SOMNOLENCE NEONATAL (non-serious) with onset Jul2022, outcome "recovered" (Jul2022), described as "Sleepy". Additional information: The reporter stated they spoke with the mother yesterday for an update. The mother said the patient was sleepy for the first two days after the overdose event, but that has resolved. Currently (at the time of the report) the patient looks normal and was playing, eating OK, and was acting well again. Follow (13Jul2022): This is a spontaneous follow-up report received in response to the mail trail sent regarding the confirmation of reporter's occupation. The response included: reporter's occupation. No follow-up attempts are possible. No further information is expected. Follow-up (19Jul2022): This is a spontaneous follow-up report received from a contactable other HCP. Updated information: New event of Somnolence neonatal and additional information added.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect dose administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- Medical History/Concurrent Conditions: Jaundice of newborn
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- AL
- Alter
- 74,0
- Geschlecht
- F
- Eingang
- 23.07.2022
- Impfdatum
- 18.07.2022
- Beginn
- 18.07.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Product storage error
Symptomtext
Error: Improper Storage (ex. temp./location)-
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Product storage error
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- AL
- Alter
- 65,0
- Geschlecht
- M
- Eingang
- 23.07.2022
- Impfdatum
- 18.07.2022
- Beginn
- 18.07.2022
- Tage bis Beginn
- 0,0
- Dosis
- 4
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Product storage error
Symptomtext
Error: Improper Storage (ex. temp./location)-
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Product storage error
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
- Staat
- NE
- Alter
- 9,0
- Geschlecht
- M
- Eingang
- 21.07.2022
- Impfdatum
- 21.07.2022
- Beginn
- 21.07.2022
- Tage bis Beginn
- 0,0
- Dosis
- 3
- Route/Site
- IM / -
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: nein
Incorrect dose administered
Product administered to patient of inappropriate age
Symptomtext
Covid 19 12plus vaccine given instead of 5-7year old dose.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Incorrect dose administered
- Hospital-Tage
- -
- Labordaten
- none
- Aktuelle Erkrankungen
- none
- Vorgeschichte
- no
- Andere Medikamente
- Adderall XR 10mg 1 po qam and GuanFacine 1mg
- Allergien
- NKA
- Vorherige Impfungen
- -