Détails du rapport Vaer
Âge: N/A
Genre: Female
Région : Outside US
- Patient décédé?
- Non
- Renseignements sur les vaccins
-
Nom: MEASLES + MUMPS + RUBELLA + VARICELLA (PROQUAD)
Type : Measles, mumps, rubella and varicella vaccine live
Fabricant: MERCK & CO
Lot: u017056
- Date de réception du rapport
- 2022-03-04
- Date à laquelle le formulaire est complèté
- Date de vaccination
- 2021-09-15
- Date d’apparition
- 3
- Nombre de jours (date d’apparition – date de vaccination)
- 3
- Description de l’événement indésirable
-
fever over or equal 39.5; information has been downloaded from regulatory agency (it-minisal02-833886). this spontaneous report was received from an other health professional and refers to a 1-year-old female patient. no medical history, concurrent conditions, concomitant therapies, previous events/allergies were provided. on 15-sep-2021, the patient was vaccinated with measles, mumps, rubella and varicella (oka-merck) virus vaccine live (rha)(proquad) subcutaneously in deltoid as an inoculation site, lot #u017056, expiration date was not provided, upon internal review, it was established as 31-oct-2022 (dose, concentration, dose number were not reported) indication was not reported, established as prophylaxis. on 18-sep-2021, the patient experienced fever over or equal 39.5. the outcome of fever was reported as recovered on 20-sep-2021. the agency did not provide causality assessment between the event and suspect vaccine. follow-up information has been downloaded from regulatory agency (it-minisal02-833886) on 24-feb-2022. event seriousness were updated to ime and also severity is updated to severe
- Données de laboratoire
-
na
- Liste des symptômes
-
pyrexia
- Patient décédé?
- Non
- Date de décès
- N/A
- Anomalie congénitale
- false
- Vaccin administré par :
- Unknown
- Vaccin acheté par :
- Inconnu
- Visite d’un patient à l’urgence?
- Non
- Patient hospitalisé?
- Non
- Séjour à l’hôpital
- Non
- Nombre de jours à l’hôpital
- Non spécifié
- Invalidité permanente?
- Non
- Allergies:
-
na
- Maladie actuelle
-
na