Report #2825301

Received Feb 7, 2025

A note on interpretation. VAERS reports are unverified and may be incomplete or coincidental. A report does not establish that a vaccine caused an event, and counts should not be used to calculate incidence or infer causation. Full disclaimer

Overview

Sex: Male
Age: 1 yrs
State: WI
Recovered: Unknown
Vaccinated: Oct 22, 2024
Onset: Oct 22, 2024
Days to onset: 0
Hospital days: —

Vaccines (5)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (PFIZER-BIONTECH))	PFIZER\BIONTECH	N/A	LN6739	IM / RL
FLU3	INFLUENZA (SEASONAL) (FLULAVAL)	GLAXOSMITHKLINE BIOLOGICALS	N/A	5ZG92	IM / LL
MMR	MEASLES + MUMPS + RUBELLA (MMR II)	MERCK & CO. INC.	1	X028014	SC / LL
PNC20	PNEUMO (PREVNAR20)	PFIZER\WYETH	4	LC1281	IM / LL
VARCEL	VARICELLA (VARIVAX)	MERCK & CO. INC.	1	—	SC / RL

Symptoms (1)

Product administered to patient of inappropriate age

Symptom narrative

no known adverse events

Current illness

none

Medical history

duplicated ureter, left; duplicated left renal collecting system; family history of Sjogren's disease; umbilical hernia without obstruction and without gangrene; hemoglobin low; infantile atopic dermatitis

Other medications

hydrocortisone 2.5% topical ointment; MVI w/iron drops; triamcinolone ointment (Kenalog) 1.0% ointment

Allergies

No known allergies

Lab data

none