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Report #2825310

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
4 yrs
State
WI
Recovered
Unknown
Vaccinated
Dec 3, 2024
Onset
Dec 3, 2024
Days to onset
0
Hospital days
—

Vaccines (4)

TypeNameManufacturerDoseLotRoute / Site
COVID19COVID19 (COVID19 (PFIZER-BIONTECH))PFIZER\BIONTECHN/ALN8272IM / LA
DTAPIPVDTAP + IPV (KINRIX)GLAXOSMITHKLINE BIOLOGICALS442Y93IM / LA
FLUN3INFLUENZA (SEASONAL) (FLUMIST)MEDIMMUNE VACCINES, INC.N/AWF2582IN / NS
MMRVMEASLES + MUMPS + RUBELLA + VARICELLA (PROQUAD)MERCK & CO. INC.2Y003880SC / LA

Symptoms (1)

Unevaluable event

Symptom narrative

No known adverse events

Current illness

none

Medical history

flexural atopic dermatitis; childhood overweight, BMI 85-94.9 percent; S/p bilateral myringotomy with tube placement;

Other medications

hydrocortisone 2.5% topical ointment

Allergies

no known allergies

Lab data

none