Report #2827009

Received Feb 19, 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: AZ
Recovered: Unknown
Vaccinated: Feb 19, 2025
Onset: Feb 19, 2025
Days to onset: 0
Hospital days: —

Vaccines (4)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	1	3044143	IM / RA
DTAPIPV	DTAP + IPV (KINRIX)	GLAXOSMITHKLINE BIOLOGICALS	N/A	5H95B	SC / LA
FLU3	INFLUENZA (SEASONAL) (FLULAVAL)	GLAXOSMITHKLINE BIOLOGICALS	N/A	5ZG92	IM / LA
MMRV	MEASLES + MUMPS + RUBELLA + VARICELLA (PROQUAD)	MERCK & CO. INC.	3	Y004996	SC / RA

Symptoms (1)

No adverse event

Symptom narrative

no other symptoms noted after vaccination other than the ones patient initially arrived to the clinic with.

Current illness

cough with phlegm, rhinorrhea, Nasopharyngitis

Medical history

None

Other medications

None

Allergies

None

Lab data

none