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Report #2827176

Received Mar 15, 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
Female
Age
10 yrs
State
ND
Recovered
Unknown
Vaccinated
Jan 16, 2025
Onset
Jan 16, 2025
Days to onset
0
Hospital days
—

Vaccines (6)

TypeNameManufacturerDoseLotRoute / Site
HEPHEP B (ENGERIX-B)GLAXOSMITHKLINE BIOLOGICALS395BJ9IM / RA
HEPAHEP A (HAVRIX)GLAXOSMITHKLINE BIOLOGICALS1DN273IM / RA
HPV9HPV (GARDASIL 9)MERCK & CO. INC.1Y011500IM / LA
MMRVMEASLES + MUMPS + RUBELLA + VARICELLA (PROQUAD)MERCK & CO. INC.2Y013583SC / LA
MMRVMEASLES + MUMPS + RUBELLA + VARICELLA (PROQUAD)MERCK & CO. INC.UNKY013583OT / LA
MMRVMEASLES + MUMPS + RUBELLA + VARICELLA (PROQUAD)MERCK & CO. INC.UNK—OT

Symptoms (2)

Product storage errorNo adverse event

Symptom narrative

No additional AE; patients may have received improperly stored PROQUAD since it "was stored in the refrigerator for months" instead of the freezer.; This spontaneous report was received from a Nurse and refers to a(n) 10-year-old female patient. The patient's medical history and previous drug reactions or allergies were not reported. Concomitant medications included Human Papillomavirus 9-valent Vaccine, Recombinant (Gardasil 9), Hepatitis b vaccine rHBsAg (yeast) (Engerix b) and Hepatitis a vaccine inact (Havrix). It was reported the on 01-OCT-2024, the dose of Measles, Mumps, Rubella and Varicella (Oka-Merck) Virus Vaccine Live (PROQUAD) was moved from freezer to refrigerator until on 16-JAN-2025, when the patient was inadvertently administered with an improperly stored second dose (product storage error) of Measles, Mumps, Rubella and Varicella (Oka-Merck) Virus Vaccine Live (PROQUAD) administered by subcutaneous route in Left Arm for prophylaxis (lot #Y013583, expiration date: 03-Feb-2026) reconstituted with sterile diluent. No additional AE.

Other medications

Hep B (Engerix B); HEP A (Havrix); HPV (Gardasil 9)