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Report #2827205

Received Mar 11, 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
11 yrs
State
ND
Recovered
Unknown
Vaccinated
Dec 4, 2024
Onset
Dec 4, 2024
Days to onset
0
Hospital days
—

Vaccines (6)

TypeNameManufacturerDoseLotRoute / Site
HEPHEP B (ENGERIX-B)GLAXOSMITHKLINE BIOLOGICALS195BJ9IM / RA
IPVPOLIO VIRUS, INACT. (IPOL)SANOFI PASTEUR1W1C831MSC / LA
MMRVMEASLES + MUMPS + RUBELLA + VARICELLA (PROQUAD)MERCK & CO. INC.1Y008284SC / RA
MNQMENINGOCOCCAL CONJUGATE (MENVEO)NOVARTIS VACCINES AND DIAGNOSTICS1LN75DIM / LA
TDAPTDAP (BOOSTRIX)GLAXOSMITHKLINE BIOLOGICALS1X449YIM / LA
UNKVACCINE NOT SPECIFIED (NO BRAND NAME)UNKNOWN MANUFACTURER1Y008284OT / RA

Symptoms (2)

Product storage errorNo adverse event

Symptom narrative

No adverse effects reported; improperly stored PROQUAD; This spontaneous report was received from an Other health professional and refers to an 11-year-old female patient. The patient's medical history was not reported. The patient's concurrent conditions were not reported. Concomitant medications included Hbhepb (Hepatitis b vaccine;HIB vaccine), Ipol (Polio vaccine inact 3v (Vero)), Men (Meningococcal vaccine), Boostrix (Diphtheria vaccine toxoid;Pertussis vaccine acellular 3-component;Tetanus vaccine toxoid) . The Measles, Mumps, Rubella and Varicella (Oka-Merck) Virus Vaccine Live lyophilisate and solvent for solution for injection (PROQUAD) was moved to the refrigerators on 01-OCT-2024 where it remained within normal refrigerated temperature (36 to 46 degrees Fahrenheit) until administration. The patient received the first dose of improperly stored Measles, Mumps, Rubella and Varicella (Oka-Merck) Virus Vaccine Live lyophilisate and solvent for solution for injection (PROQUAD) subcutaneously at right arm on 04-DEC-2024 for prophylaxis since it "was stored in the refrigerator for months" instead of the freezer (lot # Y008284, expiry date: 21-OCT-2025) (Product storage error). No adverse effects reported (no adverse event). This is one of many reports from the same reporter.

Other medications

Hep B; Inactive polio virus; Meningococcal; Tdap (Boostrix); Sterile Diliuent