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Report #2828198

Received Feb 25, 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
Unknown
Age
Age unknown
State
IA
Recovered
Unknown
Vaccinated
Oct 18, 2023
Onset
Jan 27, 2025
Days to onset
467
Hospital days
—

Vaccines (4)

TypeNameManufacturerDoseLotRoute / Site
DTAPIPVHIBDTAP + IPV + HIB (PENTACEL)SANOFI PASTEURUNKUK167AA—
DTPPVHBHPBDTAP+IPV+HIB+HEPB (VAXELIS)MSP VACCINE COMPANY3—LL
MMRMEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.UNKY007615—
VARCELVARICELLA (VARIVAX)MERCK & CO. INC.UNKY011020—

Symptoms (1)

Product preparation issue

Symptom narrative

inadvertently reconstituted both the MMR II and VARIVAX Vaccines with the VAXELIS Vaccine instead of the STERILE DILUENT. The patient received both vaccines on the same day on 01/27/2025.; Vaccines with the VAXELIS Vaccine instead of the STERILE DILUENT. Pentacel vaccine administered the same day; inadvertently reconstituted both the MMR II and VARIVAX Vaccines with the VAXELIS Vaccine instead of the STERILE DILUENT. The patient received both vaccines on the same day on 01/27/2025.; This non-serious, spontaneous, safety report was received by partner on 30-JAN-2025 and forwarded to agency on 30-JAN-2025 from a healthcare professional. Due to the nature of the event, the causality between the event "inadvertently reconstituted both the MMR II and VARIVAX Vaccines with the VAXELIS Vaccine instead of the STERILE DILUENT. The patient received both vaccines on the same day on 01/27/2025" and Vaxelis was not applicable. Further information is expected Significant follow-up information was received by the partner on 13-FEB-2025 and forwarded to agency on 13-FEB-2025, from other health professional. The case is maintained as non-serious. Due to the nature of the event, the causality between the event "inadvertently reconstituted both the MMR II and VARIVAX Vaccines with the VAXELIS Vaccine instead of the STERILE DILUENT. The patient received both vaccines on the same day on 01/27/2025" and Vaxelis was not applicable. Further information is not expected.

Current illness

Prophylaxis