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Report #2828595

Received Feb 27, 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
61 yrs
State
MI
Recovered
Unknown
Vaccinated
Feb 26, 2025
Onset
—
Days to onset
—
Hospital days
—

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
MMRVMEASLES + MUMPS + RUBELLA + VARICELLA (PROQUAD)MERCK & CO. INC.UNK—IM / RA

Symptoms (2)

No adverse eventWrong product administered

Symptom narrative

there is no adverse reaction pt was given the MMRV instead of the MMR. pt was advised of error contacted the health department was informed no vaccine repeating was needed.

Current illness

NA

Medical history

Cardiac and Vasculature History of hypertension Ear, Nose, Throat Asymmetric SNHL (sensorineural hearing loss) Tinnitus of left ear Gastrointestinal and Abdominal GERD (gastroesophageal reflux disease) Encounter for colorectal cancer screening Adenomatous polyp of ascending colon History of esophagogastroduodenoscopy (EGD) Unilateral inguinal hernia without obstruction or gangrene Genitourinary and Reproductive Elevated PSA Hematology and Neoplasia Family history of colon cancer Prostate cancer (CMS-HCC) Iron deficiency anemia Infectious Diseases Infected prosthetic knee joint, initial encounter Mental Health History of alcohol use disorder Musculoskeletal and Injuries Osteonecrosis (CMS-HCC) Inflammatory arthritis History of gout Chronic low back pain Osteoarthritis of left glenohumeral joint Shoulder pain, bilateral Bursitis, olecranon, left Pubic ramus fracture, left, closed, initial encounter (CMS-HCC) Primary osteoarthritis of both knees Primary osteoarthritis of right knee Nontraumatic incomplete tear of left rotator cuff History of shoulder surgery Failed orthopedic implant Sleep Insomnia OSA (obstructive sleep apnea) Symptoms and Signs Pain from implanted hardware

Other medications

albuterol sulfate HFA 90 mcg inhaler 18 g 0 1/29/2025 ? Sig: Inhale 2 puffs into the lungs every 6 (six) hours as needed for Shortness of Breath or Cough Route: Inhalation PRN Reason(s): Shortness of Breath, Cough APPLE

Allergies

High: Norco [Hydrocodone-acetaminophen] Not Specified: Hydrocodone; Nsaids (Non-steroidal Anti-inflammatory Drug); Other; Ragwee

Lab data

none